Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
Division of Zamboanga del Sur
PAGADIAN CITY

OFFICE PERFORMANCE COMMITMENT REVIEW FORM

PRINCIPALS/ SCHOOL HEADS
MEANS OF VERIFICATION (MOV) CHECKLIST

Name____________________________ Date Reviewed:_______________

School __________________________ District:_______________________

KRA OBJECTIVES MOVs Complied Not Remarks

Complied
1.Instructional 1.1 Accounted for  NAT MPS
Leadership learning outcomes of  Quarterly Test Result (By
schools and centers Learning Area and Grade
vis-à-vis goals and Level)
targets.  PHIL-IRI Result
 EGRA
 Analysis of learning
Outcomes against targets
(Quality indicator)
 Intervention to address poor
performance
1.2 Performed at least  Number of Checked DLPs /
8 instructional DLLs of teachers highlighting
supervision per month integration of content
to achieve learning knowledge within and across
outcomes. subject areas.
 Number of classroom
observations conducted with
at least 4 COTs per Teacher
 Consolidated report on data
collected, analyzed and
utilized to identify strengths
and weaknesses of teachers
during classroom observation.
 Report on Instructional
Materials utilized highlighting
learner-centered strategies
that promote literacy and or
numeracy skills
 Sample Copies of summative
test materials with Table of
Specification.
 Consolidated reports on
learning difficulties, home
visitations and peculiar
incidents used for planning
and implementing appropriate
interventions
 Approved Instructional
Supervisory Plan
 Copy of Approved Master
Class Program
 Copy of Approved Teacher’s
 Program
 List of prepared
Localized/indigenized
Instructional Materials
1.3 Increased Internal  Tabular / graphical Data on
Efficiency based on Internal Efficiency (drop-out,
Planning standards. Completion, Graduation,
Enrolment
1.3.1 Drop-out  Report on the Analysis of
Performance Gaps
1.3.2 Enrolment
 Causes of poor result e.g.,
1.3.3 Completion High drop-out rate, low
completion rate, decrease of
1.3.4 Graduation enrolment)
 Recommendations
2. Learning 2.1 Ensured safe and  Health records of students
Environment child-friendly learning  Report on Child Protection
and school Committee and Policies
environment for Formulated
learners.  Report on teacher’s non-
threatening discipline
 Report on school policy and
action plan with practice to
response to emergency cases
which can provide safety to all
students
 Report on measures and
guidelines adopted to protect
children from abuse and
exploitation
 Report on Child Abuse
 Disaster Risk reduction
Management Plan
2.2 Improved the  Report on WASH Program
school plant, physical  Status report on feeding
fitness, safety and Program
sufficiency  Report on National Drug
Education Program (NDEP),
“Barkada Kontra Droga”
 Report on Equipment for
recreation and sports
 Number of classrooms with
proper ventilation and lighting
and enough space.
 Number of classrooms and
premises regularly maintained
and cleaned.
 School Policy against
discrimination with regard to
gender, cultural origin, social
status, religious beliefs and
others.
 Number of Functional Toilets
 Report on Canteen Operation
2.3 Improved School  School Title / Tax
Site ownership (Title of Declaration/Deed of Donation
Lot, Deed of Donation,
Tax declaration)
3. Human 3.1 Strengthened  Number of Accomplished
Resource technical assistance to Classroom Observation Tool
 Management teachers on matters (COT)
and pertaining to  Approved Technical Plan
Development enhancement of  Approved school LAC Plan
classroom  SLAC Implementation report
management skills and highlighting enhancement of
instructional classroom management skills
competence. and instructional competence
 Technical Assistance Report
 Number and types of LIS
generated School forms
checked.
3.2 Improved Teachers  Accomplished Classroom
Instructional Observation Tool (COT)
Competence  Approved school LAC Plan
 SLAC Implementation report
highlighting instructional
competence
 Accomplished Attendance
Sheet of Teachers attending
LAC session
 Completion Report of school-
based INSET conducted
 List of INSET Attended
 List of teachers provided
mentoring / coaching, peer
tutoring and other forms of
interventions
3.3 Strengthened  List of teaching and non-
school personnel teaching personnel provided
performance for technical assistance within
support services within the RPMS cycle.
the RPMS Cycle.  Accomplished Performance
and Coaching Form
(reference New RPMS-PPST
Manual)
 Consolidated Developmental
Needs of Teachers
(Development Plan)

4. Parents’ 4.1 Improved  Approved school Mobilization

Involvement establishment of Plan
and school, family and  Report of school-community
community partnership partnership
Community
for performance.  Minutes of Meetings
Partnership
 Attendance Sheet
School
 Certificate of Appearance/
Leadership,
participation to Municipal and
Management other public and private
and organizations’ meetings
Operations
4.2 Strengthened  Minutes of PTA Meetings
Parents Teacher conducted
Association, alumni and  Attendance Sheet
other organizations  Minutes of community
stakeholders’ participation
 List of community
stakeholder’s participation in
Brigada Eskwela, PTA Day,
Scouting and other school-
community related activities
  Report on Donations
(Physical and Financial
5. School 5.1 Performed Data-  Enhanced SIP
Leadership, Based Strategic  Copy of Approved AIP
Management Planning  Copy of Approved WFP
and Operation  List of School Planning Team
 Copy of SRC
 Level of SBM Practice
5.2 Performed clear  Liquidation Report
financial  Bids and Awards Committee
management (if applicable)
system for the  Functional Transparency
school supported Board
 Report on SEF, PTA, School
by evidences such
Canteen and other fund
as reports, account sources and status of
logs, database utilization
sytem

5.3 Allocated/  Status Report of fund

Prioritized funds utilization vis-à-vis Work and
for programs and Financial Plan
school facilities  Program of Work (For repair)
improvement and  Pictures of facilities/supplies
procured
maintenance

Ratee: PSDS/PICD

_____________________________ _____________________________
Principal/School Head

SDO Representative:

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