/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
MFOs KRAs OBJECTIVES per (Quality, Efficiency, Timeliness) Actual Results Score
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 / Daily Prepared / Daily
Curriculum Learning lesson plans / daily 2016 Lesson Logs Lesson Logs Lesson Logs
Implementati Process to (DLL) or Daily (DLL) or Daily (DLL) or Daily
(35%) logs with complete Lesson Plans Lesson Plans Lesson Plans
on March
components & with (DLP) with (DLP) with (DLP) with
2017 complete complete incomplete
appropriate,
components, components, components,
adequate and and with but with and
updated appropriate and inappropriate or inappropriate or
instructional adequate Inadequate Inadequate
instructional instructional instructional
materials.
materials, materials, materials,
checked by checked by checked by
NB: MT’s/HT/SH MT’s/HT/SH MT’s/HT/SH
DLP for teachers with less
than one (1) year or less
teaching experience. T Submitted DLL / Submitted DLL / Submitted DLL /
DLP Friday of DLP every DLP after
DLL for more than two (2) the preceding Monday Monday
years teaching week
experience.
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
classroom classroom classroom
rules, guidelines,
rules and rules and rules and
individual and regulations as regulations as regulations as
group task 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
achieved achieved taught
lesson plans, dailly
above 75% 75% Final achieved 75%
logs and Final Rating Rating Final Rating
innovative E Reported to Reported to Reported to
teaching strategies class and class and class and
facilitated facilitated facilitated
SY 2016 – 2017: learning 98% learning 95% learning 90%
202 school days - 100% of the - 97% of the - 94% of the
(DepEd Order No. 23, number of number of number of
s. 2016) 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 learning
classroom including environment
proper waste
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 duly check
the guidance office accomplished) attendance
at the end of the T Submitted Submitted SF Submitted SF
month School Form 2 one (1) day 2 two (2) days
(SF) 2 on due after due date after due date
date
 NB: SF 2 is due for
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 parents on the parents
1st QTR. – Aug. 27 prescribed beyond the
2nd QTR. – Nov. 12
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 (1)
Due Dates
SF 1 – Start of SY
reports 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
day training training training training
 three – day Or 2 Division Or 3 Division Or 3 Division Or two
training Level three – Level two – Level one – Division Level
Or 2 Regional day day training day training one – day
Level three – Or 4 Division training
day training Level one –
Or 3 Division day training
Level three –
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
date three days
O/IPCRF due first week late (could be
of April, DO 2, 2015 penalized under
DTR due at the last existing rules)
working day of the
month
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
description work, Winnings, E Accomplished Accomplished Accomplished
Teacher Awardee) 100% of the 85% of the 75% of the
needed needed needed
e.g. reports reports reports
T Submitted Submitted Submitted
Submitted Liquidation
reports on or reports one reports two
Financial reports (for
disbursing teacher) before the (1) day after (2) days after
APP/PPMP and due date the due date the due date
Inventory Reports (for Q With complete Incomplete
custodians) eBEIS supporting supporting
documents documents
 Reports with complete
supporting documents
5th day of the month
10th day of the month
* To get the score, the rating is multiplied by the weight assigned
Name of Teacher
Ratee
CORE BEHAVIORAL COMPETENCIES
Self-Management
 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.
 Makes personal sacrifices to meet the organization’s needs.
 Acts with a sense of urgency and responsibility to meet the organization’s
needs, improve systems and help others improve their effectiveness.
Result Focus
 Achieves results with optimal use of time and resources most of the time.
 Avoids, rework, mistakes and wastage through effective work methods by
placing organizational needs before.
 Delivers error-free outputs most of the time by conforming to standard
operating procedures correctly and consistently. Able to produce very
T On or before One day after
due date due date
Name of MT in - Charge Name of PRINCIPAL
Rater Approving Official
PART II. COMPETENCIES
Teamwork
 Willingly does his/her share of responsibility.
 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
procedures that will further enhance service delivery.
Innovations
 Examines the root cause of problems and suggests effective solutions,
fosters new ideas, processes, and suggests better ways to do things (cost
and/or operational efficiency).
 Demonstrates an ability to think “beyond the box”. Continuously focuses on
improving personal productivity to create higher value and results.
 Promotes a creative climate and inspires co-workers to develop original
ideas or solutions.
 Translates creative thinking into tangible changes and solutions that
improve the work unit and organization.
Two days
after due date
OVERALL RATING FOR
ACCOMPLISHMENT
CORE SKILLS
Oral Communication
 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.
 Demonstrates clarity, fluency, impact, conciseness and effectiveness in
his/her written communications.
Computer/ICT Skills
 Prepares basic compositions (e.g. letters, reports, spreadsheets and
graphics presentation using Word Processing and Excel.
 Identifies different computer parts, turns the computer on/off, and work on
a given task with acceptable speed and accuracy and connects computer
peripherals (e.g. printers, modems, multimedia projectors, etc.)
 Prepares simple presentation using PowerPoint.
 Utilizes technologies to: access information to enhance professional
productivity, assists in conducting research and communicate through local
and global professional networks.
 satisfactory quality of work in terms of usefulness/acceptability and  Uses ingenious methods of accomplish responsibilities. Demonstrates  Recommends appropriate and updated technology to enhance productivity
completeness with no supervision required. resourcefulness and the ability to succeed with minimal resources. and professional practice.
 Expresses a desire to do better and may express frustration at waste or
inefficiency. May focus on new or more precise ways of meeting goals set. OVERALL COMPETENCY RATINGS
 Makes specific changes in the system or in won work methods to improve
performance. Examples may include doing something better, faster, at a CORE BEHAVIORAL COMPETENCIES
lower cost, more efficiently; or improving quality, customer satisfaction,
morale, without setting any specific goal. 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