Republic of the Philippines

Department of Education
Region V
Schools Division of Camarines Sur
HANAWAN NATIONAL HIGH SCHOOL
Hanawan, Ocampo, Camarines Sur
S/Y 2021-2022
Individual Performance Commitment and Review Form (IPCRF) for Teacher I-III
Name of Employee: LELBEE S. BARTOLABAC Name of Rater: MADELIN T. LONTAYAO
Position: TEACHER I Position: Master Teacher I
Review Period: SEPTEMBER 13, 2021 to JULY 2, 2022 Date of Review: SEPTEMBER 27,2021
Bureau/Center/Service/Division: SDO - CAMARINES SUR
TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION
Performance Indicator RATING
MFOs KRAs OBJECTIVES TIMELINE QET VERY UNSATISFACTORY ACTUAL RESULTS
OUTSTANDING (5) SATISFACTORY (3) POOR (1) Q E T AVE SCORE
SATISFACTORY (4) (2)

1. Applied knowledge of September Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated Level 3
content within and 2021 to Level 7 in Objective 6 in Objective 1 as Level 5 in Objective 4 in Objective 1 as in Objective 1 as
across curriculum June 2022 1 as shown in COT shown in COT rating 1 as shown in COT shown in COT rating shown in COT rating
teaching areas. rating sheets/ inter- sheets/ inter- rating sheets/ inter- sheets/ inter- sheets/inter-observer
observer agreement observer agreement observer agreement observer agreement agreement forms
forms forms forms forms or
No acceptable
1. Content Knowledge and Pedagogy

evidence was shown

BASIC EDUCATION SERVICES

Efficiency
Timeliness
2.Ensured the positive September Quality Ensured that the Ensured that the ICT Ensured that the Ensured that the ICT No acceptable
use of ICT to facilitate 2021 to ICT used redefine used augment and ICT used modify used but do not evidence was shown
the teaching and June 2022 and transfrom enrich learning processes and create a new
learning process learning experiences and are improve learning learning
experiences and documented experiences and experiences and/or
are documented properly and are documented are documented
properly and consistently using properly and properly and
consistently using any referencing consistently using consistently using
any referencing style as shown in any referencing any referencing
style as shown in the submitted style as shown in style as shown in
the submitted learning material the submitted the submitted
learning material learning material learning material

Efficiency
 Timeliness
3. Applied a range of YEAR- Quality Applied teaching Applied teaching Applied teaching Applied teaching No acceptable
teaching strategies to ROUND strategies that strategies that strategies that strategies that lead evidence was shown
1. Content Knowledge and Pedagogy
develop critical and challenge learners require learners to require learners to learners along a
BASIC EDUCATION SERVICES

creative thinking as well to draw make connections describe and single path of
as other Higher order conclusions and using ideas learned explain ideas injury and/or to
Thinking Skills. justify their as shown in the learned as shown simple recall and
thinking or put submitted learning in the submitted rote memorization
parts together to material learning material of concepts as
promote deeper shown in the
understanding or submitted learning
ideas learned as material
shown in the
submitted learning
material
Efficiency

Timeliness
4. Established September Quality Utilized effective Utilized effective Utilized effective Utilized effective No acceptable
a learnercentered 2021 to teaching teaching strategies teaching teaching strategy evidence was shown
culture by June 2022 strategies that are that are appropriate strategies that is or strategies that
using teaching appropriate in in responding to appropriate in partially respond to
strategies that responding to learners', linguistic, responding to learners', linguistic,
respond to learners', linguistic, cultural, learners', linguistic, cultural,
2. Diversity of Learners & Assessment and Reporting

their linguistic, cultural, socioeconomic, or cultural, socioeconomic, or

cultural, socioeconomic, or religious at a group socioeconomic, or religious
socioeconomic religious at an level* as shown in religious backgrounds as
and religious individual level* as submitted learning backgrounds as shown in submitted
BASIC EDUCATION SERVICES

backgrounds shown in submitted material shown in submitted learning material

learning material learning material

Efficiency
Timeliness
5. Plan and delivered September Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated Level 3
teaching strategies that 2021 to Level 7 in Objective 6 in Objective 5 as Level 5 in Objective 4 in Objective 5 as in Objective 5 as
are responsive to the June 2022 5 as shown in COT shown in COT rating 5 as shown in COT shown in COT rating shown in COT rating
special educational rating sheets/ inter- sheets/ inter- rating sheets/ inter- sheets/ inter- sheets/ inter-observer
needs of learners in observer agreement observer agreement observer agreement observer agreement agreement forms
difficult circumtances*, forms forms forms forms No acceptable
including geographic evidence was shown
isolation; chronic illness;
displacement due to
armed conflict , urban
resetlement or disasters;
child abuse and child Efficiency
labor practices
Timeliness
 6. Used strategies for September Quality Provide learners Provide learners with Provide learners Provide learners with No acceptable
2021 to

2. Diversity of Learners & Assessment and

providing timely, with accurate and accurate and with accurate and inaccurate and/ or evidence was shown
accurate and June 2022 specific and specific general destructive
BASIC EDUCATION SERVICES

constructive feedback to directed constructive constructive feedback* as shown

improve learner constructive feedback* as shown feedback* as in the evidence
performance feedback* as in the evidence shown in the submitted
shown in the submitted evidence submitted
Reporting

evidence submitted

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

7. Selected, developed, September Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated Level 3
organized and used 2021 to Level 7 in Objective 6 in Objective 7 as Level 5 in Objective 4 in Objective 7 as in Objective 7 as
appropriate teaching June 2022 7 as shown in COT shown in COT rating 7 as shown in COT shown in COT rating shown in COT rating
and learning resources rating sheets/ inter- sheets/ inter- rating sheets/ inter- sheets/ inter- sheets/ inter-observer
including ICT to address observer agreement observer agreement observer agreement observer agreement agreement forms
learning goals forms forms forms forms No acceptable
BASIC EDUCATION SERVICES

evidence was shown

3. Curriculum and Planning

Efficiency

Timeliness

8. Set achievable and September Quality All of the learning Majority of the Half of the learning Less than half of the No acceptable
appropriate learning 2021 to outcomes set are learning outcomes outcomes set are learning outcomes evidence was shown
outcomes that are June 2022 aligned with the set are aligned with aligned with the set are aligned with
aligned with learning learning the learning learning the learning
competencies competencies as competencies as competencies as competencies as
shown in the MOV shown in the MOV shown in the MOV shown in the MOV
submitted submitted submitted submitted

Efficiency
Timeliness
 9. Built relationships with September Quality Sustained Secured Communicated Communicated No acceptable
parents/ guardians and 2021 to engagement with collaboration with with and obtained with parents/ evidence was shown
the wider school June 2022 parents/ guardians parents/ guardians response from guardians and/or
community to facilitate and/or wider school and/or wider school parents/ guardians wider school
involvement in the community to community to and/or wider schoolcommunity to
educative process facilitate facilitate community to facilitate
involvement in the involvement in the facilitate involvement in the
educative process educative process involvement in the educative process
as evidenced by 2 as evidenced by educative process but received no
or more of MOV no. oneMOV no. 1 or 2 as evidenced by response/reply as
4. Community Linkages and Professional Engagement & Personal Growth and Professional Development

1 or 2 MOV No. 3 evidenced by MOV

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

Timeliness
10. Participated in September Quality Participated in any Participated in any Participated in any Participated in any No acceptable
professional networks to 2021 to professional professional professional professional evidence was shown
share knowledge and to June 2022 network/ activity network/ activity that network/ activity network/ activity that
BASIC EDUCATION SERVICES

enhance practice that requires requires output* that requires does not requires
output* and proof and proof of output* to share output to share
of implementation** knowledge and to knowledge and to
implementation** within the enhance practice as enhance practice as
within the school department/ grade evidenced by the evidenced by the
to share knowledge level school to submitted MOV submitted MOV
and to enhance share knowledge
practice as and to enhance
evidenced by the practice as
submitted MOV evidenced by the
submitted MOV

Efficiency Submitted 4 Submitted 3 Submitted 2 Submitted any 1 of No acceptable

different kinds of different kinds of different kinds of the acceptable MOV evidence was shown
acceptable MOV*** acceptable MOV*** acceptable MOV***

Timeliness
11. Developed a September Quality Updated the Discussed proress Accomplished the Accomplished No acceptable
personal improvement 2021 to Development Plan on the Development Plan theStrength and evidence was shown
plan based on reflection June 2022 and approved by Development Plan from learning development Needs
of one's practice and the rater during and approved by objective up to portion of the
ongoing professional Phase II of the the rater to check resources needed Development Plan
learning RPMS cycle whether to address after self-
development Needs Development needs assessment at the
were addressed during Phase I of beginning of the
the RPMS cycle school year
 Efficiency Submitted the Submitted the Submitted the Submitted the No acceptable
IPCRF-DP with any IPCRF-DP with any IPCRF-DP with any IPCRF-DP with any evidence was shown
4 of the acceptable 3 of the acceptable 2 of the acceptable 1 of the acceptable
supporting MOV* supporting MOV* supporting MOV* supporting MOV*

Timeliness

12. Performed varius September Quality Performed at least 1 Performed at least 1 Performed at least 1 Performed at least 1 No acceptable
related works/activities 2021 to related work/ related work/ activity related work/ related work/ activity evidence was shown
that contribute to the June 2022 activity that that contributed to activity that that contributed to
BASIC EDUCATION SERVICES

teaching-learning contributed to the the teaching-learning contributed to the the teaching-learning

process. teaching-learning process within the teaching-learning process within the
process beyond school/ community process within the class as evidenced
the school/ Learning Center learning area/ by submitted MOV
5.Plus Factor

community (CLC) as evidenced department as

Learning Center by submitted MOV evidenced by
(CLC) as evidenced submitted MOV
by submitted MOV

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

RATING FOR OVERALL ACCOMPLISH-MENTS

ADJECTIVAL RATING
Adjectival Rating Scale
4.500 - 5.000 - Outstanding
3.500 - 4.499 - Very Satisfactory
2.500 - 3.499 - Satisfactory
1.500 - 2.499 - Unsatisfactory
1.000 - 1.499 - Poor

RATER- RATE AGREEMENT

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

Name of Ratee: Name of Rater: Approved

LELBEE S. BARTOLABAC MADELIN T. LONTAYAO NOEMI B. CALLOPE

Teacher I Master Teacher I Officer-In-Charge
Signature Signature Signature

Date: September 27, 2021 Date: September 27, 2021 Date: September 27,2021