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Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA Administrative Region
Diviion of Surigao del Sur
HINATUAN NATIONAL COMPREHENSIVE HIGH SCHOOL
INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM
Name of Employee REX B. MARTINEZ Name of Rater RACHEL METHUSELAH R. CUMAHIG, Ph.D.
Position TEACHER II Position: SECONDARY SCHOOL PRINCIPAL I
Review Period JUNE 2016- MARCH 2017 Date of
Office HINATUAN NATIONAL COMPEHENSIVE HIGH SCHOOL REVIEW

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

MFOs KRAs OBJECTIVES TIMELINE


Weight PERFORMANCE INDICATORS ACTUAL
RESULTS
RATING
per KRA (Quality, Efficiency, Timeliness) QE T
1. Teaching 1.Prepared well-constructed plans( LP)/ Daily Lesson 5-OUTSTANDING.Has met the five(5)
Learning Process Log( DLL) reflecting the following characteristics of a LP/DLL
characteristics: 4-Very Satisfactory.Has met the
a. five parts 15% four(4)characteristics of a LP/DLL 4 4 5 4.33
b.Objective is SMART,based on the desired learning JUNE, 2015-MARCH, 3- Satisfactory.Has met the three(3)
competencies 2016 characteristics of a LP/DLL
c.It has adequate nd appropriate instructional 2- UnSatisfactory.Has met the two(2)
materials characteristics of a LP/DLL
d.Develop Higher Order Thinking Skills(HOTS) 1-Poor.Has met the one(1) characteristics
e. Developing 21st Century Skills of a LP/DLL
2.Facilitated learning in the school as shown by: 5-OUTSTANDING.Has met the five(5)
a. Teaching methods and interactive methods and characteristics of Facilitated Learning
strategies elicit interaction from a class 4-Very Satisfactory.Has met the four(4)
b.Participative learning-project-based characteristics of a Facilitaed Learning
c.Cooperative Learning strategies JUNE, 2015-MARCH, 15% 3- Satisfactory.Has met the three(3) 3 4 5 4
d.Information and Communication Technology(ICT) 2016 characteristics of Facilitated Learning
integration(i.e. Multimedia etc.) 2- UnSatisfactory.Has met the two(2)
e.Provision of individualized interaction characteristics of Facilitated Learning
1-Poor.Has met one(1) characteristics of
Facilitated Learning
2.Learners 1. Monitored evaluated and maintained pupils 5-OUTSTANDING.Presence of all five(5)
Outcomes progress evidences
Required Evidences: 4-Very Satisfactory. Presence of four(4)
a.Class Record/E-Class Record evidences
b.Learners Portfolio JUNE, 2015-MARCH, 3- Satisfactory. Presence of three (3)
2016 10% 5 5 5 5
c.Table of Specificatios (TOS) of Test Questions(TQ) evidences
d.Assessment Tools and Analysis Reports 2- UnSatisfactory. Presence of two (2)
e.Test Bank evidences
f.Updated School forms ( SF-2,SF-3 etc.) 1-Poor. Presence of one( 1)evidence
2.Monitored attendance,diversity appreciation,safe, 5-OUTSTANDING.Presence of all five(5)
positive and motivating environment,overall physical evidences
atmosphere, cleanliness and orderliness of 4-Very Satisfactory. Presence of four(4)
classrooms including proper waste disposal. evidences
Required Evdences: 3- Satisfactory. Presence of three (3)
a.Inclusive/multi-cultural/accepting environment: JUNE, 2015-MARCH, evidences
10% 4 4 4 4
2016
stress free classroom setting 2- UnSatisfactory. Presence of two (2)
b.Well-structured well kept,orderly, and well evidences
vintilated classroom 1-Poor. Presence of one( 1)evidence
c.Presence of bins for waste segregation
d.Updated attentance chart
3. Analyzed/ test learners' Performance 5-OUTSTANDING.Presence of all five(5)
Required Evdences: evidences
a. RRE/ICL program`& schedule 4-Very Satisfactory. Presence of four(4)
b.Individual case discription evidences
c.Program and schedule of RRE/ICL JUNE, 2015-MARCH, 3- Satisfactory. Presence of three (3)
10% 3 4 3 3.33
2016
d.Attendance duly signed by students,department evidences
heads & principal 2- UnSatisfactory. Presence of two (2)
e.List of intervention Activities and Materials evidences
f.Evaluation Report(see D.O. no. 8,-s.2015) 1-Poor. Presence of one( 1)evidence
3. Community 1. Conducted regular/periodic PTA meetings and 5-Outstanding*Presence of all five(5)
Involvement conferences: evidences
a. Notice/letter to parents/guardians 4-VS*Presence of all four(4) evidences
b.Agenda/Schedule JUNE, 2015-MARCH, 3- Satisfactory. Presence of three (3)
10% 4 4 4 4
2016
c.Minutes of the meeting evidences
d.Attendance Record duly signed by attendees 2-US* Presence of two (2) evidences
e.Documentation 1-P* Presence of one( 1)evidence
2.Visited parents of students needing academic 5-OUTSTANDING.Presence of all five(5)
monitoring/ follow -up evidences
Required Evidences 4-Very Satisfactory. Presence of four(4)
a. Letter to Parents/ Guardians & Principal's evidences
Permission for home visitation JUNE, 2015-MARCH, 3- Satisfactory. Presence of three (3)
2016
2016
b.Anecdotal Records 10% evidences 4 4 4 4
c.Home Visitation Form 2- UnSatisfactory. Presence of two (2)
d. Attendance record evidences
e.Feedback/ Progress Report with documentation 1-Poor. Presence of one( 1)evidence
4.Professional 1. Conducted Action Research classroom-based focusing on 5-OS* Conducted one ( 1) duly
Growth and -negative learning environment approved and adopted action research by
Development -learning behavior the whole Division/District/Cluster
4-VS*Conducted one(1) duly approved
action research by the whole school.
JUNE, 2015-MARCH, 5% 3-S*Conducted two(2) duly approved action 1 1 1 1
2016 researches by the Schools Division Office
(classroom)
2.-US*Conducted one(1) duly approved
action research by the Schools Division
Office.(Classroom)
1-P* Never conducted any action
2. Earned relevant professional trainings, earned units 5-OS*Earned at least 30 units in MA degree
or graduated from a higher relevant degree. 4-VS*Earned at least 27 units in MA degree
JUNE, 2015-MARCH,
2016 5% 3-S*Earned at least 18 units in MA degree 3 3 3 3
2-US*Earned at least 9 units in MA degree
1-P*Earned at least 6 units in MA degree
3. Attended trainings, seminars,workshops , or 5-Oustanding.Atleast one(1) training /
conferences seminar abroad
Required Evidences: 4-Very Satisfactory. At least one(1) national
a. Certificate of Appearance/Participation and Regional seminar/training/conference
b.Official Receipt 3-Satisfactory. Atleast one(1) school
c.Memorandum JUNE, 2015-MARCH, seminar/training/conference
10% 3 4 4 3.67
2016
d.Travel Order/Authority to travel 2-Unsatisfactory. At least one (1) school
e.Pictures/Official Documentation seminar/training/conference
f. Narrative Reort 1-Poor. No Seminar/training/conference
e.Echo Seminar attended
34 37 38 36.333333
* To get the score, the Weighted
rating is multiplied by Average 36.33
the weight assigned Mean

TOTAL (Excluding Plus Factor) 100% OVER-ALL RATING OF ASSESSMENT 3.85


PLUS FACTOR 5% ADJECTIVAL RATING Very Satisfactory
REX B. MARTINEZ
Ratee
NOTED:
RACHEL METHUSELAH R.CUMAHIG, Ph.D.
Secondary School Principal I

Adjectival Rating Scale


Outstanding 4.500 - 5.000
.D.

ON

SCORE

0.65

0.6
0.5

0.4

0.33

0.4
0.4

0.05

0.15

0.37

3.85

36.33

3.85
Very Satisfactory