Developed by:

ANGELO D. UY
School Principal II
Biñan City Science and Technology High School
Schools Division Office of Biñan City
 INDIVIDUAL PERFORMANCE COMMITMENT REVIEW FORM (IPCRF) ENCODING SHEET
Teacher I-III (Proficient Teacher)

Name of Employee: DALLE JANE G. REYES Name of Rater: SIMPLICIO B. RATO

Position: TEACHER I Position: MASTER TEACHER I
Bureau/Center/Service/Division: DEPED Date of Review: JULY 15, 2022
Rating Period: SY 2021-2022 (August 2021-July 2022)
COT
COT/ COT/
Weight Indic
Weight per Supp Supp
KRA Objectives per ator Numerical Ratings Score
KRA Material/ Material/
Objective No.
TRF 1 TRF 2
(Set) RPMS 5-pt RPMS 5-pt
Rating Rating Q E T Ave
Scale Scale
KRA 1 20% Objective 1 5% 1 7 5 7 5 5 5.000 0.250
Objective 2 5% 5 5.000 0.250
Objective 3 5% 2 7 5 7 5 5 5.000 0.250
Objective 4 5% 3 7 5 7 5 5 5.000 0.250
KRA 2 20% Objective 5 5% 4 6 4 6 4 4 4.000 0.200
Objective 6 5% 5 7 5 7 5 5 5.000 0.250
SET A
Objective 7 5% 6 (Supp Material) 0 0
SET B (COT) 6 4 6 4 4 4.000 0.200
SET A
Objective 8 5% 7 (Supp Material) 0 0
SET B (COT) 7 5 7 5 5 5.000 0.250
KRA 3 20% Objective 9 5% 8 SET A (COT) 0 0 5 5.000 0.250
SET B (TRF) 5 5 5 5
Objective 10 5% 9 SET A (COT) 0 0
SET B (TRF) 5 5 5 5 5 5.000 0.250
Objective 11 5% 5 5.000 0.250
Objective 12 5% 5 5.000 0.250
KRA 4 30% Objective 13 5% 5 5.000 0.250
Objective 14 5% 5 5.000 0.250
Objective 15 5% 5 5.000 0.250
Objective 16 5% 5 5.000 0.250
Objective 17 5% 4 4.000 0.200
Objective 18 5% 4 4.000 0.200
KRA 5 10% Objective 19 10% 5 5.000 0.500
Final Rating 4.800
Adjectival Rating Outstanding

DALLE JANE G. REYES SIMPLICIO B. RATO MARY GRACE M. CABILI

Ratee Rater Approving Authority
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS I-III

Name of Employee: DALLE JANE G. REYES Name of Rater: SIMPLICIO B. RATO

Position: TEACHER I Position: MASTER TEACHER I
Bureau/Center/Service/Division: DEPED Date of Review: JULY 15, 2022
Rating Period: SY 2021-2022 (August 2021-July 2022)

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

WEIGHT ACTUAL Rating

MFO KRAS OBJECTIVES TIMELINE
PER KRA PERFORMANCE INDICATORS
QET
RESULTS (Quality)
SCORE

Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor

5 4 3 2 1
1. Content 1. Applied SY 2021-2022 20% Quality Demonstrated Level Demonstrated Level 6 Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated
Level 7 in
5 0.250
Knowledge and knowledge of 7 in Objective 1 as in Objective 1 as 5 in Objective 1 as 4 in Objective 1 as 3 in Objective 1 as
Objective 1 as
Basic Education

Pedagogy content within and shown in the COT shown in the COT shown in the COT shown in the COT shown in the COT shown in the
across curriculum rating sheets/inter- rating sheets/inter- rating sheets/inter- rating sheets/inter- rating sheets/inter-
Services

COT rating
teaching areas. observer agreement observer agreement observer agreement observer agreement observer agreement sheets/inter-
forms. forms. forms. forms. forms OR No observer
agreement
acceptable evidence forms.
was shown.

SY 2021-2022 Quality Used research-

2. Used Used research- Used research-based Used research- Use of research- No acceptable
based
5 0.250
research-based based knowledge knowledge and/or based knowledge based knowledge evidence was
knowledge
knowledge and and/or principles of principles of teaching and/or principles of and/or principle of shown and/or principles
principles of teaching in all the in two components of teaching in one teaching and learning of teaching in all
teaching and components of instruction in the components of is identified but was the components
learning to instruction in the lesson plan to instruction in the poorly used as basis of instruction in
the lesson plan
enhance lesson plan to improve student lesson plan to for to improve
professional improve student learning improve student planning/designing student learning
practice. learning learning the lesson

Demonstrated
3. Displayed SY 2021-2022 Quality Demonstrated Level Demonstrated Level 6 Demonstrated Level Demonstrated Level Demonstrated Level
Level 7 in
5 0.250
proficient use of 7 in Objective 3 as in Objective 3 as 5 in Objective 3 as 4 in Objective 3 as 3 in Objective 3 as
Objective 3 as
Mother Tongue, shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
Filipino and sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter- rating
English to observer agreement agreement forms observer agreement agreement forms observer agreement sheets/inter-
facilitate teaching forms forms forms OR No observer
agreement
and learning. acceptable evidence forms
was shown.
 4. Used effective SY 2021-2022 Quality Demostrated Level Demostrated Level 6 Demostrated Level Demostrated Level 4 Demostrated Level Demostrated
Level 7 in
5 0.250
verbal and non- 7 in Objective 4 as in Objective 4 as 5 in Objective 4 as in Objective 4 as 3 in Objective 4 as
Objective 4 as
verbal classroom shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
strategies to sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter- rating
support learner agreement forms agreement forms agreement forms agreement forms agreement forms sheets/inter-
understanding, OR No acceptable agreement
forms
participation, evidence was
engagement and shown.
achievement.

2. Learning 5. Established SY 2021-2022 20% Quality Demonstrated Level Demonstrated Level 6 Demonstrated Level Demonstrated Level Demostrated Level Demonstrated
Level 6 in
4 0.200
Environment safe and secure 7 in Objective 5 as in Objective 5 as 5 in Objective 5 as 4 in Objective 5 as 3 in Objective 5 as
Objective 5 as
learning shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
environments to sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter- rating
enhance learning observer agreement agreement forms observer agreement agreement forms agreement forms sheets/inter-
through the forms forms OR No acceptable observer
agreement
consistent evidence was forms
implementation of shown.
policies,
guidelines and
procedures.

Demonstrated
6. Maintained SY 2021-2022 Quality Demonstrated Level Demonstrated Level 6 Demonstrated Level Demonstrated Level Demostrated Level
Level 7 in
5 0.250
learning 7 in Objective 6 as in Objective 6 as 5 in Objective 6 as 4 in Objective 6 as 3 in Objective 6 as
Objective 6 as
environments that shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
promote fairness, sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter- rating
respect and care observer agreement agreement forms observer agreement agreement forms agreement forms sheets/inter-
to encourage forms forms OR No acceptable observer
agreement
learning. evidence was forms
shown.

7. Maintained SY 2021-2022 Quality Provided effective and Provided effective Provided an effective Provided learning No acceptable #N/A 0 0.000
learning (SET A) varying learning learning opportunities learning opportunity opportunity/ies that evidence was shown
environments that opportunities that are that are well-aligned that is well-aligned is/are partially aligned
nurture and well-aligned with the with the learning goals with the learning goals with the learning goals
learning goals and and engage learners to and engage learners and only somehow
inspire learners to
feature all elements of participate, cooperate, to participate, engage/s learners to
participate, collaborative learning and/or collaborate in cooperate, and/or participate, cooperate
cooperate and as shown in the continued learning as collaborate in and/or collaborate in
collaborate in submitted learning shown in the submitted continued learning as continued learning as
continued material. learning material. shown in the shown in the submitted
learning. submitted learning learning material.
material.
 Quality Demonstrated Level Demonstrated Level 6 Demonstrated Level Demonstrated Level Demostrated Level Demonstrated
Level 6 in
4 0.200
(SET B) 7 in Objective 7 as in Objective 7 as 5 in Objective 7 as 4 in Objective 7 as 3 in Objective 7 as
Objective 7 as
shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter- rating
observer agreement agreement forms observer agreement agreement forms agreement forms sheets/inter-
forms forms OR No acceptable observer
agreement
evidence was forms
shown.

8. Applied a SY 2021-2022 Quality Applied effective Applied effective Applied an effective Applied teaching No acceptable #N/A 0 0.000
range of (SET A) teaching strategies teaching strategies teaching strategy strategy/ies that evidence was
successful that are well-aligned that are well-aligned that is well-aligned is/are partially shown
strategies that with the learning with the learning with the learning aligned with the
maintain learning goals and goals and goal/s and learning goal/s and
environments to successfully successfully motivate successfully only somehow
motivate learners motivate learners to learners to work motivates learners motivate/s learners to
to work monitor and productively by to work productively work productively by
productively by evaluate their own assuming by assuming assuming
assuming learning as shown in responsibility for their responsibility for responsibility for their
responsibility for the submitted own learning as their own learning own learning as
their own learning material. shown in the as shown in the shown in the
learning. submitted learning submitted learning submitted learning
material. material. material.

Demonstrated
Quality Demonstrated Level Demonstrated Level 6 Demonstrated Level Demonstrated Level Demonstrated Level
Level 7 in
5 0.250
(SET B) 7 in Objective 8 as in Objective 8 as 5 in Objective 8 as 4 in Objective 8 as 3 in Objective 8 as
Objective 8 as
shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter- rating
observer agreement agreement forms observer agreement agreement forms observer agreement sheets/inter-
forms forms forms OR No observer
agreement
acceptable evidence forms
was shown
3. Diversity of 9. Designed, SY 2021-2022 20% Quality Demostrated Level Demostrated Level 6 Demostrated Level Demostrated Level 4 Demostrated Level Demostrated
Level 7 in
5 0.250
Learners, adapted and (SET A) 7 in Objective 9 as in Objective 9 as 5 in Objective 9 as in Objective 9 as 3 in Objective 9 as
Objective 9 as
Curriculum and implemented shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT
Planning & teaching sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter- rating
Assessment and strategies that are observer agreement agreement forms observer agreement agreement forms observer agreement sheets/inter-
Reporting responsive to forms forms forms OR No observer
agreement
learners with acceptable evidence forms
disabilities, was shown
giftednedness
and talents
 Quality Demonstrated Level Demonstrated Level 4 Demonstrated Level Demonstrated Level Demonstrated Level #N/A
0 0.000
(SET B) 5 as shown in the as shown in the TRFs 3 as shown in the 2 as shown in the 1 as shown in the
TRFs TRFs TRFs TRFs OR No
acceptable evidence
was shown

10. Adapted and SY 2021-2022 Quality Demostrated Level Demostrated Level 6 Demostrated Level Demostrated Level 4 Demostrated Level #N/A
0 0.000
used culturally- (SET A) 7 in Objective 10 as in Objective 10 as 5 in Objective 10 as in Objective 10 as 3 in Objective 10 as
appropriate shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
teaching sheets/inter- sheets/inter-observer sheets/inter- sheets/inter-observer sheets/inter-
strategies to observer agreement agreement forms observer agreement agreement forms observer agreement
address the forms forms forms OR No
needs of learners acceptable evidence
from indigenous was shown
groups
Quality Demonstrated Level Demonstrated Level 4 Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated 5 0.250
(SET B) 5 as shown in the as shown in the TRFs 3 as shown in the 2 as shown in the 1 as shown in the Level 5 as
shown in the
TRFs TRFs TRFs TRFs OR No TRFs
acceptable evidence
was shown
Evaluated the
11. Adapted and SY 2021-2022 Quality Evaluated the Monitored progress of Completed the Planned for the No acceptable
adapted/context
5 0.250
implemented adapted/contextuali the adapted/ implementation of implementation of the evidence was
ualized learning
learning programs zed learning contextualized the adapted/ adapted/contextualiz shown program as
that ensure program as learning program contextualized ed existing learning evidenced by
relevance and evidenced by MOV while being learning program as program as MOV No.1
responsiveness to No.1 implemented as evidence by MOV evidenced by MOV
the needs of all evidence by MOV No. No. 3 No. 4
learners 2

Implemented a
12. Utilized SY 2021-2022 Quality Implemented a Developed materials Planned for a Analyzed learners' No acceptable
teaching and
5 0.250
assessment data teaching and based on learners' teaching and mastered skills based evidence was
learning
to inform the learning assessment data as learning strategy on the frequency of shown strategy/progra
modification of strategy/program evidenced by a list of and/or program errors and correct m using
teaching and using materials identified least/most based on learners' responses as materials based
learning practices based on learners' mastered skills with assessment data as evidenced by a list of on learners'
assessment
and programs assessment data as supporting MOV No.2 evidenced by a list identified least/most data as
evidenced by a list of identified mastered skills evidenced by a
of identified least/most mastered list of identified
least/most mastered skills with least/most
mastered skills
skills with supporting MOV
with supporting
supporting MOV No. No.3 MOV No. 1
1
4. Community 13. Maintained SY 2021-2022 30% Quality Collaborated with Planned with the Conducted a Communicated with No acceptable Collaborated
with the
5 0.250
Linkages and learning the community community consultative meeting the community evidence was
community
Professional environments that stakeholder in the stakeholders, a with the community stakeholders about a shown stakeholder in
Engagement & are responsive to implementation/ program, project, stakeholders on a program, project, the
Personal Growth community completion of a and/or activity that program, project, and/or activity that implementation/
contexts program/project, maintains a learning and/or activity that maintains a learning completion of a
and Professional program/project,
and/or activity that environment maintains a learning environment
Development maintains a learning responsive to the environment responsive to the
and/or activity
that maintains a
environment community contexts responsive to the community contexts learning
responsive to the as evidenced y MOV community contexts as evidenced by environment
responsive to
community contexts No.2 as evidenced by MOV No. 4
the community
as evidenced by MOV 3 contexts as
MOV No.1 evidenced by
MOV No.1

Exhibited an
14. Reviewed SY 2021-2022 Quality Exhibited an Exhibited an Reviewed personal Prticipated in the No acceptable
improved
5 0.250
regularly personal improved practice improved practice teaching practices review of personal evidence was
practice through
teaching practice through one's through a teaching using laws and teaching practices shown one's teaching
using existing teaching as impact material as impact of regulations that using laws and as impact of
laws and of regularly regularly reviewing apply to the regulations that apply regularly
regulations that reviewing one's one's teaching profession and the to the profession and reviewing one's
teaching
apply to the teaching practice/s practice/s using laws responsibilities in the responsibilities in practice/s using
teaching using laws and and regulations that the Code of Ethics the Code of Ethics for laws and
profession and regulations that apply to the for Professional Professional regulations that
the apply to the profession and the Teachers in 4 Teachers in 4 apply to the
responsibilities profession and the responsibilities in the quarters with quarters as profession and
the
specified in the responsibilities in Code of Ethics for reflection outputs evidenced by MOV responsibilities
Code of Ethics for the Code of Ethics Professional as evidenced by No.4 in the Code of
Professional for Professional Teachers as MOV No.3 Ethics for
Teachers Teachers as evidenced by MOV Professional
Teachers as
evidenced by MOV No.2 evidenced by
No.1 MOV No.1

Sustained
15. Complied SY 2021-2022 Quality Sustained Discussed with Communicated with Implemented school No acceptable
engagement
5 0.250
with and engagement with learners, learners, policies and evidence was
with the
implemented the learners, parents/guardians, parents/guardians, procedures without shown learners,
school policies parents/guardians and other and other communicating and parents/guardian
and procedures and other stakeholders the stakeholders the consulting the s and other
consistently to stakeholders implemented school implemented school learners, stakeholders
regarding school
foster harmonious regarding school policies and policies and parents/guardians policies and
relationships with policies and procedures as procedures as and other procedures
learners, parents procedures through evidenced by MOV evidenced by MOV stakeholders through school-
and other school-community No.2 No.3 community
partnership/s as
stakeholders partnership/s as
evidenced by
evidenced by MOV MOV No.1
No.1
 16. Applied a SY 2021-2022 Quality Applied learner- Applied learner- Applied learner- Application of No acceptable Applied learner-
centered
5 0.250
personal centered teaching centered teaching centered teaching learner-centered evidence was
teaching
philosophy of philosophy in the philosophy in the philosophy in the teaching philosophy shown philosophy in the
teaching that is lesson plan in all the lesson plan in two lesson plan in one is reflected but was lesson plan in all
learner-centered components of components of component of poorly used as basis the components
instruction in the instruction in the instruction in the for of instruction in
the lesson plan
lesson plan to lesson plan to lesson plan to planning/designing to improve
improve student improve student improve student the lesson student learning
learning learning learning

17. Adopted SY 2021-2022 Quality Exhibited dignity of Exhibited dignity of Adopted practices Adopted a practice No acceptable Exhibited dignity
of teaching as a
4 0.200
practices that teaching as a teaching as a that uphold the that uphold the evidence was
profession by
uphold the dignity profession by profession by dignity of teaching dignity of teaching as shown exhibiting
of teaching as a exhibiting qualities exhibiting qualities as a profession by a profession by qualities such as
profession by such as caring such as caring exhibiting qualities exhibiting qualities caring attitude,
exhibiting attitude, respect and attitude, respect and such as caring such as caring respect and
integrity with
qualities such as integrity with integrity with attitude, respect and attitude, respect and affirmation from
caring attitude, affirmation from affirmation from any dignity as evidenced dignity as evidenced any school
respect and different school school stakeholder as by at least 2 MOV by one MOV No.2 stakeholder as
integrity. stakeholders as evidenced by one No.2 evidenced by
one MOV No.1
evidenced by at MOV No.1
least two MOV No.1

Discussed
18. Set SY 2021-2022 Quality Updated Discussed progress Set professional Accomplished the e- No acceptable
progress on
4 0.200
professional professional on professional development goals SAT at the beginning evidence was
professional
devleopment development goals development goals based on e-SAT of the school year as shown development
goals based on during Phase II of with the rater during results as evidenced evidenced by MOV goals with the
the Philippine the RPMS Cycle as the Mid-year Review by MOV No.3 No.4 rater during the
Professional evidenced by MOV as evidenced by MOV Mid-year Review
as evidenced by
Standars for No.1 No.2 MOV No.2
Teachers

5. Plus Factor 19. Performed SY 2021-2022 10% Quality Performed at least 1 Performed at least 1 Performed at least 1 Performed at least 1 No acceptable Performed at
least 1 related
5 0.500
various related related work/activity related work/activity related work/activity related work/activity evidence was
work/activity that
works/activities that contribute to the that contribute to the that contribute to the that contributed to shown contribute to the
that contribute to teaching-lerning teaching-lerning teaching-lerning the teaching-learning teaching-lerning
the teaching- process beyond the process within the process within the process within the process beyond
learning process school/Community school/Community learning class as evidenced the
school/Communi
Learning Center Learning Center area/department as by submitted MOV ty Learning
(CLC) as evidenced (CLC) as evidenced evidenced by Center (CLC) as
by submitted MOV by submitted MOV submitted MOV evidenced by
submitted MOV

Outstandin
RATING FOR OVERALL ACCOMPLISHMENTS 4.800
g

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

DALLE JANE G. REYES SIMPLICIO B. RATO MARY GRACE M. CABILI

Ratee Rater Approving Authority
 PART II: COMPETENCIES
Instructions: Please indicate the number of competency indicators that you demonstrated during
the performance cycle.
CORE BEHAVIORAL COMPETENCIES
Self-Management 5
1. Sets personal goals and directions, needs and development.

2. Undertakes personal actions and behavior 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 chants, checklists, etc.) to achieve goals.

5. Sets high quality, challenging, realistic goals for self and others.

Professionalism and Ethics 5

1. Demonstrates the values and behavior enshrined in the Norms and 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 the organization’s needs.

5. Acts with a sense of urgency and responsibility to meet the organization’s needs, improve system and
help others improve their effectiveness.
Results Focus 5
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 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.

Note: The assessment in the demonstration of competencies shall not be reflected in the final rating. These competencies are monitored to inform professi
 Teamwork 5
1. Willingly does his/her share of responsibility.

2. Promotes collaboration and removes barrier to teamwork and goal 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 organization
goals and objectives.
Service Orientation 4
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 promote advocacy for men and women empowerment.

4. Participates in updating office vision, mission, mandates and strategies based on DepEd strategies and
directions.
5. Develops and adopts service improvement program through simplified procedures that will further
enhance service delivery.
Innovation 4
1. Examines the root cause of problems and suggests effective solutions. Foster new ideas, processes and
suggests better ways to do things (cost and/or operational efficiency).
2. 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. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness and the ability to
succeed with minimal resources.

ting. These competencies are monitored to inform professional development plans (DepEd Order No. 2, s. 2015, p. 9).
 INDIVIDUAL PERFORMANCE COMMITMENT REVIEW FORM (IPCRF) SUMMARY SHEET
Teacher I-III (Proficient Teacher)

Name of Employee: DALLE JANE G. REYES Name of Rater: SIMPLICIO B. RATO

Position: TEACHER I Position: MASTER TEACHER I
Bureau/Center/Service/Division: DEPED Date of Review: JULY 15, 2022
Rating Period: SY 2021-2022 (August 2021-July 2022)

Weight per Weight per

KRA Objectives Score
KRA Objective
Numerical Ratings
Q E T Ave
KRA 1 20% Objective 1 5% 5 5.000 0.250
Objective 2 5% 5 5.000 0.250
Objective 3 5% 5 5.000 0.250
Objective 4 5% 5 5.000 0.250
KRA 2 20% Objective 5 5% 4 4.000 0.200
Objective 6 5% 5 5.000 0.250
Objective 7 5% 5 5.000 0.200
Objective 8 5% 5 5.000 0.250
KRA 3 20% Objective 9 5% 5 5.000 0.250
Objective 10 5% 5 5.000 0.250
Objective 11 5% 5 5.000 0.250
Objective 12 5% 5 5.000 0.250
KRA 4 30% Objective 13 5% 5 5.000 0.250
Objective 14 5% 5 5.000 0.250
Objective 15 5% 5 5.000 0.250
Objective 16 5% 5 5.000 0.250
Objective 17 5% 4 4.000 0.200
Objective 18 5% 4 4.000 0.200
KRA 5 10% Objective 19 10% 5 5.000 0.500
Final Rating 4.800
Adjectival Rating Outstanding

DALLE JANE G, REYES SIMPLICIO B. RATO MARY GRACE M. CABILI

Ratee Rater Approving Authority
 PART IV: DEVELOPMENT
PLANS
Strengths Development Needs Action Plan
(Recommended
Developmental
Intervention)
Learning Objectives

A. Functional Competencies

B. Core Behavioral
Competencies

Feedback:
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
DALLE JANE G, REYES SIMPLICIO B. RATO
_______________________
RATEE RATER
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
 Timeline Resources Needed

Intervention

MARY GRACE M. CABILI

APPROVING AUTHORITY
OMMITMENT REVIEW FORM (IPCRF) ENCODING SHEET
eacher I-IV (Highly Proficient Teacher)

Name of Employee:
Position:
Bureau/Center/Service/Division:
Rating Period: SY 2021-2022 (August 2021-July 2022)
COT
COT/
Weight Indic
Weight Supp
KRA Objectives per ator
per KRA Material/
Objective No.
TRF 1
(Set)
Rating
KRA 1 20% Objective 1 5% 1
Objective 2 5%
Objective 3 5% 2
Objective 4 5% 3
KRA 2 20% Objective 5 5% 4
Objective 6 5% 5
Objective 7 5%
Objective 8 5%
KRA 3 20% Objective 9 5% 6 SET A (COT)
SET B (TRF)
Objective 10 5% 7 SET A (COT)
SET B (TRF)
Objective 11 5%
Objective 12 5%
KRA 4 30% Objective 13 5%
Objective 14 5%
Objective 15 5%
Objective 16 5%
Objective 17 5%
Objective 18 5%
KRA 5 10% Objective 19 10%
Final Rating
Adjectival Rating

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

COT/
Supp
Numerical Ratings Score
Material/
TRF 2
RPMS 5-pt RPMS 5-pt
Rating Q E T Ave
Scale Scale
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
#DIV/0!
#DIV/0!

Approving Authority
NT AND REVIEW FORM (IPCRF) FOR MASTER TEACHERS I-IV

Name of Employee: 0
Position: 0
Bureau/Center/Service/Division: 0
Rating Period: SY 2021-2022 (August 2021-July 2022)

TO BE FILLED OUT DURING PLANNING

WEIGHT
MFO KRAS OBJECTIVES TIMELINE
PER KRA PERFORMANCE INDICATORS
QET

Outstanding Very Satisfactory

5 4
1. Content 1. Modelled SY 2021- 20% Quality Modelled Level 8 in Modelled Level 7 in
Basic Education Services

Knowledge and effective 2022 Objective 1 as Objective 1 as

Pedagogy applications of shown in the COT shown in the COT
content rating sheets rating sheets
knowledge within
and across
curriculum
teaching areas.

2. Evaluated with SY 2021- Quality Modelled and Modelled and

colleagues the 2022 evaluated with evaluated with
effectiveness of colleagues effective colleagues effective
teaching strategies that reflect strategies that reflect
adjustments or integration of well-
strategies that
modifications in connected teaching
promote learner teaching practices to practices that promote
achievement in enhance critical critical literacy and/or
literacy and literacy and/or critical critical numeracy skills
numeracy numeracy skills as as evidenced by the
evidenced by the submitted learning
submitted learning material
material

3. Modelled and SY 2021- Quality Modelled Level 8 in Modelled Level 7 in

supported 2022 Objective 3 as Objective 3 as
colleagues in the shown in the COT shown in the COT
proficient use of rating sheets rating sheets
Mother Tongue,
Filipino and English
to improve teaching
and learning, as
well as to develop
learners’ pride of
their language,
heritage and
culture.
 4. Displayed a SY 2021- Quality Modelled Level 8 in Modelled Level 7 in
wide range of 2022 Objective 4 as Objective 4 as
effective verbal and shown in the COT shown in the COT
non-verbal rating sheets rating sheets
classroom
communicatio n
strategies to
support learner
understanding,
participation,
engagement and
achievement

2. Learning 5. Exhibited SY 2021- 20% Quality Modelled Level 8 in Modelled Level 7 in

Environment effective 2022 Objective 5 as Objective 5 as
strategies that shown in the COT shown in the COT
ensure safe and rating sheets rating sheets
secure learning
environments to
enhance learning
through the
consistent
implementation of
policies,
guidelines and
procedures

6. Exhibited SY 2021- Quality Modelled Level 8 in Modelled Level 7 in

effective practices 2022 Objective 6 as Objective 6 as
to foster learning shown in the COT shown in the COT
environments that rating sheets rating sheets
promote fairness,
respect and care
to encourage
learning

7. Worked with SY 2021- Quality Modelled varying Modelled varying

colleagues to 2022 strategies that strategies that
share successful sustain a supportive sustain a supporting
strategies that learning learning
sustain supportive environment for environment and
learning learners to feature all elements
environments that recognize each of collaborative
nurture and other’s learning learning as shown in
inspire learners to strengths and value the submitted
participate, the contribution of learning material
cooperate and others as evidenced
collaborate in by the submitted
continued learning material
learning
 8. Modelled SY 2021- Quality Modelled and Modelled and
successful 2022 discussed with discussed with
strategies and colleagues effective colleagues
supported strategies that consistent
colleagues in reflect modifications application of
promoting in teaching practices teaching practices
learning to sustain learner that successfully
environments that motivation in motivate learners to
effectively monitoring and monitor and
motivate learners evaluating their own evaluate their own
to work learning as shown in learning as shown in
productively by the submitted the submitted
assuming learning material learning material
responsibility for
their own learning

3. Diversity of 9. Assisted SY 2021- 20% Quality Modelled Level 8 in Modelled Level 7 in

Learners, colleagues to 2022 (SET A) Objective 9 as Objective 9 as
Curriculum and design, adapt and shown in the COT shown in the COT
Planning & implement rating sheets rating sheets
Assessment and teaching
Reporting strategies that are
responsive to
learners with
disabilities,
giftedness and
talents

Quality Demonstrated Level Demonstrated Level

(SET B) 5 as shown in the 4 as shown in the
TRFs TRFs

10. Developed SY 2021- Quality Modelled Level 8 in Modelled Level 7 in

and applied 2022 (SET A) Objective 10 as Objective 10 as
teaching shown in the COT shown in the COT
strategies to rating sheets rating sheets
address
effectively the
needs of learners
from indigenous
groups
 Quality Demonstrated Level Demonstrated Level
(SET B) 5 as shown in the 4 as shown in the
TRFs TRFs

11. Worked SY 2021- Quality Worked with Worked with

collaboratively 2022 colleagues in colleagues in listing
with colleagues to redesigning learning detailed
evaluate the programs based on recommendations
design of learning the list of on improving the
programs that recommendations design of learning
develop the as evidenced by programs based on
knowledge and MOV No. 1 the results of
skills of learners evaluation as
at different ability evidenced by MOV
levels No. 2

12. Worked SY 2021- Quality Evaluated activities Implemented

collaboratively 2022 with colleagues by activities with
with colleagues to looking for key colleagues to
analyze and success indicators address the use of
utilize (p. 14, DO 35, s. assessment data to
assessment data 2016) as evidenced modify practices
to modify by the submitted and/or programs as
practices and MOV evidenced by the
programs to submitted MOV
further support
learner progress
and achievement
4. Community 13. Reflected on SY 2021- 30% Quality Synthesized the Consulted
Linkages and and evaluated 2022 evaluations from the parents, guardians,
Professional learning wider school and/or other
Engagement & environments that community of the external
Personal Growth are responsive to programs, projects, stakeholders on
community and/or activities that programs, projects,
and Professional
contexts maintain the and/or activities that
Development learning maintain the
environment learning
responsive to environments
community context responsive to
as evidenced by community context
MOV No. 1 to reflect on and
evaluate them as
evidenced by MOV
No. 2

14. Discussed SY 2021- Quality Discussed with Discussed with

with colleagues 2022 colleagues teaching colleagues teaching
teaching and and learning and learning
learning practices practices that practices that
that apply existing adhere to laws, adhere to laws,
codes, laws and regulations, and regulations, and
regulations that responsibilities responsibilities
apply to the specified in the specified in the
teaching Code of Ethics for Code of Ethics for
profession, and Professional Professional
the Teachers and Teachers and
responsibilities reviewed the reviewed the
specified in the annotated evidence personal reflection
Code of Ethics for of practice of notes of colleagues
Professional colleagues as as evidenced by
Teachers evidenced by MOV MOV No. 2
No. 1
15. Exhibited SY 2021- Quality Evaluated with Conducted
commitment to 2022 teachers the discussions with
and supported implementation of teachers on the
teachers in the certain school progress of
implementation of policies and implementation of
school policies procedures as certain school
and procedures to evidenced by MOV policies and
foster harmonious No. 1 procedures as
relationships with evidenced by MOV
learners, parents No. 2
and other
stakeholders

16. Manifested a SY 2021- Quality Evaluated Implemented

learner- centered 2022 lesson plans of plan for an activity
teaching colleagues to to support
philosophy in enhance their own colleagues in
various aspects of learner- centered enhancing their own
practice and teaching practice as learner- centered
support evidenced by MOV teaching practice as
colleagues in No. 1 evidenced by MOV
enhancing their No. 2
own learner-
centered teaching
philosophy

17. Identified and SY 2021- Quality Identified and Identified and

utilized personal 2022 utilized personal utilized personal
professional professional professional
strengths to strengths to uphold strengths to uphold
uphold the dignity the dignity of the dignity of
of teaching as a teaching as a teaching as a
profession to help profession to help profession to help
build a positive build a positive build a positive
teaching and teaching and teaching and
learning culture learning culture learning culture
within the school within the school by within the school by
inspiring unity in initiating activities to
responding to avoid potential
potential threats and threats and risks to
risks to the school the school
community as community as
evidenced by MOV evidenced by MOV
No. 1 No. 2
 18. Reflected on SY 2021- Quality Updated Conducted
the Philippine 2022 professional mid-year review with
Professional development goals colleagues as
Standards for during Phase II of evidenced by MOV
Teachers to plan the RPMS Cycle as No. 2 or 3
personal evidenced by MOV
professional No.1
development
goals and assist
colleagues in
planning and
achieving their
own goals

5. Plus Factor 19. Performed SY 2021- 10% Quality Performed at least 1 Performed at least 1
various related 2022 related work/activity related work/activity
works/activities that contribute to the that contribute to the
that contribute to teaching-lerning teaching-lerning
the teaching- process beyond the process within the
learning process school/Community school/Community
Learning Center Learning Center
(CLC) as evidenced (CLC) as evidenced
by submitted MOV by submitted MOV

RATING FOR OVERALL ACCOM

ECTIVAL 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

0 0
Ratee Rater
Name of Rater: 0
Position: 0
Date of Review: December 30, 1899

TO BE FILLED OUT DURING EVALUATION

ACTUAL Rating
SCORE
RESULTS (Quality)

Satisfactory Unsatisfactory Poor

3 2 1
Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!
#DIV/0! #DIV/0!
Objective 1 as Objective 1 as Objective 1 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.

Modelled and Modelled and evaluated No acceptable

with colleagues effective evidence was
#DIV/0!
#DIV/0! #DIV/0!
evaluated with
colleagues effective strategy/ies that reflect/s shown
strategies that reflect application of relevant
teaching practices that
consistent application promote critical literacy
of relevant teaching and/or critical numeracy
practices that promote skills in some aspects of
critical literacy and/or the lesson as evidenced
critical numeracy skills by the submitted
in all aspects of the learning material
lesson as evidenced
by the submitted
learning material

Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!

#DIV/0! #DIV/0!
Objective 3 as Objective 3 as Objective 3 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.
Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!
#DIV/0! #DIV/0!
Objective 4 as Objective 4 as Objective 4 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.

Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!

#DIV/0! #DIV/0!
Objective 5 as Objective 5 as Objective 5 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.

Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!

#DIV/0! #DIV/0!
Objective 6 as Objective 6 as Objective 6 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.

Modelled effective Modelled an No acceptable #DIV/0!

#DIV/0! #DIV/0!
strategies that effective strategy evidence was
promote a that promote a shown
supportive learning supportive learning
environment and environment and
engage learners to engage learners to
participate, participate,
cooperate, and/or cooperate, and/or
collaborate in collaborate in class
continued learning discussions as
as shown in the shown in the
submitted learning submitted learning
materials materials
Modelled and Modelled and No acceptable #DIV/0!
#DIV/0! #DIV/0!
discussed with discussed with evidence was
colleagues varied colleagues a shown
teaching practices teaching practice
that successfully that successfully
motivate learners to motivate learners to
work productively by work productively by
assuming assuming
responsibility for responsibility for
their own learning their own learning
as shown in the as shown in the
submitted learning submitted learning
material material

Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!

#DIV/0! #DIV/0!
Objective 9 as Objective 9 as Objective 9 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.

Demonstrated Level Demonstrated Level Demonstrated Level #DIV/0!

#DIV/0! #DIV/0!
3 as shown in the 2 as shown in the 1 as shown in the
TRFs TRFs TRFs OR No
acceptable evidence
was shown

Modelled Level 6 in Modelled Level 5 in Modelled Level 4 in #DIV/0!

#DIV/0! #DIV/0!
Objective 10 as Objective 10 as Objective 10 as
shown in the COT shown in the COT shown in the COT
rating sheets rating sheets rating sheets OR No
acceptable evidence
was shown.
Demonstrated Level Demonstrated Level Demonstrated Level #DIV/0!
#DIV/0! #DIV/0!
3 as shown in the 2 as shown in the 1 as shown in the
TRFs TRFs TRFs OR No
acceptable evidence
was shown

Worked with Evaluated the No acceptable #N/A

0 0.000
colleagues in design of learning evidence was
evaluating the programs that shown
design of learning develop the
programs that knowledge and
develop the skills of learners at
knowledge and different ability
skills of learners at levels without the
different ability help of colleagues
levels as evidenced as evidenced by
by MOV No. 3 MOV No. 4

Explored Planned activities No acceptable #N/A

0 0.000
interventions with with colleagues to evidence was
colleagues to address the use of shown
address utilization of assessment data to
assessment data modify practices
which could be in and/or programs as
the form of learning evidenced by the
materials, submitted MOV
instructional
materials,
equipment,
strategies in
teaching, modality in
teaching, program,
etc. (p. 9, DO 35, s.
2016) as evidenced
by the submitted
MOV
Conducted FGD Conducted a survey No acceptable #N/A
0 0.000
with teachers on to gather feedback evidence was
programs, projects, on programs, shown
and/or activities that projects, and/or
maintain the activities that are
learning responsive to
environments community contexts
responsive to as evidenced by
community context MOV No. 4
to reflect on and
evaluate them as
evidenced by MOV
No. 3

Discussed with Planned for a No acceptable #N/A

0 0.000
colleagues teaching discussion of evidence was
and learning teaching and shown
practices that learning practices
adhere to laws, that adhere to laws,
regulations, and regulations, and
responsibilities responsibilities
specified in the specified in the
Code of Ethics for Code of Ethics for
Professional Professional
Teachers as Teachers as
evidenced by MOV evidenced by MOV
No. 3 No. 4
Discussed with Implemented No acceptable #N/A
0 0.000
teachers certain school policies and evidence was
school policies and procedures as shown
procedures for evidenced by MOV
uniform No. 4
implementation as
evidenced by MOV
No. 3

Planned for an Demonstrated a No acceptable #N/A

0 0.000
activity to support learner-centered evidence was
colleagues in teaching philosophy shown
enhancing their own in one aspect of
learner- centered practice (i.e., lesson
teaching practice as planning) as
evidenced by MOV evidenced by MOV
No. 3 No. 4

Identified and Identified personal No acceptable #N/A

0 0.000
utilized personal professional evidence was
professional strengths that shown
strengths to uphold uphold the dignity of
the dignity of teaching as a
teaching as a profession as
profession to help evidenced by MOV
build a positive No. 4
teaching and
learning culture
within the school in
responding to an
issue or a
challenging situation
as evidenced by
MOV No. 3
 Planned for Accomplished the e- No acceptable #N/A
0 0.000
professional SAT at the evidence was
development based beginning of the shown
on e- SAT results as school year as
evidenced by MOV evidenced by MOV
No. 4 No.5

Performed at least 1 Performed at least 1 No acceptable #N/A

0 0.000
related work/activity related work/activity evidence was
that contribute to the that contributed to shown
teaching-lerning the teaching-
process within the learning process
learning within the class as
area/department as evidenced by
evidenced by submitted MOV
submitted MOV

RATING FOR OVERALL ACCOMPLISHMENTS #DIV/0! #DIV/0!

0
Approving Authority
 PART II: COMPETENCIES
Instructions: Please indicate the number of competency indicators that you demonstrated during
the performance cycle.
CORE BEHAVIORAL COMPETENCIES
Self-Management

1. Sets personal goals and directions, needs and development.

2. Undertakes personal actions and behavior 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 chants, 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 and 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 the organization’s needs.

5. Acts with a sense of urgency and responsibility to meet the organization’s needs, improve system and
help others improve their effectiveness.
Results 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 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.

Note: The assessment in the demonstration of competencies shall not be reflected in the final rating. These competencies are monitored to inform professi
 Teamwork

1. Willingly does his/her share of responsibility.

2. Promotes collaboration and removes barrier to teamwork and goal 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 organization
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 promote advocacy for men and women empowerment.

4. Participates in updating office vision, mission, mandates and strategies based on DepEd strategies and
directions.
5. Develops and adopts service improvement program through simplified procedures that will further
enhance service delivery.
Innovation
1. Examines the root cause of problems and suggests effective solutions. Foster new ideas, processes and
suggests better ways to do things (cost and/or operational efficiency).
2. 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. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness and the ability to
succeed with minimal resources.

ting. These competencies are monitored to inform professional development plans (DepEd Order No. 2, s. 2015, p. 9).
MMITMENT REVIEW FORM (IPCRF) SUMMARY SHEET
cher I-IV (Highly Proficient Teacher)

Name of Employee: 0
Position: 0
Bureau/Center/Service/Division: 0
Rating Period: SY 2021-2022 (August 2021-July 2022)

Weight per Weight per

KRA Objectives
KRA Objective
Numerical Ratings
Q
KRA 1 20% Objective 1 5% #DIV/0!
Objective 2 5% #DIV/0!
Objective 3 5% #DIV/0!
Objective 4 5% #DIV/0!
KRA 2 20% Objective 5 5% #DIV/0!
Objective 6 5% #DIV/0!
Objective 7 5% #DIV/0!
Objective 8 5% #DIV/0!
KRA 3 20% Objective 9 5%
Objective 10 5%
Objective 11 5% 0
Objective 12 5% 0
KRA 4 30% Objective 13 5% 0
Objective 14 5% 0
Objective 15 5% 0
Objective 16 5% 0
Objective 17 5% 0
Objective 18 5% 0
KRA 5 10% Objective 19 10% 0
Final Rating
Adjectival Rating

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

Score
erical Ratings
E T Ave
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
0.000 0.000
#DIV/0!
#DIV/0!

0
Approving Authority
 PART IV: DEVELOPMENT
PLANS
Strengths Development Needs Action Plan
(Recommended
Developmental
Intervention)
Learning Objectives

A. Functional Competencies

B. Core Behavioral
Competencies

Feedback:
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
0 0
_______________________
RATEE RATER
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
 Timeline Resources Needed

Intervention

0
APPROVING AUTHORITY