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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IVB- MIMAROPA
DIVISION OF MARINDUQUE
District of Mogpog

MOGPOG NATIONAL COMPREHENSIVE HIGH SCHOOL


Capayang, Mogpog, Marinduque

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS


June 2015 - March 2016
Name of Employee:
Position:
School:

MYRA R. RAMOS
Teacher - I
MOGPOG NATIONAL COMPREHENSIVE HIGH SCHO

Name of Rater:
Position:
Date of Review:

TO BE FILLED UP DURING PLANNING


MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES

(KRAs)

WEIGHT
PER KRA

Prepare lesson plans and daily lesson


logs of activities including appropriate,
adequate and updated instructional
materials

10%

Facilitate learning through the use of


written/computerized lesson plans,
modules, teaching guides, and other
learning resources with the adequate
and updated instructional materials

10%

Teaching Learning
Process (30%) Initiate discipline of students including
classroom rules, guidelines and
individual and group task

/marcuz rex/

TIMELINE

5%

PERFORMANCE INDICATORS
5
4
3
2
1
5
4
3
2
1
5
4
3

200 or more updated lesson plans/logs prepared in SMART way


150-199 updated lesson plans/logs prepared in SMART way
90-149 updated lesson plans/logs prepared in SMART way
60-89 updated lesson plans/logs prepared in SMART way
1-59 updated lesson plans/logs prepared in SMART way
10 instructional materials used/produced are appropriate, adequate and updated
8 instructional materials used/produced are appropriate, adequate and updated
6 instructional materials used/produced are appropriate, adequate and updated
4 instructional materials used/produced are appropriate, adequate and updated
2 instructional materials used/produced are appropriate, adequate and updated
(Supported with write-up and documentation)
100% of the indicators in classroom walk-through are observed
85%-99% of the indicators in classroom walk-through are observed
70%-84% of the indicators in classroom walk-through are observed

Teaching Learning
Process (30%) Initiate discipline of students including
classroom rules, guidelines and
individual and group task

Monitor
attendance,
diversity
appreciation, safe, positive and
motivating
environment,
over-all
physical atmosphere, cleanliness, and
orderliness of classrooms including
proper waste disposal.

5%

7%

2
1

55%-69% of the indicators in classroom walk-through are observed


54% and below of the indicators in classroom walk-through are observed

100% of the pupils monthly attendance and are monitored and submitted every last day of the month

85%-99% of the pupils monthly attendance and are monitored and submitted every last day of the month

70%-84% of the pupils monthly attendance and are monitored and submitted every last day of the month

55%-69% of the pupils monthly attendance and are monitored and submitted every last day of the month

54% and below of the pupils monthly attendance and are monitored and submitted every last day of the
month
Indicators:
1. Test Questions with TOS

Monitor, evaluate and maintain


pupils/students progress through

2. Class Record (with dates of quizzes, assignments, projects, portfolio, etc.)

*Assessment for Learning


(Formative)

3. Rating sheets

*Assessment as Learning

All indicators were prepared and submitted two weeks before the scheduled due time

(Reflective)
*Assessment of Learning
(Summative)
*Periodic Test

4
3
2
1
5
4
3
2
1

3 indicators were prepared and submitted one week before the scheduled time
2 indicators were prepared and submitted on the scheduled date
1 indicator was prepared and submitted on the scheduled date
no indicator was prepared and submitted on the scheduled date.
100% pupils/students were given remediation/enrichment successfully
85%-99% pupils/students were given remediation/enrichment successfully
70%-84% pupils/students were given remediation/enrichment successfully
55%-69% pupils/students were given remediation/enrichment successfully
54% and below pupils/students were given remediation/enrichment successfully

100% of the pupils/students records were prepared and submitted before the scheduled time without error

85%-99% of the pupils/students records were prepared and submitted on or before the scheduled time
without error

Conduct
remediation/enrichment
programs to improve performance
indicators

5%

Students' Learning
Outcomes (30%)
Maintain pupils/students school records

/marcuz rex/

4. List of pupils/students output like projects, activities done/performed, etc.

8%

5%

Students' Learning
Outcomes (30%)
Maintain pupils/students school records

Attain the required GSA for Grade level


and learning areas

Attain 75% MPS per subject area in the


National Achievement Test

Provision of Quality
Basic Education

Conduct regular/periodic PTA


meetings/conferences

5%

5%

5%

8%

Community
Involvement 20%
Visit parents of pupils/students needing
academic monitoring/follow up
/marcuz rex/

7%

70%-84% of the pupils/students records were prepared and submitted on or before the scheduled time
with minimal error

55%-69% of the pupils/students records were prepared and submitted one week after the due time

54% and below of the pupils/students records were prepared and submitted two weeks before the due
time

85% and above of the pupils proficiency level have mastered the required learning competency.

82-84% of the pupils proficiency level have mastered the required learning competency

79%-81% of the pupils proficiency level have mastered the required learning competency

76%-78% of the pupils proficiency level have mastered the required learning competency

75% of the pupils proficiency level have mastered the required learning competency

5
4
3
2
1

Attained 75% and above NAT MPS per subject area


Attained 65%-74% of NAT MPS per subject area.
Attained 55%-64% of NAT MPS per subject area.
Attained 44%-54% of NAT MPS per subject area.
Attained 45% or below of NAT MPS per subject area.

100% of the target objectives were achieved, accomplishment with set agreements were fully documented.

84%-99% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

68%-83% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

52%-67% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

51%-below of the target objectives were achieved, accomplishment with set agreements were fully
documented.

100% of the parents of the students needing academic monitoring was followed up supported with
documents.

84%-99% of the parents of the students needing academic monitoring was followed up supported with
documents.

Community
Involvement 20%
Visit parents of pupils/students needing
academic monitoring/follow up

Undertake/initiate
projects/events/activities with external
funding/sponsorship

Conducted action research

/marcuz rex/

5%

68%-83% of the parents of the students needing academic monitoring was followed up supported with
documents.

52%-67 of the parents of the students needing academic monitoring was followed up supported with
documents.

51%-below of the parents of the students needing academic monitoring was followed up supported with
documents.

5
4
3
2
1

100% of project accomplishment completed were achieved with documentation.


84%-99% of project accomplishment partially achieved with documentation.
68%-83% of project accomplishment partially achieved with documentation.
52%-67 of project accomplishment partially achieved with documentation.
51%-below of project accomplishment partially achieved with documentation.

Conducted a completed action research and have presented in at least in the Division Level Research
Conference/Summit

Conducted a completed action research and have presented in at least in the District Level Research
Conference/Summit

Conducted a completed action research but have not presented the result in any level of research
conference/summit

2
1

Proposed an action research.


Conceptualize an action research

Attended an aggregate of 48 hours of relevant trainings at least in the Division level and earned 9 units in
graduate studies

Attended an aggregate of 48 hours of relevant trainings at least in the Division level.

Attended an aggregate of 24 hours of relevant trainings at least in the Division level and earn 9 units in
graduate studies

Attended an aggregate of 24 hours of relevant trainings at least in the Division level.

Attended at aggregate of 24 hours training at least in the District level


(Attached certificate of participation and Grades)
Received certificate of recognition in the National level.
Received certificate of recognition in the Regional level
Received certificate of recognition in the Division level
Received certificate of recognition in the District level
Received certificate of recognition in the School level

5%

Professional
Growth and
Attend
relevant
Development 20% trainings/workshops/conferences
or
seminars or earn 9 units of post
graduate education

Received
awards/citation/recognition
exemplary performance

7%

special
for

10%

5%

5
4
3
2
1

Attained 5 indicators with documents

Attained 4 indicators with documents

1. Serve as coordinator in any working


committee in the school

Attained 3 indicators with documents

2. Publish an article in national


circulation

Attained 2 indicators with documents

Attained 1 indicator with documents

Attain five of the following:

Plus Factor 5%

3.
Serve
as
demonstration
teacher/resource speaker/cooperating
teacher

5%

4. Received an outstanding employee


award at least in the District level
5. Conducted an innovation
6. Participated in any activities as
teachers association
TOTAL (Excluding Plus Factor)

100%

OVER - ALL RATING OF ASSESSMENT

Plus Factor

5%

ADJECTIVAL RATING

Adjectival Rating Scale

/marcuz rex/

/marcuz rex/

Outstanding

4.500

5.000

Ratee:

Very Satisfactory

3.500

4.499

Satisfactory

2.500

3.499

MYRA R. RAMOS

Unsatisfactory

1.500

2.499

Teacher - I

Poor

1.000

1.499

CHERS

PRINCIPAL
TOB FILLED UP DURING EVALUATION
ACTUAL RESULTS

RATING

SCORE

3.00

0.30

4.33

0.43

4.00

0.20

/marcuz rex/

4.00

0.20

3.33

0.23

2.00

0.16

3.00

0.15

4.00

0.20

/marcuz rex/

4.00

0.20

4.00

0.20

3.00

0.15

3.00

0.24

2.00

0.14

/marcuz rex/

2.00

0.14

5.00

0.25

2.67

0.13

3.67

0.37

3.00

0.15

/marcuz rex/

2.00

3.41
Satisfactory
Rater:

ROSALIA B. MAPACPAC
PRINCIPAL

/marcuz rex/

0.10

Republic of the Philippines


DEPARTMENT OF EDUCATION
Caraga Administrative Region
DIVISION OF SURIGAO DEL SUR
Tago - I District

BADONG NATIONAL HIGH SCHOOL


Junction Badong - Cabangahan, Tago, Surigao del Sur

OFFICE PERFORMANCE COMMITMENT AND REVIEW FORM (OPCRF)


June 2015 - March 2016
Name of Employee:
Position:
School:

MARK Y. SALAS
Teacher - I
Badong National High School

Name of Rater:
Position:
Date of Review:
TO BE FILLED UP DURING PLANNING

MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES

(KRAs)

Manage
school
resources
in
accordance with Deped policies and
accounting rules and regulations and
other pertinent guideline.

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
5

with clear financial management system for the school supported by evidences such as reports, account
logs, database system.

with clear financial and resource management system but one or more requirements were missing

with clear financial and resource management system but 2 reports or requirements were lacking

2
1

financial management system and reporting were in its initial stages


no financial report
with clear financial management system for the school supported by evidences such as reports, account
logs, database system.

10%

5
School Leadership,
Management and Utilize funds for approved school
Operation (20%) programs and projects as reflected in
the SIP/AIP.

Prepare financial reports/liquidation


reports and submit/communicate the
same to higher education authorities
and other education partners.

with clear financial and resource management system but one or more requirements were missing

with clear financial and resource management system but 2 reports or requirements were lacking

2
1
5

financial management system and reporting were in its initial stages


no financial report
submitted required reports five days or more before the set deadlines

5%

5%

School Leadership,
Management and
Operation (20%)

MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES

TIMELINE

(KRAs)

WEIGHT
PER KRA

Prepare financial reports/liquidation


reports and submit/communicate the
same to higher education authorities
and other education partners.

5%

Attain 75% MPS in NAT

15%

Monitor attendance of students


Instructional
regularly and attain/maintain zero dropLeadership (40%)
out rate.

Improve
practices.

instructional

leadership

Provide clinical supervision to teachers


for the improvement of teachinglearning outcomes

10%

15%

10%

PERFORMANCE INDICATORS
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5

Provision of Quality
Basic Education
Create a school-based professional
Human Resource learning community.
Management and
Development (25%)

10%

submitted required reports four days before the set deadlines


submitted required reports three days before the set deadlines
submitted required reports two days before the set deadlines
submitted required reports on the set deadlines
Attained 75% and above NAT MPS per subject area
Attained 65%-74% of NAT MPS per subject area.
Attained 55%-64% of NAT MPS per subject area.
Attained 44%-54% of NAT MPS per subject area.
Attained 45% or below of NAT MPS per subject area.
zero drop-out
1%-3% drop-out
4%-6% drop-out
7%-9% drop-out
10%-above drop-out rate
100% fully implemented and functional instructional and supervisory plan
84%-99% implemented and functional instructional and supervisory plan
68%-83% implemented and functional instructional and supervisory plan
52%-67 implemented and functional instructional and supervisory plan.
51%-below implemented and functional instructional and supervisory plan
100% of the teachers are observed and given clinical assistance
84%-99% of the teachers are observed and given clinical assistance
68%-83% of the teachers are observed and given clinical assistance
52%-67 of the teachers are observed and given clinical assistance
51%-below of the teachers are observed and given clinical assistance
100% of the NCBTS-TSNA of teachers were consolidated and provided with an action plan fully
documented

84%-99% of the NCBTS-TSNA of teachers were consolidated and provided with an action plan fully
documented

68%-83% of the NCBTS-TSNA of teachers were consolidated and provided with an action plan fully
documented

Provision of Quality
Basic Education
MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES professional
Create a school-based
(KRAs)
Human
Resource learning community.
Management and
Development (25%)

Organize and conducts INSETS/GAD


Training.

Parents
Involvement and
Community
Partnership (15%)

Encourage stakeholders to create safe,


healthy and child-friendly school
environment for student.

TIMELINE

WEIGHT
PER
KRA
10%

5%

10%

52%-67 of the NCBTS-TSNA of teachers were consolidated and provided with an action plan fully
documented

51%-below of the NCBTS-TSNA of teachers were consolidated and provided with an action plan fully
documented

Conducted at least 4 INSET/GAD with 100% attendance of participants properly documented

Conducted at least 3 INSET/GAD with 100% attendance of participants properly documented

Conducted at least 2 INSET/GAD with 100% attendance of participants properly documented

Conducted at least 1 INSET/GAD with 100% attendance of participants properly documented

no training conducted

initiate/collaborate with stakeholders to put up a tangible project fully documented.

has stakeholders partnership/mobilization plan complete with reports.


has mobilization plan and occasionally meets stakeholders in meetings and activities but some elements
are not enough resources raised
has mobilization plan and occasionally meets stakeholders but not resulting to resources generated and
evidences are missing
has no mobilization plan and seldom meets with stakeholders but not resulting to resources generated and
evidences missing.
4 meetings attended and conducted within the school year with documentation.
3 meetings attended and conducted within the school year with documentation.
2 meetings attended and conducted within the school year with documentation.
1 meeting attended and conducted within the school year with documentation.

3
2
1

Meet parents regularly to confer/inform


about school accomplishment and
students progress.

5%

Attain five of the following:

Plus Factor 5%

PERFORMANCE INDICATORS

5
4
3
2
1
5

conducted meetings but not documented


Attained 5 indicators with documents

1. Serve as resource speaker at least in the


District level.

Attained 4 indicators with documents

2. Serve as chairman in any working


technical committees.

Attained 3 indicators with documents

5%

MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES

TIMELINE

(KRAs)

Plus Factor 5%

WEIGHT
PER KRA

3. Conducts one income generating project


properly implemented with documentation.

one

Attained 2 indicators with documents

Attained 1 indicator with documents

5%

4. Conducts an action research/innovation.


5.Organize/maintain
group.

PERFORMANCE INDICATORS

socio-cultural

6. Publish article in national circulation.


7. Acquire title of school site.

TOTAL (Excluding Plus Factor)

100%

OVER - ALL RATING OF ASSESSMENT

Plus Factor

5%

ADJECTIVAL RATING

Adjectival Rating Scale


Outstanding

4.500

5.000

Ratee:

Very Satisfactory

3.500

4.499

Satisfactory

2.500

3.499

CYNTHIA S. ESPIRITU, HT - III

Unsatisfactory

1.500

2.499

School Head

Poor

1.000

1.499

CYNTHIA S. ESPIRITU
Head Teacher - III/School Head
TOB FILLED UP DURING EVALUATION
ACTUAL RESULTS

RATING

SCORE

3.00

0.30

4.33

0.22

4.00

0.20

ACTUAL RESULTS

RATING

SCORE

4.00

0.20

2.00

0.30

3.00

0.30

4.00

0.60

3.00

0.30

2.00

0.20

ACTUAL RESULTS
2
Q

2
E

T2

RATING
2.00

SCORE
0.20

5.00

0.25

2.67

0.27

3.67

0.18

2.00

0.10

ACTUAL RESULTS
Q

RATING

SCORE

2.00

0.10

3.22
Satisfactory
Rater:

CYNTHIA O. ACEVEDO
Public School District Supervisor

Republic of the Philippines


DEPARTMENT OF EDUCATION
Caraga Administrative Region
DIVISION OF SURIGAO DEL SUR
Tago - I District

BADONG NATIONAL HIGH SCHOOL


Junction Badong - Cabangahan, Tago, Surigao del Sur

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR MASTER TEACHERS
June 2015 - March 2016
Name of Employee:
Position:
School:

MARK Y. SALAS
Teacher - I
Badong National High School

Name of Rater:
Position:
Date of Review:
TO BE FILLED UP DURING PLANNING

MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES

(KRAs)
Write lesson plans/logs based on the
standards-based curriculum guides
daily.

Facilitate learning through the use of


written/computerized lesson plans,
modules, teaching guides, and other
learning resources with the adequate
and updated instructional materials.

Teaching Learning
Process (20%) Initiate discipline of students including
classroom rules, guidelines and
individual and group task.

TIMELINE

WEIGHT
PER KRA

5%

5%

5%

PERFORMANCE INDICATORS
5
4
3
2
1
5
4
3
2
1
5
4
3
2

200 or more updated lesson plans/logs prepared in SMART way


150-199 updated lesson plans/logs prepared in SMART way
90-149 updated lesson plans/logs prepared in SMART way
60-89 updated lesson plans/logs prepared in SMART way
1-59 updated lesson plans/logs prepared in SMART way
10 instructional materials used/produced are appropriate, adequate and updated
8 instructional materials used/produced are appropriate, adequate and updated
6 instructional materials used/produced are appropriate, adequate and updated
4 instructional materials used/produced are appropriate, adequate and updated
2 instructional materials used/produced are appropriate, adequate and updated
(Supported with write-up and documentation)
100% of the indicators in classroom walk-through are observed
85%-99% of the indicators in classroom walk-through are observed
70%-84% of the indicators in classroom walk-through are observed
55%-69% of the indicators in classroom walk-through are observed

Teaching Learning
Process (20%) Initiate discipline of students including
classroom rules, guidelines and
individual and group task.

Monitor
attendance,
diversity
appreciation, safe, positive and
motivating
environment,
over-all
physical atmosphere, cleanliness, and
orderliness of classrooms including
proper waste disposal.

5%

5%

54% and below of the indicators in classroom walk-through are observed

100% of the pupils monthly attendance and are monitored and submitted every last day of the month

85%-99% of the pupils monthly attendance and are monitored and submitted every last day of the month

70%-84% of the pupils monthly attendance and are monitored and submitted every last day of the month

55%-69% of the pupils monthly attendance and are monitored and submitted every last day of the month

54% and below of the pupils monthly attendance and are monitored and submitted every last day of the
month
Indicators:
1. Test Questions with TOS

Monitor, evaluate and maintain


pupils/students progress through

2. Class Record (with dates of quizzes, assignments, projects, portfolio, etc.)

*Assessment for Learning


(Formative)

3. Rating sheets
4. List of pupils/students output like projects, activities done/performed, etc.

3%

*Assessment as Learning

All indicators were prepared and submitted two weeks before the scheduled due time

(Reflective)
*Assessment of Learning
(Summative)
*Periodic Test

4
3
2
1
5
4
3
2
1

3 indicators were prepared and submitted one week before the scheduled time
2 indicators were prepared and submitted on the scheduled date
1 indicator was prepared and submitted on the scheduled date
no indicator was prepared and submitted on the scheduled date.
100% pupils/students were given remediation/enrichment successfully
85%-99% pupils/students were given remediation/enrichment successfully
70%-84% pupils/students were given remediation/enrichment successfully
55%-69% pupils/students were given remediation/enrichment successfully
54% and below pupils/students were given remediation/enrichment successfully

100% of the pupils/students records were prepared and submitted before the scheduled time without error

85%-99% of the pupils/students records were prepared and submitted on or before the scheduled time
without error

70%-84% of the pupils/students records were prepared and submitted on or before the scheduled time
with minimal error

Conduct
remediation/enrichment
programs to improve performance
indicators

Maintain pupils/students school records

3%

3%

Maintain pupils/students school records

Attain the required GSA for Grade level


and learning areas

Attain 75% MPS per subject area in the


National Achievement Test

3%

3%

3%

Students' Learning
Outcomes (30%)

55%-69% of the pupils/students records were prepared and submitted one week after the due time

54% and below of the pupils/students records were prepared and submitted two weeks before the due
time

85% and above of the pupils proficiency level have mastered the required learning competency.

82-84% of the pupils proficiency level have mastered the required learning competency

79%-81% of the pupils proficiency level have mastered the required learning competency

76%-78% of the pupils proficiency level have mastered the required learning competency

75% of the pupils proficiency level have mastered the required learning competency

5
4
3
2
1

Attained 75% and above NAT MPS per subject area


Attained 65%-74% of NAT MPS per subject area.
Attained 55%-64% of NAT MPS per subject area.
Attained 44%-54% of NAT MPS per subject area.
Attained 45% or below of NAT MPS per subject area.

initiated at least one successful instructional program to 100% of the teachers with full documentation.

4
Initiate improvements in instructional
programs

3%

3
2
1
5
4

Lead in the preparation of instructional


materials.

3%

3
2
1

initiated at least one successful instructional program and involved 84%-99% of the teachers with
documentation.
initiated at least one successful instructional program and involved 63%-83% of the teachers with
documentation.
initiated at least one successful instructional program and involved 52%-62% of the teachers with
documentation.
no evidence of initiating instructional program.
lead 100% of the teachers in preparing innovative instructional materials within a year with
documentation.
lead 84%-99%% of the teachers in preparing innovative instructional materials within a year with
documentation.
lead 68%-83% of the teachers in preparing innovative instructional materials within a year with
documentation.
lead 52%-67% of the teachers in preparing innovative instructional materials within a year with
documentation.
no evidence of leading in preparation of instructional program.

full
full
full

full
full
full
full

5
Serve as demonstrator teacher,
facilitator or resource speaker at the
school level and or provided mentoring
services to demonstration teachers.

4
3%

3
2
1
5
4

Interpret test results and utilize.

3%

3
2
1
5

Initiate projects and programs that will


enhance the curriculum and its delivery
to achieve 75% NAT performance.

4
3%

3
2
1

Provision of Quality
Basic Education

5
4
Observe teachers every quarter.

5%

3
2
1

Excellent execution of the lesson plan and excellent mentoring services provided to the demonstration
teacher
Very Satisfactory execution of the lesson plan and Very Satisfactory mentoring services provided to the
demonstration teacher
Satisfactory execution of the lesson plan and Satisfactory mentoring services provided to the
demonstration teacher
Fair execution of the lesson plan and Fair mentoring services provided to the demonstration teacher.
Poor execution of the lesson plan and Poor mentoring services provided to the demonstration teacher
100% of the test results were analyzed and interpreted per grading period and submitted before the
scheduled time.
84%-99% of the test results were analyzed and interpreted per grading period and submitted before the
scheduled time.
68%-83% of the test results were analyzed and interpreted per grading period and submitted before the
scheduled time.
52%-67 of the test results were analyzed and interpreted per grading period and submitted before the
scheduled time.
51%-below of the test results were analyzed and interpreted per grading period and submitted before the
scheduled time.
Initiated a full blown project and program that enhance the curriculum and achieve 75% in NAT
Performance.
Initiated a full blown project and program that enhance the curriculum and achieve 65%-74% in NAT
Performance.
Initiated a full blown project and program that enhance the curriculum and achieve 55%-64% in NAT
Performance.
Initiated a full blown project and program that enhance the curriculum and achieve 54%-below in NAT
Performance.
the project or program did not materialized
100% of the teachers were observed quarterly and submitted the observation checklist form at the end of
the quarter.
84%-99% of the teachers were observed quarterly and submitted the observation checklist form at the end
of the quarter.
68%-83% of the teachers were observed quarterly and submitted the observation checklist form at the end
of the quarter.
52%-67 of the teachers were observed quarterly and submitted the observation checklist form at the end of
the quarter.
51%-below of the teachers were observed quarterly and submitted the observation checklist form at the
end of the quarter.

5
Conduct mentoring/coaching activities
and prepare instructional material
available.

4
5%

3
2
1

Instructional
Supervision (20%)

5
4
Guided co-teachers in the performance
of duties and responsibilities.

5%

3
2
1
5
4

Check lesson plans of teachers in the


assigned grade/subject area.

5%

3
2
1

Conduct
regular/periodic
meetings/conferences

Community
Involvement (15%)

PTA

5%

Conducted mentoring/coaching activities to 100% of the teachers and prepared innovative instructional
materials fully documented.
Conducted mentoring/coaching activities to 84%-99%% of the teachers and prepared innovative
instructional materials fully documented.
Conducted mentoring/coaching activities to 68%-83% of the teachers and prepared innovative instructional
materials fully documented.
Conducted mentoring/coaching activities to 52%-67% of the teachers and prepared innovative instructional
materials fully documented.
no evidence of mentoring/coaching conducted
100% of the teachers were guided and provided with the necessary technical assistance in the carry-over
of their duties and functions.
84%-99% of the teachers were guided and provided with the necessary technical assistance in the carryover of their duties and functions.
68%-83% of the teachers were guided and provided with the necessary technical assistance in the carryover of their duties and functions.
52%-67 of the teachers were guided and provided with the necessary technical assistance in the carryover of their duties and functions.
51%-below of the teachers were guided and provided with the necessary technical assistance in the carryover of their duties and functions.
100% of the teachers lesson plan/log were properly checked and submitted the observation log every end
of the month.
84%-99% of the teachers lesson plan/log were properly checked and submitted the observation log every
end of the month.
68%-83% of the teachers lesson plan/log were properly checked and submitted the observation log every
end of the month.
52%-67 of the teachers lesson plan/log were properly checked and submitted the observation log every
end of the month.
51%-below of the teachers lesson plan/log were properly checked and submitted the observation log every
end of the month.

100% of the target objectives were achieved, accomplishment with set agreements were fully documented.

84%-99% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

68%-83% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

52%-67% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

51%-below of the target objectives were achieved, accomplishment with set agreements were fully
documented.

Community
Involvement (15%)
Visit parents of pupils/students needing
academic monitoring/follow up

Undertake/initiate
projects/events/activities with external
funding/sponsorship

Conducted action research

5%

5%

100% of the parents of the students needing academic monitoring was followed up supported with
documents.

84%-99% of the parents of the students needing academic monitoring was followed up supported with
documents.

68%-83% of the parents of the students needing academic monitoring was followed up supported with
documents.

52%-67 of the parents of the students needing academic monitoring was followed up supported with
documents.

51%-below of the parents of the students needing academic monitoring was followed up supported with
documents.

5
4
3
2
1

100% of project accomplishment completed were achieved with documentation.


84%-99% of project accomplishment partially achieved with documentation.
68%-83% of project accomplishment partially achieved with documentation.
52%-67 of project accomplishment partially achieved with documentation.
51%-below of project accomplishment partially achieved with documentation.

Conducted a completed action research and have presented in at least in the Division Level Research
Conference/Summit

Conducted a completed action research and have presented in at least in the District Level Research
Conference/Summit

Conducted a completed action research but have not presented the result in any level of research
conference/summit

5%
2
1
5

Take charge of the school reading


program, remedial and/or enrichment
program.

4%

Professional
Growth and
Development (15%)

Participate in the planning and


implementation of training programs in
school, district and division level.

3%

Proposed an action research.


Conceptualize an action research
Led at least 5 teachers in conducting enrichment program to improve proficiency level of at least 4 pupils to
at least one step higher in every quarter.

Led at least 5 teachers in conducting enrichment program to improve proficiency level of at least 2
pupils/students to at least one step higher in every quarter.

Led at least 3 teachers in conducting enrichment program to improve proficiency level of at least 3 pupils to
at least one step higher in every quarter.

Led at least 3 teachers in conducting enrichment program to improve proficiency level of at least 1
pupils/students to at least one step higher in every quarter.

No evidence of conducting remedial program

Participated in the planning of at least 1 training program conducted in the division level and submitted the
consolidated outputs before the scheduled time.

Growth and
Development (15%)

Participate in the planning and


implementation of training programs in
school, district and division level.

3%
3
2
1
5

Participated in the planning of at least 2 training programs conducted in the district level and submitted the
consolidated outputs before the scheduled time.
Participated in the planning of at least 1 training program conducted in the district level and submitted the
consolidated outputs before the scheduled time.
Participated in the planning of at least 2 training program conducted in the school level and submitted the
consolidated outputs before the scheduled time
No evidence of participation in planning training programs
Attended 3 or more seminars, workshops trainings and echoed to teachers in an excellent way with
documentation

Attended 2 seminars, workshops trainings and echoed to teachers in an excellent way with documentation

Attended 3 or more seminars, workshops trainings but failed to echo to teachers.

2
1
5

Attended 2 seminars, workshops trainings but failed to echo to teachers.


No trainings attended
Attained 5 indicators with documents

1. Published at least one (1) article in


professional magazines/ periodicals
related to field of specialization.

Attained 4 indicators with documents

2. Served as resource person/


consultant in seminar/ workshop/
training related to field of specialization.

Attained 3 indicators with documents

3. Conducted action research the


findings/ results of which were utilized
within the rating period.

Attained 2 indicators with documents

4. Designed evaluation and monitoring


program for the district/ division.

Attained 1 indicator with documents

Participate in seminars, workshops,


trainings within a year (Division,
Regional and National)

3%

Attain five of the following:

Plus Factor (5%)

5%

5. Teacher-In-Charge of a school for


one rating period
TOTAL (Excluding Plus Factor)

100%

OVER - ALL RATING OF ASSESSMENT

Plus Factor

5%

ADJECTIVAL RATING

Adjectival Rating Scale


Outstanding

4.500

5.000

Ratee:

Very Satisfactory

3.500

4.499

Satisfactory

2.500

3.499

MARK Y. SALAS

Unsatisfactory

1.500

2.499

Teacher - I

Poor

1.000

1.499

TEACHERS
CYNTHIA S. ESPIRITU
Head Teacher - III/School Head
TOB FILLED UP DURING EVALUATION
ACTUAL RESULTS

RATING

SCORE

3.00

0.15

4.33

0.22

4.00

0.20

4.00

0.20

3.33

0.17

2.00

0.06

3.00

0.09

4.00

0.12

4.00

0.12

4.00

0.12

3.00

0.09

3.67

0.11

3.00

0.09

4.00

0.12

4.00

0.12

3.33

0.10

3.00

0.15

2.33

0.12

3.67

0.18

3.33

0.17

4.00

0.20

2.00

0.10

5.00

0.25

2.67

0.13

3.67

0.15

3.00

0.09

3.00

0.09

2.00

0.06

1.00

0.05

3.40
Satisfactory

Rater:

CYNTHIA S. ESPIRITU, HT - III


School Head

Republic of the Philippines


DEPARTMENT OF EDUCATION
Region IVB- MIMAROPA
DIVISION OF MARINDUQUE
MOGPOG District

MOGPOG NATIONAL COMPREHENSIVE HIGH SCHOOL


Junction Badong - Cabangahan, Tago, Surigao del Sur

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS


June 2015 - March 2016
Name of Employee:
Position:
School:

MYRA R. RAMOS
Teacher - I
MOGPOG NATIONAL COMPREHENSIVE HIGH SCHO

Name of Rater:
Position:
Date of Review:

TO BE FILLED UP DURING PLANNING


MAJOR FINAL
OUTPUTS

KEY RESULT
AREAS

OBJECTIVES

(KRAs)

WEIGHT
PER KRA

Prepare lesson plans and daily lesson


logs of activities including appropriate,
adequate and updated instructional
materials

10%

Facilitate learning through the use of


written/computerized lesson plans,
modules, teaching guides, and other
learning resources with the adequate
and updated instructional materials

10%

Teaching Learning
Process (30%) Initiate discipline of students including
classroom rules, guidelines and
individual and group task

/marcuz rex/

TIMELINE

5%

PERFORMANCE INDICATORS
5
4
3
2
1
5
4
3
2
1
5
4
3

200 or more updated lesson plans/logs prepared in SMART way


150-199 updated lesson plans/logs prepared in SMART way
90-149 updated lesson plans/logs prepared in SMART way
60-89 updated lesson plans/logs prepared in SMART way
1-59 updated lesson plans/logs prepared in SMART way
10 instructional materials used/produced are appropriate, adequate and updated
8 instructional materials used/produced are appropriate, adequate and updated
6 instructional materials used/produced are appropriate, adequate and updated
4 instructional materials used/produced are appropriate, adequate and updated
2 instructional materials used/produced are appropriate, adequate and updated
(Supported with write-up and documentation)
100% of the indicators in classroom walk-through are observed
85%-99% of the indicators in classroom walk-through are observed
70%-84% of the indicators in classroom walk-through are observed

Teaching Learning
Process (30%) Initiate discipline of students including
classroom rules, guidelines and
individual and group task

Monitor
attendance,
diversity
appreciation, safe, positive and
motivating
environment,
over-all
physical atmosphere, cleanliness, and
orderliness of classrooms including
proper waste disposal.

5%

7%

2
1

55%-69% of the indicators in classroom walk-through are observed


54% and below of the indicators in classroom walk-through are observed

100% of the pupils monthly attendance and are monitored and submitted every last day of the month

85%-99% of the pupils monthly attendance and are monitored and submitted every last day of the month

70%-84% of the pupils monthly attendance and are monitored and submitted every last day of the month

55%-69% of the pupils monthly attendance and are monitored and submitted every last day of the month

54% and below of the pupils monthly attendance and are monitored and submitted every last day of the
month
Indicators:
1. Test Questions with TOS

Monitor, evaluate and maintain


pupils/students progress through

2. Class Record (with dates of quizzes, assignments, projects, portfolio, etc.)

*Assessment for Learning


(Formative)

3. Rating sheets

*Assessment as Learning

All indicators were prepared and submitted two weeks before the scheduled due time

(Reflective)
*Assessment of Learning
(Summative)
*Periodic Test

4
3
2
1
5
4
3
2
1

3 indicators were prepared and submitted one week before the scheduled time
2 indicators were prepared and submitted on the scheduled date
1 indicator was prepared and submitted on the scheduled date
no indicator was prepared and submitted on the scheduled date.
100% pupils/students were given remediation/enrichment successfully
85%-99% pupils/students were given remediation/enrichment successfully
70%-84% pupils/students were given remediation/enrichment successfully
55%-69% pupils/students were given remediation/enrichment successfully
54% and below pupils/students were given remediation/enrichment successfully

100% of the pupils/students records were prepared and submitted before the scheduled time without error

85%-99% of the pupils/students records were prepared and submitted on or before the scheduled time
without error

Conduct
remediation/enrichment
programs to improve performance
indicators

5%

Students' Learning
Outcomes (30%)
Maintain pupils/students school records

/marcuz rex/

4. List of pupils/students output like projects, activities done/performed, etc.

8%

5%

Students' Learning
Outcomes (30%)
Maintain pupils/students school records

Attain the required GSA for Grade level


and learning areas

Attain 75% MPS per subject area in the


National Achievement Test

Provision of Quality
Basic Education

Conduct regular/periodic PTA


meetings/conferences

5%

5%

5%

8%

Community
Involvement 20%
Visit parents of pupils/students needing
academic monitoring/follow up
/marcuz rex/

7%

70%-84% of the pupils/students records were prepared and submitted on or before the scheduled time
with minimal error

55%-69% of the pupils/students records were prepared and submitted one week after the due time

54% and below of the pupils/students records were prepared and submitted two weeks before the due
time

85% and above of the pupils proficiency level have mastered the required learning competency.

82-84% of the pupils proficiency level have mastered the required learning competency

79%-81% of the pupils proficiency level have mastered the required learning competency

76%-78% of the pupils proficiency level have mastered the required learning competency

75% of the pupils proficiency level have mastered the required learning competency

5
4
3
2
1

Attained 75% and above NAT MPS per subject area


Attained 65%-74% of NAT MPS per subject area.
Attained 55%-64% of NAT MPS per subject area.
Attained 44%-54% of NAT MPS per subject area.
Attained 45% or below of NAT MPS per subject area.

100% of the target objectives were achieved, accomplishment with set agreements were fully documented.

84%-99% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

68%-83% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

52%-67% of the target objectives were achieved, accomplishment with set agreements were fully
documented.

51%-below of the target objectives were achieved, accomplishment with set agreements were fully
documented.

100% of the parents of the students needing academic monitoring was followed up supported with
documents.

84%-99% of the parents of the students needing academic monitoring was followed up supported with
documents.

Community
Involvement 20%
Visit parents of pupils/students needing
academic monitoring/follow up

Undertake/initiate
projects/events/activities with external
funding/sponsorship

Conducted action research

/marcuz rex/

5%

68%-83% of the parents of the students needing academic monitoring was followed up supported with
documents.

52%-67 of the parents of the students needing academic monitoring was followed up supported with
documents.

51%-below of the parents of the students needing academic monitoring was followed up supported with
documents.

5
4
3
2
1

100% of project accomplishment completed were achieved with documentation.


84%-99% of project accomplishment partially achieved with documentation.
68%-83% of project accomplishment partially achieved with documentation.
52%-67 of project accomplishment partially achieved with documentation.
51%-below of project accomplishment partially achieved with documentation.

Conducted a completed action research and have presented in at least in the Division Level Research
Conference/Summit

Conducted a completed action research and have presented in at least in the District Level Research
Conference/Summit

Conducted a completed action research but have not presented the result in any level of research
conference/summit

2
1

Proposed an action research.


Conceptualize an action research

Attended an aggregate of 48 hours of relevant trainings at least in the Division level and earned 9 units in
graduate studies

Attended an aggregate of 48 hours of relevant trainings at least in the Division level.

Attended an aggregate of 24 hours of relevant trainings at least in the Division level and earn 9 units in
graduate studies

Attended an aggregate of 24 hours of relevant trainings at least in the Division level.

Attended at aggregate of 24 hours training at least in the District level


(Attached certificate of participation and Grades)
Received certificate of recognition in the National level.
Received certificate of recognition in the Regional level
Received certificate of recognition in the Division level
Received certificate of recognition in the District level
Received certificate of recognition in the School level

5%

Professional
Growth and
Attend
relevant
Development 20% trainings/workshops/conferences
or
seminars or earn 9 units of post
graduate education

Received
awards/citation/recognition
exemplary performance

7%

special
for

10%

5%

5
4
3
2
1

Attained 5 indicators with documents

Attained 4 indicators with documents

1. Serve as coordinator in any working


committee in the school

Attained 3 indicators with documents

2. Publish an article in national


circulation

Attained 2 indicators with documents

Attained 1 indicator with documents

Attain five of the following:

Plus Factor 5%

3.
Serve
as
demonstration
teacher/resource speaker/cooperating
teacher

5%

4. Received an outstanding employee


award at least in the District level
5. Conducted an innovation
6. Participated in any activities as
teachers association
TOTAL (Excluding Plus Factor)

100%

OVER - ALL RATING OF ASSESSMENT

Plus Factor

5%

ADJECTIVAL RATING

Adjectival Rating Scale

/marcuz rex/

/marcuz rex/

Outstanding

4.500

5.000

Ratee:

Very Satisfactory

3.500

4.499

Satisfactory

2.500

3.499

MYRA R. RAMOS

Unsatisfactory

1.500

2.499

Teacher - I

Poor

1.000

1.499

CHERS

PRINCIPAL
TOB FILLED UP DURING EVALUATION
ACTUAL RESULTS

RATING

SCORE

3.00

0.30

4.33

0.43

4.00

0.20

/marcuz rex/

4.00

0.20

3.33

0.23

2.00

0.16

3.00

0.15

4.00

0.20

/marcuz rex/

4.00

0.20

4.00

0.20

3.00

0.15

3.00

0.24

2.00

0.14

/marcuz rex/

2.00

0.14

5.00

0.25

2.67

0.13

3.67

0.37

3.00

0.15

/marcuz rex/

2.00

3.41
Satisfactory
Rater:

ROSALIA B. MAPACPAC
PRINCIPAL

/marcuz rex/

0.10

Transmutation Table

1.000
1.500
2.500
3.500
4.500

1.499
2.499
3.499
4.499
5.000

Poor
Unsatisfactory
Satisfactory
Very Satisfactory
Outstanding

MITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS

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