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Department of Education

Region IX, Zamboanga Peninsula


Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form


Name of Employee:
ROBELYN DELOS REYES
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015

TO BE FILLED IN DURING PLANNING


Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.1 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.2 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

RATING
Q

Score

Ave

0.400

0.600

strategies

1 No functional lesson & no strategies present


10%

1.3 Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom
regularly

2. STUDENT
OUTCOMES
(30%)

June
2014
to
March
2015

10%
2.1 Maintained and
evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

June
2014
to
March
2015

10%
June
2014
to
March
2015

10%
2.3 Increased/achieved

June
2014
to

4
5 100% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were
monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5 MPS increased by 3% every quarter


4 MPS increased by 2% every quarter
3 MPS increased by 1.5% every quarter

MPS increased
by 2% every
quarter

0.400

0.400

0.500

0.400

3. COMMUNITY
INVOLVEMENT
(10%)

MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,
meetings, and the
like

2 MPS increased by 1% every quarter


1 No increased in MPS every quarter

March
2015
5%
May
2014
to
March
2015

5%
3.2 Participated in
related organizations
/association events
and activities

15%

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

May
2014
to
March
2015

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

May
2014
to
March
2015

3
5 Always participated in internal & external
sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation
3 often participated in internal & external
sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

often
participated in
internal &
external
sponsored
events and
activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

3.5

0.175

0.100

0.450

5%
4.2 Initiated/planned/
participated and
implemented
one (1) cocurricular/school
activity within the
rating period

June
2014
to
March
2015

seminars/workshops with partial documentation


1 Attended/Participated 1 trainings/
seminars/workshops with no completion report
5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with partial documentation
3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

participated in
one (1) cocurricular/
school activity
within the
rating period
with partial
documentation

Rater / Approving Authority:


ROBELYN M. DELOS REYES
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

0.100

3.525

VS

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.
Name of Ratee: ROSANY E. SANTIAGO
Name of Rater: Emelda G. Mondejar
Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


ROBELYN M. DELOS REYES
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula

Resources Needed
School Funds
MOOE funds

Division of Zamboanga City


VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form


Name of Employee:
CLAUDINE L. PAJARITO
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015
TO BE FILLED IN DURING PLANNING
Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.4 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.5 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June

10%

5 100% safety, orderliness, motivating

85% safety,

RATING
Q

Score

Ave

0.400

0.600

0.400

1.6 Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom
regularly

2014
to
March
2015

4
3
2
1

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

2.3 Increased/achieved
MPS by 2%
against the
baseline every

environment and proper waste disposal were


monitored and maintained
85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
75% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

orderliness,
motivating
environment
and proper
waste disposal
were
monitored
and
maintained

June
2014
to
March
2015

10%

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

June
2014
to
March
2015

10%

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

June
2014
to
March
2015

10%

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

0.400

0.500

0.400

3. COMMUNITY
INVOLVEMENT
(10%)

quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,
meetings, and the
like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

May
2014
to
March
2015

5%

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation
3 often participated in internal & external
sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

often
participated in
internal &
external
sponsored
events and
activities with
partial
documentation

May
2014
to
March
2015

5%

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

May
2014
to
March
2015

15%

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

3.5

0.175

0.100

0.450

4.2 Initiated/planned/
participated and
implemented
one (1) cocurricular/school
activity within the
rating period

June
2014
to
March
2015

5%

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with partial documentation
3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

participated in
one (1) cocurricular/
school activity
within the
rating period
with partial
documentation

Rater / Approving Authority:


CLAUDINE L. PAJARITO
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives

3.525

Very Satisfactory

0.100

3.525

VS

Rater Ratee Agreement


The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.
Name of Ratee: ROSANY E. SANTIAGO
Name of Rater: Emelda G. Mondejar
Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


CLAUDINE L. PAJARITO
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
NEHEMIAH O. SARDEA
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015
TO BE FILLED IN DURING PLANNING
Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.7 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.8 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.9 Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

85% safety,
orderliness,
motivating
environment
and proper
waste disposal

RATING
Q

Score

Ave

0.400

0.600

0.400

classroom
regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

3 75% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

were
monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored

conferences,
meetings, and the
like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

documentation
3 often participated in internal & external
sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

events and
activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) co-

participated in
one (1) cocurricular/
school activity
within the

0.100

0.450

0.100

curricular/school activity within the rating period


with partial documentation
3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

one (1) cocurricular/school


activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

rating period
with partial
documentation

Rater / Approving Authority:


NEHEMIAH O. SARDEA
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: ROSANY E. SANTIAGO

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


NEHEMIAH O. SARDEA
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
FAIRY MARIE B. SANSON
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015

TO BE FILLED IN DURING PLANNING


Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.10 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.11 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.12Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


FAIRY MAE SANSON
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: FAIRY MAE B. . SANSON

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


FAIRY MAY B. SANSON
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
LORETA A. GREGORIO
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015
TO BE FILLED IN DURING PLANNING
Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.13 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.14 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.15Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


LORETA A. GREGORIO
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: LORETA A. GREGORIO

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


LORETA A. GREGORIO
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
FLORIBEL B. GERBESE
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015
TO BE FILLED IN DURING PLANNING
Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.16 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.17 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.18Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


FLORIBEL B. GERBESE
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: FLORIBEL B. GERBESE

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


FLORIBEL B. GERBESE
Teacher - I

EMELDA G. MONDEJAR, Ed. D


School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
MARIA LOVELY P. DOHAYLUNSOD
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015

TO BE FILLED IN DURING PLANNING


Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.19 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.20 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.21Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


MARIA LOVELY P. DOHAYLUNSOD
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: MARIA LOVELY P. DOHAYLONSUD

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015

Resources Needed
School Funds
MOOE funds

Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


MARIA LOVELY P. DOHAYLUNSOD
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Name of Employee:
BABYLYN T. ANGELES
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015
TO BE FILLED IN DURING PLANNING
Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.22 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.23 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.24Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


BABYLYN T. ANGELES
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: BABYLYN T. ANGELES

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


BABYLYN T. ANGELES
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
ROELA C. ANGELES
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015
TO BE FILLED IN DURING PLANNING
Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.25 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.26 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.27Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


ROELA C. ANGELES
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: ROELA C. ANGELES

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


ROELA C. ANGELES
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
CHARLENE GISELLE A. AGUSTIN
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015

TO BE FILLED IN DURING PLANNING


Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.28 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.29 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.30Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


CHARLENE GISELLE A. AGUSTIN
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: CHARLENE GISELLE A. AGUSTIN

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


CHARLENE GISELLE A. AGUSTIN
Teacher - I

EMELDA G. MONDEJAR
School Principal - I

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Resources Needed
School Funds
MOOE funds

Name of Employee:
CHARLENE GISELLE A. AGUSTIN
Position: Teacher I
Review Period: April 2014 March 2015

Name of Rater: EMELDA G. MONDEJAR


Position: School Principal I
Date of Review: April 16, 2015

TO BE FILLED IN DURING PLANNING


Weight

MFO
Basic
Education
Services

KRAs
1. TEACHING
LEARNING
PROCESS
(40 %)

OBJECTIVES
1.31 Prepared lesson
logs, individual
activities,
including
appropriate and
updated
instructional
materials

1.32 Facilitated
learning in the
class through
functional lesson
plan and the use
of innovative
teaching
strategies

1.33Monitored/checke
d safe, motivating
environment,
attendance, and
orderliness of
classroom

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

TIMELINE

Per
KRA

June
2014
to
March
2015

10%

5 - Always prepared lesson logs, activities,


instructional materials that were appropriate,
adequate and updated
4 More often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
3 Often prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
2 Seldom prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated
1 Never prepared lesson logs, activities,
instructional materials that were appropriate,
adequate and updated

More often
prepared
lesson logs,
activities,
instructional
materials that
were
appropriate,
adequate and
updated

June
2014
to
March
2015

20%

5 Established challenging and measurable goal/s


& innovative teaching strategies are alwayspresent
4 Developed a measurable goal &innovative
teaching strategies are more often present
3 Developed a functional lesson plan & innovative
teaching strategies are often present
2 A functional lesson plan was not clearly
established and strategies are seldom present
1 No functional lesson & no strategies present

Developed a
functional
lesson plan &
innovative
teaching
strategies are
often present

June
2014
to
March
2015

10%

5 100% safety, orderliness, motivating


environment and proper waste disposal were
monitored and maintained
4 85% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
3 75% safety, orderliness, motivating

85% safety,
orderliness,
motivating
environment
and proper
waste disposal
were

RATING
Q

Score

Ave

0.400

0.600

0.400

regularly

2. STUDENT
OUTCOMES
(30%)

2.1 Maintained and


evaluated my
studentsprogress
making them
acquire a final
rating between
75% (D), 80% (AP)
& 85% (P) atthe
end of the school
year
2.2 Monitored/checked
attendance and
student output
regularly

3. COMMUNITY
INVOLVEMENT
(10%)

2.3 Increased/achieved
MPS by 2%
against the
baseline every
quarter
3.1 Participated in
Internal & external
sponsored
events/activities,
conferences,

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

June
2014
to
March
2015

10%

May
2014
to
March
2015

5%

environment and proper waste disposal were


monitored and maintained
2 65% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained
1 50% safety, orderliness, motivating
environment and proper waste disposal were
monitored and maintained

monitored
and
maintained

5 Always monitored, maintained, evaluated


student progress
4 More often monitored, maintained, evaluated
student progress
3 Often monitored, maintained, evaluated
student progress
2 Less often monitored, maintained, evaluated
student progress
1 seldom monitored, maintained, evaluated
student progress

More often
monitored,
maintained,
evaluated
student
progress

5 Always monitored/checked student attendance


and output
4 More often monitored/checked student
attendanceand output
3 Often monitored/checked student attendance
and output
2 Seldom monitored/checked student attendance
and output
1 Never monitored/checked student attendance
and output

Monitored/che
cked student
attendance
and output

5
4
3
2
1

MPS increased
by 2% every
quarter

MPS increased by 3% every quarter


MPS increased by 2% every quarter
MPS increased by 1.5% every quarter
MPS increased by 1% every quarter
No increased in MPS every quarter

5 Always participated in internal & external


sponsored events and activities with full
documentation
4 More often participated in internal & external
sponsored events and activities with full
documentation

0.400

0.500

0.400

3.5

0.175

3
often
participated in
internal &
external
sponsored
events and

meetings, and the


like

3.2 Participated in
related organizations
/association events
and activities

4.PROFESSIONAL
GROWTH AND
DEVELOPMENT

(20%)

4.1 Participated/
attended trainings/
seminars/
workshops in and
out of school

4.2 Initiated/planned/
participated and
implemented
one (1) co-

May
2014
to
March
2015

5%

May
2014
to
March
2015

15%

June
2014
to
March
2015

5%

3 often participated in internal & external


sponsored events and activities with partial
documentation
2 participated in internal & external
sponsored events and activities with partial
completion report
1 - seldom participated in internal & external
sponsored events and activities with no
completion report

activities with
partial
documentation

5 Always participated and initiated events/activities


and an active member of 4 related
organizations/associations
4 More often participated in events/activities
and an active member of 3 related
organizations/associations
3 Often participated in events/activities
and an active member of 2related
organizations/associations
2 Seldom participated in events/activities
and a member of 1 related
organizations/associations
1 never participated in events/activities
and only a member of any related
organizations/associations

Seldom
participated in
events/
activities
and a member
of 1 related
organizations/
associations

5 Attended/Participated at least 5 trainings/


seminars/workshops with full
documentation
4 Attended/Participated in4 trainings/
seminars/workshops with partial documentation
3 Attended/Participated in 3 trainings/
seminars/workshops with partial documentation
2 Attended/Participated in 2 trainings/
seminars/workshops with partial documentation
1 Attended/Participated 1 trainings/
seminars/workshops with no completion report

Attended/Parti
cipated in 3
trainings/semi
nars/workshop
s with partial
documentation

5 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period
with full documentation
4 - Initiated/planned and implemented one (2) cocurricular/school activity within the rating period

participated in
one (1) cocurricular/
school activity
within the
rating period

0.100

0.450

0.100

with partial documentation


3 Initiated &participated in one (1)
co-curricular/school activity within the rating period
with partial documentation
2 -participated in one (1) co- curricular/school
activity
within the rating period with partial documentation
1 participated in one (1) with no documentation

curricular/school
activity within the
rating period

OVERALL
RATING
FOR
ACCOMPLISHMENT

To get the score, the rating is multiplied by the weight assigned

Ratee:

with partial
documentation

Rater / Approving Authority:


CHARLENE GISELLE A. AGUSTIN
Teacher - I

EMELDA G. MONDEJAR, Ed. D.


School Principal - I

PART III. SUMMARY OF RATINGS FOR DISCUSSION


Rater Ratee Agreement
Final Performance Results

Rating

Abjectival Rating

Accomplishments of KRAs and Objectives


Very Satisfactory
3.525
The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.

3.525

VS

Name of Ratee: CHARLENE GISELLE A. AGUSTIN

Name of Rater: Emelda G. Mondejar

Position:TEACHER - I

Position: School Principal I

Signature:

Signature:

Date:

April 16, 2015

Date:

April 16, 2015

PART IV: DEVELOPMENT PLANS


Strengths

Development Needs

National Certificate Holder


Professionalism and Ethics
Attended Seminars
Have good work attitude
Service Oriented

Ratee:

More exposures to
Innovation
Written/Oral Communication
Computer/ICT Skills

Action Plan
(Recommended Developmental
Intervention)
Attend Seminars/Workshops and
Trainings on Innovation, Oral
Communication, Written
Communication,
and Computer/ICT Skills

Timeline
Summer Mass
Training
May 2015
Mid-Year INSET
Oct. 2015
Year -round

Rater / Approving Authority:


CHARLENE GISELLE A. AGUSTIN
Teacher - I

EMELDA G. MONDEJAR
School Principal

Resources Needed
School Funds
MOOE funds

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