Emp Feedback FormEMPLOYEE FEEDBACK FORMRating Period:STRENGTHSDEVELOPMENTACTION PLANTIMELINERESOURCES NEEDS(Recommended Development Intervention)NEEDED

Employee Feedback:

Perf Mon & Coaching FormPERFORMANCE MONITORING AND COACHING FORM

DATECRITICAL INCIDENCE DESCRIPTIONOUTPUTIMPACT ON JOBSIGNATUREACTION PLAN(RATER/RATEE)

IPCRF_Teachers

Individual Performance Commitment and Review Form

Name of Employee:NORILYN B. ATIENZAName of Rater:Medelita M. VaronaPosition:Teacher IPosition:Master Teacher IReview Period:Date of Review:Bureau/Center/Service/Division:Occidental Mindoro TO BE FILLED DURING PLANNINGTO BE FILLED DURINGEVALUATIONKRAsOBJECTIVESTIMELINEWeight PERFORMANCEACTUALRATINGSCORE*MOV/OUTPUTMFOsperINDICATORSArea(Quality, Efficiency, Timeliness)RESULTSBasic Education ServicesTeaching Learning Process Prepared LP of activities including appropriate strategies /approaches with adequate and updated instructional materials5 - All LP had complete parts with congruency with complete supporting evidences.Daily lesson logs4 - All LP had complete parts with congruency with incomplete supporting evidences.Instructional Materials3 - All LP had complete parts no congruency with complete supporting evidences. 2 -All LP had incomplete parts , no congruency with complete supporting evidences.1 - All LP had incomplete parts , no congruency with incomplete supporting evidences.Facilitated learning in the class through functional LP and Innovative teaching Strategies5 - The teacher facilitated learning in the class through functional LP and innovative teaching strategies with supporting documents.4- The teacher developed a measurable goal for student learning that is aligned with K to 12 curriculum.3- The teacher clearly communicated a focus for student learning that is appropriate with K to 12 curriculum.2- The teacher did not have a clear focus for student learning.1-The teacher did not have any focus for student learning.Monitored attendance,diversity appreciation, safe, positive and motivating environment, overall physical atmosphere, cleanliness and orderliness of classroom including proper waste disposal5- The teacher checked attendance and administered classroom management such as safety, cleanliness and orderliness including proper waste disposal regularly.4- The teacher checked attendance and administered classroom management such as safety, cleanliness and orderliness including proper waste disposal often.3- The teacher checked attendance and administered classroom management such as safety, cleanliness and orderliness including proper waste disposal sometimes.2-The teacher checked attendance without administering classroom management. 1-The teacher did not checked attendance and administered classroom management such as safety, cleanliness and orderliness including proper waste disposal.Daily Lesson LogsPupils/Students OutcomesUpdated class records, test questions and other record forms in every grading period5-Updated and complete Class record, test questions and other school forms in every grading period and submitted ahead of time.Class Records4- Updated and complete test questions, class record and other school forms submitted just on time.Pre- and Post Conference3-Updated class record, test questions and other school forms and submitted on time but not complete.2- Updated and incomplete class record, test questions and other school forms submitted late.1- All test questions, class records and other school forms were incomplete and submitted on time.Attained at least 75% MPS in all subjects/learning area every grading period5- Attained 76% and above MPS in all subjects/learning area every grading period 4-Attained 70-75% MPS in all subject/learning area every grading period3-Attained 65-69% MPS in all subject/learning area in every grading period2-Attained 59-64% MPS in all subject/learning area in every grading period1-Attained 50-58% MPS in all subject/learning area in every grading periodAchieved 100% promotion rate in every grade 5-100% of pupils promoted in every grade/class4-99% of pupils promoted in every grade/class 3-98% of pupils promoted in every grade/class2- 97% of pupils promoted in every grade/class1-95% of pupils promoted in every grade/classCommunity InvolvementUpdated class records, test questions and other record forms in every grading period5-Updated and complete Class record, test questions and other school forms in every grading period and submitted ahead of time.4-Updated and complete test questions, class record and other school forms submitted just on time.Written Rules and Regulations3-Updated class record, test questions and other school forms and submitted on time but not complete.Agreement signed by parents & students2- Updated and incomplete class record, test questions and other school forms submitted late.1- All test questions, class records and other school forms were incomplete and submitted on time.Attained at least 75% MPS in all subjects/learning area every grading period5- Attained 76% and above MPS in all subjects/learning area every grading period4-Attained 70-75% MPS in all subject/learning area every grading period3-Attained 65-69% MPS in all subject/learning area in every grading period2- Attained 59-64% MPS in all subject/learning area in every grading period1-Attained 50-58% MPS in all subject/learning area in every grading period Achieved 100% promotion rate in every grade 5-100% of pupils promoted in every grade/class4-99% of pupils promoted in every grade/class 3-98% of pupils promoted in every grade/classSchool Form 22-97% of pupils promoted in every grade/classSegregated garbage1- 95% of pupils promoted in every grade/classClean classroomProfessional Growth and DevelopmentEarned 18 masteral units.5-Earned 18 units within the rating period with satisfactory ratings.4-Earned 9 units within the rating period with satisfactory ratings.3-Earned 6 units within the rating period with satisfactory ratings.2-Earned 3 units within the rating period with satisfactory ratings.1-No units earned within the rating period.Contibuted creative work for school paper publication.5-Contributed 5 creative works for school paper publication.4-Contributed 4 creative works for school paper publication.3- Contributed 3 creative works for school paper publication.2-Contributed 2 creative works for school paper publication.1-No contributions of creative works for school paper publication. Initiated/ Participated in co- curricular school activities such as GSP/BSP Scouting, Kab/Star Scouting, Langkay/Twinkler Scouting, ICT Festival, Journalism, Sports, Quiz Bee, MTAP and school monthly activities .5-Initiated/ Participated at least 2 co-curricular/ school activities with documented results4-Initiated/ Participated school activities with documented results3-Participated in most school activities with documented results2- Participated only without documented results.1-No participation in any of the school activities.Received special awards/citation/recognition for exemplary performance.5-Awarded as Champion winning coach at least in 2 different academic/co- curricular activities.4-Awarded as winning coach at least in 2 different academic/co- curricular activities.3-Awarded as winning coach at least in an academic/co- curricular activities.2-Participated only in academic/co- curricular activities.1- No participation

IPCRF_2PART III: SUMMARY OF RATINGS FOR DISCUSSIONFinal Performance ResultsRating

Accomplishments of KRAs by Objectives

Employee-Superior Agreement

The signatures below confirm that the employee and his/her superior have agreed to the contents of the performance as captured in this form.

Name of EmployeeName of Superior

SignatureSignature

DateDate

PART IV: DEVELOPMENT PLANSStrengthsDevelopment NeedsAction PlanTimelineResources Needed(Recommended Developmental Intervention)

Sheet6

IPCRF_Teachers (2)

Individual Performance Commitment and Review Form

Name of Employee:NORILYN B. ATIENZAName of Rater:MEDILITA M. VARONAPosition:Teacher IPosition:Master Teacher IReview Period:Date of Review:Bureau/Center/Service/Division:Occidental Mindoro TO BE FILLED DURING PLANNINGTO BE FILLED DURINGEVALUATIONKRAsOBJECTIVESTIMELINEWeight PERFORMANCEACTUALRATINGSCORE*MOV/OUTPUTMFOsperINDICATORSArea(Quality, Efficiency, Timeliness)RESULTSBasic Education ServicesTeaching Learning Process Prepared DLL with different activities, strategies and approaches with updated instructional materials.June to March5 -All Daily Lesson Log had complete parts with congruency and updated supporting evidences. Daily lesson logs4 - All Daily Lesson Log had complete parts with congruency but incomplete with supporting evidence.Instructional Materials3 - All Daily Log had complete parts with no congruency with incomplete supporting evidences. 2 -All Daily Lesson Log had incomplete parts and incomplete supporting evidences but submitted on time.1 - All Daily Lesson Log had incomplete parts , no congruency and incomplete supporting evidences.Facilitates learning in the class through functional LP/ DLL and Innovative teaching strategies and Approaches.June to March5 - Facilitates learning through functional LP/ DLL using different approaches alligned with K to 12 Curriculum4- Facilitates learning using some approaches alligned with K to 12 Curriculum.3- Facilitates learning without using different strategies alligned with K to 12 Curriculum.2- Facilitates learning without functional LP/DLL using one strategy.1-Facilitates learning without functional LP/DLL and teaching strategies.Monitors attendance, cleanliness and classroom management.5- Monitored attendance and administer classroom management regularly.4- Monitored and administer classroom management every other day.3- Monitored attendance and administer classroom management twice a week.2- Monitored attendance and administer classroom management once a week. 1-Not monitoring attendance and can't administer classroom management.Daily Lesson LogsPupils/Students Outcomes 40 %Updates class record and other school forms in every grading period.June to March5-Updated and complete class record in school forms every grading period and submitted on time.Class Records4- Updated and complete class record and school forms submitted.Pre- and Post Conference3-Updated and complete class record with incomplete school forms submitted late.2- Updated class record and incomplete school forms are submitted late.1- Class record and school forms are incomplete and submitted late.Attains at least 60% MPS in all subjects/learning area every grading period5- Attained 60 % and above MPS in all subjects/learning area every grading period. 4-Attained 50 % MPS and all subject/learning area every grading period.3- Attained 40 % MPS and all subject/learning area every grading period.2- Attained 35 % MPS and all subject/learning area every grading period.1- Attained 20 % MPS and all subject/learning area every grading period.Achieves 100% promotion rate in every grade 5- Achieved 100 % of pupils promoted in every grade/class.4-Achieved 98 % of pupils promoted in every grade/class.3- Achieved 96 % of pupils promoted in every grade/class.2- Achieved 94 % of pupils promoted in every grade/class.1-Achieved 90 % of pupils promoted in every grade/class.Community InvolvementConducts parents pupils to initiate projects and activities within the target date.5-Conducted 100 % accomplishment with successful target time.4-Conducted 90 % accomplishment initiated projects and activities were submitted within the target date.Written Rules and Regulations3-Conducted 80 % projects and activities were submitted within the target date.Agreement signed by parents & students2- Conducted 70 % projects and activities were submitted late.1- Conducted 50 % projects and activities were submitted late. Conducts regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of MarchYear Round(5) Conducted 4 or more planned meetings producing 4 sets of agreements with accomplishment(5) Conducted 4 or more planned meetings producing 4 sets of agreements with accomplishment(5) Conducted 4 or more planned meetings producing 4 sets of agreements with accomplishment(4) Conducted 3 planned meetings producing 3 sets of agreements and with partial accomplishment of these(4) Conducted 3 planned meetings producing 3 sets of agreements and with partial accomplishment of these(4) Conducted 3 planned meetings producing 3 sets of agreements and with partial accomplishment of these(3) Conducted 2 planned meetings producing 2 sets of agreements(3) Conducted 2 planned meetings producing 2 sets of agreements(3) Conducted 2 planned meetings producing 2 sets of agreements(2)Conducted 1 planned meeting with minimal results(2)Conducted 1 planned meeting with minimal results(2)Conducted 1 planned meeting with minimal results(1) No meetings were conducted(1) No meetings were conducted(1) No meetings were conducted Visits parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March(5) Visited 4 times or more parents with planned interventions by the end of March (5) Visited 4 times or more parents with planned interventions by the end of March (5) Visited 4 times or more parents with planned interventions by the end of March (4) Visited thrice with planned interventions by the end of March(4) Visited thrice with planned interventions by the end of March(4) Visited thrice with planned interventions by the end of March(3) Visited twice with planned interventions by the end of March(3) Visited twice with planned interventions by the end of March(3) Visited twice with planned interventions by the end of March(2) Visited once with planned interventions (2) Visited once with planned interventions (2) Visited once with planned interventions (1) Visitation was not implemented(1) Visitation was not implemented(1) Visitation was not implementedProfessional Growth and DevelopmentEarns 18 masteral units from June - March.June to March5-Earned 18 units within the rating period with satisfactory ratings.4-Earned 9 units within the rating period with satisfactory ratings.3-Earned 6 units within the rating period with satisfactory ratings.2-Earned 3 units within the rating period with satisfactory ratings.1-No units earned within the rating period.Contibutes creative works for school paper publication.June to March5-Contributed 5 creative works for school paper publication.4-Contributed 4 creative works for school paper publication.3- Contributed 3 creative works for school paper publication.2-Contributed 2 creative works for school paper publication.1-No contributions of creative works for school paper publication. Initiates/ Participates in co- curricular school activities such as GSP/BSP Scouting, Kab/Star Scouting, Langkay/Twinkler Scouting, ICT Festival, Journalism, Sports, Quiz Bee, MTAP and school monthly activities .June to March5-Initiated/ Participated at least 3 co-curricular/school activities with documented results4-Initiated/ Participated at least 2 co-curricular/school activities with documented results.3-Initiated/ Participated at least 1 co-curricular/school activities with documented results.2- Initiated/ Participated without documented results.1-No participation in any of the school activities.Received special awards/citation/recognition for exemplary performance.June to March5-Awarded as champion winning coach at least 3 different academic/co- curricular activities.4-Awarded as winning coach at least in 2 different academic/co- curricular activities.3-Awarded as winning coach at least in an academic/co- curricular activities.2-Participated only in academic/co- curricular activities.1- No participation in any activities.

IPCRF_Teachers (3)

Individual Performance Commitment and Review Form

Name of Employee:CHARMAGNE ANN K. SANTOSName of Rater:MEDILITA M. VARONAPosition:Teacher IPosition:Master Teacher IReview Period:Date of Review:Bureau/Center/Service/Division:Occidental Mindoro TO BE FILLED DURING PLANNINGTO BE FILLED DURINGEVALUATIONKRAsOBJECTIVESTIMELINEWeight PERFORMANCEACTUALRATINGSCORE*MOV/OUTPUTMFOsperINDICATORSArea(Quality, Efficiency, Timeliness)RESULTSBasic Education ServicesTeaching Learning Process Prepared DLL with different activities, strategies and approaches with updated instructional materials.June to March5 -All Daily Lesson Log had complete parts with congruency and updated supporting evidences. Daily lesson logs4 - All Daily Lesson Log had complete parts with congruency but incomplete with supporting evidence.Instructional Materials3 - All Daily Log had complete parts with no congruency with incomplete supporting evidences. 2 -All Daily Lesson Log had incomplete parts and incomplete supporting evidences but submitted on time.1 - All Daily Lesson Log had incomplete parts , no congruency and incomplete supporting evidences.Facilitates learning in the class through functional LP/ DLL and Innovative teaching strategies and Approaches.June to March5 - Facilitates learning through functional LP/ DLL using different approaches alligned with K to 12 Curriculum4- Facilitates learning using some approaches alligned with K to 12 Curriculum.3- Facilitates learning without using different strategies alligned with K to 12 Curriculum.2- Facilitates learning without functional LP/DLL using one strategy.1-Facilitates learning without functional LP/DLL and teaching strategies.Monitors attendance, cleanliness and classroom management.5- Monitored attendance and administer classroom management regularly.4- Monitored and administer classroom management every other day.3- Monitored attendance and administer classroom management twice a week.2- Monitored attendance and administer classroom management once a week. 1-Not monitoring attendance and can't administer classroom management.Daily Lesson LogsPupils/Students Outcomes 40 %Updates class record and other school forms in every grading period.June to March5-Updated and complete class record in school forms every grading period and submitted on time.Class Records4- Updated and complete class record and school forms submitted.Pre- and Post Conference3-Updated and complete class record with incomplete school forms submitted late.2- Updated class record and incomplete school forms are submitted late.1- Class record and school forms are incomplete and submitted late.Attains at least 60% MPS in all subjects/learning area every grading period5- Attained 60 % and above MPS in all subjects/learning area every grading period. 4-Attained 50 % MPS and all subject/learning area every grading period.3- Attained 40 % MPS and all subject/learning area every grading period.2- Attained 35 % MPS and all subject/learning area every grading period.1- Attained 20 % MPS and all subject/learning area every grading period.Achieves 100% promotion rate in every grade 5- Achieved 100 % of pupils promoted in every grade/class.4-Achieved 98 % of pupils promoted in every grade/class.3- Achieved 96 % of pupils promoted in every grade/class.2- Achieved 94 % of pupils promoted in every grade/class.1-Achieved 90 % of pupils promoted in every grade/class.Community InvolvementConducts parents pupils to initiate projects and activities within the target date.5-Conducted 100 % accomplishment with successful target time.4-Conducted 90 % accomplishment initiated projects and activities were submitted within the target date.Written Rules and Regulations3-Conducted 80 % projects and activities were submitted within the target date.Agreement signed by parents & students2- Conducted 70 % projects and activities were submitted late.1- Conducted 50 % projects and activities were submitted late. Conducts regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of March Conducted regular/ periodic PTA meetings/conferences 2 times by the end of MarchYear Round(5) Conducted 4 or more planned meetings producing 4 sets of agreements with accomplishment(5) Conducted 4 or more planned meetings producing 4 sets of agreements with accomplishment(5) Conducted 4 or more planned meetings producing 4 sets of agreements with accomplishment(4) Conducted 3 planned meetings producing 3 sets of agreements and with partial accomplishment of these(4) Conducted 3 planned meetings producing 3 sets of agreements and with partial accomplishment of these(4) Conducted 3 planned meetings producing 3 sets of agreements and with partial accomplishment of these(3) Conducted 2 planned meetings producing 2 sets of agreements(3) Conducted 2 planned meetings producing 2 sets of agreements(3) Conducted 2 planned meetings producing 2 sets of agreements(2)Conducted 1 planned meeting with minimal results(2)Conducted 1 planned meeting with minimal results(2)Conducted 1 planned meeting with minimal results(1) No meetings were conducted(1) No meetings were conducted(1) No meetings were conducted Visits parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March Visited parents of pupils needing academic monitoring/ follow-up / behavioral problems/ absenteeism 2 times by the end of March(5) Visited 4 times or more parents with planned interventions by the end of March (5) Visited 4 times or more parents with planned interventions by the end of March (5) Visited 4 times or more parents with planned interventions by the end of March (4) Visited thrice with planned interventions by the end of March(4) Visited thrice with planned interventions by the end of March(4) Visited thrice with planned interventions by the end of March(3) Visited twice with planned interventions by the end of March(3) Visited twice with planned interventions by the end of March(3) Visited twice with planned interventions by the end of March(2) Visited once with planned interventions (2) Visited once with planned interventions (2) Visited once with planned interventions (1) Visitation was not implemented(1) Visitation was not implemented(1) Visitation was not implementedProfessional Growth and DevelopmentEarns 18 masteral units from June - March.June to March5-Earned 18 units within the rating period with satisfactory ratings.4-Earned 9 units within the rating period with satisfactory ratings.3-Earned 6 units within the rating period with satisfactory ratings.2-Earned 3 units within the rating period with satisfactory ratings.1-No units earned within the rating period.Contibutes creative works for school paper publication.June to March5-Contributed 5 creative works for school paper publication.4-Contributed 4 creative works for school paper publication.3- Contributed 3 creative works for school paper publication.2-Contributed 2 creative works for school paper publication.1-No contributions of creative works for school paper publication. Initiates/ Participates in co- curricular school activities such as GSP/BSP Scouting, Kab/Star Scouting, Langkay/Twinkler Scouting, ICT Festival, Journalism, Sports, Quiz Bee, MTAP and school monthly activities .June to March5-Initiated/ Participated at least 3 co-curricular/school activities with documented results4-Initiated/ Participated at least 2 co-curricular/school activities with documented results.3-Initiated/ Participated at least 1 co-curricular/school activities with documented results.2- Initiated/ Participated without documented results.1-No participation in any of the school activities.Received special awards/citation/recognition for exemplary performance.June to March5-Awarded as champion winning coach at least 3 different academic/co- curricular activities.4-Awarded as winning coach at least in 2 different academic/co- curricular activities.3-Awarded as winning coach at least in an academic/co- curricular activities.2-Participated only in academic/co- curricular activities.1- No participation in any activities.