/SCHOOLS DIVISION OFFICE

City of Muntinlupa
___________________________ Elementary / High School

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Ratee __________________________________ Name of Rater NAME OF MT OR PRINCIPAL

Position TEACHER I Position HEAD / MASTER TEACHER
Rating Period SY 2016 - 2017 Date of Review JUNE 1, 2016

TO BE FILLED - IN DURING PLANNING TO BE FILLED - IN DURING EVALUATION

Wt. SUCCESS INDICATORS

TIME- Rating Score
MFOs KRAs OBJECTIVES per (Quality, Efficiency, Timeliness) Actual Results
LINE
KRA 5 4 3 2 1 Q E T Ave.
K to 12 BE 1. Teaching and A. Prepared daily June (5%) Q Prepared / Daily Prepared / Prepared /
Curriculum Learning lesson plans / daily 2016 Lesson Logs Daily Lesson Daily Lesson
Process (DLL) or Daily Logs (DLL) or Logs (DLL) or
Implementat logs with complete to
(35%) Lesson Plans Daily Lesson Daily Lesson
ion components & with Marc
(DLP) with Plans (DLP) Plans (DLP)
appropriate, h complete with complete with incomplete
adequate and 2017 components, components, components,
updated and with but with and
appropriate and inappropriate or inappropriate or
instructional adequate Inadequate Inadequate
materials. instructional instructional instructional
NB: materials, materials, materials,
DLP for teachers with checked by checked by checked by
less than one (1) year or
MTs/HT/SH MTs/HT/SH MTs/HT/SH
less teaching experience.

DLL for more than two (2) T Submitted DLL / Submitted DLL / Submitted DLL /
years teaching DLP Friday of DLP every DLP after
experience. the preceding Monday Monday
week
B.Initiated discipline (5%) Q 95- 100 % of 85-94 % of 75-84 % of
of students / pupils students students students
including classroom observed observed observed
rules, guidelines, classroom classroom classroom
individual and rules and rules and rules and
group task regulations as regulations as regulations as
reflected in reflected in reflected in
the class the class the report
report card report card card (F138)
(F138) (F138)
OR OR OR
Q Provided and Provided and Provided but
discussed discussed did not
classroom classroom discuss
 rules (student rules (student classroom
discipline discipline rules (student
manual) to all manual) to all discipline
his students / his students / manual) to all
pupils pupils once his students /
regularly only pupils
regularly
E No minor 1-2 Minor 3-5 Minor
offense or offense/s or offenses or
infraction of infraction of infraction of
good good good
discipline was discipline was discipline was
referred to the referred to the referred to the
guidance guidance guidance
office or office office/ office or office
of the Principal of the
principal Office principal
C. Facilitated / (10%) Q Above 76% of 75% of the 74% and
Achieved learning students students below of the
through functional taught taught students
lesson plans, dailly achieved achieved taught
logs and above 75% 75% Final achieved 75%
innovative Final Rating Rating Final Rating
E Reported to Reported to Reported to
teaching strategies
class and class and class and
SY 2016 2017: facilitated facilitated facilitated
202 school days learning 98% learning 95% learning 90%
(DepEd Order No. 23, - 100% of the - 97% of the - 94% of the
s. 2016) number of number of number of
school days school days school days
D. Maintained (10%) Q Maintained Maintained Did not
diversity safe, orderly safe, orderly maintain safe,
appreciation, safe, and clean and clean orderly and
positive and classrooms classrooms clean
motivating and practiced but did not classrooms
environment, proper waste practice and did not
overall physical segregation proper waste practice
atmosphere,
for a segregation proper waste
cleanliness and
conducive segregation
orderliness of
classroom including learning
proper waste environment
disposal
E. Monitored pupils (5%) Q Monitored but with
daily attendance pupils instances of
(accomplished SF attendance failure to
2) & submitted to daily (SF 2 check
the guidance office duly attendance
at the end of the accomplished)
month T Submitted Submitted SF Submitted SF
 School Form 2 one (1) day 2 two (2) days
(SF) 2 on due after due date after due date
NB: SF 2 is due for date
submission to
guidance office at the
end of the month or
last working day
2. Pupils A. Monitored, (10%) Q Prepared and Prepared and Prepared and
outcomes evaluated and administered administered administered
maintained pupils more than 4 less than 4 less than 4
progress summative summative summative
tests(Written tests with tests but no
or Table Of Table Of
Performance) Specifications Specifications
with Table Of (TOS) within (TOS) within
Specifications the quarter the quarter
(TOS)/
Rubrics
within the
quarter
E Written test Written test Written test
items/ items/ items/
Performance Performance Performance
Test and Test and Test have no
TOS/ rubrics TOS/ rubrics TOS/ rubrics
are aligned are not and are not
and within the aligned and aligned and
covered skills not within the not within the
or completed covered skills covered skills
for the given or completed or completed
period/week for the given for the given
period/week period/week
B. Issued Class (5%) Q Complete Complete Incomplete
Progress Report entries and entries with entries
Card (F 138) to with no erasure
student / parent / erasure
guardian
T Issued F138 Issued F138
N.B.
to student / to student /
Distribution of F138
1st QTR. Aug. 27 parents on the parents
2nd QTR. Nov. 12 prescribed beyond the
3rd QTR. Jan. 28 date prescribed
4th QTR. April 10-12 date
(DO No. 23. S. 2016)
C. Conducted (10%) Q Conducted Conducted Conducted
remediation/ remediation/ remediation/ remediation/
enrichment enrichment enrichment enrichment
programs to program to program to program to
improve learners at learners once learners with
performance least twice a a week with no individual
 week with individual pupil
individual pupil development
pupil development program
development program during Off
program during Off session in at
during Off session in at least 30
session in at least 30 minutes per
least 30 minutes per session.
minutes per session.
session.

E 100% of the 75% of the 50% of the

pupil under pupil under pupil under
remedial remedial remedial
classes classes classes
achieved 85- achieved 85- achieved 85-
100%Mastery 100%Mastery 100%Mastery
level level level

D. Maintained (5%) Q Accomplished Accomplished Accomplished

updated pupils, 100% of 100% of the 100% of
school records school forms school forms school forms
without error with minimal with major
e.g. SF1 to SF5) error revisions
F137 etc.
E Submitted all Failed to
required submit one
Due Dates
SF 1 Start of SY reports (1) of the
SF 2 End of Month required
SF 3 End of SY reports
SF 4 End of SY T Submitted Submitted Submitted
accomplished accomplished accomplished
school forms school forms school forms
on or before a day after 2 or more
due date due date days after the
due date
E. Attained the (5%) Q 91-100% GSA 81-90% GSA 75-80% GSA
required GSA for
grade level and
learning areas

3. Community A. Conducted Home (5%) Q Conducted 4 Conducted 3

Involvement Room Parents- Home Room or less Home
Teacher (PTA) PTA meetings Room PTA
Conference quarterly meetings

N.B. Distribution of Documents:

F138 Attendance
sheet and
1st QTR. Aug. 27 minutes of
2nd QTR. Nov. 12 meeting
 3rd QTR. Jan. 28 T Conducted 4 Conducted
4th QTR. Apr. 10-12 HRPTA HRPTA
(DO No. 23, s. 2016) meetings on meeting NOT
the prescribed on the
date prescribed
date
Conducted / involved (5%)
in school approved Q Conducted Conducted Conducted
activities to solicit (monthly) (quarterly) (annually)
stakeholders support school-wide school-wide school-wide
advocacy advocacy advocacy
or program to program to program to
promote promote promote
Initiated school PPA school PPA school PPA
communication
advocacy plan (CAP) Prepared Prepared Prepared
for stakeholders to CAP CAP CAP
gain support approved and approved and approved by
used by used by school
school and school
gained
support
E Instrumental Instrumental Instrumental
in raising in raising in raising
funds (in kind) funds (in kind) funds (in kind)
amounting to amounting to amounting to
PhP 5,000. PhP 3,000. PhP 2,000.
4. Professional A.Conducted / (5%) Q Conducted Submitted
growth and implemented and CAR proposal
Development Classroom Action completed but did not
Research (CAR) CAR conduct /
implement
Plus points: Adopted
Adopted in within the
other dept./ Dept./Grade
SDO Cut Off: grade level
Level
March ___, 2017
T Before due On due date One day after Two days Three days
date due date after due date after due date
B. Received special (2%) Q Served as Served as Served as
awards/ citation/ trainer/coach trainer/coach trainer/coach
recognition for and won first and won 2nd in any
exemplary place in any 5th place in competition
performance competition any but did not
Or competition win
Received Received Received Received Received
National Level Regional Division Level District Level School Level
commenda- Level commenda- commenda- commenda-
tion from commenda- tion from tion from tion from
DepEd or tion from DepEd or DepEd or School or
 DepEd DepEd or DepEd DepEd School
recognized DepEd recognized recognized recognized
organization recognized organization organization organization
organization
C. Attended relevant (3%) E Attended at Attended 1 Attended 1 Attended 2 Attended one
INSET for teachers least 1 Regional Division Level Division Level Division Level
National Level Level three three day two day two day
three day day training training training training
training Or 2 Division Or 3 Division Or 3 Division Or two
Or 2 Regional Level three Level two Level one Division Level
Level three day day training day training one day
day training Or 4 Division training
Or 3 Division Level one
Level three day training
day training
D. Participated in / (5%) Q Participated in With 1 2 With 3 or
completed School / completed instances of more
Based Learning all (monthly) non instances of
Action Cell (LAC) LAC Sessions participation non
sessions participation
(Sec. 17.5, DepEd T Arrived in With 1 2 With 3 or
Order No. 35, s. 2016) LAC session instances of more
on time tardiness instances of
tardiness
E.Served as Demo (3%) E At least one 4 school level one school
Teacher / Speaker / (1) division level
Facilitator level or 5
school level
F. Submitted (2%) Q Submitted all Submitted all Submitted all
government E required required required
required documents documents documents
documents without errors with minor with major
errors errors
SALN due every April
T Submitted all Submitted all Submitted all
30; OBM May 30,
documents on documents 1 documents
RA6713.
or before due 2 days late more than
O/IPCRF due first week date three days
of April, DO 2, 2015 late (could be
DTR due at the last penalized
working day of the under existing
month rules)
Plus Factor A. Objectives are Q Accomplished Accomplished Accomplished
based on the add- and submitted and submitted and submitted
Additional ons/ special the needed the needed the needed
assignment assignments reports with reports with reports with
related to no revisions minor major
instruction on (e.g. EBEIS work, revisions revisions
top of job Canteen work, SF
E Accomplished Accomplished Accomplished
 description work, Winnings, 100% of the 85% of the 75% of the
Teacher Awardee) needed needed needed
reports reports reports
e.g. T Submitted Submitted Submitted
reports on or reports one reports two
Submitted Liquidation before the (1) day after (2) days after
Financial reports (for
due date the due date the due date
disbursing teacher)
APP/PPMP and
Q With complete Incomplete
Inventory Reports (for supporting supporting
custodians) eBEIS documents documents
Reports with complete T On or before One day after Two days
supporting documents due date due date after due date
5th day of the month
10th day of the month

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

OVERALL RATING FOR

ACCOMPLISHMENT
Name of Teacher Name of MT in - Charge Name of PRINCIPAL
Ratee Rater Approving Official

PART II. COMPETENCIES

CORE BEHAVIORAL COMPETENCIES Teamwork CORE SKILLS

Self-Management Willingly does his/her share of responsibility. Oral Communication

Sets personal goals and direction, needs and development
Undertakes personal actions and behaviors that are clear and purposive and
takes into account personal goals and values congruent to that of the
organization.
Displays emotional maturity and enthusiasm for and is challenged by higher
goals.
Prioritize work tasks and schedulers (through Gantts Charts, Checklists, etc.)
to achieve goals.
Sets high quality, challenging, realistic goals for self and others.
Professionalism and Ethics
Demonstrates the values and behavior enshrined in the Norms of Conduct
and Ethical Standards for public officials and employees (RA6713).
Practices ethical and professional behavior and conduct taking into account
the impact of his/her actions and decisions.
Maintains a professional image: being trustworthy, regular of attendance and
punctuality, good grooming and communication.
Promotes collaboration and removes barriers to teamwork and goal
accomplishment across the organization.
Applies negotiation principles in arriving at win-win agreements.
Drives consensus and team ownership of decisions.
Works constructively and collaboratively with others and across
organizations to accomplish organizational goals and objectives.
Service Orientation
Can explain and articulate organizational directions, issues and problems.
Takes personal responsibility for dealing with and/or correcting customer
service issues and concerns.
Initiates activities that promotes advocacy for men and women
empowerment.
Participates in updating of office vision, mission, mandates and strategies
based on DepEd strategies and directions.
Develops and adopts service improvement programs through simplified
Follows instructions accurately.
Expresses self clearly, fluently and articulately.
Uses appropriate medium for the message.
Adjust communication style to others.
Guides discussions between and among peers to meet and objective.
Written Communication
Knows the different written business communication formats used in the
DepEd.
Writes routine correspondence/communications, narrative and descriptive
report based on readily available information data with minimal spelling or
grammatical error/s (e.g. memos, minutes, etc.)
Secures information from required references (e.g. directories, schedules,
notices, instructions) for specific purposes.
Self-edits works, numbers, phonetic notation and content, if necessary.
 Makes personal sacrifices to meet the organizations needs. procedures that will further enhance service delivery. Demonstrates clarity, fluency, impact, conciseness and effectiveness in
Acts with a sense of urgency and responsibility to meet the organizations his/her written communications.
needs, improve systems and help others improve their effectiveness. Innovations
Computer/ICT Skills
Result Focus Examines the root cause of problems and suggests effective solutions,
fosters new ideas, processes, and suggests better ways to do things (cost Prepares basic compositions (e.g. letters, reports, spreadsheets and
Achieves results with optimal use of time and resources most of the time. and/or operational efficiency). graphics presentation using Word Processing and Excel.
Avoids, rework, mistakes and wastage through effective work methods by Demonstrates an ability to think beyond the box. Continuously focuses on Identifies different computer parts, turns the computer on/off, and work on a
placing organizational needs before. improving personal productivity to create higher value and results. given task with acceptable speed and accuracy and connects computer
Delivers error-free outputs most of the time by conforming to standard Promotes a creative climate and inspires co-workers to develop original peripherals (e.g. printers, modems, multimedia projectors, etc.)
operating procedures correctly and consistently. Able to produce very ideas or solutions. Prepares simple presentation using PowerPoint.
satisfactory quality of work in terms of usefulness/acceptability and Translates creative thinking into tangible changes and solutions that improve Utilizes technologies to: access information to enhance professional
completeness with no supervision required. the work unit and organization. productivity, assists in conducting research and communicate through
Expresses a desire to do better and may express frustration at waste or Uses ingenious methods of accomplish responsibilities. Demonstrates local and global professional networks.
inefficiency. May focus on new or more precise ways of meeting goals resourcefulness and the ability to succeed with minimal resources. Recommends appropriate and updated technology to enhance productivity
set. and professional practice.
Makes specific changes in the system or in won work methods to improve
performance. Examples may include doing something better, faster, at a OVERALL COMPETENCY RATINGS
lower cost, more efficiently; or improving quality, customer satisfaction,
morale, without setting any specific goal. CORE BEHAVIORAL COMPETENCIES

CORE SKILLS

OVERALL RATING
 PART III. SUMMARY OF RATINGS FOR DISCUSSION
Final Performance Results Ratings Adjectival Rating

Accomplishments of KRAs and Objectives

Rater Ratee Agreement

The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal from and the performance rating.

Name of Employee Name of Superior:

Signature Signature

Date Date

PART IV. DEVELOPMENT PLANS

Action Plan
Strengths Development Needs (Recommended Developmental Timeline Resources Needed
Intervention)

1.

2.
3.

_________________________ _________________________________ ________________________

Teacher Master Teacher School Head
Ratee Rater Approving Authority