Name of Employees: JAKE LESTER M.

DAFANG Rater:
Position: TEACHER-I Position:
Employee ID No: 300646156 Date of Review:
Employment Status: PERMANENT Rating Period:
Age: 27
Sex: MALE Number of Years in Teaching:
Level Taught: JUNIOR HIGH SCHOOL Highest Degree Obtained:
Grade level Taught: GRADE 7 AND 8
Subject Taught: MATHEMATICS 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 7 5 7
KRA 1 Objective 2 8.0%
Objective 3 8.0%
Objective 4 8.0%
KRA 2 Objective 5 8.0% 2 7 5 7
Objective 6 8.0%
Objective 7 8.0% 3 7 5 7
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 MARCH 22, 2021 JULY 2, 2021

 BERT L. VILLALOBOS Region: 2
HEAD TEACHER-V Division: NUEVA VIZCAYA
JULY 22, 2021 District/Municipality: SOLANO
MARCH 22, 2021 School Name: SOLANO HIGH SCHOOL
JULY 2, 2021 School ID: 300646
1 School Type: LARGE
COLLEGE GRADUATE School Small:
Curr. Classification: GRADE 7-12
MATHEMATICS

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

5 5 5.000 5.000 0.400 Very Satisfactory

5.000 5.000 0.400 Very Satisfactory
4.000 4.000 0.320 Satisfactory
5.000 5.000 0.400 Very Satisfactory
5 5 5.000 5.000 0.400 Very Satisfactory
5.000 4.000 4.500 0.360 Very Satisfactory
5 5 5.000 5.000 0.400 Very Satisfactory
5.000 5.000 0.400 Very Satisfactory
4.000 4.000 4.000 0.320 Satisfactory
5.000 4.000 4.500 0.360 Very Satisfactory
3.000 4.000 3.500 0.280 Satisfactory
4.000 4.000 4.000 0.480 Outstanding
Final Rating 4.52
JULY 2, 2021
Adjectival Rating Outstanding
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IP
Name of Employee: JAKE LESTER M. DAFANG Name of Rater:
Position: TEACHER-I Position:
Bureau/Center/Service/Division: Date of Review:
Rating Period: MARCH 22, 2021

TO BE FILLED OUT DURING PLANNING

Performance Indicators
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory
QET
(5) Satisfactory (4) (3)
Basic Education 1. Content 1. Applied Quality Demonstrated Demonstrated Demonstrated
Services Knowledge and knowledge of Level 7 in Objective Level 6 in Objective Level 5 in Objective
Pedagogy content within and 1 as shown in COT 1 as shown in COT 1 as shown in COT
across curriculum rating rating rating
teaching areas. sheets/interobserve sheets/interobserve sheets/interobserve
r agreement forms r agreement forms r agreement forms
8.0%

Efficiency
Timeliness
Basic Education 2. Ensured Quality Ensured that the Ensured that the Ensured that the
Services the positive ICT used redefine ICT used augment ICT used modify
use of ICT to and transform and enrich learning processes and
facilitate the learning experiences and improve learning
teaching and experiences and are documented experiences and
learning are documented properly and are documented
process properly and consistently using properly and
consistently using any referencing consistently
8.0% any referencing style as shown in using any
style as shown in the submitted referencing
the submitted learning material style as shown
learning material in the submitted
learning material

Efficiency
Timeliness

Performance Indicators
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory
QET
(5) Satisfactory (4) (3)
Basic Education 1. Content 3. Applied a Quality Applied teaching Applied Applied
Services Knowledge and range of strategies that teaching teaching
Pedagogy teaching challenge strategies that strategies that
strategies to learners to require require
develop draw learners to learners to
critical and conclusions make describe and
creative and justify their connections explain ideas
thinking, as thinking or put using ideas learned as
well as other parts together learned as shown in the
higher-order to promote shown in the submitted
thinking 8.0% deeper submitted learning
skills understanding of learning material
ideas learned as material
shown in the
submitted
learning material
 ideas learned as material
shown in the
submitted
learning material

Efficiency
Timeliness
Basic Education 2. Diversity of 4. Established Quality Utilized effective Utilized effective Utilized an
Services Learners & a learnercentered teaching teaching effective
Assessment culture by strategies that strategies that teaching
and Reporting using teaching are appropriate are appropriate strategy that is
strategies that in responding to in responding to appropriate in
respond to learners’ learners’ responding to
their linguistic, linguistic, cultural, linguistic, learners’
cultural, socioeconomic, cultural, linguistic,
socioeconomic or religious socioeconomic, cultural,
and religious backgrounds at or religious socioeconomic,
backgrounds 8.0% an individual backgrounds at a or religious
level* as shown group level* as backgrounds
in the submitted shown in the as shown in
learning material submitted the submitted
learning material learning
material

Efficiency
Timeliness
Basic Education 5. Planned and Quality Demonstrated Demonstrated Demonstrated
Services delivered teaching Level 7 in Level 6 in Level 5 in
strategies that are Objective 5 as Objective 5 as Objective 5 as
responsive to the shown in COT shown in COT shown in COT
special rating rating rating
educational needs sheets/ sheets/ sheets/
of learners in interobserver interobserver interobserver
difficult agreement forms agreement forms agreement forms
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
Performance Indicators
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory
QET
(5) Satisfactory (4) (3)
Basic Education 2. Diversity of 6. Used Quality Provided learners Provided Provided
Services Learners & strategies for with accurate, learners with learners with
Assessment providing and specific and accurate, and accurate, and
and Reporting timely, accurate directed specific general
MOV
and constructive constructive
MOV constructive
submitted
constructive feedback* as feedback
submittedas feedback
shows
8.0% shown in the
feedback to shownsubmitted
MOV in the shows as shown in
feedback
improve learner evidence
shows feedback evidence
feedback the evidence
given within
performance submitted
given within 5 submitted
given within submitted
11-20
working days 6-10 working working days
Efficiency from days from from
Timeliness submission** submission** submission**
Basic Education 3. Curriculum 7. Selected, Quality Demonstrated Demonstrated Demonstrated
Services and Planning developed, Level 7 in Objective Level 6 in Objective Level 5 in Objective
organized 7 as shown in COT 7 as shown in COT 7 as shown in COT
Basic Education 3. Curriculum 7. Selected, Quality Demonstrated Demonstrated Demonstrated
Services and Planning developed, Level 7 in Objective Level 6 in Objective Level 5 in Objective
organized 7 as shown in COT 7 as shown in COT 7 as shown in COT
and used rating sheets rating sheets rating sheets
appropriate /interobserver /interobserver /interobserver
teaching and agreement forms agreement forms agreement
learning 8.0% forms
resources,
including ICT,
to address
learning
goals
Efficiency
Timeliness

Performance Indicators
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory
QET
(5) Satisfactory (4) (3)
Basic Education 3. Curriculum 8. Set Quality All of the Majority of Half of the
Services and Planning achievable and learning the learning learning
appropriate outcomes set outcomes set outcomes set
learning are aligned are aligned are aligned
outcomes that with the with the with the
are aligned learning learning learning
8.0%
with learning competencies competencies competencies
competencies as shown in as shown in as shown in
the MOV the MOV the MOV
submitted submitted submitted
Efficiency
Timeliness
Basic Education 4. Community 9. Built Quality Sustained Secured Communicated
Services Linkages and relationships engagement collaboration with and
Professional with parents/ with parents/ with parents/ obtained
Engagement & guardians guardians guardians response from
Personal and the wider and/or wider and/or wider parents/
Growth and school school school guardians and/or
Professional community to community to community to wider school
Development facilitate 8.0% facilitate facilitate community to
involvement involvement in involvement in facilitate
in the the educative the educative involvement in
educative Efficiency Submitted any Submitted any Submitted any 2
process 4 of the 3 of the of the
acceptable acceptable acceptable
MOV* MOV* MOV*
Timeliness

Performance Indicators
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory
QET
(5) Satisfactory (4) (3)
Basic Education 4. Community 10. Participated Quality Participated in Participated in Participated in
Services Linkages and in professional any professional any professional any professional
Professional networks to network/activity network/activity network/activity
Basic Education 4. Community 10. Participated Quality Participated in Participated in Participated in
Services Linkages and in professional any professional any professional any professional
Professional networks to network/activity network/activity network/activity
Engagement & share that requires that requires that requires
Personal knowledge and output* and output* and output* to share
Growth and to enhance proof of proof of knowledge and
Professional practice implementation implementation to enhance
Development ** within the ** within the practice as
school to share department/ evidenced by
knowledge and grade level to the submitted
to enhance share MOV
practice as knowledge and
8.0% evidenced by to enhance
the submitted practice as
MOV evidenced by
the submitted
MOV

Efficiency Submitted 4 Submitted 3 Submitted 2

different kinds different kinds different kinds
of acceptable of acceptable of acceptable
MOV*** MOV*** MOV***
Timeliness
Basic Education 11. Developed a Quality Updated the Discussed Accomplishe
Services personal Development progress on d the
improvement Plan and the Development
plan based on approved by Development Plan from
reflection of the rater during Plan with the learning
one’s practice Phase II of the rater to check objectives up
and ongoing RPMS cycle whether to resources
professional Development needed to
learning Needs were address
addressed Development
8.0%
Needs during
Phase I of the
RPMS cycle

IPCRF-DP with
Efficiency Submitted the any 3 of the Submitted the
IPCRF-DP with acceptable IPCRF-DP with
any 4 of the Supporting any 2 of the
acceptable MOV* acceptable
Timeliness Supporting Supporting

Performance Indicators
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory
QET
(5) Satisfactory (4) (3)
Basic Education 4. Assessment 12.Performed Quality Performed at Performed at Performed at
Services and Reporting various related least 1 related least 1 related least 1 related
works/activities work/activity work/activity work/activity
that contribute that contributed that contributed that
to the to the to the contributed to
teachinglearning teachinglearning teachinglearning the
process process process within teachinglearning
beyond the the school/ process within
school/ Community the learning
12.0% Community Learning area/
Learning Center (CLC) department as
 school/ Community the learning
12.0% Community Learning area/
Learning Center (CLC) department as
Center (CLC) as evidenced evidenced by
as evidenced by submitted submitted
Efficiency by submitted
Submitted any MOV
Submitted any MOV
Submitted any
4MOV
of the 3 of the 2 of the
acceptable acceptable acceptable
MOV* MOV* MOV*
Timeliness

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 JAKE LESTER M. DAFANG BERT L. VILL
below 1.499 Poor Ratee Rate
ITMENT AND REVIEW FORM (IPCRF) for Teacher I-III
BERT L. VILLALOBOS
HEAD TEACHER-V
JULY 22, 2021

NING TO BE FILLED OUT DURING EVALUATION

Performance Indicators
Rating
Unsatisfactory Poor Actual Results Ave Score
(2) (1) Q E T
Demonstrated Demonstrated Demonstrated 5 5.000 0.400
Level 5 in Objective Level 3 in Objective 1 Level 7 in Objective 1
1 as shown in COT as shown in COT as shown in COT
rating sheets
rating rating
/interobserver
sheets/interobserve agreement forms sheets/interobserver
r agreement forms or No acceptable agreement forms
evidence was
shown

Ensured that ICT No acceptable Ensured that the 5 5.000 0.400

are used but do not evidence was ICT used redefine
create a new shown and transform
learning experience learning experiences
and/or are and are documented
documented properly and
but not consistent consistently using
with one any referencing
referencing style as style as shown in the
shown in the submitted learning
submitted learning material
material

Performance Indicators
Rating
Unsatisfactory Poor Actual Results Ave Score
(2) (1) Q E T
Applied No acceptable Applied 4 4.000 0.320
teaching evidence was teaching
strategies that shown strategies that
lead learners require
along a single learners to
path of inquiry make
and/or to connections
simple recall using ideas
and rote learned as
memorization shown in the
of concepts as submitted
shown in the learning
submitted material
learning
material
 submitted material
learning
material

Utilized a No acceptable Utilized effective 5 5.000 0.400

teaching evidence was teaching
strategy or shown strategies that
strategies that are appropriate
partially in responding to
respond to learners’
learners’ linguistic, cultural,
linguistic, socioeconomic,
cultural, or religious
socioeconomic, backgrounds at
or religious an individual
backgrounds as level* as shown
shown in the in the submitted
submitted learning material
learning
material

Demonstrated No acceptable Demonstrated 5 5.000 0.400

Level 4 in evidence was Level 7 in
Objective 5 as shown Objective 5 as
shown in COT shown in COT
rating rating
sheets/ sheets/interobserver
interobserver agreement forms
agreement forms

Performance Indicators
Rating
Unsatisfactory Poor Actual Results Ave Score
(2) (1) Q E T
Provided No evidence was Provided learners 5 4 4.500 0.36
learners with shown with accurate,
inaccurate and specific and
and/or directed
destructive constructive
feedback
MOV submitted feedback* as
as shown in the
shows shown in the
evidence given
feedback evidence
submitted
beyond 20 submitted
working days
from
submission** No evidence was
Demonstrated shown
Demonstrated Demonstrated 5 5.000 0.4
Level 4 in Objective Level 3 in Objective Level 7 in Objective 7
7 as shown in COT 7 as shown in COT as shown in COT
 Demonstrated Demonstrated Demonstrated 5 5.000 0.4
Level 4 in Objective Level 3 in Objective Level 7 in Objective 7
7 as shown in COT 7 as shown in COT as shown in COT
rating sheets rating sheets rating sheets
/interobserver /interobserver /interobserver
agreement forms agreement forms agreement forms
or No acceptable
evidence was
shown

Performance Indicators
Rating
Unsatisfactory Poor Actual Results Ave Score
(2) (1) Q E T
Less than half No acceptable 5 5.000 0.4
of the learning evidence was
outcomes set shown
are aligned with
the learning
competencies
as shown in the
MOV submitted

Communicated No acceptable 4 4 4.000 0.32

with parents/ evidence was
guardians and/or shown
wider school
community to
facilitate
involvement in
the educative
process but
received no
Submitted any 1 No acceptable
of the evidence was
acceptable shown
MOV

Performance Indicators
Rating
Unsatisfactory Poor Actual Results Ave Score
(2) (1) Q E T
Participated in No acceptable 5 4 4.5 0.36
any evidence was
professional shown
 Participated in No acceptable 5 4 4.5 0.36
any evidence was
professional shown
network/activity
that does not
require output
to share
knowledge and
to enhance
practice as
evidenced by
the submitted
MOV

Submitted any No acceptable

1 of the evidence was
acceptable shown
MOV

Accomplished No acceptable 3 4 3.500 0.280

the Strengths evidence was
and shown
Development
Needs portion of
the Development
Plan after
selfassessment at
the beginning of
the school year

Submitted the No acceptable

IPCRF-DP with evidence was
any 1 of the shown
acceptable
Supporting

Performance Indicators
Rating
Unsatisfactory Poor Actual Results Ave Score
(2) (1) Q E T
Performed at No acceptable 4 4 4 0.48
least 1 related evidence was
work/activity that shown
contributed to
the
teachinglearning
process
within the class
as evidenced by
submitted MOV
 as evidenced by
submitted MOV

Submitted any 1 No acceptable

of the evidence was
acceptable shown
MOV

RATING FOR OVER-ALL

Outstanding 4.520
ACCOMPLISHMENTS

BERT L. VILLALOBOS
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 4.520 Outstanding

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

JAKE LESTER M. DAFANG BERT L. VILLALOBOS
TEACHER-I HEAD TEACHER-V
Signature Signature

Date Date
JULY 22, 2021 JULY 22, 2021
 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:

BERT L. VILLALOBOS JAKE LESTER M. DAFANG Name

HEAD TEACHER-V TEACHER-I Position
 PART IV: DEVELOPMENT PLANS

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

Rater: Ratee: Approving Authority

BERT L. VILLALOBOS JAKE LESTER M. DAFANG Name

HEAD TEACHER-V TEACHER-I Position