Ipcr 2,3, & 4 Grelyn

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
Name of Employee ________________________________

Position __________________________
Review Period _______________________________
Bureau/Center/Service/Division/District/School ___________________________
MFOs KRAs OBJECTIVES TIME FRAME WEIGHT

PER KRA
Teaching –
Learning Process 40%
1. Prepared lesson plan/ logs June to March
of the learning
competencies including
appropriate, adequate and
updated instructional
materials within the rating
period (12%)
2. Facilitated learning in the June to March

school through functional
lessons plans, daily logs and
innovative teaching
strategies. (20%)
PER KRA
3. Monitored attendance,
diversity appreciation,
safe, positive and
motivating environment,
overall physical
atmosphere, cleanliness
and orderliness of
classrooms including
proper waste disposal
daily. (8%)
Pupils/ Students
Outcomes 30%
1. Monitored, evaluated June to March
and maintained pupils/
students’ progress within
the rating period. (10%)
PER KRA
2. Conducted remediation/
enrichment programs to 75%
of the pupils/student
needing it. (3%)
3. Attained the required

General Scholastic
Average(GSA)/ Mean
Percentage Score (MPS) and
Reading Proficiency level for
every grade /year level for
every learning area (15%)
· 75% of the pupils attained
a GSA of 85% - 89%
(Proficient Level)
· 75% of the Grade 3 pupils

achieved 81.76% MPS in NAT
3

achieved 83.38 % MPS in
NAT 6
NAT 6

PER KRA
· 75% of the Year 4

students achieved 75 % MPS
in NAT 4
· 75% of the pupils

achieved instructional level
of reading proficiency (MT
for Grades 1 & 2 ; English
and Filipino for Grades 3)
· 75% of the
pupils/students achieved
Independent level of reading
proficiency both in English
and Filipino (For Grades 4 – 6
; Y1 – Y4)
4. Participated in to
curricular/school activities
within the rating period (2%)

PER KRA
Community
Involvement
15%
1. Supported registration / June to March
participated in non-
government activities like
BSP,GSP & RCYC (50% of the
total number of pupils in a
class) (2%)
2. Conducted periodic PTA

meetings/conferences to
report learners’ progress.
(5%)
3. Conducted home visits to

75% of parents of pupils
needing academic
monitoring / identified
PARDOs within the rating
period. (5%)
4. Undertaken/ Initiated
classroom
projects/events/activities/
with external funding or
sponsorshipwithin the target
date. (Funding Requirement :
Php 3,000 and up) (3%)
MFOs KRAs 4. Undertaken/ Initiated
OBJECTIVES TIME FRAME
classroom WEIGHT
projects/events/activities/ PER KRA
Php 3,000 and up) (3%)
Professional
Growth and
Development
15%
1. Conducted June to March
problem/classroom-based
Action Research at least one
in a school year. (2%)
2. Submitted oneself for

Instructional Supervision at
least 5 times in a school year.
(4%) (Based on the number
of teachers / school)
3. Participated in to 75%
INSET/trainings/seminars/wo
rkshops called for. (2%)
MFOs KRAs 3. Participated in to 75%
OBJECTIVES TIME FRAME
INSET/trainings/seminars/wo WEIGHT
rkshops called for. (2%) PER KRA
4. Received academic and co-

curricular awards. (2%)
5. Produced and published

creative work/publication for
LRMDS/school paper/division
publication and similar
publication within the school
year. (1%)
6.
Punctuality/Attendance
/Wearing of Uniform (4%)
PER KRA
* Conformed with the official
time of attendance from
Monday - Friday
*Normal Working Hours: (per
class program)
*Any officer or employee
who is absent in the morning
is considered to be tardy and
is subject to provision on
Habitual Tardiness
*Any officer or
employee who is absent in
the afternoon is considered
to have incurred undertime,
subject to the provisions on
Undertime
* Participation in the Flag

Raising/Lowering Ceremony
Complied with the

prescribed uniform from
Monday - Thursday . (refer to
DepEd Order)
ORMANCE COMMITMENT AND REVIEW FORM
Name of Rater _______________________________

Position _______________________________
Date of Review _______________________________
PERFORMANCE INDICATORS ACTUAL RATING SCORE

(Quality, Efficiency, Timeliness) RESULTS
3.9 S
· Lesson Plans/Log plans were prepared daily. (3 x .30 ) = 0.9
· Each part had a full description of the LP/DLL of

what to do with an example
· Appropriate instructional materials/teaching aids
were prepared
· Competencies of the learning guides were adopted

in the daily logs/lesson plans.
· Attained 100% of the desired learning competencies
based on the budget of work.
(5) - When all indicators were met
(4) - When 4 indicators were met
(1) - When only 1 indicator was met
· Lesson objectives, teaching methods ,learning

objectives and instructional materials were aligned.
· Varied techniques and strategies suited to different
kinds of learners were being utilized.
· Technology resources in planning, designing and
delivery of the lesson was utilized. ( 4 x .50) = 2
· Situations that encourage learners to use higher
order thinking skills were created.
· Routines and procedures was established to
maximize use of time and instructional materials .
· Appropriate intervention activities for learners at
risk were provided.
· Fairness in dealing with learners was evident.
(5) - 100% of the indicators were rated Proficient /Highly
Proficient
(4) - 85%-99% of the indicators were rated
Proficient /Highly Proficient
(3) - 70% - 84% of the indicators were rated
(1) 50% and below of the indicators were rated
· Attendance of all pupils was systematically

monitored.
· Attendance of 75% identified PARDOs were
monitored and followed-up.
· Behavior problems was handled quickly with due
respect to children’s rights (5 x .20)
· Gender sensitive opportunities for learning were
provided. 1
· Safety, orderliness and cleanliness of classroom,
toilets and proper waste disposal were maintained.
2.92 US
· Formative, summative tests congruent to the lesson

were being used.
(4 x.33) = 1.32
· Appropriate reinforcement/feedback to learners’
behavior was provided.
· Opportunity for learners to demonstrate their
learning was provided.
· Non-traditional authentic assessment techniques was
used when needed
· Assignment as reinforcement or enrichment of the
lesson was given.
* (5) - Remediation/ Enrichment Program is offered to

130% and aboveof students who need it and
115-129% who need it (2 x .1) = .02
100-114% who need it
* (2)
- Remediation/ Enrichment Program is offered to 51-99%
who need it.
50% and below who need it
(2.6 x 50) = 1.3

· 5- 30% and above over the targeted number of
pupils/students.
· 4- 15-29% over the targeted number of pupils/students.

· 3- 100% of the targeted number of pupils/students. 3
· 2- 51%-99% ofthe targeted number of pupils/students.
· 1- 50% and below of the targeted number
pupils/students.
· 4- 15-29% over the targeted number of
pupils/students.
· 2- 51%-99% of the targeted number of
pupils/students.
· 1- 50% and below of the targeted number of
pupils/students.

pupils/students.
pupils/students.
· 3- 100% of the targeted number of pupils/students.
pupils/students.
pupils/students.
pupils/students.
pupils/students.
·· 3- 100% of the targeted number of pupils/students.
2- 51%-99% of the targeted number of
pupils/students.
pupils/students.

pupils/students.
pupils/students.
pupils/students. 2
pupils/students.

pupils/students.
pupils/students.
pupils/students.
pupils/students.
· Participation to Academic and Co-Curricular

Competitions
(4 x .7) = .28
a. National Level - 5
b. Regional Level - 4
c. Provincial level - 3
d. District Level - 2
e. School Level - 1
3.46 S
· (5)60% and above of the targeted pupils and
teachers supported registration/ attended to
BSP/GSP/RCYC activities
(3 x .14) = .42
· (4) 50%-59% of the targeted pupils and teachers
supported registration/attended to BSP/GSP/RCYC
activities
activities

activities
* (1) Below 30% of the targeted pupils and teachers

supported registration/ attended to BSP/GSP/RCYC
activities
· Homeroom PTA meetings to report learners’

progress conducted at least once: (5 x .33) = 1.65
a. a month - 5
b. in two months - 4
c. in three months - 3
d. in four months - 2
e. in five months or more- 1
· (5)30% and above over the targeted number of

pupils that need academic monitoring/identified
PARDO’s were visited
(3 x .33) = .99
· (4)15-29% over the targeted number of pupils that
need academic monitoring/identified PARDO’s were
visited
· (3) 100-114% of the targeted number of pupils that

visited
· (2)51-99%the targeted number of pupils that need

academic monitoring/identified PARDO’s were visited
· (5) 100% project accomplishment within the target

date with full documentation report
· (4) 85% -99% project accomplishment within the
target date with documentation report. (2 x .20) = .4
· (3) 70%-84% project accomplishment within the
target date with documentation report
· (2) 69% - 51 project accomplishment within the
target date with documentation report.
* (1)50% and below project accomplishment within
3.28 S
Conducted problem/classroom -based action research.
Action research was undertaken using the following
steps:
(2 x .13) = .26
a. preparation of design
b. conducting the research
c. managing data
d. analyzing data
e. disseminating data
f. utilizing the results
· 5 - All indicators were met without any revision and
submitted ahead of schedule -
· 4 - All indicators were met with minor revision and
submitted ahead of schedule
submitted on schedule.
· 2 - All indicators were met with major revisions
and submitted behind schedule
· 1 - No indicators were met due to the absence of
the action research
· 5- 30% and above over the targeted number of instructional
supervision conducted. (4 x .27) = 1.08
· 4 - 15-29% over the targeted number of instructional
supervision conducted
· 3- 100% of the targeted number of instructional supervision
conducted.
· 2- 51%-99% of the targeted number of instructional
supervision conducted.
* 1- 50% and below of the targeted number of
instructional supervision conducted.
5) 30% and above participation over the targeted
number of INSET/ trainings/seminars/workshop
(4) 15-29% participation over the targeted number of
INSET/ trainings/seminars/workshop (3 x .13) = .39
INSET/ trainings/seminars/workshop
(2) 51-99% participation of the targeted number of
(1) 50% and below participation over the targeted
· Academic and Co-Curricular Awards Received
b. Regional Level - 4 ( 4 x .13) = .52
c. Division Level - 3
e. School Level - 1
· 5 - Produced publication/ creative work published in

National Circulation/ DepEd Post/ CSC Newsletters / LRMDS
and similar publications ( 2 x .07) = .14
regional publications
division publication
· 2 - Produced publication/ creative work published in school
papers
* 1 - Unpublished work produced
( 3.3 x .27) = .89

5 - incurred less than 4 times tardiness/undertime of the
total number of official days
4 - incurred 4-6 times tardiness/undertime of the
3 - incurred 7-10 times tardiness/undertime of
the total number of official days
2 - incurred 11-15 times
tardiness/undertime of the total number of official days
1 - incurred more
than 15 times tardiness/undertime of the total number
of official days
3
5 - incurred not more than 4 days absences of the total
number of flag raising/lowering ceremonies in a year
4 - incurred 5-8 days absences of the total

3 - incurred 9-12
days absences of the total number of flag raising
/lowering ceremonies in a year
2 - incurred 13-16 days absences of the
total number of flag raising/lowering ceremonies in a
year 1- incurred more
than 16 days absences of the total number of flag
raising/lowering ceremonies in a year
5 - incurred less than 4 times non-compliance to the

wearing of the prescribed uniform
4 - incurred 4-6 times non-compliance to the wearing of
the prescribed uniform
3 - incurred 7-10 times non-compliance to the
2 - incurred 11-15 times non-
compliance to the wearing of the prescribed uniform
1 - incurred more
than 15 times non- compiance of the wearing of the
prescribed uniform
4
OVERALL
RATING FOR
ACCOMPLISHM
ENTS 3.39 Satisfactory
____________________________________ _______________________________
Ratee Rater
-1
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
Name of Employee: ___________________________________________ Name of Rater
Position: ______________________________________________ Position
Review Period: ______________________________ Date of Review
Bureau/Center/Service/Division
MFOs KRAs OBJECTIVES TIME FRAME WEIGHT PERFORMANCE INDICATORS ACTUAL RATING SCORE
PER KRA (Quality, Efficiency, Timeliness) RESULTS
1. Prepared lesson plan/ June to March · Lesson Plans/Log plans were prepared daily.

40%
logs of the learning
competencies including · Each part had a full description of the LP/DLL
appropriate, adequate and of what to do with an example
updated instructional · Appropriate instructional materials/teaching
materials within the rating aids were prepared
period (12%)
· Competencies of the learning guides were
adopted in the daily logs/lesson plans.
· Attained 100% of the desired learning
competencies based on the budget of work.
2. Facilitated learning in June to March objectives and instructional materials were aligned.
the school through · Varied techniques and strategies suited to
functional lessons plans, different kinds of learners were being utilized.
daily logs and innovative
teaching strategies. (20%) · Technology resources in planning, designing
and delivery of the lesson was utilized.
· Situations that encourage learners to use
higher order thinking skills were created.
· Appropriate intervention activities for
learners at risk were provided.
Teaching –
Learning · Fairness in dealing with learners was evident.
Process
(5) - 100% of the indicators were rated
(4) - 85%-99% of the indicators were rated
(1) 50% and below of the indicators were
rated Proficient /Highly Proficient
3. Monitored attendance, · Attendance of all pupils was systematically
diversity appreciation, monitored.
safe, positive and
motivating environment, · Attendance of 75% identified PARDOs were
overall physical monitored and followed-up.
atmosphere, cleanliness · Behavior problems was handled quickly with
and orderliness of due respect to children’s rights
classrooms including · Gender sensitive opportunities for learning
proper waste disposal were provided.
daily. (8%) · Safety, orderliness and cleanliness of
classroom, toilets and proper waste disposal were
maintained.
1. Monitored, evaluated June to March · Formative, summative tests congruent to the

and maintained pupils/ 30% lesson were being used.
· Appropriate reinforcement/feedback to
learners’ behavior was provided.
· Opportunity for learners to demonstrate their
learning was provided.
· Non-traditional authentic assessment
techniques was used when needed
· Assignment as reinforcement or enrichment
of the lesson was given.
2. Conducted remediation/ * (5) - Remediation/ Enrichment Program is offered

enrichment programs to to 130% and aboveof students who need it and
75% of the pupils/student
needing it. (3%) * (4) - Remediation/ Enrichment Program is offered to
51-99% who need it.
* (1) - Remediation/ Enrichment Program is offered
to 50% and below who need it
General Scholastic
Average(GSA)/ Mean
Percentage Score (MPS)
and Reading Proficiency
level for every grade /year
level for every learning
area (15%)
· 75% of the pupils · 5- 30% and above over the targeted number of
attained a GSA of 85% - pupils/students.
89% (Proficient Level)
pupils/students.
89% (Proficient Level)
· 3- 100% of the targeted number of
pupils/students.
pupils/students.
· 75% of the Grade 3 · 5- 30% and above over the targeted number
pupils achieved 81.76% of pupils/students.
MPS in NAT 3 · 4- 15-29% over the targeted number of
pupils/students.
pupils/students.
pupils/students.
of pupils/students.
pupils achieved 81.76% of pupils/students.
Pupils/ Students MPS in NAT 3 · 4- 15-29% over the targeted number of
Outcomes pupils/students.
pupils/students.
pupils/students.
of pupils/students.
pupils achieved 83.38 % of pupils/students.
MPS in NAT 6
pupils/students.
pupils/students.
pupils/students.
of pupils/students.
· 5- 30% and above over the targeted number
students achieved 75 %
of pupils/students.
MPS in NAT 4 · 4- 15-29% over the targeted number of
pupils/students.
pupils/students.
of pupils/students.
· 75% of the pupils · 5- 30% and above over the targeted number
achieved instructional level of pupils/students.
of reading proficiency
(MT for Grades 1 & 2 ; · 4- 15-29% over the targeted number of
English and Filipino for pupils/students.
Grades 3) · 3- 100% of the targeted number of
pupils/students.
pupils/students.
of pupils/students.
· 75% of the · 5- 30% and above over the targeted number
pupils/students achieved of pupils/students.
Independent level of
reading proficiency both · 4- 15-29% over the targeted number of
in English and Filipino pupils/students.
(For Grades 4 – 6 ; Y1 – · 3- 100% of the targeted number of
Y4) pupils/students.
pupils/students.
Y4)
of pupils/students.
4. Participated in to · Participation to Academic and Co-Curricular

curricular/school activities Competitions
within the rating period a. National Level - 5
(2%)
e. School Level - 1
Community 1. Supported registration / June to March · (5)60% and above of the targeted pupils and

Involvement participated in non- 15% teachers supported registration/ attended to
government activities like BSP/GSP/RCYC activities
BSP,GSP & RCYC (50%
· (4) 50%-59% of the targeted pupils and
of the total number of
teachers supported registration/attended to
pupils in a class) (2%)
activities
2. Conducted periodic PTA · Homeroom PTA meetings to report learners’

meetings/conferences to progress conducted at least once:
report learners’ progress. a. a month - 5
(5%)
3. Conducted home visits · (5)30% and above over the targeted number
to 75% of parents of pupils of pupils that need academic monitoring/identified
needing academic PARDO’s were visited
· (4)15-29% over the targeted number of pupils
that need academic monitoring/identified PARDO’s
period. (5%)
were visited
· (3) 100-114% of the targeted number of pupils
that need academic monitoring/identified PARDO’s
were visited
· (2)51-99%the targeted number of pupils that
visited
4. Undertaken/ Initiated · (5) 100% project accomplishment within the
classroom target date with full documentation report
with external funding or · (4) 85% -99% project accomplishment within
sponsorshipwithin the the target date with documentation report.
target date. (Funding · (3) 70%-84% project accomplishment within
Requirement : Php 3,000 the target date with documentation report
and up) (3%) · (2) 69% - 51 project accomplishment within the
Professional 1. Conducted June to March Conducted problem/classroom -based action research.

Growth and problem/classroom-based 15% Action research was undertaken using the following
Development Action Research at least steps:
one in a school year. (2%)
c. managing data
d. analyzing data
· 5 - All indicators were met without any revision
and submitted ahead of schedule -
· 4 - All indicators were met with minor revision
and submitted ahead of schedule
· 3 - All indicators were met with minor revision
and submitted on schedule.
· 2 - All indicators were met with major
revisions and submitted behind schedule
· 1 - No indicators were met due to the
absence of the action research
2. Submitted oneself for · 5- 30% and above over the targeted number of
Instructional Supervision instructional supervision conducted.
at least 5 times in a school
year. (4%) · 4 - 15-29% over the targeted number of
instructional supervision conducted
· 3- 100% of the targeted number of instructional
3. Participated in to 75% 5) 30% and above participation over the targeted
INSET/trainings/seminars/ number of INSET/ trainings/seminars/workshop
workshops called for. (2%)
(3) 100-114% participation over the targeted number
of INSET/ trainings/seminars/workshop
(2) 51-99% participation of the targeted number of
4. Received academic and
co-curricular awards. (2%) · Academic and Co-Curricular Awards Received
e. School Level - 1
5. Produced and published · 5 - Produced publication/ creative work
creative work/publication published in National Circulation/ DepEd Post/ CSC
for LRMDS/school Newsletters / LRMDS and similar publications
paper/division publication
and similar publication · 4 - Produced publication/ creative work
within the school year. published in regional publications
(1%) · 3 - Produced publication/ creative work
published in division publication
· 2 - Produced publication/ creative work
published in school papers
6.
* Conformed with the 5 - incurred less than 4 times tardiness/undertime of
official time of attendance the total number of official days
from Monday - Friday 4 - incurred 4-6 times
*Normal Working Hours: tardiness/undertime of the total number of official
(per class program) days 3 -
*Any officer or incurred 7-10 times tardiness/undertime of the total
employee who is absent in number of official days
the morning is considered 2 - incurred 11-15 times
to be tardy and is subject to tardiness/undertime of the total number of official
provision on Habitual days 1 -
Tardiness incurred more than 15 times tardiness/undertime of
*Any officer or the total number of official days
to have incurred
undertime, subject to the
provisions on Undertime

* Participation in the Flag 5 - incurred not more than 4 days absences of the total
Raising/Lowering number of flag raising/lowering ceremonies in a year
Ceremony
4 - incurred 5-8 days absences of
the total number of flag raising/lowering ceremonies
in a year
3 - incurred 9-12 days absences of the total number of
flag raising /lowering ceremonies in a year
2 - incurred 13-16
days absences of the total number of flag
1- incurred more than 16 days
absences of the total number of flag raising/lowering
ceremonies in a year
Complied with the 5 - incurred less than 4 times non-compliance to the
prescribed uniform from wearing of the prescribed uniform
Monday - Thursday . (refer 4 - incurred 4-6 times non-compliance to the
to DepEd Order) wearing of the prescribed uniform
3 - incurred 7-10 times non-
compliance to the wearing of the prescribed uniform
2 - incurred
11-15 times non-compliance to the wearing of the
prescribed uniform
1 - incurred more than 15 times non-
compliance of the wearing of the prescribed uniform
-1
INDIVIDUAL PERFORMANCE COMMITMENT AND REV
Name of Employee
Position
Review Period
Bureau/Center/Service/Division
MFOs KRAs OBJECTIVES TIME FRAME WEIGHT PER

KRA
Teaching – Learning
Process 40%
1. Prepared lesson plan/ logs June to March
of the learning
competencies including
appropriate, adequate and
updated instructional
materials within the rating
period (12%)
2. Facilitated learning in the June to March

school through functional
lessons plans, daily logs and
innovative teaching
strategies. (20%)
3. Monitored attendance,
diversity appreciation,
safe, positive and
motivating environment,
overall physical
atmosphere, cleanliness
and orderliness of
classrooms including
proper waste disposal
daily. (8%)
Pupils/ Students
Outcomes 30%
1. Monitored, evaluated June to March
and maintained pupils/
needing it. (3%)
needing it. (3%)

General Scholastic
Average(GSA)/ Mean
Percentage Score (MPS) and
Reading Proficiency level for
every grade /year level for
every learning area (15%)
· 75% of the pupils attained
a GSA of 85% - 89%
(Proficient Level)

achieved 81.76% MPS in NAT
3

NAT 6
students achieved 75 % MPS
in NAT 4
· 75% of the pupils

achieved instructional level
of reading proficiency (MT
for Grades 1 & 2 ; English
and Filipino for Grades 3)
· 75% of the
pupils/students achieved
Independent level of reading
proficiency both in English
and Filipino (For Grades 4 – 6
; Y1 – Y4)
Instructional 1. Assistedthe SHs in the

Supervision observation of class to
____ % of the teachers
every quarter.
2. Conducted at least 3
mentoring/ coaching
activities with teachers
quarterly
Community
Involvement
15%
1. Supported registration / June to March
participated in non-
government activities like
BSP,GSP & RCYC (50% of the
total number of pupils in a
class) (2%)
2. Conducted periodic PTA

meetings/conferences to
report learners’ progress.
(5%)
3. Conducted home visits to

75% of parents of pupils
needing academic
period. (5%)
4. Undertaken/ Initiated
classroom
Php 3,000 and up) (3%)
Professional Growth
and Development
15%
1. Conducted June to March
problem/classroom-based
Action Research at least one
in a school year. (2%)
2. Submitted oneself for

Instructional Supervision at
least 5 times in a school year.
(4%) (Based on the number
of teachers / school)
3. Participated in to 75%
INSET/trainings/seminars/wo
rkshops called for. (2%)
4. Received academic and co-

curricular awards. (2%)
5. Produced and published

creative work/publication for
LRMDS/school paper/division
publication and similar
publication within the school
year. (1%)
6.
* Conformed with the official
time of attendance from
Monday - Friday
*Normal Working Hours: (per
class program)
*Any officer or employee
who is absent in the morning
is considered to be tardy and
is subject to provision on
Habitual Tardiness
*Any officer or
to have incurred undertime,
subject to the provisions on
Undertime
* Participation in the Flag

Raising/Lowering Ceremony
Complied with the

prescribed uniform from
Monday - Thursday . (refer to
DepEd Order)
RMANCE COMMITMENT AND REVIEW FORM
Name of Rater
Position
Date of Review

3.9 S
· Lesson Plans/Log plans were prepared daily. (3 x .30 ) = 0.9
· Each part had a full description of the LP/DLL of what

to do with an example
· Appropriate instructional materials/teaching aids
were prepared
· Competencies of the learning guides were adopted in

the daily logs/lesson plans.
· Attained 100% of the desired learning competencies
based on the budget of work.

objectives and instructional materials were aligned.
· Varied techniques and strategies suited to different
kinds of learners were being utilized.
· Technology resources in planning, designing and
delivery of the lesson was utilized. ( 4 x .50) = 2
· Situations that encourage learners to use higher
order thinking skills were created.
· Appropriate intervention activities for learners at risk
were provided.
· Fairness in dealing with learners was evident.
(5) - 100% of the indicators were rated Proficient /Highly
Proficient
(4) - 85%-99% of the indicators were rated Proficient
/Highly Proficient
(3) - 70% - 84% of the indicators were rated Proficient
/Highly Proficient
(2) - 69% - 51% of the indicators were rated Proficient
/Highly Proficient
(1) 50% and below of the indicators were rated
· Attendance of all pupils was systematically monitored.

· Attendance of 75% identified PARDOs were monitored
and followed-up.
· Behavior problems was handled quickly with due
respect to children’s rights (5 x .20)
· Gender sensitive opportunities for learning were
provided. 1
· Safety, orderliness and cleanliness of classroom,
toilets and proper waste disposal were maintained.
2.92 US
· Formative, summative tests congruent to the lesson

were being used.
(4 x.33) = 1.32
· Appropriate reinforcement/feedback to learners’
behavior was provided.
· Opportunity for learners to demonstrate their learning
was provided.
· Non-traditional authentic assessment techniques was
used when needed
· Assignment as reinforcement or enrichment of the
lesson was given.

130% and aboveof students who need it and
115-129% who need it (2 x .1) = .02
* (2)
- Remediation/ Enrichment Program is offered to 51-99%
who need it.
50% and below who need it
(2.6 x 50) = 1.3

pupils/students.
· 4- 15-29% over the targeted number of pupils/students.
· 1- 50% and below of the targeted number of pupils/students.

pupils/students.
pupils/students.
· 2- 51%-99% of the targeted number of pupils/students.

pupils/students.

pupils/students.
pupils/students.

pupils/students.
pupils/students.
pupils/students.
pupils/students.

pupils/students.
pupils/students.
· 2- 51%-99% of the targeted number of pupils/students. 2

pupils/students.

pupils/students.
pupils/students.

pupils/students.
· Participation to Academic and Co-Curricular

Competitions
(4 x .7) = .28
e. School Level - 1
3.46 S
· (5)60% and above of the targeted pupils and teachers
activities
(3 x .14) = .42
activities
activities

activities

activities
· Homeroom PTA meetings to report learners’ progress

conducted at least once: (5 x .33) = 1.65
a. a month - 5
· (5)30% and above over the targeted number of

pupils that need academic monitoring/identified PARDO’s
were visited
(3 x .33) = .99
· (4)15-29% over the targeted number of pupils that
visited
· (3) 100-114% of the targeted number of pupils that

visited
· (2)51-99%the targeted number of pupils that need

academic monitoring/identified PARDO’s were visited
· (5) 100% project accomplishment within the target
date with full documentation report
· (4) 85% -99% project accomplishment within the
target date with documentation report. (2 x .20) = .4
· (3) 70%-84% project accomplishment within the
target date with documentation report
· (2) 69% - 51 project accomplishment within the target
date with documentation report.
3.28 S
Conducted problem/classroom -based action research.
Action research was undertaken using the following steps:
(2 x .13) = .26
c. managing data
d. analyzing data
· 5 - All indicators were met without any revision and
submitted ahead of schedule -
submitted ahead of schedule
submitted on schedule.
· 2 - All indicators were met with major revisions and
submitted behind schedule
· 1 - No indicators were met due to the absence of
the action research
· 5- 30% and above over the targeted number of instructional

supervision conducted. (4 x .27) = 1.08
· 4 - 15-29% over the targeted number of instructional
supervision conducted
· 3- 100% of the targeted number of instructional supervision
conducted.
· 2- 51%-99% of the targeted number of instructional
5) 30% and above participation over the targeted number
of INSET/ trainings/seminars/workshop
INSET/ trainings/seminars/workshop (3 x .13) = .39
(2) 51-99% participation of the targeted number of INSET/
trainings/seminars/workshop
· Academic and Co-Curricular Awards Received

b. Regional Level - 4 ( 4 x .13) = .52
e. School Level - 1
· 5 - Produced publication/ creative work published in National

Circulation/ DepEd Post/ CSC Newsletters / LRMDS and similar
publications ( 2 x .07) = .14
· 4 - Produced publication/ creative work published in regional
publications
· 3 - Produced publication/ creative work published in division
publication
· 2 - Produced publication/ creative work published in school
papers
( 3.3 x .27) = .89

5 - incurred less than 4 times tardiness/undertime of the
2 - incurred 11-15 times tardiness/undertime of
the total number of official days
1 - incurred more than 15 times
tardiness/undertime of the total number of official days
5 - incurred not more than 4 days absences of the total

4 - incurred 5-8 days absences of the total number of

flag raising/lowering ceremonies in a year
3 - incurred 9-12 days absences
of the total number of flag raising /lowering ceremonies
in a year 2-
incurred 13-16 days absences of the total number of flag
1- incurred more than 16 days absences of the
total number of flag raising/lowering ceremonies in a
year
5 - incurred less than 4 times non-compliance to the

4 - incurred 4-6 times non-compliance to the wearing of
the prescribed uniform
3 - incurred 7-10 times non-compliance to the wearing
of the prescribed uniform
2 - incurred 11-15 times non-compliance to the
1 - incurred more than 15 times non-
compiance of the wearing of the prescribed uniform
4
OVERALL RATING
FOR
ACCOMPLISHMEN
TS 3.39 Satisfactory
-1
PART II : COMPETENCIES
CORE BEHAVIORAL COMPETENCIES Teamwork TEACHING CORE SKILLS
Self-Management Willingly does his/her share of responsibility. Achievement
Sets personal goals and direction, needs and Promotes collaboration and removes barriers to teamwork Enjoys working hard.
development. and goal accomplishment across the organization. Is action - oriented and full of energy for the things he/she
Undertakes personal actions and behaviors that are Applies negotiation principles in arriving at win-win sees as challenging.
clear and purposive and takes into account personal agreements. Not fearful of acting with a minimum of planning.
goals and values congruent to that of the organization. Drives consensus and team ownership of decisions. Siezes more opportunities than others.
Displays emotional maturity and enthusiasm for and Works constructively and collaboratively with others and across Strategic thinker.
is challenged by higher goals. organizations to accomplish organizational goals and objectives. Managing Diversity
Prioritize work tasks and schedules (through Gantts Respects all kinds and classes of people.
charts, checklist, etc.) to achieve goals. Service Orientation Deals effectively with all races, nationalities, cultures,
Sets high quality, challenging, realistic goals for self disabilities, ages and both sexes.
and others. Can explain and articulate organizational directions, issues and Support equal and fair treatment and opportunity for all.
Professionalism and Ethics problems. Applies equal standards and criteria to all classes.
Demonstrates the values and behavior enshrined in the Takes personal responsibility for dealing with and/or correcting Manifests cultural and gender sensivity when dealing with
Norms of Conduct and Ethical Standards for public officials customer service issues and concern. people.
and employees (RA 6713). Initiates activities that promotes advocacy for men and women
Practices ethical and professional behavior and conduct empowerment. Accountability
taking into account the impact of his/her actions and Participates in updating of office vision, mission, mandates and
decisions. strategies based on DepEd strategies and directions. Can be counted on to exceed goals successfully.
Maintains a professional image: being trustworthy, regularity Develops and adopts service improvement programs through Steadfastly pushes self and others towards results.
of attendance and functuality, good grooming and communication. simplified procedures that will further enhance service delivery. Gets things done on time and optimum use of resources.
Makes personal sacrifices to meet the organization's needs. Builds team spirit.
Acts with a sense of urgency and responsibility to meet the Innovation Transacts with transparency.
organization's needs, improve systems and help others improve
their effectiveness. Examines the root cause of problems and suggest effective
Result Focus solutions. Fosters new ideas, processes, and suggest better ways
Achieves results with optimal use of time and resources most of the time. to do things (cost and/or operational efficiency).
Avoids rework, mistakes and wastage through effective work Demonstrates an ability to think "beyond the box". Continuously
methods by placing organizational needs before personal needs. focuses on improving personal productivity to create higher value
Delivers error-free outputs most of the time by conforming to and results.
standard operating procedures correctly and consistently. Promotes a creative climate and inspires co-workers to develop
Able to produce very satisfactorily quality of work in terms of original ideas or solutions. OVERALL COMPETENCY RATINGS
usefulness/acceptability and completeness with no supervision Translate creative thinking into tangible changes and solutions
required. that improve the work unit and organization. CORE BEHAVIORAL COMPETENCIES
Expresses a desire to do better and may express frustration at Uses ingenious methods to accomplish responsibilities.
waste or inefficiency. May focus on new or more precise ways Demostrates resourcefulness and the ability to succeed with TEACHING CORE SKILLS
of meeting goals set. minimal resources.
Makes specific changes in the system or in own work methods OVERALL RATING
to improve performance. Examples may include doing something
better, faster, at a lower cost, more efficiency; or improving
quality, customer satisfaction, morale, without setting any specific goal.
NUMERICAL
ABJECTIVAL RATING DESCRIPTION OF MEANING OF RATING
RATING
Performance represents an extraordinary level of achievement and commitment in terms of quality and time,
technical skills and knowledge, ingenuity, creativity and initiative. Employees at this performance level should
5 Outstanding
have demonstrated exceptional job mastery in all major areas of responsibility. Employee achievement and
contributions to the organization are of marked excellence.
Performance exceeded expectations. All goals, objectives and targets were achieved above the established
4 Very Satisfactory
standards.
Performance met expectations in terms of quality of work, efficiency and timeliness. The most critical annual
3 Satisfactory
goals were met.
Performance failed to meet expectations, and/or one or more of the most critical goals were not met.
2 Unsatisfactory
Performance was consistently below expectations, and/or reasonable progress toward critical goals was not made.
1 Poor
Significant improvement is needed in one or more important areas.
This rating scale is based on the Civil Service Commission Memorandum Circular No. 06, series of 2012 that sets the guidelines on the establishments
and implementation of the Strategic Performance Management System(SPMS) in all government agencies.
RANGE ADJECTIVAL RATING SCALE DEFINITION

4.500-5.000 Outstanding 5 Role model
3.500-4.499 Very Satisfactory 4 Consistently demonstrates
2.500-3.499 Satisfactory T 3 Most of the time demonstrates
1.500-2.499 Unsatisfactory h 2 Sometimes demonstrates
below 1.499 Poor e 1 Rarely demonstrates
overall rating/assessment for the accomplishments shall fall within the following Ratings of co-employees. Ratings obtained by the ratee can only be used
adjectival ratings and shall be in three (3) decimal points. as basis for reference for competencies shall be monitored for development
purposes. In evaluating the individual's demonstration of competencies, this
Grievances and Appeals rating scale shall apply.
1. A Grievance Committee shall be created in each in each level of the organization to performance rating.
act as appeals board and final arbiter of all issues relating to the implementation of RPMS. 4. The Grievance Committee shall decide on the appeals within one (1) month
2. The office performance assessment as discussed in the performance review and evaluation from receipt. Appeals lodged at any Grievance Committee shall follow the hierarchical
phase shall be final and not appealable. Any issue/appeal on the initial performance assessment jurisdiction of various Grievance Committees within the agency. For example, the
of an office shall be discussed and decided during the performance review conference. decision of the Division Grievance Committee is appealable to the Regional Grievance
3. Individual employees who feel aggrieved or dissatisfied with their final performance ratings Committee, which decision is in turn appealable to the Central Office Grievance
can file an appeal with the Grievance Committee at their level within ten (10) working days from Committee.
date of receipt of notice of their final performance evaluation rating from the rater. The ratee, 5. The decision of the Central Office Grievance Committee is final.
however, shall not be allowed to protest the performance comparison in appealing the individual
PART IV: DEVELOPMENT PLANS
Strengths Development Needs Action Plan (Recommended Timeline Resources Needed

Developmental Intervention)
Weaknesses
*Conducted problem and classroom based *Try make classroom based action
Action Research atleast one in a school year *Action Research Teaching materials
JUNE 2018-APRIL 2019
research with in the school year
*Submitted oneself for instructional *Should submit oneself for instructional
supervision at least 5 times in a school year *Class observation supervision in the remaining 5 months JUNE 2018-APRIL 2019 Teaching materials
at least once a month
*Produced and published creative work/ *Initiate to produce creative work for Wifi, Laptop
publication for LRMDS/School paper/ *LRMDS and school paper publication LRMDS during the school year JUNE 2018-APRIL 2019 and bond paper
Division publication
Ratee: Rater: Approving Authority:
KIRSTY JANE B. CATIPAY EDGAR O. OBISO MARILYN V.DEDUYO

TEACHER I PRINCIPAL I EDUCATION PROGRAM SUPERVISOR
OFFICE OF THE ASSISTANT SCHOOLS DIVISION SUPERINTENDENT
OFFICER-IN-CHARGE
PART III: SUMMARY OF RATINGS FOR DISCUSSION
Final Performance Results Rating Adjectival Rating
Accomplishment of KRAs and Objectives

4.15 Very Satisfactory
Rater - Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.
Name of Employee: Name of Superior:

EDGAR O.OBISO MARILYN V. DEDUYO
Signature: Signature:
Date: Date:
July 10, 2016
PART IV: DEVELOPMENT PLANS
Action Plan (Recommended

Strengths Development Needs Timeline Resources Needed
Developmental Intervention)
Participated in to 75% INNSET/ trainings/ Sustained by participating the seminars/ Sustained by participating the seminars/ June to March Training materials
seminars/workshops called for. trainings/workshops called for. trainings/workshops called for.
Wearing of Uniform Wearing the prescribed uniform Wear prescribed uniform daily June to March Clothing allowance
Participation in the Flag raising and lowering Participation of Flag raising and lowering Report in school early June to March Attendance sheet
Weaknesses
Ratee: Rater: Approving Authority:
EDGAR O. OBISO MARILYN V. DEDUYO REYNALDO B. MELLORIDA, CESO VI

MT-I/TIC Officer-In-Charge Schools Division Superintendent
Asst. Schools Division Superintendent
ces Needed
erials

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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee ________________________________

MFOs KRAs OBJECTIVES TIME FRAME WEIGHT

2. Facilitated learning in the June to March

3. Attained the required

· 75% of the Grade 3 pupils

· 75% of the Grade 6 pupils

MFOs KRAs OBJECTIVES TIME FRAME WEIGHT

· 75% of the Year 4

· 75% of the pupils

MFOs KRAs OBJECTIVES TIME FRAME WEIGHT

2. Conducted periodic PTA

3. Conducted home visits to

2. Submitted oneself for

4. Received academic and co-

5. Produced and published

* Participation in the Flag

Complied with the

Name of Rater _______________________________

PERFORMANCE INDICATORS ACTUAL RATING SCORE

· Each part had a full description of the LP/DLL of

· Competencies of the learning guides were adopted

· Lesson objectives, teaching methods ,learning

· Attendance of all pupils was systematically

· Formative, summative tests congruent to the lesson

* (5) - Remediation/ Enrichment Program is offered to

(2.6 x 50) = 1.3

· 4- 15-29% over the targeted number of pupils/students.

· 5- 30% and above over the targeted number of

· 5- 30% and above over the targeted number of

· 5- 30% and above over the targeted number of

· Participation to Academic and Co-Curricular

· (2) 30%-39% of the targeted pupils and teachers

* (1) Below 30% of the targeted pupils and teachers

· Homeroom PTA meetings to report learners’

· (5)30% and above over the targeted number of

· (3) 100-114% of the targeted number of pupils that

· (2)51-99%the targeted number of pupils that need

· (5) 100% project accomplishment within the target

· 5 - Produced publication/ creative work published in

( 3.3 x .27) = .89

4 - incurred 5-8 days absences of the total

5 - incurred less than 4 times non-compliance to the

1. Prepared lesson plan/ June to March · Lesson Plans/Log plans were prepared daily.

1. Monitored, evaluated June to March · Formative, summative tests congruent to the

2. Conducted remediation/ * (5) - Remediation/ Enrichment Program is offered

4. Participated in to · Participation to Academic and Co-Curricular

Community 1. Supported registration / June to March · (5)60% and above of the targeted pupils and

2. Conducted periodic PTA · Homeroom PTA meetings to report learners’

Professional 1. Conducted June to March Conducted problem/classroom -based action research.

MFOs KRAs OBJECTIVES TIME FRAME WEIGHT PER

2. Facilitated learning in the June to March

3. Attained the required

· 75% of the Grade 3 pupils

· 75% of the Grade 6 pupils

· 75% of the pupils

Instructional 1. Assistedthe SHs in the

2. Conducted periodic PTA

3. Conducted home visits to

2. Submitted oneself for

4. Received academic and co-

5. Produced and published

* Participation in the Flag