Name of Employee: Name of

Position: TEACHER I Position:

Bureau/Center/ Service/ Division: Date of R
Rating Period:

Select from Weight per Nume

KRA Objectives
1 2 3 4 5 Objective Q
1. Applied knowledge of content within and across
Objective 1 curriculum teaching areas. 7.5% 4

1. Content Objective 2
2. Used a range of teaching strategies that enhance
7.5% 4
learner achievement in literacy and numeracy skills
Knowledge and
Pedagogy 3. Applied a range of teaching strategies to develop
Objective 3 critical and creative thinking, as well as other higher 7.5% 4
order thinking skills.

4. Managed classroom structure to engage learners,

individually or in groups, in meaningful exploration,
Objective 4 discovery and hands-on activities within a range of 7.5% 4
physical learning environments.
2. Learning
Environment 5. Managed learner behavior constructively by applying
and Diversity of Objective 5 positive and non-violent disciplineto ensure learning
focused environments.
7.5% 4
Learners
6. Used differentiated, developmentally appropriate
Objective 6 learning experiences to address learners’ gender, 7.5% 4
needs,strengths, interests and experiences.

7. Planned, managed and implemented developmentally

sequenced teaching and learning processes to meet
Objective 7 curriculum requirements and varied teaching 7.5% 4
contexts.
3. Curriculum 8. Participated in collegial discussions that use teacher
and Planning Objective 8 and learner feedback to enrich teaching practice. 7.5% 4

9. Selected, developed, organized and used appropriate

Objective 9 teaching and learning resources, including ICT, to address 7.5% 4
learning goals.

10. Designed, selected, organized and used diagnostic,

Objective 10 formative and summative assessment strategies consistent 7.5% 4
with curriculum requirements.
4. Assessment Objective 11 11. Monitored and evaluated learner progress and 7.5% 4
and Reporting achievement using learner attainment data.
4. Assessment
and Reporting
12. Communicated promptly and clearly the learners’
Objective 12 needs, progress and achievement to key stakeholders, 7.5% 5
including parents/guardians.

13. Performed various related works/activities that

5. Plus Factor Objective 13 contribute to the teaching-learning process. 10.0% 4

FIN
Adje

Adjectival Rating Equivalences

Range Adjectival Rating
4.500 - 5.000 Outstanding
3.500 - 4.499 Very Satisfactory
2.500 - 3.499 Satisfactory
1.500 - 2.499 Unsatisfactory
below 1.499 Poor
Name of Rater:
Position:
Date of Review:

Numerical Rating
Score
T E Average
4 3 3.67 0.275

4 - 4.00 0.300

4 - 4.00 0.300

4 - 4.00 0.300

4 - 4.00 0.300

4 - 4.00 0.300

4 - 4.00 0.300

4 - 4.00 0.300

5 - 4.50 0.338

5 - 4.50 0.338

4 4 4.00 0.300
 4 5 4.67 0.350

4 - 4.00 0.400

FINAL RATING 4.100

Adjectival Rating Very Satisfactory

alences
al Rating
nding
sfactory
actory
factory
or
 Region 1
LA UNION SCHOOLS DIVISION
BURGOS NATIONAL HIGH SCHOOL
New Poblacion, Burgos, La Union

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM ( IPCRF )

for Teacher I - III

Name of Employee: 0 Name of Rater: 0

Position: TEACHER I Position: 0
Bureau/Center/ Service/ Division 0 Date of Review:
Rating Period: 0

Weight per Numerical Rating

KRA Weight per KRA Objectives Score
Objective Q T E Average
Objective 1 7.5% 4 4 3 3.67 0.275
1 22.5% Objective 2 7.5% 4 4 - 4.00 0.300
Objective 3 7.5% 4 4 - 4.00 0.300
Objective 4 7.5% 4 4 - 4.00 0.300
2 22.5% Objective 5 7.5% 4 4 - 4.00 0.300
Objective 6 7.5% 4 4 - 4.00 0.300
Objective 7 7.5% 4 4 - 4.00 0.300
3 22.5% Objective 8 7.5% 4 4 - 4.00 0.300
Objective 9 7.5% 4 5 - 4.50 0.338
Objective 10 7.5% 4 5 - 4.50 0.338
4 22.5% Objective 11 7.5% 4 4 4 4.00 0.300
Objective 12 7.5% 5 4 5 4.67 0.350
5 10% Objective 13 10.0% 4 4 - 4.00 0.400
FINAL RATING 4.10
Very
Adjectival Rating
Satisfactory

Adjectival Rating Equivalences

Range Adjectival Rating
4.500 - 5.000 Outstanding
3.500 - 4.499 Very Satisfactory
2.500 - 3.499 Satisfactory
1.500 - 2.499 Unsatisfactory
below 1.499 Poor
 Region 1
LA UNION SCHOOLS DIVISION
BURGOS NATIONAL HIGH SCHOOL
New Poblacion, Burgos, La Union

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM ( I

Name of Employee: 0
Position: TEACHER I
Bureau/Center/ Service/ Division: 0
Rating Period: 0

Weight Outstanding Very Satisfactory

MFOs KRAs Objectives Timeline per KRA QET 5 Satisfactory 3
4
1. Content 1. Applied Showed knowledge Showed knowledge Showed knowledge
Knowledge knowledge of of content and its of content and its of content and its
Basic and Pedagogy content within
Education and across integration within integration within integration within
Services curriculum Quality and across and across subject and across subject
teaching areas. subject areas as areas as shown areas as shown
shown in MOV 1 in MOV 1 with in MOV 1 with
with a rating of 7 a rating of 6 a rating of 5
June 7.50%
Submitted at Submitted 3 Submitted 2
2018-
April least 4 lessons lessons using lessons using
2019 using MOV 1 MOV 1 and MOV 1 and
Efficiency
and supported supported by supported by
by any 1 of the any 1 of the any 1 of the
other given MOV other given MOV other given MOV
Submitted MOV Submitted MOV Submitted MOV
were distributed were distributed were distributed
Timeliness
across 4 quarters across 3 quarters across 2 quarters
 Appendix D

OL

FORM ( IPCRF ) for Teacher I - III

Name of Rater: 0
Position: 0
Date of Review:

Unsatisfactory Poor
Rating
2 1 Actual Results Ave Score
Q E T
Showed knowledge No
of content and its acceptable
integration within evidence
and across subject was shown
areas as shown
in MOV 1 with
a rating of 4
Submitted any 1 No
of the given acceptable 4 4 3 3.67 0.275
MOV evidence
was shown

Submitted MOV No
was completed in acceptable
only 1 quarter evidence
was shown
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
Facilitated using Facilitated Facilitated using
Basic different using different different
Education teaching teaching teaching
Services strategies that strategies that strategies that
promote promote promote
Quality reading, writing reading, writing reading, writing
and/or numeracy and/or and/or
2. Used a range skills as shown numeracy skills numeracy skills
of teaching in MOV 1 with a as shown in as shown in
strategies that June
2018- rating of 7 MOV 1 with a MOV 1 with a
enhance learner April
7.50%
rating of 6 rating of 5
achievement in 2019 Submitted at Submitted 3 Submitted 2
literacy and
numeracy skills least 4 learner learner centered learner centered
centered lessons lessons as evidently lessons as evidently
as evidently shown in MOV shown in MOV 1
Efficiency
shown in MOV 1 1 and and supported by
andsupported by supported by any 1 of the
any 1 of the any 1 of the other MOV given
other MOV given other MOV given given
Timeliness
Used different Used different Used different
Basic teaching teaching teaching
Education strategies that strategies that strategies that
Services develop critical develop critical develop critical
3. Applied a Quality and creative and creative and creative
range of thinking and/or thinking and/or thinking and/or
teaching other HOTS as other HOTS as other HOTS as
strategies to June shown in MOV 1 shown in MOV shown in MOV
develop critical 2018-
7.50% with a rating of 7 1 with a rating of 6 1 with a rating of 5
and creative April
2019 Submitted at Submitted 3 Submitted 2
thinking, as
well as other least 4 lessons lessons as lessons as
higher order as evidenced by evidenced by evidenced by
thinking skills. Efficiency MOV 1 and MOV 1 and MOV 1 and
supported by supported by supported by
any 1 of the any 1 of the any 1 of the
other given MOV other given MOV other given MOV
Timeliness
 Unsatisfactory Poor
Rating
2 1 Actual Results Ave Score
Q E T
Facilitated using No
different acceptable
teaching evidence
strategies that was shown
promote reading,
numeracy skills
as shown in
MOV 1 with a
rating of 4

4 4 - 4 0.300
Submitted 1 No
learner-centered acceptable
lesson as evidence
evidently shown was shown
in any of the
given MOV

Used different No
teaching acceptable
strategies that evidence
develop critical was shown
and creative
thinking and/or
other HOTS as
shown in MOV 1
with a rating of 4 4 4 - 4 0.3
Submitted 1 No
lesson as acceptable
evidenced by evidence
any 1 of the was shown
given MOV
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
4. Managed Used classroom Used classroom Used classroom
classroom structure management management management
to engage learners, strategies that strategies that strategies that
engage learners engage engage learners
individually or in in activities/ learners in in activities /
groups, in Quality
tasks as shown activities/tasks tasks as shown
meaningful in MOV 1 with as shown in in MOV 1 with a
exploration,
Basic 2. Learning June a rating of 7 MOV 1 with a rating of 5
discovery and
Education Environment hands-on activities 2018- rating of 6
7.50%
Services and Diversity of within a range of April
Learners 2019 Submitted at Submitted 3 Submitted 2
physical learning
environments. least 4 lessons lessons lessons
supported by supported by supported by
Efficiency MOV 1 and any MOV 1 and MOV 1 and any
1 of the other any 1 of the 1 of the other
acceptable MOV other acceptable acceptable
MOV MOV
Timeliness
Applied teacher Applied teacher Applied teacher
management management management
strategies of strategies of strategies of
learner behavior learner learner behavior
that promote behavior that that promote
positive and promote positive and
5. Managed learner Quality
non-violent positive and non-violent
behavior discipline as non-violent discipline as
2. Learning constructively by June shown in MOV discipline as shown in MOV
Environment applying positive 2018-
7.50% submitted with a shown in MOV submitted with a
and Diversity of and non-violent April
Learners 2019 rating of 7 submitted with rating of 5
disciplineto ensure
learning focused a rating of 6
environments. Submitted at Submitted at Submitted at
least 4 of the least 4 of the least 4 of the
given strategies given strategies given strategies
Efficiency
as observed in as observed in as observed in
at least 4 lessons 3 lessons 2 lessons

Timeliness
 Unsatisfactory Poor
Actual Rating
2 1 Ave Score
Results
Q E T
Used classroom No
management acceptable
strategies that evidence was
engage learners shown
in activities/
tasks as shown
in MOV 1 with
a rating of 4
4 4 - 4 0.300
Submitted 1 No
lesson acceptable
supported evidence was
by any of the shown
acceptable
MOV

Applied teacher No
management acceptable
strategies of evidence
learner behavior was shown
that promote
positive and
non-violent
discipline as
shown in MOV
submitted with a 4 4 - 4 0.300
rating of 4

Submitted any 1 No
of the given acceptable
strategies as evidence
observed in was shown
only 1 lesson
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
Applied Applied Applied
differentiated differentiated differentiated
Basic teaching strategies teaching strategies teaching strategies
Education Quality to address learner to address learner to address learner
6. Used
Services differentiated, diversity as diversity as shown diversity as shown
developmentally shown in MOV 1 in MOV 1 with a in MOV 1 with a
appropriate with a rating of 7 rating of 6 rating of 5
2. Learning June Submitted at least Submitted 3 Submitted 2
learning
Environment 2018-
experiences to 7.50% 4 differentiated differentiated differentiated
and Diversity April
address learners’ 2019 teaching strategies teaching strategies teaching strategies
of Learners
gender, in at least 2 lessons in at least 2 lessons in at least 2 lessons
needs,strengths, Efficiency as evidenced by as evidenced by as evidenced by
interests MOV 1 and MOV 1 and MOV 1 and
and experiences. supported by supported by any supported by any
any 1 of the other 1 of the other 1 of the other
acceptable MOV acceptable MOV acceptable MOV
Timeliness
3. Curriculum
Planned and Planned and Planned and
and Planning
implemented implemented implemented
developmentally developmentally developmentally
sequenced sequenced sequenced
Quality
teaching and teaching and teaching and
7. Planned, learning process as learning process as learning process as
managed and shown in MOV 1 shown in MOV 1 shown in MOV 1
implemented with a rating of 7 with a rating of 6 with a rating of 5
developmentally Submitted at Submitted 3 Submitted 2
sequenced June least 4 developmentally developmentally
2018-
teaching and 7.50% developmentally sequenced sequenced
April
learning processes 2019 sequenced teaching and teaching and
to meet curriculum teaching and learning learning
requirements and learning process process as process as
varied teaching Efficiency
as evidently evidently evidently
contexts. shown in MOV 1 shown in MOV 1 shown in MOV 1
and supported and supported by and supported by
by any 1 of the any 1 of the any 1 of the
other given MOV other given MOV other given MOV

Timeliness
 Unsatisfactory Poor
Actual Rating
2 1 Ave Score
Results
Q E T
Applied No
differentiated acceptable
teaching strategies evidence
to address learner shown
diversity as shown
in MOV 1 with a
rating of 4
Submitted 1 No
differentiated acceptable 4 4 - 4 0.300
teaching strategies evidence
in only one lesson shown
as evidenced by
MOV 1 and
supported by any 1
of the other
acceptable MOV

Planned and No
implemented acceptable
developmentally evidence
sequenced was shown
teaching and
learning process as
shown in MOV 1
with a rating of 4
Submitted 1 No
developmentally acceptable
sequenced evidence 4 4 - 4 0.3
teaching and was shown
learning
process as
evidently
shown in MOV 1
and supported by
any 1 of the
other given MOV
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
Consistently Frequently Occasionally
participated in participated in participated in
LACs/FGDs/ LACs/FGDs/ LACs/FGDs/
meetings to meetings to meetings to
discuss teacher/ discuss teacher/ discuss teacher/
Quality
8. Participated in learner feedback to learner feedback to learner feedback to
collegial enrich enrich enrich
discussions that June instruction as instruction as instruction as
Basic Curriculum
2018-
Education and use teacher and 7.50% shown in the shown in the shown in the
April
Services Planning learner feedback MOV submitted MOV submitted MOV submitted
2019
to enrich teaching Participated in at Participated in Participated in 2
practice. least 4 LACs/ least 3 LACs/ LACs/FGDs/
FGDs/meetings as FGDs/meetings as meetings as
Efficiency
evidently shown evidently shown evidently shown
in any 1 of the in any 1 of the in any 1 of the
given MOV given MOV given MOV
Timeliness
Developed and Developed and Developed and
used varied used varied used varied
teaching and teaching and teaching and
learning resources, learning resources, learning resources,
Quality including ICT, to including ICT, to including ICT, to
address learning address learning address learning
9. Selected, goals as shown goals as shown goals as shown
developed, in MOV 1 with a in MOV 1 with a in MOV 1 with a
organized and rating of 7 rating of 6 rating of 5
used appropriate June Submitted at Submitted 3 Submitted 2
Curriculum
teaching and 2018- least 4 varied varied teaching varied teaching
and 7.50%
Planning learning April
teaching and and learning and learning
resources, 2019
learning resources, resources,
including ICT, to
resources, including ICT, including ICT,
address learning
goals. Efficiency including ICT, as as evidently as evidently
evidently shown shown in MOV shown in MOV
in MOV 1 and 1 and supported by 1 and supported
supported by any 1 of the by any 1 of the
any 1 of the acceptable acceptable
acceptable MOV MOV MOV
Timeliness
 Unsatisfactory Poor
Actual Rating
2 1 Ave Score
Results
Q E T
Rarely No
participated in acceptable
LACs/FGDs/ evidence
meetings to was shown
discuss teacher/
learner feedback to
enrich
instruction as
shown in the 4 4 - 4 0.300
MOV submitted
Participated in 1 No
LAC/FGD/ acceptable
meeting as evidence
evidently shown was shown
in any 1 of the
given MOV

Developed and No
used varied acceptable
teaching and evidence
learning resources, was shown
including ICT, to
address learning
goals as shown
in MOV 1 with a
rating of 4
Submitted any No
teaching and acceptable 4 5 - 4.5 0.338
learning evidence
resource, was shown
including ICT, as
evidently shown
in any of the
acceptable MOV
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
Designed, selected, Designed, selected, Designed, selected,
4. organized and organized and organized and
Assessment used diagnostic, used diagnostic, used diagnostic,
and formative and formative and formative and
Reporting summative summative summative
10. Designed, assessment assessment assessment
selected, Quality
strategies strategies strategies
organized and consistent with consistent with consistent with
used diagnostic, curriculum curriculum curriculum
Basic formative and June
Education 2018- requirements as requirements as requirements as
summative 7.50%
Services April shown in MOV 1 shown in MOV 1 shown in MOV 1
assessment 2019
strategies with a rating of 7 with a rating of 6 with a rating of 5
consistent with Submitted at Submitted 3 Submitted 2
curriculum least 4 varied varied assessment varied assessment
requirements. assessment tools as evidently tools as evidently
Efficiency tools as shown in any 1 of shown in any 1 of
evidently shown the acceptable the acceptable
in any 1 of the MOV MOV
acceptable MOV
Timeliness
Consistently Frequently Occasionally
monitored and monitored and monitored and
evaluated evaluated evaluated
learner progress learner learner progress
and progress and and
Quality
achievement achievement achievement
11. Monitored using learner using learner using learner
and evaluated June attainment data attainment data attainment data
learner progress 2018- as shown in the as shown in the as shown in the
7.50%
and achievement April MOV submitted MOV submitted MOV submitted
using learner 2019 Submitted a Submitted a Submitted a
attainment data. combination of combination of 3 combination of 2
Efficiency
at least 4 of the of the acceptable of the acceptable
acceptable MOV MOV MOV
Submitted MOV Submitted MOV Submitted MOV
were distributed were distributed were distributed
Timeliness
across 4 quarters across 3 quarters across 2 quarters
 Unsatisfactory Poor
Actual Rating
2 1 Ave Score
Results
Q E T
Designed, selected, No
organized and acceptable
used diagnostic, evidence
formative and was shown
summative
assessment
strategies
consistent with
curriculum
requirements as
4 5 - 4.5 0.338
shown in MOV 1
with a rating of 4
Submitted 1 No
varied assessment acceptable
tools as evidently evidence
shown in any 1 of was shown
the acceptable
MOV

Rarely No
monitored and acceptable
evaluated evidence
learner progress was shown
and
achievement
using learner
attainment data
as shown in the
4 4 4 4 0.300
MOV submitted
Submitted 1 No
acceptable MOV acceptable
evidence
was shown
Submitted MOV No
was completed in acceptable
only one quarter evidence
was shown
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
Consistently showed prompt Occasionally
showed prompt and clear showed prompt
and clear communication and clear
communication of the learners’ communication
of the learners’ needs, of the learners’
12. Communicated
promptly and needs, progress progress and needs, progress
clearly the learners’ and achievement to and
needs, progress and
achievement to key
Quality achievement to key achievement to
stakeholders, key stakeholders, key
Basic including
Education stakeholders, including stakeholders,
parents/guardians.
Services including parents/ including
June parents/ guardians as parents/
Assessment
2018-
and
April 7.50% guardians as shown in the guardians as
Reporting shown in the MOV submitted shown in the
2019
MOV submitted MOV submitted
Submitted a Submitted a Submitted a
combination of combination of combination of
Efficiency at least 4 of the 3 of the 2 of the
acceptable MOV acceptable acceptable
MOV MOV
Submitted MOV Submitted Submitted MOV
were distributed MOV were were distributed
Timeliness across 4 distributed across 2
quarters across 3 quarters
quarters
 Unsatisfactory Poor
Actual Rating
2 1 Ave Score
Results
Q E T
Rarely showed No
prompt and clear acceptable
communication evidence
of the learners’ was shown
needs, progress
and
achievement to
key
stakeholders,
including
parents/
guardians as
shown in the 5 4 5 4.7 0.350
MOV submitted

Submitted any 1 No
of the given acceptable
MOV evidence
was shown

Submitted MOV No
was completed acceptable
in only 1 quarter evidence
was shown
 Weight Outstanding Very Satisfactory
MFOs KRAs Objectives Timeline per QET 5 Satisfactory 3
KRA 4
Consistently Frequently Occasionally
5. Plus
performed performed performed
Factor
various related various related various related
work/activities work/activities work/activities
that contribute to that contribute that contribute
Quality
13. Performed the teaching to the teaching to the teaching
various related June learning process learning learning
works/activities 2018-
Basic 10% as shown in the process as process as
that contribute to April
Education the teaching- 2019 MOV submitted shown in the shown in the
Services learning process. MOV submitted MOV submitted
Submitted at Submitted 3 Submitted 2
least 4 different different kinds different kinds
Efficiency
kinds of of acceptable of acceptable
acceptable MOV MOV MOV
Timeliness

ADJECTIVAL RATING EQUIVALENCES

RANGE ADJECTIVAL RATING
4.5 - 5 Outstanding
3.5 - 4.499 Very Satisfactory
2.5 - 3 . 4999 Satisfactory
1.5 - 2.4999 Unsatisfactory
below 1.4999 Poor

Rater Ratee
 Unsatisfactory Poor
Rating
2 1 Actual Results Ave Score
Q E T
performed No
various related acceptable
work/activities evidence
that contribute to was shown
the teaching
learning process
as shown in the
MOV submitted 4 4 - 4.00 0.400

Submitted any 1 No
of the acceptable
acceptable MOV evidence
was shown

RATING FOR
OVERALL Very
ACCOMPLISH- Satisfactory 4.10
MENT

Approving Authority