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Republic of the Philippines

Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS
June 2015-March 2016
Name of Employee
Position
School

:
:
:

__________________________________
__________________________________
__________________________________

Name of Rater
Position
Date of Review

:
:
:

_______________________________________________
_______________________________________________
_______________________________________________

TO BE FILLED DURING PLANNING


Major Final
Outcomes

Key Result Areas


(KRAs)
Teaching Learning
Process (30%)

Objectives

Weight
per KRA

Performance Indicators

Prepare lesson plans and


daily lesson logs.

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%

Initiate discipline of students


including classroom rules,
guidelines and individual and
group task

5%

Monitor attendance, diversity

5%

5-200 or more updated lesson plans/logs prepared in


SMART way
4-150-199 updated lesson plans/logs prepared in SMART
way
3-90-149 updated lesson plans/logs prepared in SMART
way
2-60-89 updated lesson plans/logs prepared in SMART way
1-1-59 updated lesson plans/logs prepared in SMART way
5-10 instructional materials used/produced are appropriate,
adequate and updated
4-8 instructional materials used/produced are appropriate,
adequate and updated
3-6 instructional materials used/produced are appropriate,
adequate and updated
2-4 instructional materials used/produced are appropriate,
adequate and updated
1-2 instructional materials used/produced are appropriate,
adequate and updated
(Supported with write-up and documentation)
5- 100% of the indicators in classroom walk-through are
observed
4- 85%-99% of the indicators in classroom walk-through are
observed
3- 70%-84% of the indicators in classroom walk-through are
observed
2- 55%-69% of the indicators in classroom walk-through are
observed
1- 54% and below of the indicators in classroom walkthrough are observed
5- 100% of the pupils monthly attendance and are
monitored and submitted every last day of the month

1.

2.

Timeline

TO BE FILLED DURING
EVALUATION
Actual Results
Rating Score
Q
E T Ave

4- 85%-99% of the pupils monthly attendance and are


monitored and submitted every last day of the month
3- 70%-84% of the pupils monthly attendance and are
monitored and submitted every last day of the month
2- 55%-69% of the pupils monthly attendance and are
monitored and submitted every last day of the month
1- 54% and below of the pupils monthly attendance and
are monitored and submitted every last day of the month

appreciation, safe, positive


and motivating environment,
over-all physical atmosphere,
cleanliness, and orderliness of
classrooms including proper
waste disposal.

Pupils/Students
Learning Outcomes
30%

Monitor, evaluate and maintain


pupils/students
progress
through
*Assessment for Learning
(Formative)
*Assessment as Learning
(Reflective)
*Assessment of Learning
(Summative)
*Periodic Test

8%

Conduct
remediation/enrichment
programs
to
improve
performance indicators

7%

Maintain
pupils/students
school records

5%

Attain the required GSA for


Grade level and learning areas

5%

Indicators:
1. Test Questions with TOS
2. Class Record (with dates of quizzes,
assignments, projects, portfolio, etc.)
3. Rating sheets
4. List of pupils/students output like projects,
activities done/performed, etc.
5-All indicators were prepared and submitted two weeks
before the scheduled due time
4-3 indicators were prepared and submitted one week
before the scheduled time
3- 2 indicators were prepared and submitted on the
scheduled date
2-1 indicator was prepared and submitted on the scheduled
date
1-no indicator was prepared and submitted on the
scheduled date.
5-100% pupils/students were given remediation/enrichment
successfully
4-85%-99%
pupils/students
were
given
remediation/enrichment successfully
3-70%-84%
pupils/students
were
given
remediation/enrichment successfully
2-55%-69%
pupils/students
were
given
remediation/enrichment successfully
1-54%
and
below
pupils/students
were
given
remediation/enrichment successfully
5-100% of the pupils/students records were prepared and
submitted before the scheduled time without error
4- 85%-99% of the pupils/students records were prepared
and submitted on or before the scheduled time without error
3- 70%-84% of the pupils/students records were prepared
and submitted on or before the scheduled time with minimal
error
2- 55%-69% of the pupils/students records were prepared
and submitted one week after the due time
1- 54% and below of the pupils/students records were
prepared and submitted two weeks before the due time
5-85% and above of the pupils proficiency level have
mastered the required learning competency.
4- 82-84% of the pupils proficiency level have mastered the
required learning competency
3- 79%-81% of the pupils proficiency level have mastered
the required learning competency

Community Involvement
20%

Professional Growth
and Development 25%

Attain 75% MPS per subject


area in the National
Achievement Test

5%

Conduct regular/periodic PTA


meetings/conferences

8%

Visit parents of pupils/students


needing academic
monitoring/follow up

7%

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

5%

Conducted action research

10%

2- 76%-78% of the pupils proficiency level have mastered


the required learning competency
1- 75% of the pupils proficiency level have mastered the
required learning competency
5-Attained 75% and above NAT MPS per subject area
4-Attained 65%-74% of NAT MPS per subject area.
3-Attained 55%-64% of NAT MPS per subject area.
2-Attained 44%-54% of NAT MPS per subject area.
1-Attained 45% or below of NAT MPS per subject area.
5-100% of the target objectives were achieved,
accomplishment with set agreements were fully
documented.
4-84%-99% of the target objectives were achieved,
accomplishment with set agreements were fully
documented.
3-68%-83% of the target objectives were achieved,
accomplishment with set agreements were fully
documented.
2-52%-67% of the target objectives were achieved,
accomplishment with set agreements were fully
documented.
1-51%-below of the target objectives were achieved,
accomplishment with set agreements were fully
documented.
5-100% of the parents of the students needing academic
monitoring was followed up supported with documents.
4-84%-99% of the parents of the students needing
academic monitoring was followed up supported with
documents.
3-68%-83% of the parents of the students needing
academic monitoring was followed up supported with
documents.
2-52%-67 of the parents of the students needing academic
monitoring was followed up supported with documents.
1-51%-below of the parents of the students needing
academic monitoring was followed up supported with
documents.
5-100% of project accomplishment completed were
achieved with documentation.
4-84%-99% of project accomplishment partially achieved
with documentation.
3-68%-83% of project accomplishment partially achieved
with documentation.
2-52%-67 of project accomplishment partially achieved with
documentation.
1-51%-below of project accomplishment partially achieved
with documentation.
5-Conducted a completed action research and have
presented in at least in the Division Level Research
Conference/Summit
4- Conducted a completed action research and have
presented in at least in the District Level Research
Conference/Summit
3- Conducted a completed action research but have not

Plus Factor 5%

Attend
relevant
trainings/workshops/conferenc
es or seminars or earn 9 units
of post graduate education

10%

Received
special
awards/citation/recognition for
exemplary performance

5%

Attain five of the following:

5%

1. Serve as coordinator in any


working committee in the
school
2. Publish an article in national
circulation
3. Serve as demonstration
teacher/resource
speaker/cooperating teacher
4. Received an outstanding
employee award at least in the
District level
5. Conducted an innovation
6. Participated in any activities
as teachers association

Over-all Rating of Assessment

Adjectival Rating Scale


Outstanding
Very Satisfactory
Satisfactory

4.500-5.000
3.500-4.499
2.500-3.499

presented the result in any level of research


conference/summit
2-Proposed an action research.
1-Conceptualize an action research
5-Attended an aggregate of 48 hours of relevant trainings at
least in the Division level and earn 9 units in post graduate
studies
4-Attended an aggregate of 48 hours of relevant trainings at
least in the Division level.
3-Attended an aggregate of 24 hours of relevant trainings at
least in the Division level and earn 9 units in post graduate
studies
2-Attended an aggregate of 24 hours of relevant trainings at
least in the Division level.
1-Attended at aggregate of 24 hours training at least in the
District level
(Attached certificate of participation and Grades)
5-Received certificate of recognition as winning coach in the
National level.
4-Received certificate of recognition as winning coach in the
Regional level
3-Received certificate of recognition as winning coach in the
Division level
2- Received certificate of recognition as winning coach in
the District level
1-Received certificate of recognition as winning coach in the
School level
5-Attained 5 indicators with documents
4- Attained 4 indicators with documents
3- Attained 3 indicators with documents
2- Attained 2 indicators with documents
1-Attained 1 indicator with documents

Unsatisfactory
Poor

1.500-2.499
1.000-1.499
_______________________________
Ratee
______________________________
Rater
Republic of the Philippines
Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS
June 2015-March 2016

PART III: SUMMARY OF RATINGS FOR DISCUSSION


Final Performance Results
Accomplishment of KRAs and Objectives

Rating

Employee-Superior Agreement
The signatures below confirm that the employee and his/her superior have agreed to the contents of the performance as captured in this form.
Name of Employee:

Name of Superior

Signature

Signature

Date

Date

Republic of the Philippines


Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS
June 2015-March 2016
PART IV: DEVELOPMENT PLANS
Strengths

Development Needs

Action Plan
(Recommended Developmental
Intervention)

Timeline

Resources Needed

Feedback:
_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________

_________________________________________
Rater

_________________________________________
Ratee

Republic of the Philippines


Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS
June 2015-March 2016

PERFORMANCE MONITORING AND COACHING FORM


Date

Critical Incidence Description

Output

Impact on Job/Action Plan

Signature of
Ratee
Rater

Republic of the Philippines


Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS
June 2015-March 2016
EMPLOYEE FEEDBACK FORM
Strengths

Development Needs

Action Plan
(Recommended Developmental
Intervention)

Timeline

Resources Needed

Feedback:
_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________

Republic of the Philippines


Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR PRINCIPAL
January-December 2015
Name of Employee
Position
School

:
:
:

__________________________________
__________________________________
__________________________________

Name of Rater
Position
Date of Review

:
:
:

_______________________________________________
_______________________________________________
_______________________________________________

TO BE FILLED DURING PLANNING


Major Final
Outcomes

Key Result Areas


(KRAs)
School Leadership,
Management and
Operation (15%)

Objectives

Timeline

Weight
per KRA

Performance Indicators

Manage school resources in


accordance
with
Deped
policies and accounting rules
and regulations and other
pertinent guideline

5%

Utilize funds for approved


school programs and projects
as reflected in the SIP/AIP

5%

5-with clear financial management system for the school


supported by evidences such as reports, account logs,
database system.
4-with clear financial and resource management system but
one or more requirements were missing
3-with clear financial and resource management system but
2 reports or requirements were lacking
2-financial management system and reporting were in its
initial stages
1-no financial report
5-with clear financial management system for the school
supported by evidences such as reports, account logs,
database system.
4-with clear financial and resource management system but
one or more requirements were missing
3-with clear financial and resource management system but
2 reports or requirements were lacking
2-financial management system and reporting were in its
initial stages

TO BE FILLED DURING
EVALUATION
Actual Results
Rating Score
Q
E T Ave

Instructional Leadership
40%

Human Resource
Management and
Development 25%

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


regularly and attain/maintain
zero drop-out rate

10%

Improve
instructional
leadership practices

15%

Provide clinical supervision to


teachers for the improvement
of teaching-learning outcomes

10%

Create
a
professional
community

school-based
learning

10

1-no financial report


5-submitted required reports five days or more before the
set deadlines
4- submitted required reports four days before the set
deadlines
3- submitted required reports three days before the set
deadlines
2- submitted required reports two days before the set
deadlines
1- submitted required reports on the set deadlines
5-Attained 75% and above NAT MPS per subject area
4-Attained 65%-74% of NAT MPS per subject area.
3-Attained 55%-64% of NAT MPS per subject area.
2-Attained 44%-54% of NAT MPS per subject area.
1-Attained 45% or below of NAT MPS per subject area.
5-zero drop-out
4-1%-3% drop-out
3-4%-6% drop-out
2-7%-9% drop-out
1-10%-above drop-out rate
5-100% fully implemented and functional instructional and
supervisory plan
4-84%-99% implemented and functional instructional and
supervisory plan
3-68%-83% implemented and functional instructional and
supervisory plan
2-52%-67 implemented and functional instructional and
supervisory plan.
1-51%-below implemented and functional instructional and
supervisory plan
5-100% of the teachers are observed and give clinical
assistance
4-84%-99% of the teachers are observed and give clinical
assistance
3-68%-83% of the teachers are observed and give clinical
assistance
2-52%-67 of the teachers are observed and give clinical
assistance
1-51%-below of the teachers are observed and give clinical
assistance
5-100% of the NCBTS-TSNA of
teachers were
consolidated and provided with an action plan fully
documented
4-84%-99% of the NCBTS-TSNA of
teachers were
consolidated and provided with an action plan fully
documented
3-68%-83% of the NCBTS-TSNA of
teachers were
consolidated and provided with an action plan fully
documented
2-52%-67 of the NCBTS-TSNA of
teachers were
consolidated and provided with an action plan fully
documented
1-51%-below of the NCBTS-TSNA of
teachers were
consolidated and provided with an action plan fully

Organize and conducts


INSETS/GAD Training

Parents Involvement
and Community
Partnership 15%

Plus Factor

Encourage stakeholders to
create safe, healthy and childfriendly school environment for
student

10%

Meet parents regularly to


confer/inform about school
accomplishment and students
progress

5%

Attain the following indicators:


1. Serve as resource speaker
at least in the District level
2. Serve as chairman in any
working technical committees
3. Conducts one income
generating project properly
implemented
with
documentation
4.
Conducts
an
action
research/innovation
5.Organize/maintain
one
socio-cultural group
6. Publish article in national
circulation
7. Acquire title of school site

Over-all Rating of Assessment

documented
5-Conducted at least 4 INSET/GAD with 100% attendance
of participants properly documented
4- Conducted at least 3 INSET/GAD with 100% attendance
of participants properly documented
3- Conducted at least 2 INSET/GAD with 100% attendance
of participants properly documented
2- Conducted at least 1 INSET/GAD with 100% attendance
of participants properly documented
1-no training conducted
5-initiate/collaborate with stakeholders to put up a tangible
project fully documented.
4-has stakeholders partnership/mobilization plan complete
with reports.
3- has mobilization plan and occasionally meets
stakeholders in meetings and activities but some elements
are not enough resources raised
2- has mobilization plan and occasionally meets
stakeholders but not resulting to resources generated and
evidences are missing
1- has no mobilization plan and seldom meets with
stakeholders but not resulting to resources generated and
evidences missing.
5-4 meetings attended and conducted within the school
year with documentation.
4-3 meetings attended and conducted within the school
year with documentation
3-2 meetings attended and conducted within the school
year with documentation
2-1 meeting attended and conducted within the school year
with documentation
1-conducted meetings but not documented
5-Attained 5 indicators with documents
4- Attained 4 indicators with documents
3- Attained 3 indicators with documents
2- Attained 2 indicators with documents
1-Attained 1 indicator with documents

Adjectival Rating Scale


Outstanding
Very Satisfactory
Satisfactory
Unsatisfactory
Poor

4.500-5.000
3.500-4.499
2.500-3.499
1.500-2.499
1.000-1.499

_______________________________
Ratee
______________________________
Rater

Republic of the Philippines


Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR MASTER TEACHER
January-December 2015
Name of Employee
Position
School

:
:
:

__________________________________
__________________________________
__________________________________

Name of Rater
Position
Date of Review

:
:
:

_______________________________________________
_______________________________________________
_______________________________________________

TO BE FILLED DURING PLANNING


Major Final
Outcomes

Key Result Areas


(KRAs)
Instructional
Competence 40%

Objectives
Provide technical assistance to
teachers to improve their
competencies

Timeline

Weight
per KRA

Performance Indicators
5-mentored 100% of the teachers in every quarter and
submitted the needed evidences on the last day of the
quarter.
4-mentored84%-99% of the of the teachers in every quarter
and submitted the needed evidences on the last day of the
quarter.
3-mentored 68%-83% of the teachers in every quarter and
submitted the needed evidences on the last day of the
quarter.

TO BE FILLED DURING
EVALUATION
Actual Results
Rating Score
Q
E T Ave

Initiate
improvements
instructional programs

in

Lead in the preparation of


instructional materials

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

Interpret test results and utilize

Observe 100% of the required


learning competencies for the
students in every quarter.

2-mentored 52%-67 of the teachers in every quarter and


submitted the needed evidences on the last day of the
quarter.
1-mentored 51%-below of the teachers in every quarter and
submitted the needed evidences on the last day of the
quarter.
5-initiated at least one successful instructional program to
100% of the teachers with full documentation.
4-initiated at least one successful instructional program and
involved 84%-99% of the teachers with full documentation.
3-initiated at least one successful instructional program and
involved 63%-83% of the teachers with full documentation.
2-initiated at least one successful instructional program and
involved 52%-62% of the teachers with full documentation.
1-no evidence of initiating instructional program.
5-lead 100% of the teachers in preparing innovative
instructional materials within a year with full documentation.
4-lead 84%-99%% of the teachers in preparing innovative
instructional materials within a year with full documentation.
3-lead 68%-83% of the teachers in preparing innovative
instructional materials within a year with full documentation.
2-lead 52%-67% of the teachers in preparing innovative
instructional materials within a year with full documentation.
1-no evidence of leading in preparation of instructional
program.
5-Excellent execution of the lesson plan and excellent
mentoring services provided to the demonstration teacher
4- Very Satisfactory execution of the lesson plan and Very
Satisfactory mentoring services provided to the
demonstration teacher
3- Satisfactory execution of the lesson plan and Satisfactory
mentoring services provided to the demonstration teacher
2- Fair execution of the lesson plan and Fair mentoring
services provided to the demonstration teacher.
1- Poor execution of the lesson plan and Poor mentoring
services provided to the demonstration teacher
5-100% of the test results were analyzed and interpreted
per grading period and submitted before the scheduled
time.
4-84%-99% of the test results were analyzed and
interpreted per grading period and submitted before the
scheduled time.
3-68%-83% of the test results were analyzed and
interpreted per grading period and submitted before the
scheduled time.
2-52%-67 of the test results were analyzed and interpreted
per grading period and submitted before the scheduled
time.
1-51%-below of the test results were analyzed and
interpreted per grading period and submitted before the
scheduled time.
5-100% fully attained/realized learning competencies with
75% and above proficiency level.
4-84%-99% attained/realized learning competencies with

Initiate projects and programs


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

Instructional
Supervision 30%

Observe
quarter

teachers

every

Conduct mentoring/coaching
activities and prepare
instructional material available

Guided co-teachers in the


performance of duties and
responsibilities

75% and above proficiency level.


3-68%-83% attained/realized learning competencies with
75% and above proficiency level.
2-52%-67 attained/realized learning competencies with 75%
and above proficiency level.
1-51%-below attained/realized learning competencies with
75% and above proficiency level.
5-Initiated a full blown project and program that enhance the
curriculum and achieve 75% in NAT Performance.
4- Initiated a full blown project and program that enhance
the curriculum and achieve 65%-74% in NAT Performance.
3- Initiated a full blown project and program that enhance
the curriculum and achieve 55%-64% in NAT Performance.
2- Initiated a full blown project and program that enhance
the curriculum and achieve 54%-below in NAT
Performance.
1-the project or program did not materialized
5-100% of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
4-84%-99% of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
3-68%-83% of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
2-52%-67 of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
1-51%-below of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
5-Conducted mentoring/coaching activities to 100% of the
teachers and prepared innovative instructional materials
fully documented.
4- Conducted mentoring/coaching activities to 84%-99%%
of the teachers and prepared innovative instructional
materials fully documented.
3- Conducted mentoring/coaching activities to 68%-83% of
the teachers and prepared innovative instructional materials
fully documented.
2- Conducted mentoring/coaching activities to 52%-67% of
the teachers and prepared innovative instructional materials
fully documented.
1-no evidence of mentoring/coaching conducted
5-100% of the teachers were guided and provided with the
necessary technical assistance in the carry-over of their
duties and functions.
4-84%-99% of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
3-68%-83% of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their

Check
lesson
plans
of
teachers in the assigned
grade/subject area.

Professional Growth
and Development 25%

Conducts at least one action


research.

Take charge of the school


reading program, remedial
and/or enrichment program.

Participate in the planning and


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

duties and functions.


2-52%-67 of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
1-51%-below of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
5-100% of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
4-84%-99% of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
3-68%-83% of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
2-52%-67 of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
1-51%-below of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
5-Conducted a completed action research and have
presented in at least in the Division Level Research
Conference/Summit
4- Conducted a completed action research and have
presented in at least in the District Level Research
Conference/Summit
3- Conducted a completed action research but have not
presented the result in any level of research
conference/summit
2-Proposed an action research.
1-Conceptualize an action research
5-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.
4-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.
3-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.
2-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.
1-No evidence of conducting remedial program
5-Participated in the planning of at least 1 training program
conducted in the division level and submitted the
consolidated outputs before the scheduled time.
4-Participated in the planning of at least 2 training programs
conducted in the district level and submitted the
consolidated outputs before the scheduled time.
3- Participated in the planning of at least 1 training program
conducted in the district level and submitted the

Participate
in
seminars,
workshops, trainings within a
year (Division, Regional and
National)

consolidated outputs before the scheduled time.


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

Over-all Rating of Assessment


Adjectival Rating Scale
Outstanding
Very Satisfactory
Satisfactory
Unsatisfactory
Poor

4.500-5.000
3.500-4.499
2.500-3.499
1.500-2.499
1.000-1.499

_______________________________
Ratee
______________________________
Rater

Republic of the Philippines


Department of Education
Region II
Schools Division of Quirino
Cabarroguis
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR MASTER TEACHER (FINAL)
January-December 2015
Name of Employee
Position

:
:

__________________________________
__________________________________

Name of Rater
Position

:
:

_______________________________________________
_______________________________________________

School

__________________________________

Date of Review

_______________________________________________

TO BE FILLED DURING PLANNING


Major Final
Outcomes

Key Result Areas


(KRAs)
Teaching-Learning
Process

Objectives
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

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.

Pupils/Students
Learning Outcomes

Monitor, evaluate and maintain


pupils/students
progress
through
*Assessment for Learning
(Formative)
*Assessment as Learning

Timeline

Weight
per KRA

Performance Indicators
5-200 or more updated lesson plans/logs prepared in
SMART way
4-150-199 updated lesson plans/logs prepared in SMART
way
3-90-149 updated lesson plans/logs prepared in SMART
way
2-60-89 updated lesson plans/logs prepared in SMART way
1-1-59 updated lesson plans/logs prepared in SMART way
5-10 instructional materials used/produced are appropriate,
adequate and updated
4-8 instructional materials used/produced are appropriate,
adequate and updated
3-6 instructional materials used/produced are appropriate,
adequate and updated
2-4 instructional materials used/produced are appropriate,
adequate and updated
1-2 instructional materials used/produced are appropriate,
adequate and updated
(Supported with write-up and documentation)
5- 100% of the indicators in classroom walk-through are
observed
4- 85%-99% of the indicators in classroom walk-through are
observed
3- 70%-84% of the indicators in classroom walk-through are
observed
2- 55%-69% of the indicators in classroom walk-through are
observed
1- 54% and below of the indicators in classroom walkthrough are observed
5- 100% of the pupils monthly attendance and are
monitored and submitted every last day of the month
4- 85%-99% of the pupils monthly attendance and are
monitored and submitted every last day of the month
3- 70%-84% of the pupils monthly attendance and are
monitored and submitted every last day of the month
2- 55%-69% of the pupils monthly attendance and are
monitored and submitted every last day of the month
1- 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
2. Class Record (with dates of quizzes,
assignments, projects, portfolio, etc.)
3. Rating sheets
4. List of pupils/students output like projects,

TO BE FILLED DURING
EVALUATION
Actual Results
Rating Score
Q
E T Ave

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

activities done/performed, etc.

Conduct
remediation/enrichment
programs
to
improve
performance indicators

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
Initiate
improvements
instructional programs

in

5-All indicators were prepared and submitted two weeks


before the scheduled due time
4-3 indicators were prepared and submitted one week
before the scheduled time
3- 2 indicators were prepared and submitted on the
scheduled date
2-1 indicator was prepared and submitted on the scheduled
date
1-no indicator was prepared and submitted on the
scheduled date.
5-100% pupils/students were given remediation/enrichment
successfully
4-85%-99%
pupils/students
were
given
remediation/enrichment successfully
3-70%-84%
pupils/students
were
given
remediation/enrichment successfully
2-55%-69%
pupils/students
were
given
remediation/enrichment successfully
1-54%
and
below
pupils/students
were
given
remediation/enrichment successfully
5-100% of the pupils/students records were prepared and
submitted before the scheduled time without error
4- 85%-99% of the pupils/students records were prepared
and submitted on or before the scheduled time without error
3- 70%-84% of the pupils/students records were prepared
and submitted on or before the scheduled time with minimal
error
2- 55%-69% of the pupils/students records were prepared
and submitted one week after the due time
1- 54% and below of the pupils/students records were
prepared and submitted two weeks before the due time
5-85% and above of the pupils proficiency level have
mastered the required learning competency.
4- 82-84% of the pupils proficiency level have mastered the
required learning competency
3- 79%-81% of the pupils proficiency level have mastered
the required learning competency
2- 76%-78% of the pupils proficiency level have mastered
the required learning competency
1- 75% of the pupils proficiency level have mastered the
required learning competency
5-Attained 75% and above NAT MPS per subject area
4-Attained 65%-74% of NAT MPS per subject area.
3-Attained 55%-64% of NAT MPS per subject area.
2-Attained 44%-54% of NAT MPS per subject area.
1-Attained 45% or below of NAT MPS per subject area.
5-initiated at least one successful instructional program to
100% of the teachers with full documentation.
4-initiated at least one successful instructional program and
involved 84%-99% of the teachers with full documentation.
3-initiated at least one successful instructional program and
involved 63%-83% of the teachers with full documentation.

Lead in the preparation of


instructional materials

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

Interpret test results and utilize

Observe 100% of the required


learning competencies for the
students in every quarter.

Initiate projects and programs


that
will
enhance
the
curriculum and its delivery to
achieve
75%
NAT

2-initiated at least one successful instructional program and


involved 52%-62% of the teachers with full documentation.
1-no evidence of initiating instructional program.
5-lead 100% of the teachers in preparing innovative
instructional materials within a year with full documentation.
4-lead 84%-99%% of the teachers in preparing innovative
instructional materials within a year with full documentation.
3-lead 68%-83% of the teachers in preparing innovative
instructional materials within a year with full documentation.
2-lead 52%-67% of the teachers in preparing innovative
instructional materials within a year with full documentation.
1-no evidence of leading in preparation of instructional
program.
5-Excellent execution of the lesson plan and excellent
mentoring services provided to the demonstration teacher
4- Very Satisfactory execution of the lesson plan and Very
Satisfactory mentoring services provided to the
demonstration teacher
3- Satisfactory execution of the lesson plan and Satisfactory
mentoring services provided to the demonstration teacher
2- Fair execution of the lesson plan and Fair mentoring
services provided to the demonstration teacher.
1- Poor execution of the lesson plan and Poor mentoring
services provided to the demonstration teacher
5-100% of the test results were analyzed and interpreted
per grading period and submitted before the scheduled
time.
4-84%-99% of the test results were analyzed and
interpreted per grading period and submitted before the
scheduled time.
3-68%-83% of the test results were analyzed and
interpreted per grading period and submitted before the
scheduled time.
2-52%-67 of the test results were analyzed and interpreted
per grading period and submitted before the scheduled
time.
1-51%-below of the test results were analyzed and
interpreted per grading period and submitted before the
scheduled time.
5-100% fully attained/realized learning competencies with
75% and above proficiency level.
4-84%-99% attained/realized learning competencies with
75% and above proficiency level.
3-68%-83% attained/realized learning competencies with
75% and above proficiency level.
2-52%-67 attained/realized learning competencies with 75%
and above proficiency level.
1-51%-below attained/realized learning competencies with
75% and above proficiency level.
5-Initiated a full blown project and program that enhance the
curriculum and achieve 75% in NAT Performance.
4- Initiated a full blown project and program that enhance
the curriculum and achieve 65%-74% in NAT Performance.
3- Initiated a full blown project and program that enhance

performance

Instructional
Supervision

Observe
quarter

teachers

every

Conduct mentoring/coaching
activities and prepare
instructional material available

Guided co-teachers in the


performance of duties and
responsibilities

Check
lesson
plans
of
teachers in the assigned
grade/subject area.

the curriculum and achieve 55%-64% in NAT Performance.


2- Initiated a full blown project and program that enhance
the curriculum and achieve 54%-below in NAT
Performance.
1-the project or program did not materialized
5-100% of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
4-84%-99% of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
3-68%-83% of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
2-52%-67 of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
1-51%-below of the teachers were observed quarterly and
submitted the observation checklist form at the end of the
quarter.
5-Conducted mentoring/coaching activities to 100% of the
teachers and prepared innovative instructional materials
fully documented.
4- Conducted mentoring/coaching activities to 84%-99%%
of the teachers and prepared innovative instructional
materials fully documented.
3- Conducted mentoring/coaching activities to 68%-83% of
the teachers and prepared innovative instructional materials
fully documented.
2- Conducted mentoring/coaching activities to 52%-67% of
the teachers and prepared innovative instructional materials
fully documented.
1-no evidence of mentoring/coaching conducted
5-100% of the teachers were guided and provided with the
necessary technical assistance in the carry-over of their
duties and functions.
4-84%-99% of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
3-68%-83% of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
2-52%-67 of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
1-51%-below of the teachers were guided and provided with
the necessary technical assistance in the carry-over of their
duties and functions.
5-100% of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
4-84%-99% of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the

Community
Development

Conducts
Periodic
Meeting/Conference

PTA

Visit parents of pupils/students


needing academic
monitoring/follow up

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

Professional Growth
and Development 25%

Conducts at least one action


research.

Take charge of the school

month.
3-68%-83% of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
2-52%-67 of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
1-51%-below of the teachers lesson plan/log were properly
checked and submitted the observation log every end of the
month.
5-Conducted 4 PTA meetings/conference with attendance
sheets and minutes of the meeting
4- Conducted 3 PTA meetings/conference with attendance
sheets and minutes of the meeting
3- Conducted 2 PTA meetings/conference with attendance
sheets and minutes of the meeting
2- Conducted 1 PTA meeting/conference with attendance
sheets and minutes of the meeting
1-No evidence of conducting PTA Meeting/conference
5-100% of the parents of the students needing academic
monitoring was followed up supported with documents.
4-84%-99% of the parents of the students needing
academic monitoring was followed up supported with
documents.
3-68%-83% of the parents of the students needing
academic monitoring was followed up supported with
documents.
2-52%-67 of the parents of the students needing academic
monitoring was followed up supported with documents.
1-51%-below of the parents of the students needing
academic monitoring was followed up supported with
documents.
5-100% of project accomplishment completed were
achieved with documentation.
4-84%-99% of project accomplishment partially achieved
with documentation.
3-68%-83% of project accomplishment partially achieved
with documentation.
2-52%-67 of project accomplishment partially achieved with
documentation.
1-51%-below of project accomplishment partially achieved
with documentation.
5-Conducted a completed action research and have
presented in at least in the Division Level Research
Conference/Summit
4- Conducted a completed action research and have
presented in at least in the District Level Research
Conference/Summit
3- Conducted a completed action research but have not
presented the result in any level of research
conference/summit
2-Proposed an action research.
1-Conceptualize an action research
5-Led at least 5 teachers in conducting enrichment program

reading program, remedial


and/or enrichment program.

Participate in the planning and


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

Participate
in
seminars,
workshops, trainings within a
year (Division, Regional and
National)

to improve proficiency level of at least 4 pupils to at least


one step higher in every quarter.
4-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.
3-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.
2-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.
1-No evidence of conducting remedial program
5-Participated in the planning of at least 1 training program
conducted in the division level and submitted the
consolidated outputs before the scheduled time.
4-Participated in the planning of at least 2 training programs
conducted in the district level and submitted the
consolidated outputs before the scheduled time.
3- Participated in the planning of at least 1 training program
conducted in the district level and submitted the
consolidated outputs before the scheduled time.
2-Participated in the planning of at least 2 training program
conducted in the school level and submitted the
consolidated outputs before the scheduled time
1-No evidence of participation in planning training
programs.
5-Attended 3 or more seminars, workshops trainings and
echoed to teachers in an excellent way with documentation
4- Attended 2 seminars, workshops trainings and echoed to
teachers in an excellent way with documentation
3- Attended 3 or more seminars, workshops trainings but
failed to echo to teachers.
2-Attended 2 seminars, workshops trainings but failed to
echo to teachers.
1-No trainings attended

Over-all Rating of Assessment


Adjectival Rating Scale
Outstanding
Very Satisfactory
Satisfactory
Unsatisfactory
Poor

4.500-5.000
3.500-4.499
2.500-3.499
1.500-2.499
1.000-1.499

_______________________________
Ratee
______________________________
Rater