INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for PROFICIENT TEACHERS (Teacher I-III, SPET I-IV, Special

Science Teacher I-II)

Name of Employee BALAMAD, JESSYL D. Name of Rater VALES, SUSAN P.

Position Teacher I Position Head Teacher II
Bureau/Center/Division Agusan del Sur Date of Review
School Sta. Fe National High School Rating Period S.y. 2021-2022

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

Performance Indicators

KRAs/ Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Rating

MFOs Domains Objectives Timeline Weight QET 5 4 3 2 1 Actual Results Q E T Ave. Score
Content 1. Applied knowledge SY 5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in 5 5.00 0.25
Knowledge of content within and across 2021- Objective 1 as shown in Objective 1 as shown in Objective 1 as shown in Objective 1 as shown in Objective 1 as shown in
and curriculum teaching areas 2022 COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- Demonstrated
Pedagogy observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement forms Level 7 in
or No acceptable evidence Objective 1 as
was shown shown in COT
rating sheets /
inter-observer
agreement
forms

Content 2. Used research-based SY 5% Quality Used Used research based Used Use of No acceptable evidence Used research 4 4.00 0.20
Knowledge knowledge and principles of 2021- research_x0002_based knowledge and/or research_x0002_based research_x0002_based was shown based
and teaching and learning to 2022 knowledge and/or principles of teaching and knowledge and/or knowledge and/or principle knowledge and/or
Pedagogy enhance professional practice principles of teaching and learning in two principles of teaching and of teaching and learning is principles of
learning in all the components of instruction learning in one component identified but was poorly teaching and
components of instruction in the lesson plan to of instruction in the lesson used as basis for learning in two
in the lesson plan to improve student learning plan to improve student planning / designing the components of
improve student learning learning lesson instruction in the
BASIC EDUCATION SERVICES

lesson plan to
improve student
learning
 BASIC EDUCAT

Content 3. Displayed proficient use of SY 5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in Demonstrated 5 5.00 0.25
Knowledge Mother Tongue, Filipino and 2021- Objective 3 as shown in Objective 3 as shown in Objective 3 as shown in Objective 3 as shown in Objective 3 as shown in Level 7 in
and English to facilitate teaching 2022 COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- Objective 3 as
Pedagogy and learning observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement forms shown in COT
or No acceptable evidence rating sheets /
was shown inter-observer
agreement forms

Content 4. Used effective verbal and SY 5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in Demonstrated 5 5.00 0.25
Knowledge non-verbal classroom 2021- Objective 4 as shown in Objective 4 as shown in Objective 4 as shown in Objective 4 as shown in Objective 4 as shown in Level 7 in
and communication strategies to 2022 COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- Objective 4 as
Pedagogy support learner observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement forms shown in COT
understanding, participation, or No acceptable evidence rating sheets /
engagement and achievement was shown inter-observer
agreement forms
BASIC EDUCATION SERVICES

Learning 5. Established safe and SY
Environme secure learning environments 2021-
nt to enhance learning through 2022
the consistent implementation
of policies, guidelines and
procedures
5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in Demonstrated 4 5.00 0.20
Objective 5 as shown in Objective 5 as shown in Objective 5 as shown in Objective 5 as shown in Objective 5 as shown in Level 6 in
COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets /inter- Objective 5 as
observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement shown in COT
forms or No acceptable rating sheets /
evidence was shown inter-observer
agreement forms

Performance Indicators
Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Rating
KRAs/
MFOs Domains Objectives Timeline Weight QET 5 4 3 2 1 Actual Results Q E T Ave. Score
Learning 6. Maintained learning SY 5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in Demonstrated 5 5.00 0.25
Environme environments that promote 2021- Objective 6 as shown in Objective 6 as shown in Objective 6 as shown in Objective 6 as shown in Objective 6 as shown in Level 7 in
nt fairness, respect and care to 2022 COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- Objective 6 as
encourage learning observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement forms shown in COT
or No acceptable evidence rating sheets /
was shown inter-observer
agreement forms
BASIC EDUCATION SERVICES
BASIC EDUCATION SERVICES
Learning 7. Maintained learning
Environme environments that nurture and 2021-
nt inspire learners to participate, 2022
cooperate and collaborate in
continued learning
Learning 8. Applied a range of
Environme successful strategies that
nt maintain learning
environments that motivate
learners to work productively
by assuming responsibility for
their own learning
BASIC EDUCATION SERVICES
Diversity of 9. Designed, adapted and
Learners, implemented teaching
Curriculum strategies that are responsive 2022
and to learners with disabilities,
Planning giftedness and talents
and
Assessmen
t and
Reporting
SY 5% Quality Provided effective and Provided effective learning Provided an effective Provided learning No acceptable evidence N/A 0.00 0.00
(Set A) varying learning opportunities that are learning opportunity that is opportunity/ies that is/are was shown
opportunities that are well_x0002_aligned with well-aligned with the partially aligned with the
well_x0002_aligned with the learning goals and learning goal/s and learning goal/s and only
the learning goals and engage learners to engage learners to somehow engage/s
feature all elements of participate, cooperate, participate, cooperate, learners to participate,
collaborative learning as and/or collaborate in and/or collaborate in cooperate, and/or
shown in the submitted continued learning as continued learning as collaborate in continued
learning material shown in the submitted shown in the submitted learning as shown in the
learning material learning material submitted learning material
Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in Demonstrated 5 5.00 0.25
(Set B) Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Objective 7 as shown in Level 7 in
COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- Objective 7 as
observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement shown in COT
forms or No acceptable rating sheets /
evidence was shown inter-observer
agreement forms
SY 5% Quality Applied effective teaching Applied effective teaching Applied an effective Applied teaching No acceptable evidence N/A 0.00 0.00
2021- (Set A) strategies that are strategies that are teaching strategy that is strategy/ies that is/are was shown
2022 well_x0002_aligned with well_x0002_aligned with well-aligned with the partially aligned with the
the learning goals and the learning goals and learning goal/s and learning goal/s and only
successfully motivate successfully motivate successfully motivates somehow motivate/s
learners to monitor and learners to work learners to work learners to work
evaluate their own learning productively by assuming productively by assuming productively by assuming
as shown in the submitted responsibility for their own responsibility for their own responsibility for their own
learning material learning as shown in the learning as shown in the learning as shown in the
submitted learning material submitted learning material submitted learning material
Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in Demonstrated 4 4.00 0.20
(Set B) Objective 8 as shown in Objective 8 as shown in Objective 8 as shown in Objective 8 as shown in Objective 8 as shown in Level 6 in
COT rating sheets / inter- COT rating sheets / COT rating sheets / inter- COT rating sheets / inter- COT rating sheets / inter- Objective 8 as
observer agreement inter-observer agreement observer agreement forms observer agreement forms observer agreement forms shown in COT
forms forms or No acceptable evidence rating sheets /
was shown inter-observer
agreement
forms
SY 5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in N/A 0.00 0.00
2021- (Set A) Objective 9 as shown in Objective 9 as shown in Objective 9 as shown in Objective 9 as shown in Objective 9 as shown in
COT rating sheets / inter- COT rating sheets / inter- COT rating sheets /inter- COT rating sheets / inter- COT rating sheets /inter-
observer agreement forms observer agreement forms observer agreement forms observer agreement forms observer agreement forms
or No acceptable
evidence was shown
 Learners, 2021-
Curriculum 2022
and
Planning
and
Assessmen
t and Quality Demonstrated Level 5 as Demonstrated Level 4 as Demonstrated Level 3 as Demonstrated Level 2 as Demonstrated Level 1 as Demonstrated 5 5.00 0.25
Reporting
(Set B) shown in the TRFs shown in the TRFs shown in the TRFs shown in the TRFs shown in the TRFs or No Level 5 as
acceptable evidence was shown in the
shown TRFs
Diversity of 10. Adapted and used SY 5% Quality Demonstrated Level 7 in Demonstrated Level 6 in Demonstrated Level 5 in Demonstrated Level 4 in Demonstrated Level 3 in N/A 0.00 0.00
Learners, culturally appropriate teaching 2021- (Set A) Objective 10 as shown in Objective 10 as shown in Objective 10 as shown in Objective 10 as shown in Objective 10 as shown in
Curriculum strategies to address the 2022 COT rating sheets / inter- COT rating sheets / inter- COT rating sheets /inter- COT rating sheets / inter- COT rating sheets / inter-
and needs of learners from observer agreement forms observer agreement forms observer agreement observer agreement forms observer agreement forms
Planning indigenous groups forms or No acceptable evidence
and was shown
Assessmen
t and Quality Demonstrated Level 5 as Demonstrated Level 4 as Demonstrated Level 3 as Demonstrated Level 2 as Demonstrated Level 1 as Demonstrated 4 4.00 0.20
Reporting (Set B) shown in the TRFs shown in the TRFs shown in the TRFs shown in the TRFs shown in the TRFs or No Level 4 as shown
acceptable evidence was in the TRFs
shown
11. Adapted and implemented SY 5% Quality Evaluated the adapted / Monitored progress of the Completed the Planned for the No acceptable evidence Evaluated the 5 5.00 0.25
learning programs that ensure 2021- contextualized learning adapted / contextualized implementation of the implementation of the was shown adapted /
relevance and responsiveness 2022 program as evidenced by learning program while adapted / contextualized adapted / contextualized contextualized
BASIC EDUCATION SERVICES

to the needs of all learners MOV No. 1 being implemented as learning program as existing learning program learning program
evidenced by MOV No. 2 evidenced by MOV No. 3 as evidenced by MOV No. as evidenced by
4 MOV No. 1

Diversity of 12. Utilized assessment data SY 5% Quality Implemented a teaching Developed materials Planned for a teaching and Analyzed learners’ No acceptable evidence Developed 4 4.00 0.20
Learners, to inform the modification of 2021- and learning strategy / based on learners’ learning strategy and/or mastered skills based on was shown materials based
Curriculum teaching and learning 2022 program using materials assessment data as program based on the frequency of errors and on learners’
and practices and programs based on learners’ evidenced by a list of learners’ assessment data correct responses as assessment data
Planning assessment data as identified least / most as evidenced by a list of evidenced by a list of as evidenced by a
and evidenced by a list of mastered skills with identified least / most identified least / most list of identified
Assessmen identified least / most supporting MOV No. 2 mastered skills with mastered skills least / most
t and mastered skills with supporting MOV No. 3 mastered skills
Reporting supporting MOV No. 1 with supporting
MOV No. 2
 Community 13. Maintained learning SY 5% Quality Collaborated with the Planned with the Conducted a consultative Communicated with the No acceptable evidence Collaborated with 5 5.00 0.25
Linkages environments that are 2021- community stakeholder in community stakeholders a meeting with the community stakeholders was shown the community
and responsive to community 2022 the implementation / program, project, and/or community stakeholders about a program, project, stakeholder in the
Profession contexts completion of a program, activity that maintains a on a program, project, and/or activity that implementation /
al project, and/or activity that learning environment and/or activity that maintains the learning completion of a
Engageme maintains a learning responsive to community maintains a learning environment responsive to program, project,
nt and environment responsive to contexts as evidenced by environment responsive to community contexts as and/or activity that
Personal community contexts as MOV No. 2 community contexts as evidenced by MOV No. 4 maintains a
Growth and evidenced by MOV No. 1 evidenced by MOV No. 3 learning
Profession environment
al responsive to
Developme community
nt contexts as
evidenced by
MOV No. 1

Performance Indicators
Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Actual Results Rating
KRAs/
MFOs Domains Objectives Timeline Weight QET 5 4 3 2 1 Q E T Ave. Score
Community 14. Reviewed regularly SY 5% Quality Exhibited an improved Exhibited an improved Reviewed personal Participated in the review No acceptable evidence 3 3.00 0.15
Linkages personal teaching practice 2021- practice through one’s practice through a teaching teaching practices using of personal teaching was shown
and using existing laws and 2022 teaching as impact of material as impact of laws and regulations that practices using laws and
Profession regulations that apply to the regularly reviewing one’s regularly reviewing one’s apply to the profession and regulations that apply to Reviewed
al teaching profession and the teaching practice/s using teaching practice/s using the responsibilities in the the profession and the personal teaching
Engageme responsibilities specified in the laws and regulations that laws and regulations that Code of Ethics for responsibilities in the Code practices using
nt and Code of Ethics for apply to the profession and apply to the profession and Professional Teachers in 4 of Ethics for Professional laws and
Personal Professional Teachers 1. the responsibilities in the the responsibilities in the quarters with reflection Teachers in 4 quarters as regulations that
Growth and Annotated video / audio Code of Ethics for Code of Ethics for outputs as evidenced by evidenced by MOV No. 4 apply to the
Profession recording of one’s teaching Professional Teachers as Professional Teachers as MOV No. 3 profession and
al that shows impact of regularly evidenced by MOV No. 1 evidenced by MOV No. 2 the responsibilities
Developme reviewing one’s teaching in the Code of
nt practice/s 2. Annotated Ethics for
teaching material that shows Professional
impact of regularly reviewing Teachers in 4
one’s teaching practice/s ● quarters with
lesson plan ● activity sheet ● reflection outputs
assessment materials ● as evidenced by
others (please specify) MOV No. 3
RVICES
 15. Complied with and
implemented school policies
and procedures consistently
to foster harmonious
relationships with learners,
parents, and other
stakeholders
BASIC EDUCATION SERVICES
SY 5% Quality Sustained engagement
2021- with the learners, parents /
2022 guardians, and other
stakeholders regarding
school policies and
procedures through
school_x0002_community
partnership/s as evidenced
by MOV no. 1
Discussed with learners, Communicated with
parents / guardians, and learners, parents /
other stakeholders the guardians, and other
implemented school stakeholders the
policies and procedures as implemented school
evidenced by MOV no. 2 policies and procedures as
evidenced by MOV no. 3
Implemented school No acceptable evidence Discussed with 4 4.00 0.20
policies and procedures was shown learners, parents /
without communicating guardians, and
and consulting the other stakeholders
learners, parents / the implemented
guardians, and other school policies
stakeholders and procedures
as evidenced by
MOV no. 2

16. Applied a personal
philosophy of teaching that is 2021-
learner-centered
SY 5% Quality Applied
learner_x0002_centered
2022 teaching philosophy in the
lesson plan in all the
components of instruction
in the lesson plan to
improve student learning
Applied Applied Application of learner- No acceptable evidence Applied 4 4.00 0.20
learner_x0002_centered learner_x0002_centered centered teaching was shown learner_x0002_ce
teaching philosophy in the teaching philosophy in the philosophy is reflected but ntered teaching
lesson plan in two lesson plan in one was poorly used as basis philosophy in the
components of instruction component of instruction in for planning / designing the lesson plan in two
in the lesson plan to the lesson plan to improve lesson. components of
improve student learning student learning instruction in the
lesson plan to
improve student
learning

17. Adopted practices that SY
uphold the dignity of teaching 2021-
as a profession by exhibiting 2022
qualities such as caring
attitude, respect and integrity
5% Quality Exhibited dignity of
teaching as a profession
by exhibiting qualities such
as caring attitude, respect,
and integrity with
affirmation from different
school stakeholders as
evidenced by at least two
MOV No. 1
Exhibited dignity of Adopted practices that Adopted a practice that No acceptable evidence Exhibited dignity 5 5.00 0.25
teaching as a profession uphold the dignity of uphold the dignity of was shown of teaching as a
by exhibiting qualities such teaching as a profession teaching as a profession profession by
as caring attitude, respect, by exhibiting qualities such by exhibiting qualities such exhibiting qualities
and integrity with as caring attitude, respect, as caring attitude, respect, such as caring
affirmation from any school and integrity as evidenced and integrity as evidenced attitude, respect,
stakeholder as evidenced by at least two MOV No. 2 by one MOV No. 2 and integrity with
by one MOV No. 1 affirmation from
different school
stakeholders as
evidenced by at
least two MOV
No. 1

Performance Indicators

KRAs/ Rating
MFOs Domains Objectives Timeline Weight QET Actual Results Score
 KRAs/
MFOs Domains Objectives
18. Set professional
development goals based on
the Philippine Professional
Standards for Teachers
BASIC EDUCATION SERVICES
Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Rating
Timeline Weight QET 5 4 3 2 1 Actual Results Q E T Ave. Score
SY 5% Quality Updated professional Discussed progress on Set professional Accomplished the e-SAT No acceptable evidence Updated 5 5.00 0.25
2021- development goals during professional development development goals based at the beginning of the professional
2022 Phase II of the RPMS goals with the rater during on e-SAT results as school year as evidenced development
Cycle as evidenced by the mid-year review as evidenced by MOV No. 3 by MOV No. 4 goals during
MOV No. 1 evidenced by MOV No. 2 Phase II of the
RPMS Cycle as
evidenced by
MOV No. 1

PLUS 19. Performed various related SY
FACTOR works / activities that 2021-
contribute to the
teaching_x0002_learning
process
10% Quality Performed at least 1
related work / activity that
2022 contributed to the
teaching_x0002_learning
process beyond the school
/ Community Learning
Center (CLC) as
evidenced by submitted
MOV
Performed at least 1
related work / activity that
contributed to the
teaching_x0002_learning
process within the school /
Community Learning
Center (CLC) as
evidenced by submitted
MOV
Performed at least 1
related work / activity that
contributed to the
teaching_x0002_learning
process within the learning
area / department as
evidenced by submitted
MOV
Performed at least 1 No acceptable evidence Performed at least 4 4.00 0.40
related work / activity that was shown 1 related work /
contributed to the activity that
teaching_x0002_learning contributed to the
process within the class as teaching_x0002_l
evidenced by submitted earning process
MOV within the school /
Community
Learning Center
(CLC) as
evidenced by
submitted MOV

100%
RATING FOR OVERALL ACCOMPLISHMENTS 4.450
Descriptive Rating VS
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

BALAMAD, JESSYL D. VALES, SUSAN P. ALBIS, MINERVA T., PhD

Ratee Rater Approving Authority
 NUMERICAL
ADJECTIVAL RATING DESCRIPTION OF MEANING OF RATING
RATING

Performance represents an extraordinary level of achievement and commitment in terms of quality and
time, technical skills and knowledge, ingenuity, creativity and initiative. Employees at thus performance
5 Outstanding
level should have demonstrated exceptional job mastery in all major areas of responsiblity. Employee
achievement and contribution to the organization are of marked excelence.

Performance exceeded expectations. All goals, objectives and targets were achieved above the established
4 Very Satisfactory
standards.
Performance met expectation in terms of quality of work, efficiency and timeliness. The most critical annual
3 Satisfactory
goals are met.

2 Unsatisfactory Performance failed to meet expectations, and/or one or more of the most critical goals were not met.

Performance was consistently below expectations, and/or reasonable progress toward critical goals was not
1 Poor
made. Significant improvement is needed in one or more important areas.
This rating scale is based on the Civil Service Commision Memorandum Circular No. 06, series of 2012 that sets the guidelines on the establishment and implementation of the Strategic Performance
Management System (SPMS) in all government agencies.

RANGE ADJECTIVAL RATING SCALE DEFINITION

4.500 - 5.000 Outstanding 5 Role Model
3.500 - 4.499 Very Satisfactory 4 Consistently demonstrates
2.500 - 3.499 Satisfactory 3 Most of the time demonstrates
1.500 - 2.499 Unsatisfactory 2 Sometimes demonstrates
below 1.499 Poor 1 Rarely demonstrates
The overall rating/assessment for the accomplishments Competencies shall be monitored for developmental purposes. In
shall fall within the following adjectival ratings and shall evaluating the individual's demonstration of competencies, this rating
be in three (3) decimal points. scale shall apply.

Grievances and Appeals

1. A grievance Committee shall be created in each level of the The ratee, however, shall not be allowed to protest the performance ratings of co-employees.
organization to act as appeals board and final arbiter of all issues Ratings obtained by the ratee can used as basis for reference for comparison in appealing the
relating to the implementation of RPMS. individual performance rating.

2. The office performance assessment as discussed in the performance
review and evaluation phase shall be final and not appealable. Any
issue/appeal on the initial performance assessment of an office shall be
discussed and decided during the performance review conference.
4. The Grievance Committee shall decide on the appeals within one (1) month from receipt.
Appeals lodged at any grievance Committee shall follow the hierarchical jurisdiction of various
Grievance Committees within the agency. For example, the decision of the Division Grievance
Committee is appealable to the Regional Grievance Committee, which decision is in turn
appealable to the Central Office Grievance Committee.

3. Individual employees who feel aggrieved or dissatified with their final

performance ratings can file an appeal with the Grievance Committee at
their level within ten (10) working days from date of receipt of notice of 5. The decision of the Central Office Grievance Committee is final.
their final performance evaluation rating from the rater.
 PART II: COMPETENCIES

CORE BEHAVIORAL COMPETENCIES CORE SKILLS

Self-Management
5 Sets personal goals and direction, needs and development.
5 Undertakes personal actions and behaviors that are clear and purposive and takes
into account personal goals and values congruent to that of the organization.
5 Displays emotional maturity and enthusiasm for and is challenged by higher goals.
4 Prioritize work tasks and schedules (through grant chart, checklists, etc.) to
achieve goals.
4 Sets high quality, challenging, realistic goals for self and other.
Professionalism and Ethics
5 Demonstrates the values and behavior enshrined in the Norms of Conduct and
Ethical Standards for public officials and employees (RA 6713).
5 Practices ethical and professional behavior and conduct taking into account the
impact of his/her actions and decisions.
5 Maintains a professional image: being trustwothy, regularity of attendance and
punctuality, good grooming and communication.
4 Makes personal sacrifices to meet the organization's needs.
4 Acts with a sense of urgency and responsibility to meet the organization's needs,
improve systems and help others improve their effectiveness.
Result Focus
5 Achieves results with optimal use of time and resources most of the time.
5 Avoids rework, mistakes and wasted through effective work methods by placing
organizational needs before personal needs.
4 Delivers error-free outputs most of the time by conforming to standard operating
procedures correctly and consitently. Able to produce very satisfactory quality of work
in terms of usefulness/acceptability and completeness with no supervisio required.
5 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.
4 Makes specific changes in the system or in own work method to improve performance.
Examples may include doing something better, faster, at a lower cost, more efficiently;
or improving quality, customer satisfaction, marale, without setting any specific goal.
Teamwork
5 Willingly does his/her share of resposibility.
5 Promotes collaboration and removes barriers to teamwork and goal accomplishment
across the organization.
5 Applies negotiation principles in arriving at win-win agreements.
5 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
4 Can explain and articulate organizational directions, issues and problems.
4 Takes personal responsibility for dealing with and/or correcting customer service
issues and concerns.
4 Initiates activities that promotes advocacy for men and women empowerment.
5 Participates in updating of office vision, mission, mandates and strategies based on
DepEd Strategies and directions.
4 Develops and adopts service improvement programs through simplified procedures
that will further enhance service delivery.
Innovation
5 Examines the root cause of problems and suggests effective solution. Fosters new
ideas, processes and suggests better ways to do things (cost and/or operational
efficiency).
4 Demonstrates an ability to think "beyond the box". Continuously focuses on improving
personal productivity to create higher value and results.
5 Promotes a creative climate and inspires co-workers to develop original ideas or
solutions.
3 Translates creative thinking into tangible changes and solutions that improve the work
unit and organization.
3 Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness
and the ability to succeed with minimal resources.
Oral Communication
5 Follows instructions accurately.
5 Expresses self clearly, fluently and articulately.
5 Uses appropriate medium for the message.
5 Adjust communication style to others.
4 Guides discussions between and among peers to meet an objective.
Written Communication
4 Knows the different written business communication formats used
in the Deped
5 Writes routine correspondence/communications, narrative and desciptive
report based on readily available information data with minimal spelling
or grammatical error/s (e.g. Memos, minutes, etc.).
4 Secures information from required references (i.e., Directories, schedules,
notices, instructions) for specefic purposes.
5 Self- edits words, numbers, phonetic notation and content, if necessary.
4 Demonstrates clarity, fluency, impact, conscience and effectiveness in his/
her written communications.
Computer/ICT Skills
5 Prepares basic compositions (e.g., letters, reports, spreadsheets and
graphics presentation using Word Processing and Excel.
5 Identifies different computer parts, turns the computer on/off, and work on
a given task with acceptable speed and accuracy and connects
computer peripherals ( e.g. Printers, modems, multimedia projectors, etc).
4 Prepares simple presentation using Powerpoint.
5 Utilizes technologies to: access information to enhance professional
productivity, assists in conducting research and communicate through local
and global professional networks.
4 Recommends appropriate and updated technology to enhance productivity
and professional practice.

OVERALL COMPETENCY RATINGS

CORE BEHAVIORAL COMPETENCIES 4.50
CORE SKILLS 4.60
OVERALL RATING 4.55
 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance results Rating Adjectival Rating

Accomplishments of KRAs and Objectives 4.45 Very Satisfactory

Rater- Ratee Agreement

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

Name of Employee BALAMAD, JESSYL D. Name of Superior VALES, SUSAN P.

Signature Signature
Date July 07, 2022 Date July 07, 2022

PART IV: DEVELOPMENTAL PLANS

Strengths Developmental Needs Action Plan Timeline Resources Needed

A. FUNCTIONAL COMPETENCIES (Recommended Developmental
Attend seminars, trainings and Year round MOOE,
Professional Development programs personal fund
Obj. 8 Applied a range of successful strategies and apply the lessons learned in the
Obj. 1. Applied knowledge
of content within and across
that maintain learning environments that actual teaching; Coaching and
motivate learners to work productively by mentoring; Strengthen the best
curriculum teaching areas Obj.
assuming responsibility for their own learning
4. Used effective verbal and non-
Obj. 14 Reviewed regularly practices and improve weak points
verbal classroom communication
personal teaching practice using existing laws
strategies to support learner
and regulations that apply to the teaching
understanding, participation,
profession and the responsibilities specified in
engagement and achievement
the Code of ethics for Professional Teachers

B. CORE BEHAVIORAL COMPETENCIES

Self management Year round MOOE,
Teamwork Attend seminars, trainings and personal fund
Professionalism and Ethics Professional Development programs
Service Orientation and apply the lessons learned in the
Innovation actual teaching; Coaching and
mentoring; Strengthen the best
practices and improve weak points

BALAMAD, JESSYL D. VALES, SUSAN P. ALBIS, MINERVA T.

Ratee Rater Approving Authority
 IPCRF RATING ENCODING FORM FOR PROFIIENT TEACHERS (Teacher I-III, SPET I-IV, Special Science Teacher I-II)

Name of Employee FUERTES, APRIL ANNE P. Rater: DELOPERE, JOSEPH R. Region: XIII-Caraga
Position Teacher III Position: Principal III Division: Agusan del Sur
Employee ID #: 304712 Date of Review: July 07, 2022 District/MunicipalityESPERANZA II
Employment Status Permanent Rating Period S.Y. 2021-2022 School ID: 317415
COT/Supp. COT/Supp.
Mat./TRF 1 Mat./TRF 2 COT 3 COT 4 IPCRF Numerical Ratings
COT
KRA/ Weight per Weight per Indicator RPMS 5-pt RPMS 5-pt RPMS 5- RPMS 5- Adjectival
Domain KRA OBJECTIVES Objective No. Rating Scale Rating Scale Rating pt Scale Rating pt Scale AVE. Q E T Ave. Score Rating
1 Objective 1 5% 1 7 5 7 5 5 5 5.000 0.250 O
1 Objective 2 5% 4 4.000 0.200 VS
1 Objective 3 5% 2 7 5 7 5 5 5 5.000 0.250 O
1 20% Objective 4 5% 3 7 5 7 5 5 5 5.000 0.250 O
2 Objective 5 5% 4 6 4 6 4 4 4 4.000 0.200 VS
2 Objective 6 5% 5 6 4 7 5 5 5 5.000 0.250 O
2 Objective 7 5% 6 7 5 7 5 5 5 5.000 0.250 O
2 20% Objective 8 5% 7 6 4 6 4 4 4 4.000 0.200 VS
3 Objective 9 5% 8 5 5 5 5 5 5 5.000 0.250 O
3 Objective 10 5% 9 4 4 4 4 4 4 4.000 0.200 VS
3 Objective 11 5% 5 5.000 0.250 O
3 20% Objective 12 5% 4 4.000 0.200 VS
4 Objective 13 5% 5 5.000 0.250 O
4 Objective 14 5% 3 3.000 0.150 S
4 Objective 15 5% 4 4.000 0.200 VS
4 Objective 16 5% 4 4.000 0.200 VS
4 Objective 17 5% 5 5.000 0.250 O
4 30% Objective 18 5% 5 5.000 0.250 O
PLUS
FACTOR 10% Objective 19 10% 4 4.000 0.400 VS
FINAL RATING 4.450
ADJECTIVAL RATING Very Satisfactory
FUERTES, APRIL ANNE P. DELOPERE, JOSEPH R. ALBIS, MINERVA T., PHD
Ratee Rater Approving Authority
AVE.
5.000

5.000
5.000
4.000
4.500
5.000
4.000
5.000
4.000