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
[Link] 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:
________________________________