ANNOTATION FORM

Name of Employee: PETER B. PAMA, JR. Name of Rater: JANONE A. CIBAL

Position: MASTER TEACHER - I Position: HEAD TEACHER - I
Bureau/Center/Service/Division: AGUSAN DEL SUR Date of Review: FEBRUARY 6 -7, 2023
Rating Period: AUGUST 2022 - JANUARY 2023

Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

Basic Education 1. Content 1. Modeled effective 22.5% 1. Classroom observation tool (COT) rating sheet and/or inter-observer 
Services Knowledge and applications of content agreement form about effective applications of content knowledge within and
Pedagogy knowledge within and across curriculum teaching areas
across curriculum teaching 2. Lesson plans/modified DLLs used in demonstration teaching highlighting
areas. integration of content knowledge within and across subject areas
3. Instructional materials developed highlighting effective application of content
knowledge within and across subject areas
4. Performance tasks/test material(s) used in demonstration teaching
highlighting integration of content knowledge within and across subject areas
5. Results of assessment used in demonstration teaching highlighting mastery of
lessons learned
6. Others (Please specify and provide annotations)

Basic Education 2. Collaborated with 1. Copy of the research proposal focused on enriching knowledge of content and 
Services colleagues in the conduct pedagogy
and application of research 2. Proof of participation and/or contribution to a collaborative research (e.g. e-
to enrich knowledge of mail, actual output submitted, terms of reference, etc.)
content and pedagogy. 3. Certified completed collaborative research focused on enriching knowledge of
content and pedagogy
4. Proof of dissemination of research findings with colleagues
5. Proof of utilization of research findings
7. Others (Please specify and provide annotations)
 Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

Basic Education 3. Developed and applied 1. Classroom observation tool (COT) rating sheet and/or inter-observer
Services effective teaching strategies agreement form about using effective teaching strategies to promote critical
to promote critical and and creative teaching, as well as other higher-order thinking skills
creative thinking, as well as 2. Lesson plans/modified DLLs used in demonstration teaching highlighting
other higher-order thinking different teaching strategies that develop critical and creative thinking and/or
skills. other HOTS
3. Instructional materials highlighting different teaching strategies that develop
critical and creative thinking, and/or other HOTS
4. Performance tasks/test material(s) used in demonstration teaching
5. Results of assessment used in the demonstration teaching
6. Others (Please specify and provide annotations)

Basic Education 4. Worked with colleagues 1. Classroom observation tool (COT) rating sheet and/or inter-observer 8.
Services to model and share agreement form about sharing effective techniques in the management of
effective techniques in the classroom structure
management of classroom 2. Lesson plans/modified DLLs used in demonstration teaching highlighting
structure to engage effective classroom management strategies that engage learners in
learners, individually or in activities/tasks in different physical learning environments
3. Minutes of LAC highlighting the sharing on effective classroom management
groups, in meaningful
techniques
exploration, discovery and
4. Instructional materials used in demonstration teaching
hands-on activities within a 7. Others (Please specify and provide annotations)
range of physical learning
environments.

5. 6.
 Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

Basic Education 5. Exhibited effective and Classroom observation tool (COT) rating sheet and/or inter-observer agreement
Services constructive behavior form about effective teacher management of learner behavior using the following
management skills by strategies:
applying positive and non- 1. Providing motivation
violent discipline to ensure 2. Praising the learners/Giving positive feedback
learning-focused 3. Setting house rules/guidelines
4. Ensuring learners’ active participation
environments.
5. Allowing learners to express their ideas/opinions
6. Giving equal opportunities to learners
7. Encouraging learners to ask questions
Others (Please specify and provide annotations)

Basic Education 6. Worked with colleagues 1. Minutes of LAC session/s, highlighting one’s sharing of strategies on 5.
Services to share differentiated, differentiated and developmentally appropriate opportunities to address
developmentally learners’ differences
appropriate opportunities to 2. Lesson plans/modified DLLs highlighting strategies on differentiated and
address learners’ developmentally-appropriate opportunities to address learners’ differences
differences in gender, 3. Corresponding instructional materials showing differentiated and
developmentally-appropriate opportunities to address learners’ differences
needs, strengths, interests
4. Others (e.g. testimonial, write-up from colleagues of the lessons/insights
 Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

and experiences. gained from the Master Teacher's sharing)

Basic Education 3. Curriculum 7. Developed and applied 22.5% 1. Classroom observation tool (COT) rating sheet and/or inter-observer 7.
Services and Planning effective strategies in the agreement form about using effective strategies in implementing
planning and management developmentally sequenced teaching and learning process
of developmentally 2. Results of learners’ assessment during the actual teaching
sequenced teaching and 3. Lesson plans/modified DLLs used in demonstration teaching highlighting
learning processes to meet developmentally sequenced teaching-learning process
4. Instructional materials showing effective strategies in developmentally
curriculum requirements
sequenced teaching and learning process
and varied teaching
5. Performance tasks/test material(s) used in demonstration teaching
contexts. 6. Others (Please specify and provide annotations)

8. Reviewed with 1. Implemented LAC/FGD Plan 4.

colleagues, teacher and 2. Minutes of LAC/FGD sessions on use of teacher and learner feedback to
learner feedback to plan, enrich teaching practice with proof of attendance
facilitate and enrich 3. Others (Please specify and provide annotations)
teaching practice.
 Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

Basic Education 9. Advised and guided 1. colleagues and critiqued on their alignment to learning goals 4.
Services colleagues in the selection, 2. Lesson plans by colleagues critiqued in terms of the alignment of the teaching
organization, development and learning resources to the indicated learning goals and appropriateness to
and use of appropriate the target learners
teaching and learning 3. Others (Please specify and provide annotations)
resources, including ICT, to
address specific learning
goals.

Basic Education 4. Assessment 10. Worked collaboratively 1. Any proof of collaborative review if the test is designed based on its purpose 3.
Services and Reporting with colleagues to review (e.g. diagnostic, formative and summative)
the design, selection, 2. Any proof of collaborative review of the alignment of the test with the
organization and use of a curriculum
range of effective 2.1. formative test attached to a lesson plan
diagnostic, formative and 2.2. summative assessment with TOS
2.3. diagnostic test with its TOS
summative assessment
3. Others (Please specify and provide annotations)
strategies consistent with
curriculum requirements.

Basic Education 11. Interpreted 22.5% 1. Collaborative interpretation of the index of mastery obtained from 1 class 5.
Services collaboratively monitoring 2. Collaborative interpretation of item analysis of quarterly examinations
and evaluation strategies of 3. Collaborative interpretation of results of performance assessment
attainment data to support 4. Others (Please specify and provide annotations)
learner progress and
achievement.

Basic Education 12. Applied skills in the 1. Sample agreement for learners at risk signed by parents and corresponding 11.
Services effective communication of evidence of improvement
learner needs, progress and 2. Record of dialogue and/or parent-teacher conferences and corresponding
achievement to key evidence of improvement
 Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

stakeholders, including 3. Anecdotal record communicated to and signed by the learners and/or parents
parents/guardians. with corresponding evidence of improvement
4. Sample of learners' test results signed by parents and corresponding
evidence of improvement
5. Sample of accomplished rubrics given for performance task and
corresponding evidence of improvement
6. Attendance sheet/minutes of parent-teacher conference
7. Signed report cards of students at risk with corresponding evidence of
improvement
8. Correspondence notebook/letters/proof of communication using other
modalities (e.g. e-mail, SMS, etc.) and corresponding evidence of
improvement
9. Learners’ performance record
10. Others (Please specify and provide annotations)

5. Personal 13. Manifest a learner 1. Sample lesson plans of colleague/s with annotations about enhancing 5.
Growth and centered teaching their learner-centered teaching philosophy
Professional philosophy in various
Developmen aspects of practice and 2. Minutes of LAC session/s about enhancing teachers’ learner-centered
t support colleagues in teaching philosophy through lesson planning
enhancing their own
learner-centered teaching 3. LAC plan (refer to Annex 1 of DO 35, s. 2016) that details supporting
philosophy. teachers in enhancing their learner-centered teaching philosophy
through lesson planning

4. Lesson plan exemplar used during a Learning Action Cell (LAC)

session
 Weight per
MFOs KRAs Objectives Timeline Means of Verification ANNOTATION
KRA

14. Reflect on the Philippine 1. Updated IPCRF-DP from Phase II 6.

Professional Standards for
Teachers to plan personal 2. Mid-year Review Form (MRF)
professional development
goals and assist colleagues 3. Performance Monitoring and Coaching Form (PMCF)
in planning and achieving
their own goals. 4. IPCRF-DP

5. Certification from the ICT Coordinator / School Head / Focal Person

in charge of e- SAT and IPCRF-DP

Basic Education 6.. Plus Factor 15. Performed various 10% 1. Served as reliever of classes in the absence of teachers 16.
Services related works/activities that 2. Served as OIC in the absence of the principal
contribute to the teaching- 3. Represented the principal in meetings and conferences
learning process. 4. Observed classes of Teachers I-III
5. Assisted the school selection committee in the evaluation of credentials when
hiring or promoting teachers
6. Certificate of Recognition or Participation
7. Certificate of Training
8. Certificate of Speakership
9. Committee involvement
10. Advisorship of Co-curricular activities
11. Book or Journal Authorship/Co-authorship/Contributorship
12. Coordinatorship/Chairpersonship
13. Coaching and mentoring learners in competitions
14. Mentoring pre-service/in-service teachers
15. Others (Please specify and provide annotations)

JANONE A. CIBAL, HT – I PETER B. PAMA, JR. DR. HECTOR DM. MACALALAG, ASDS

Rater Ratee Approving Authority