Name of Employees: Rater:

Position: Position:
Employee ID No: Date of Review:
Employment Status: Rating Period:
Age:
Sex: Number of Years in Teaching:
Level Taught: Highest Degree Obtained:
Grade level Taught:
Subject Taught: Area of Specialization

COT 1 COT 2
COT
Weight per Weight per
KRA KRA Objectives Objective Indicator
Number RPMS
Rating 5-pt Scale Rating

Objective 1 8.0% 1
KRA 1 Objective 2 8.0%
Objective 3 8.0%
Objective 4 8.0%
KRA 2 Objective 5 8.0% 2
Objective 6 8.0%
Objective 7 8.0% 3
KRA 3
Objective 8 8.0%
Objective 9 8.0%
KRA 4 Objective 10 8.0%
Objective 11 8.0%
Plus Factor Objective 12 12.0%

Date Observed
 Region:
Division:
District/Municipality:
School Name:
School ID:
School Type:
School Small:
Curr. Classification:

COT 2
IPCRF Numerical Ratings
Ave Score Adjectival Rating
RPMS
5-pt Scale Q E T Average

0
0
0
0
0
0
0
0
0
0
0
0
Final Rating 0
Adjectival Rating Poor
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for Teacher I-III
Name of Employee: 0 Name of Rater: 0
Position: 0 Position: 0
Bureau/Center/Service/Division: Date of Review: 0
Rating Period: 0

TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVALUATION

Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic 1. Content 1. Applied knowledge of Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Level 3 in
Education Knowledge and content within and Level 7 in Objective 1 as Level 6 in Objective 1 as Level 5 in Objective 1 as Level 5 in Objective 1 as Objective 1 as shown in COT
Services Pedagogy across curriculum shown in COT rating shown in COT rating sheets/ shown in COT rating shown in COT rating sheets/ rating sheets / inter observer
agreement forms or No
teaching areas. sheets/ inter-observer inter observer agreement sheets/ interobserver inter observer agreement
acceptable
8.0% agreement forms forms agreement forms forms evidence was shown

Efficiency
Timeliness
Basic 2. Ensured the positive Quality Ensured that the Ensured that the ICT used Ensured that the Ensured that ICT are used No acceptable evidence 0 0.000 0.000
Education use of ICT to facilitate ICT used redefine and augment and enrich learning ICT used modify but do not create a new was shown
Services the teaching and transform experiences and processes and learning experience and/or
learning process learning experiences and are documented improve learning are documented
are documented properly properly and consistently experiences and but not consistent with one
and consistently using any using any referencing are documented referencing style as shown
referencing style as shown in the properly and in the submitted learning
style as shown in the submitted learning material consistently material
8.0%
submitted learning material using any referencing
style as shown in the
submitted learning material

Efficiency
Timeliness
Basic 1. Content 3. Applied a range of Quality Applied teaching Applied teaching Applied teaching Applied teaching No acceptable evidence 0 0.000 0.000
Education Knowledge and teaching strategies to strategies that strategies that require strategies that strategies that was shown
Services Pedagogy develop critical and challenge learners to draw learners to make require learners to lead learners
creative thinking, as conclusions and justify their connections describe and along a single
well as other higher- thinking or put parts using ideas learned as explain ideas path of inquiry
order thinking skills together to promote deeper shown in the submitted learned as shown in the and/or to simple recall and
understanding of ideas learning material submitted learning material rote
learned as shown in the memorization of concepts as
submitted learning material shown in the submitted
8.0%
learning material

Efficiency
 Timeliness
Basic 2. Diversity of 4. Established a learner Quality Utilized effective Utilized effective Utilized an Utilized a teaching strategy No acceptable evidence 0 0.000 0.000
Education Learners & centered culture by teaching strategies that are teaching strategies that are effective teaching or strategies that was shown
Services Assessment using teaching appropriate appropriate strategy that is partially respond to
and Reporting strategies that respond in responding to in responding to learners’ appropriate in learners’ linguistic,
to their linguistic, learners’ linguistic, cultural, linguistic, cultural, responding to cultural, socioeconomic,
cultural, socioeconomic, socioeconomic, learners’ linguistic, or religious
socioeconomic and or religious backgrounds at or religious backgrounds at cultural, socioeconomic, backgrounds as
religious backgrounds 8.0% an individual level* as a or religious shown in the submitted
shown in the submitted group level* as backgrounds learning
learning material shown in the submitted as shown in the submitted material
learning material learning material

Efficiency
Timeliness
Basic 5. Planned and Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in No acceptable evidence
Education delivered teaching Objective 5 as Objective 5 as shown in Objective 5 as shown in Objective 5 as shown in was shown
Services strategies that are shown in COT rating COT rating sheets COT rating sheets/ COT rating sheets
responsive to the sheets/interobserver /interobserver agreement interobserver agreement /interobserver agreement
special educational agreement forms forms forms forms
needs of learners in
difficult circumstances*,
including: geographic
isolation; chronic
8.0%
illness; displacement
due to armed conflict,
urban resettlement or
disasters; child
abuse and child
labor practices

Efficiency
Timeliness
Basic 2. Diversity of 6. Used strategies for Quality Provided learners with Provided learners with Provided learners with Provided learners with No evidence was shown 0 0 0.000 0
Education Learners & providing timely, accurate, and specific and accurate, and specific accurate, and general inaccurate and/or
Services Assessment accurate and directed constructive constructive feedback as constructive feedback destructive feedback
and Reporting constructive feedback feedback* as shown in the shown in the evidence as shown in the evidence as shown in the evidence
to improve learner evidence submitted submitted submitted submitted
performance

8.0% Efficiency

MOV submitted shows MOV submitted MOV submitted MOV submitted shows No evidence was shown
feedback given within 5 shows feedback shows feedback given feedback given beyond 20
working days from given within 6-10 working within 11-20 working days working days from
submission** days from submission** from submission** submission**

Timeliness
Basic 3. Curriculum 7. Selected, developed, Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in
Education and Planning organized and used Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in COT
Services appropriate teaching COT rating sheets /inter COT rating sheets /inter COT rating sheets /inter COT rating sheets /inter rating sheets /inter observer
agreement forms or No
and learning resources, observer agreement forms observer agreement forms observer agreement observer agreement forms
acceptable evidence was
including ICT, to forms shown
address learning goals 8.0%
Basic 3. Curriculum 7. Selected, developed, Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in
Education and Planning organized and used Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in COT
Services appropriate teaching COT rating sheets /inter COT rating sheets /inter COT rating sheets /inter COT rating sheets /inter rating sheets /inter observer
agreement forms or No
and learning resources, observer agreement forms observer agreement forms observer agreement observer agreement forms
acceptable evidence was
including ICT, to forms shown
address learning goals 8.0%

Efficiency
Timeliness
Basic 3. Curriculum 8. Set achievable and Quality All of the learning Majority of the learning Half of the learning Less than half of the No acceptable evidence 0 0.000 0
Education and Planning appropriate learning outcomes set are aligned outcomes set are aligned outcomes set are aligned learning outcomes set are was shown
Services outcomes that are with the learning with the with the learning aligned with the learning
aligned with learning competencies as shown in learning competencies competencies as shown in competencies
competencies 8.0% the MOV submitted as shown in the MOV the MOV submitted as shown in the MOV
submitted submitted

Efficiency
Timeliness
Basic 4. Community 9. Built relationships Quality Sustained engagement with Secured collaboration Communicated with and Communicated No acceptable evidence 0 0 0.000 0
Education Linkages and with parents/ guardians parents/ guardians with parents/ guardians obtained response from with parents/ was shown
Services Professional and the wider school and/or wider school and/or wider school parents/ guardians and/or guardians and/or
Engagement & community to facilitate community to facilitate community to facilitate wider school community to wider school community to
Personal involvement in the involvement in the involvement in the educative facilitate involvement in the facilitate involvement in the
Growth and educative process educative process as process as evidenced by educative process as educative process but
Professional 8.0% evidenced by 2 or more of one MOV no. 1 or 2 evidenced by MOV No. 3 received no response/reply
Development MOV no. 1 or 2 as evidenced by MOV No. 3

Efficiency Submitted any 4 of the Submitted any 3 of the Submitted any 2 of the Submitted any 1 of the No acceptable
acceptable MOV* acceptable MOV* acceptable MOV* acceptable MOV* evidence was shown
Timeliness
Basic 4. Community 10. Participated Quality Participated in any Participated in any Participated in any Participated in No acceptable 0 0 0 0
Education Linkages and in professional professional network/ professional network/activity professional any professional evidence was
Services Professional networks to share activity that requires output* that requires output* and network/activity that network/activity that does shown
Engagement & knowledge and to and proof of implementation proof of implementation ** requires output* to share not require output
Personal enhance practice ** within the school to share within the department/ grade knowledge and to enhance to share knowledge and to
Growth and knowledge and to enhance level to share practice as enhance practice as
Professional practice as evidenced by knowledge and to enhance evidenced by the submitted evidenced by the submitted
Development the submitted MOV practice as MOV MOV
evidenced by the submitted
8.0% MOV

Efficiency Submitted 4 different kinds Submitted 3 different kinds Submitted 2 different kinds Submitted 1 kind of No acceptable evidence
of acceptable MOV*** of acceptable MOV*** of acceptable MOV*** acceptable MOV*** was shown

Timeliness
Basic 11. Developed a Quality Updated the Development Discussed progress on the Accomplishe d the Accomplished the Strengths No acceptable evidence 0 0 0.000 0.000
Education personal improvement Plan and Development Plan with the Development Plan from and was shown
Services plan based on reflection approved by the rater rater to check whether learning objectives up to Development Needs portion
of one’s practice and during Phase II of the Development Needs were resources needed to of the Development Plan
ongoing RPMS cycle addressed address Development after selfassessment at the
professional learning Needs during Phase I of the beginning of the school year
RPMS cycle
8.0%

Efficiency Submitted the IPCRF-DP Submitted the IPCRF-DP Submitted the IPCRF-DP Submitted the IPCRF-DP No acceptable
with any 4 of the with any 3 of the with any 2 of the with any 1 of the evidence was
acceptable Supporting acceptable Supporting acceptable Supporting acceptable Supporting shown
MOV* MOV* MOV* MOV*
 of one’s practice and
ongoing
professional learning

8.0%

Efficiency Submitted the IPCRF-DP Submitted the IPCRF-DP Submitted the IPCRF-DP Submitted the IPCRF-DP No acceptable
with any 4 of the with any 3 of the with any 2 of the with any 1 of the evidence was
acceptable Supporting acceptable Supporting acceptable Supporting acceptable Supporting shown
MOV* MOV* MOV* MOV*

Timeliness
Basic 5. Plus Factor 12.Performed Quality Performed at least 1 related Performed at least 1 related Performed at least 1 related Performed at least 1 related No acceptable evidence 0 0 0 0
Education various related work/activity work/activity work/activity work/activity that was shown
Services works/activities that contributed to the that contributed to the that contributed to the contributed to the
that contribute teachinglearning teachinglearning process teachinglearning process teachinglearning process
to the teaching learning process beyond the within the school/ within the learning area/ within the class
process school/ Community Community department as evidenced as evidenced by submitted
Learning Center (CLC) Learning Center (CLC) by submitted MOV
as evidenced by submitted as evidenced by submitted MOV
MOV MOV
12.0%

Efficiency Submitted any 4 of the Submitted any 3 of the Submitted any 2 of the Submitted any 1 of the No acceptable evidence
acceptable MOV* acceptable MOV* acceptable MOV* acceptable MOV* was shown

Timeliness
RATING FOR OVER-ALL ACCOMPLISHMENTS
Poor 0.000

ADJECTIVAL RATING EQUIVALENCIES

RANGE ADJECTIVAL RATING
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory 0 0
below 1.499 Poor Ratee Rater Approving Authority
 PART II: COMPETENCIES
CORE BEHAVIORAL COMPETENCIES CORE SKILLS
Self-Management Teamwork Oral Communication

1 Sets personal goals and direction, needs and development. 1 Willingly does his/her share of responsibility. 1 Follows instruction accurately.

2 Undertakes personal actions and behaviors that are clear and purposive and
takes into account personal goals and values congruent to that of the
organization.
3 Displays emotional maturity and enthusiasm for and is challenged by higher
goals.
4 Prioritizes work tasks and schedules (through Gantt charts, checklists, etc.) to
achieve goals.
5
Sets high quality, challenging, realistic goals for self and others.
Professionalism and Ethics
1 Demonstrates the values and behavior enshrined in the Norms of Conduct and
Ethical Standards for public officials and employees (RA 6713).
2 Practices ethical and professional behavior and conduct taking into account the
impact of his/her actions and decisions.
3 Maintains a professional image: being trustworthy, regularity of attendance and
punctuality, good grooming and communication.
4 Makes personal sacrifices to meet organization’s needs.
5 Acts with a sense of urgency and responsibility to meet organization’s needs,
improve systems and help others improve their effectiveness.
Result Focus
1 Achieves results with optimal use of time and resources most of the time.
2 Avoids rework, mistakes and wastage through effective work methods by
placing organizational needs before personal needs.
3 Delivers error-free outputs most of the time by conforming to standard operating
procedures correctly and consistently. Able to produce very satisfactory quality
of work in terms of usefulness/acceptability and completeness with no
supervision 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 methods to improve
performance. Examples may include doing something better, faster, at a lower
cost, more efficiently, or improving quality, customer satisfaction, morale,
without setting any specific goal.
Promotes collaboration and removes barriers to teamwork and goal
2 accomplishment across the organization.
3 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
1 Can explain and articulate organizational directions, issues and problems.
2 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
1 Computer/ICT Skills
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).
2 given task with acceptable speed and accuracy and connects computer
Demonstrates an ability to think “beyond the box”. Continuously focuses on
improving personal productivity to create higher value and results.
3
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 5
Uses ingenious methods to accomplish responsibilities. Demonstrates
resourcefulness and the ability to succeed with minimal resources.
2 Expresses self clearly, fluently and accurately.
3 Uses appropriate medium for the message
4 Adjust communication styles to others.
5 Guides discussions between and among peers to meet an objective.
Written Communication
1
Knows the different written business communication formats used in DepEd.
2 Writes routine correspondence/communications, narrative and descriptive
report based on readily available information data with minimal spelling or
grammatical errors (e.g. memos, minutes, etc.)
3 Secures information from required references (i.e., Directories, schedules,
notices, instructions) for specific purposes.
4
Self-edits words, numbers, phonethic notation and content, if necessary.
5 Demonstrates clarity, fluency, impact, conciseness and effectiveness in his/her
written communications.
1 Prepares basic compositions (e.g., letters, reports, spreadsheets and graphics
presentation using Word Processing and Excel).
2 Identifies different computer parts, turns the computer on/off, and work on a
peripherals (e.g. printers, modems, multimedia projectors, etc.)
3 Prepares simple presentation using Powerpoint.
4
Utilizes technologies to: access information to enhance professional
productivity, assists in conducting research and communicate through local and
global professional networks.
Recommends appropriate and updated technology to enhance productivity and
professional practice.

OVERALL COMPETENCY RATINGS

CORE BEHAVIORAL COMPETENCIES 0.00

CORE SKILLS 0.00

OVERALL RATING 0.00

 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results Rating Adjectival Rating

Accomplishment of KRAs and Objectives 0.000 Poor

Rater-Ratee Agreement

The signatures below confirm that the employee and his/her superior have agreed on the contents of this appraisal form and the performance rating.

Name of Employee Name of Superior

Signature Signature

Date Date
 PERFORMANCE MONITORING AND COACHING FORM
Critical Incidence Description Output Impact on Job Action Plan Signature of
Date
(Situation, Task & Action) (Result) (Outcome) (Reinforce/ Redirect) Ratee Rater
 EMPLOYEE FEEDBACK FORM
Action Plan
Strengths Development Needs (Recommended Developmental Timeline Resources Needed
Intervention)

Feedback:

Rater: Ratee: Approving Authority:

Name
Position
 PART IV: DEVELOPMENT PLANS

Action Plan
Strengths Development Needs Timeline Resources Needed
(Recommended Developmental Intervention)

Rater: Ratee: Approving Authority

Name
Position