Individual Performance Commitment and Review Form (IPCRF)
Name of Employee: MARIA CHRISTEN P. ACYATAN
Position: Teacher I
Bureau/Center/Service/Division: DepEd - Lucena City
Rating Period: June 2015-March 2016
MFOs KRA OBJECTIVES
* Prepared Lesson plans or
daily logs of activities.
* Teach pupils in one grade
Teaching level through the used of
-Learning instructional materials and
Process innovative teaching startegies.
*Provide classroom
environment condusive for
learning.
*Monitor and evaluate all
Grade 3 pupils progress in
Science
*Conduct remediation for non
Pupils'
and slow readers in Grade 3 to
Outcomes
improve pupils reading skills.
Name of Rater: FE P. PABILONIA
Position: Principal II
Date Review: ____________________
TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION
PERFORMANCE INDICATORS (Quality, Efficiency, Timeliness) RATING
TIMELINE Weight ACTUAL SCORE
per KRA RESULTS Q E T Ave.
Prepared modified daily lesson log with complete parts such as: (a.) objective must be based
on curriculum guide, (b.) with list of materials, (c.) with proficiency level, (d.) ICT integration,
June to (e.) with other activities (Q)
10%
March
Appropriate daily lessons was utilized effectively and effiently. (E)
Updated DLL for a year. (T)
Taught pupils in one grade level through the used of appropriate and effective instructional
materials and innovative teaching startegies in everyday lesson. (Q)
Innovative teaching strategies was utilized with optimum use of resources. (E)
June to 20%
March Taught pupils in one grade level through the used of appropriate and effective instructional
materials and innovative teaching startegies in everyday lesson in a year. (T)
Provided classroom environment condusive for pupils learning with the following
manifestations: (a.) well maintained classroom structures, (b.) display updated bulletin
boards, (c.) well-lighted and ventilated classroom, (d.) observance and cleanliness and
June to orderliness. (Q)
10%
March
Provided a safe, positive and motivating learning environment for pupils. (E)
Provided classroom environment condusive for learning during SY 2015-2016. (T)
Monitored and evaluated all Grade 3 pupils progress in Science with the following evidences:
Unit Test Results, assessment materials (test papers, rubrics) and rating sheets. (Q)
Monitored and evaluated all Grade 3 pupils progress in Science with optimum uses of
June to
10% different assessment tools. (Oral recitation, Group activities, written tests, used of ICT etc. (E)
March
Updated monitoring and evaluation of all Grade 3 in Science was done during SY. 2015-2016.
(T)
Conducted remediation for non and slow readers in Grade 3 to improve pupils reading skills
with the following manifestations: (a.) assessment tool, (b.) instructional materials, (c.)
monthly reading progress charts (English and Filipino), (d.) PHIL-IRI Results (Oral and Silent)
(Q)
June to
5%
March The remediation was effective in terms of improving pupils reading skills. (E)
Remediation for non and slow readers was conducted at least three times a week from June
to December 2015. (T)
 Pupils'
Outcomes
OBJECTIVES
Basic Education Services
*Maintain updated school
forms and pupil's school
records.
*Conduct periodic Homeroom
Meetings/parents conference
for academic monitoring to
improve pupil's academic
performance .
Community
Linkages
*Participate/attend in any
governmental and/or non
governmental community
service/activities
*Attend/participate in
trainings, seminars to uplift
teaching practices or
performance
*Act as a resource
speaker/chairperson/
Professional committee in relation with
teacher profession
Development
*Serve as demonstration
teacher for peers, cooperating
teachers resources, teachers in
the service and pre-service
teaching strategies
TO BE FILLED DURING EVALUATION
PERFORMANCE INDICATORS (Quality, Efficiency, Timeliness) RATING
TIMELINE Weight ACTUAL SCORE
per KRA RESULTS Q E T Ave.
Maintained updated accurate school forms and pupil's school records such as: SF1, SF2, SF3,
F-137, F-138, rating sheets, Health forms. (Q)
June to 5% Maintained updated, accurate and well-organized school forms. (E)
March
Maintained school forms and pupil's school records completed before the due date such as:
SF1, SF2, SF3, F-137, F-138, rating sheets, Health forms. (T)
June to 5% Conducted periodic Homeroom Meetings/ parents conference with the following MOV's:
March attendance, photos, agendas (Q)
Conducted a well-organized Homeroom Meetings for academic monitoring to improve pupil's
academic performance. (E)
Conducted periodic Homeroom Meetings/ parents conference for the school year 2015-
2016. (T)
Actively participated/attended in any governmental and/or non governmental activities. (Q)
Participated/attended in any governmental and/or non governmental activities to help the
June to community. (E)
5%
March
Participated/attended in any governmental and/or non governmental activities within SY
2015-2016. (T)
June to 5% Attended/participated in at least 2 trainings and seminars with the following MOV's
March presented (Certificate and photos) that enhanced teacher's performance ( Q)
- Teaching competencies improved. ( E )
- Knowledge and skills in teaching developed ( E)
- Actively participate in Service Training and other seminars yearly. (T)
Acted as a resource speaker/chairperson/ committee in relation with teacher profession in
any school/district/division activities with the following evidences: certificates, programs,
photos, narrative report. (Q)
June to Acted as a resource speaker/chairperson/ committee in relation with teacher profession in
10% any school/district/division program to provide/enhance student-teachers and professional
March
teachers performance. (E)
Acted as a resource speaker/chairperson/ committee in relation with teacher profession in
any school/district/division activities within the SY 2015-2016. (T)
Served as demonstration teacher for peers, cooperating teachers resources, teachers in the
service and pre-service teaching strategies with the following evidences: certificates, demo
lesson plan, photos. (Q)
June to
10% Demonstrated a well-organized, effective and efficient lesson plan to teachers in the service
March and pre-service teaching strategies. (E)
Served as demonstration teacher for peers, cooperating teachers resources, teachers in the
service and pre-service teaching strategies within a school year. (T)
 TO BE FILLED DURING EVALUATION
Weight PERFORMANCE INDICATORS (Quality, Efficiency, Timeliness) ACTUAL RATING
OBJECTIVES TIMELINE SCORE
per KRA RESULTS Q E T Ave.
Acted as a committee member, mentor, troop leader of GSP/Star Scout with the following
manifestations: certificate, photos (Q)
*Do other related tasks: act as
June to Did the role and responsibilities of a troop leader actively and efficiently. (E)
Plus Factor committee member, mentor, 5%
March
troop leader of GSP/Star Scouts Did other related tasks effectively, appropriately and efficiently within a year. (T)

OVERALL
* To get the score, the rating is multiplied by the weight assigned RATING
FOR
ACCOMPL
ISHMENTS

MARIA CHRISTEN P. ACYATAN FE P. PABILONIA

Teacher I Principal II
(Ratee) (Rater)

DEPED RPMS For Teachers

NUMERICAL RATING ADJECTIVAL RATING DESCRIPTION OF MEANING OF 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 have demonstrated exceptional job mastery in all areas of responsibility. Employee achievement and
5 OUTSTANDING contributions to the organizations are of marked excellence.

Performance exceeded expectations. All goals, objectives and target were achieved above the established standards.
4 VERY SATISFACTORY

Performance met expectations in terms of quality of work, efficiency and timeliness. The most critical annual goals were met.
3 SATISFACTORY

2 UNSATISFACTORY Performance failed to met expectations, and/or one or more of the most goals were not met.

Performance was consistently below expectations, and/or reasonable progress toward critical goals was not made. Significant improvement is needed in one or more
1 POOR improtant areas.
This rating scale is based on the Civil Service Commision Memorandum Circular No. 06, series of 2012 that sets the guidelines on the establishment and implementation of the Strategic Performance Management System
(SPMS) in all government agencies.

RANGE ADJECTIVAL RATING SCALE DEFINITION

4.500-5.000 Outsanding 5 Role Model
3.500-4.499 Very Satisfactory 4 Consistently demonstrates
2.500-3.499 Satisfactory 3 Most of the time demonstrates
1.500-2.499 Unsatisfactory 2 Sometimes demonstrates
 below 1.499 Poor
The overall rating/assessment for the
accomplishments shall fall within the following
adjectival ratings and shall be in three (3) decimal
points.
Grievances and Appeals
1. A grievance Committee shall be created in each level of the
organization to act as appeals board and final arbiter of all issues
relating to the implementation of RPMS.
2. The office performance assessment as discussed in the
performance review and evaluation phase shall be final and not
appealable. Any issue/appeal on the initial performance
assessment of an office shall be discussed and decided during the
performance review conference.
1 Rarely demostrates
Competencies shall be monitored for developmental purposes. In evaluating the individual's demonstration of competencies, this rating scale shall apply.
3. Individual employees who feel aggrieved or dissatified with their final performance ratings can file an appeal with the Grievance Committee at their level within ten
(10) working days from date of receipt of notice of their final performance evaluation rating from the rater. The ratee, however, shall not be allowed to protest the
performance ratings of co-employees. Ratings obtained by the ratee can used as basis for reference for comparison in appealing the individual performance rating.
4. The Grievance Committee shall decide on the appeals within one (1) month from receipt. Appeals lodged at any grievance Committee shall follow the hierarchical
jurisdiction of various Grievance Committees within the agency. For example, the decision of the Division Grievance Committee is appealable to the Regional Grievance
Committee, which decision is in turn appealable to the Central Office Grievance Committee.
5. The decision of the Central Office Grievance Committee is final. DepEd RPMS Form for Teachers
 PART III: SUMMARY OF RATINGS FOR DISCUSSION
Final Performance results Rating Adjectival Rating

Accomplishments of KRAs and Objectives 4.150 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: RACHELLE DIVINE A. BUMAGAT Name of Superior: RONALD B. GAPUSAN, Ph. D.
Signature: Signature:

PART IV: DEVELOPMENTAL PLANS

Action Plan (Recommended

Strengths Developmental Needs Developmental Intervention) Timeline Resources Needed

Acts with a sense of urgency and
responsibility to meet the
organization's needs, improve systems
and help others improve their
effectiveness.
Should implement proposed action plan
for the improvement of teaching and
learning process.
Recommends appropriate and
updated technology to enhance
productivity and professional
practice.
ICT resources such as laptop or computer
and internet connectivity.
Year Round
Personal, MOOE Fund

RACHELLE DIVINE A. BUMAGAT ALVARO P. PADUA RONALD B. GAPUSAN, Ph. D.

Teacher II Head, Vocational Subjects Department Principal II
(Ratee) (Rater) Approving Authority

DepEd RPMS Form for Teachers

 PART III: SUMMARY OF RATINGS FOR DISCUSSION
Final Performance results Rating Adjectival Rating

Accomplishments of KRAs and Objectives 4.730 OUTSTANDING

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: LIGAYA ANCHETA - TABLIAGO Name of Superior: RONALD B. GAPUSAN, Ph. D.
Signature: Signature:

PART IV: DEVELOPMENTAL PLANS

Action Plan (Recommended

Strengths Developmental Needs Developmental Intervention) Timeline Resources Needed

Acts with a sense of urgency and
responsibility to meet the
organization's needs, improve systems
and help others improve their
effectiveness.
Should implement proposed action plan
for the improvement of teaching and
learning process.
Recommends appropriate and
updated technology to enhance
productivity and professional
practice.
ICT resources such as laptop or computer
and internet connectivity.
Year Round
Personal, MOOE Fund

RITZELDA MAR A. TERNOLA WALTER U. VERACION, Ph. D. RONALD B. GAPUSAN, Ph. D.

Teacher I Head, Academics Department Principal I
(Ratee) (Rater) Approving Authority

DepEd RPMS Form for Teachers


CORE BEHAVIORAL COMPETENCIES
Self-Management
5 Sets personal goals and direction, needs and development.
5 Undertakes personal actions and behaviors that are clear and purposive and takes
into account personal goals and values congruent to that of the organization.
5 Displays emotional maturity and enthusiasm for and is challenged by higher goals.
4 Prioritize work tasks and schedules (through grant chart, checklists, etc.) to
achieve goals.
5 Sets high quality, challenging, realistic goals for self and other.
Professionalism and Ethics
4 Demonstrates the values and behavior enshrined in the Norms of Conduct and
Ethical Standards for public officials and employees (RA 6713).
4 Practices ethical and professional behavior and conduct taking into account the
impact of his/her actions and decisions.
4 Maintains a professional image: being trustwothy, regularity of attendance and
punctuality, good grooming and communication.
5 Makes personal sacrifices to meet the organization's needs.
5 Acts with a sense of urgency and responsibility to meet the organization's needs,
improve systems and help others improve their effectiveness.
Result Focus
5 Achieves results with optimal use of time and resources most of the time.
4 Avoids rework, mistakes and wasted through effective work methods by placing
organizational needs before personal needs.
4 Delivers error-free outputs most of the time by conforming to standard operating
procedures correctly and consitently. Able to produce very satisfactory quality of work
in terms of usefulness/acceptability and completeness with no supervisio required.
4 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.
5 Makes specific changes in the system or in own work method to improve performance.
Examples may include doing something better, faster, at a lower cost, more efficiently;
or improving quality, customer satisfaction, marale, without setting any specific goal.
PART II: COMPETENCIES
Teamwork
5 Willingly does his/her share of resposibility.
5 Promotes collaboration and removes barriers to teamwork and goal accomplishment
across the organization.
5 Applies negotiation principles in arriving at win-win agreements.
4 Drives consensus and team ownership of decisions.
5 Works constructively and collaboratively with others and across organizations to
accomplish organizational goals and objectives.
Service Orientation
4 Can explain and articulate organizational directions, issues and problems.
4 Takes personal responsibility for dealing with and/or correcting customer service
issues and concerns.
3 Initiates activities that promotes advocacy for men and women empowerment.
4 Participates in updating of office vision, mission, mandates and strategies based on
DepEd Strategies and directions.
4 Develops and adopts service improvement programs through simplified procedures
that will further enhance service delivery.
Innovation
4 Examines the root cause of problems and suggests effective solution. Fosters new
ideas, processes and suggests better ways to do things (cost and/or operational
efficiency).
4 Demonstrates an ability to think "beyond the box". Continuously focuses on improving
personal productivity to create higher value and results.
4 Promotes a creative climate and inspires co-workers to develop original ideas or
solutions.
4 Translates creative thinking into tangible changes and solutions that improve the work
unit and organization.
5 Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness
and the ability to succeed with minimal resources.
CORE SKILLS
Oral Communication
5 Follows instructions accurately. 5 5 5
5 Expresses self clearly, fluently and articulately. 5 5 5
5 Uses appropriate medium for the message. 5
4 Adjust communication style to others. 4 5 5
5 Guides discussions between and among peers to meet an objective. 5 4 5
Written Communication 5
4 Knows the different written business communication formats used 4 5
in the Deped
4 Writes routine correspondence/communications, narrative and desciptive 4 4 5
report based on readily available information data with minimal spelling 5
or grammatical error/s (e.g. Memos, minutes, etc.). 4
4 Secures information from required references (i.e., Directories, schedules, 5 3
notices, instructions) for specefic purposes. 4 4
4 Self- edits words, numbers, phonetic notation and content, if necessary. 4
4 Demonstrates clarity, fluency, impact, conscience and effectiveness in his/ 5 5 5
her written communications. 5
Computer/ICT Skills 4
5 Prepares basic compositions (e.g., letters, reports, spreadsheets and
graphics presentation using Word Processing and Excel. 5 5 5
5 Identifies different computer parts, turns the computer on/off, and work on 5
a given task with acceptable speed and accuracy and connects
computer peripherals ( e.g. Printers, modems, multimedia projectors, etc). 5 4 5
5 Prepares simple presentation using Powerpoint. 5
5 Utilizes technologies to: access information to enhance professional 4
productivity, assists in conducting research and communicate through local 5
and global professional networks. 5
5 Recommends appropriate and updated technology to enhance productivity 5 5
and professional practice. 5
70 70 71

OVERALL COMPETENCY RATINGS

CORE BEHAVIORAL COMPETENCIES 4.70

CORE SKILLS 4.67
OVERALL RATING 4.69

DepEd RPMS Form for Teachers


CORE BEHAVIORAL COMPETENCIES
Self-Management
5 Sets personal goals and direction, needs and development.
5 Undertakes personal actions and behaviors that are clear and purposive and takes
into account personal goals and values congruent to that of the organization.
5 Displays emotional maturity and enthusiasm for and is challenged by higher goals.
4 Prioritize work tasks and schedules (through grant chart, checklists, etc.) to
achieve goals.
5 Sets high quality, challenging, realistic goals for self and other.
Professionalism and Ethics
4 Demonstrates the values and behavior enshrined in the Norms of Conduct and
Ethical Standards for public officials and employees (RA 6713).
4 Practices ethical and professional behavior and conduct taking into account the
impact of his/her actions and decisions.
4 Maintains a professional image: being trustwothy, regularity of attendance and
punctuality, good grooming and communication.
5 Makes personal sacrifices to meet the organization's needs.
5 Acts with a sense of urgency and responsibility to meet the organization's needs,
improve systems and help others improve their effectiveness.
Result Focus
5 Achieves results with optimal use of time and resources most of the time.
5 Avoids rework, mistakes and wasted through effective work methods by placing
organizational needs before personal needs.
4 Delivers error-free outputs most of the time by conforming to standard operating
procedures correctly and consitently. Able to produce very satisfactory quality of work
in terms of usefulness/acceptability and completeness with no supervisio required.
5 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.
5 Makes specific changes in the system or in own work method to improve performance.
Examples may include doing something better, faster, at a lower cost, more efficiently;
or improving quality, customer satisfaction, marale, without setting any specific goal.
PART II: COMPETENCIES
Teamwork
5 Willingly does his/her share of resposibility.
5 Promotes collaboration and removes barriers to teamwork and goal accomplishment
across the organization.
5 Applies negotiation principles in arriving at win-win agreements.
5 Drives consensus and team ownership of decisions.
5 Works constructively and collaboratively with others and across organizations to
accomplish organizational goals and objectives.
Service Orientation
5 Can explain and articulate organizational directions, issues and problems.
5 Takes personal responsibility for dealing with and/or correcting customer service
issues and concerns.
3 Initiates activities that promotes advocacy for men and women empowerment.
4 Participates in updating of office vision, mission, mandates and strategies based on
DepEd Strategies and directions.
5 Develops and adopts service improvement programs through simplified procedures
that will further enhance service delivery.
Innovation
5 Examines the root cause of problems and suggests effective solution. Fosters new
ideas, processes and suggests better ways to do things (cost and/or operational
efficiency).
5 Demonstrates an ability to think "beyond the box". Continuously focuses on improving
personal productivity to create higher value and results.
4 Promotes a creative climate and inspires co-workers to develop original ideas or
solutions.
5 Translates creative thinking into tangible changes and solutions that improve the work
unit and organization.
5 Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness
and the ability to succeed with minimal resources.
CORE SKILLS
Oral Communication
5 Follows instructions accurately. 5 5 5
5 Expresses self clearly, fluently and articulately. 5 5 5
5 Uses appropriate medium for the message. 5
4 Adjust communication style to others. 4 5 5
5 Guides discussions between and among peers to meet an objective. 5 4 5
Written Communication 5
4 Knows the different written business communication formats used 4 5
in the Deped
4 Writes routine correspondence/communications, narrative and desciptive 4 4 5
report based on readily available information data with minimal spelling 5
or grammatical error/s (e.g. Memos, minutes, etc.). 4
5 Secures information from required references (i.e., Directories, schedules, 5 3
notices, instructions) for specefic purposes. 4 4
4 Self- edits words, numbers, phonetic notation and content, if necessary. 4
5 Demonstrates clarity, fluency, impact, conscience and effectiveness in his/ 5 5 5
her written communications. 5
Computer/ICT Skills 4
4 Prepares basic compositions (e.g., letters, reports, spreadsheets and
graphics presentation using Word Processing and Excel. 5 5 5
5 Identifies different computer parts, turns the computer on/off, and work on 5
a given task with acceptable speed and accuracy and connects
computer peripherals ( e.g. Printers, modems, multimedia projectors, etc). 5 4 5
5 Prepares simple presentation using Powerpoint. 5
5 Utilizes technologies to: access information to enhance professional 4
productivity, assists in conducting research and communicate through local 5
and global professional networks. 5
5 Recommends appropriate and updated technology to enhance productivity 5 5
and professional practice. 5
70 70 71

OVERALL COMPETENCY RATINGS

CORE BEHAVIORAL COMPETENCIES 4.70

CORE SKILLS 4.67
OVERALL RATING 4.69

DepEd RPMS Form for Teachers

 PERFORMANCE MONITORING AND COACHING FORM

IMPACT ON JOB/ SIGNATURE

DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT
ACTION PLAN (RATER/RATEE)
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