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Name of Employee: JUAN A.

DELA CRUZ Rater: JUANA DELA CRUZ Region:


Position: TEACHER I Position: PRINCIPAL I Division:
Employee ID No: Date of Review: District/Municipality:
Employment Status: Rating Period: School Name:
Age: School ID:
Number of Years in Teaching: School Type:
Level Taught: Highest Degree Obtained: School Small:
Grade level Taught: Curr. Classification:
Subject Taught: Area of Specialization

COT 1 COT 2
COT Other MOV Other MOV IPCRF Numerical Ratings
Weight Weight per
KRA Objectives Indicator Ave Score Adjectival Rating
per KRA Objective RPMS RPMS
Number Rating Rating Rating Rating Q E T Average
5-pt Scale 5-pt Scale
Objective 1 5.0% 1 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 2 5.0% 2 5 5 0.250 Satisfactory
KRA 1 20.00%
Objective 3 5.0% 2 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 4 5.0% 3 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 5 5.0% 4 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 6 5.0% 5 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
KRA 2 20.00%
Objective 7 5.0% 6 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 8 5.0% 7 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 9 5.0% 8 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 10 5.0% 9 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
KRA 3 20.00%
Objective 11 5.0% 5 5 0.250 Satisfactory
Objective 12 5.0% 5 5 0.250 Satisfactory
Objective 13 5.0% 5 5 0.250 Satisfactory
Objective 14 5.0% 5 5 0.250 Satisfactory
Objective 15 5.0% 5 5 0.250 Satisfactory
KRA 4 30.00%
Objective 16 5.0% 5 5 0.250 Satisfactory
Objective 17 5.0% 5 5 0.250 Satisfactory
Objective 18 5.0% 5 5 0.250 Satisfactory
Plus Factor 10% Objective 19 10.0% 5 5 0.500 Outstanding
Final Rating #DIV/0!
Date Observed
Adjectival Rating #DIV/0!
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for Teachers I-III
Name of Employee: JUAN A. DELA CRUZ Name of Rater: JUANA DELA CRUZ
Position: TEACHER I Position: PRINCIPAL I
Bureau/Center/Service/Division: Department of Education/ Division of Quezon Date of Review: 0
Rating Period: 0

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


Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 1. Content 1. Applied September Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated #DIV/0! ### #DIV/0! #DIV/0!
Services Knowledge and knowledge of 2021-July Level 7 in Objective Level 6 in Objective Level 5 in Objective Level 5 in Objective Level 3 in Objective 1
Pedagogy content within and 2022 1 as shown in COT 1 as shown in COT 1 as shown in COT 1 as shown in COT as shown in COT
rating sheets
across curriculum rating rating rating rating
/interobserver
teaching areas. sheets/interobserve sheets/interobserve sheets/interobserve sheets/interobserve agreement forms
r agreement forms r agreement forms r agreement forms r agreement forms or No acceptable
5.0% evidence was
shown

Efficiency
Timeliness
Basic Education 2. Used September Quality Used Used Used Use of No acceptable Used researchbased 5 5.000 0.250
Services researchbased 2021-July researchbased researchbased researchbased researchbased evidence was knowledge and/or
knowledge 2022 knowledge and/or knowledge knowledge knowledge shown principles of teaching
and principles principles of and/or and/or and/or principle and learning in all the
of teaching teaching and principles of principles of of teaching and components of
and learning to learning in all the teaching and teaching and learning is instruction in the
enhance components of learning in two learning in one identified but lesson plan to
professional instruction in the components of component of was poorly improve student
practice lesson plan to instruction in instruction in used as basis learning
5.0% improve student the lesson the lesson for planning /
learning plan to plan to designing the
improve improve lesson
student student
learning learning

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 1. Content 3.Displayed September Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated #DIV/0! ### #DIV/0! #DIV/0!
Services Knowledge and proficient use 2021-July Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Objective
Pedagogy of Mother 2022 Objective 3 as Objective 3 as Objective 3 as Objective 3 as 3 as shown in COT
Tongue, shown in COT shown in COT shown in COT shown in COT rating sheets / inter-
Filipino and rating sheets / rating sheets / rating sheets / rating sheets / observer
English to inter-observer inter-observer inter-observer inter-observer agreement forms or
facilitate 5.0% agreement forms agreement agreement agreement forms No acceptable
teaching and forms forms evidence was
learning shown

Efficiency
Timeliness
Basic Education 4. Used September Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated #DIV/0! ### #DIV/0! #DIV/0!
Services effective verbal 2021-July Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Objective
and non-verbal 2022 Objective 4 as Objective 4 as Objective 4 as Objective 4 as 4 as shown in COT
classroom shown in COT shown in COT shown in COT shown in COT rating sheets / inter-
communication rating sheets / rating sheets / rating sheets / rating sheets / observer
strategies to inter-observer inter-observer inter-observer inter-observer agreement forms or
support learner 5.0% agreement agreement agreement agreement forms No acceptable
understanding, forms forms forms evidence was
participation, shown
engagement
and
achievement Efficiency
Timeliness
Basic Education 2. Learning 5. Established September Quality Demonstrated Demonstrated Demonstrated Demonstrated No acceptable #DIV/0! ### #DIV/0! #DIV/0!
Services Environment safe and secure 2021-July Level 7 in Level 6 in Level 5 in Level 4 in evidence was
learning 2022 Objective 5 as Objective 5 as Objective 5 as Objective 5 as shown
environments to shown in COT shown in COT shown in COT shown in COT
enhance rating rating rating rating
learning through 5.0% sheets/ sheets/ sheets/ sheets/
the consistent interobserver interobserver interobserver interobserver
implementation agreement forms agreement forms agreement forms agreement forms
of policies,
guidelines and Efficiency
procedures Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 2. Learning 6.Maintained September Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated #DIV/0! ### #DIV/0! #DIV/0!
Services Environment learning 2021-July Level 7 in Objective Level 6 in Objective Level 5 in Objective Level 4 in Objective Level 3 in Objective
environments 2022 6 as shown in COT 6 as shown in COT 6 as shown in COT 6 as shown in COT 6 as shown in COT
that promote rating sheets rating sheets rating sheets rating sheets rating sheets
fairness, /interobserver /interobserver /interobserver /interobserver /interobserver
respect and agreement forms agreement forms agreement forms agreement forms agreement forms
care to 5.0% or No acceptable
encourage evidence was
learning shown

Efficiency
Timeliness
Basic Education 7. Maintained September Quality Set A Set A Set A Set A Set A #DIV/0! ### #DIV/0! #DIV/0!
Services learning 2021-July
environments 2022 Provided effective Provided effective Provided an Provided learning No acceptable
that nurture and varying learning effective learning opportunity/ies that evidence was
and inspire learning opportunities that opportunity that is is/are partially shown
learners to opportunities that are wellaligned with well-aligned with aligned with the
participate, are wellaligned with the learning goals the learning goal/s learning goal/s and
cooperate the learning and engage and engage only somehow
and goals and feature learners to learners to engage/s learners
collaborate in all elements of participate, participate, to participate,
continued collaborative cooperate, and/or cooperate, and/or cooperate, and/or
learning learning as shown collaborate in collaborate in collaborate in
in the submitted continued learning continued learning continued learning
learning as shown in the as shown in the as shown in the
material submitted learning submitted learning submitted learning Set B
material material material Demonstrated
5.0% Set B Level 3 in
Demonstrated Set B Set B Set B Objective 7 as
Level 7 in Demonstrated Demonstrated Demonstrated shown in COT
Objective 7 as Level 6 in Objective Level 5 in Level 4 in rating sheets /
shown in COT 7 as shown in COT Objective 7 as Objective 7 as inter-observer
rating sheets / rating sheets / inter- shown in COT shown in COT agreement
inter-observer observer rating sheets / rating sheets / forms
agreement agreement forms inter-observer inter-observer or
forms agreement forms agreement forms No acceptable
evidence was
shown

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 2. Learning 8. Applied a September Quality Set A Set A Set A Set A No acceptable #DIV/0! ### #DIV/0! #DIV/0!
Services Environment range of 2021-July evidence was
successful 2022 Applied Applied Applied an Applied shown
strategies effective effective effective teaching
that maintain teaching teaching teaching strategy/ies
learning strategies that strategies that strategy that is that is/are
environments are wellaligned are wellaligned well-aligned partially
that motivate with the with the with the learning aligned with the
learners to learning goals learning goals goal/s and learning goal/s
work and and successfully and only
productively successfully successfully motivates somehow
by assuming motivate motivate learners to motivate/s
responsibility learners to learners to work learners to
for their own monitor and work productively by work
learning evaluate their productively by assuming productively by
own learning assuming responsibility for assuming
as shown in the responsibility for their own responsibility for
submitted their own learning as their own
5.0% learning material learning as shown in the learning as
shown in the submitted shown in the
submitted learning material submitted
learning material learning material

Set B Set B Set B Set B Set B

Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated


Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
Objective 8 as Objective 8 as Objective 8 as Objective 8 as Objective 8 as
shown in COT shown in COT shown in COT shown in COT shown in COT
rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
inter-observer inter-observer inter-observer inter-observer inter-observer
agreement agreement agreement agreement agreement
forms forms forms forms forms
or
No acceptable
evidence was
Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 3. Diversity of 9. Designed, September Quality Set A Set A Set A Set A Set A #DIV/0! ### #DIV/0! #DIV/0!
Services Learners, adapted and 2021-July
Curriculum and implemented 2022 Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated
Planing, and teaching Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
Assessment strategies Objective 9 as Objective 9 as Objective 9 as Objective 9 as Objective 9 as
and Reporting that are shown in COT shown in COT shown in COT shown in COT shown in COT
responsive to rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
learners with inter-observer inter-observer inter-observer inter-observer inter-observer
disabilities, agreement agreement agreement agreement agreement
giftedness forms forms forms forms forms
and talents or
Set B No acceptable
Set B Set B Set B evidence was
Demonstrated shown
Level 5 as Demonstrated Demonstrated Demonstrated
5.0% shown in the Level 4 as Level 3 as Level 2 as Set B
TRFs shown in the shown in the shown in the
TRFs TRFs TRFs Demonstrated
Level 1 as
shown in the
TRFs

or
No acceptable
evidence was
shown

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Communia3. 10. Adapted September Quality Set A Set A Set A Set A Set A #DIV/0! ### #DIV/0! #DIV/0!
Services Diversity of and used 2021-July
Learners, culturally 2022 Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated
Curriculum and appropriate Level 7 in Objective Level 6 in Level 5 in Level 4 in Level 3 in
Planing, and teaching 10 as shown in Objective 10 as Objective 10 as Objective 10 as Objective 10 as
Assessment strategies to COT rating sheets / shown in COT shown in COT shown in COT shown in COT
and Reportingty address the inter-observer rating sheets / rating sheets / rating sheets / rating sheets /
Linkages and needs of agreement forms inter-observer inter-observer inter-observer inter-observer
Professional learners agreement agreement agreement agreement
Engagement & from forms forms forms forms
Personal indigenous or
Growth and groups No acceptable
Professional evidence was
Development Set B shown
5.0% Demonstrated Set B Set B Set B Set B
Level 5 as shown in
the TRFs Demonstrated Demonstrated Demonstrated Demonstrated
Level 4 as Level 3 as Level 2 as Level 1 as
shown in the shown in the shown in the shown in the
TRFs TRFs TRFs TRFs
or
No acceptable
evidence was
shown

Efficiency
Timeliness
Basic Education 11. Adapted and September Quality Evaluated the Monitored Completed the Planned for the No Evaluated the 5 5.000 0.250
Services implemented 2021-July adapted / progress of the implementation implementation acceptable adapted /
learning 2022 contextualized adapted / of the adapted / of the adapted / evidence was contextualized
programs that learning contextualized contextualized contextualized shown learning
ensure program as learning learning existing learning program as
relevance and evidenced by program while program as program evidenced by
responsiveness 5.0% MOV No. 1 being evidenced by as evidenced by MOV No. 1
to the needs of implemented as MOV No. 3 MOV No. 4
all learners evidenced by
MOV No. 2

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 3. Diversity of 12.Utilized September Quality Implemented Developed Planned for a Analyzed No acceptable Implemented 5 5.000 0.25
Services Learners, assessment 2021-July a teaching and materials teaching and learners’ evidence was a teaching and
Curriculum and data to inform 2022 learning based on learning mastered skills shown learning
Planing, and the strategy / learners’ strategy and/or based on the strategy /
Assessment modification of program using assessment program based frequency of program using
and Reporting teaching and materials data as on learners’ errors and materials
learning based on evidenced by a assessment correct based on
practices and learners’ list of identified data as responses as learners’
programs assessment least / most evidenced by a evidenced by a assessment
data as mastered skills list of identified list of identified data as
5.0%
evidenced by a with supporting least / most least / most evidenced by a
list of identified MOV No. 2 mastered skills mastered skills list of identified
least / most with supporting least / most
mastered skills MOV No. 3 mastered skills
with supporting with supporting
MOV No. 1 MOV No. 1

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Community 13. Maintained September Quality Collaborated Planned with Conducted a Communicated No acceptable Collaborated 5 5.000 0.25
Services Linkages and learning 2021-July with the the community consultative with the evidence was with the
Professional environments 2022 community stakeholders a meeting with community shown community
Engagement & that are stakeholder in program, the community stakeholders stakeholder in
Personal responsive to the project, and/or stakeholders about a the
Growth and community implementation activity that on a program, program, implementation
Professional contexts / completion of maintains a project, and/or project, and/or / completion of
Development a program, learning activity that activity that a program,
project, and/or environment maintains a maintains the project, and/or
activity that responsive to learning learning activity that
maintains a community environment environment maintains a
learning contexts as responsive to responsive to learning
5.0%
environment evidenced by community community environment
responsive to MOV No. 2 contexts as contexts as responsive to
community evidenced by evidenced by community
contexts as MOV No. 3 MOV No. 4 contexts as
evidenced by evidenced by
MOV No. 1 MOV No. 1

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Community 14. Reviewed September Quality Exhibited an Exhibited an Reviewed Participated in No acceptable Exhibited an 5 5.000 0.25
Services Linkages and regularly 2021-July improved improved personal the review of evidence was improved
Professional personal 2022 practice practice teaching personal shown practice
Engagement & teaching through one’s through a practices using teaching through one’s
Personal practice using teaching as teaching laws and practices using teaching as
Growth and existing laws impact of material as regulations that laws and impact of
Professional and regulations regularly impact of apply to the regulations that regularly
Development that apply to the reviewing one’s regularly profession and apply to the reviewing one’s
teaching teaching reviewing the profession and teaching
profession and practice/s using one’s teaching responsibilities the practice/s using
the laws and practice/s in the Code of responsibilities laws and
responsibilities regulations that using laws and Ethics for in the Code of regulations that
specified in the apply to the regulations Professional Ethics for apply to the
Code of Ethics profession and that apply to Teachers in 4 Professional profession and
5.0%
for Professional the the profession quarters with Teachers in 4 the
Teachers responsibilities and the reflection quarters as responsibilities
in the Code of responsibilities outputs as evidenced by in the Code of
Ethics for in the Code of evidenced by MOV No. 4 Ethics for
Professional Ethics for MOV No. 3 Professional
Teachers as Professional Teachers as
evidenced by Teachers as evidenced by
MOV No. 1 evidenced by MOV No. 1
MOV No. 2

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Community 15. Complied September Quality Sustained Discussed Communicated Implemented No acceptable Sustained 5 5.000 0.25
Services Linkages and with and 2021-July engagement with learners, with learners, school policies evidence was engagement
Professional implemented 2022 with the parents / parents / and procedures shown with the
Engagement & school policies learners, guardians, and guardians, and without learners,
Personal and procedures parents / other other communicating parents /
Growth and consistently to guardians, and stakeholders stakeholders the and consulting guardians, and
Professional foster other the implemented the learners, other
Development harmonious stakeholders implemented school policies parents / stakeholders
relationships regarding school policies and procedures guardians, and regarding
with learners, school policies and procedures as evidenced by other school policies
5.0%
parents, and and procedures as evidenced MOV no. 3 stakeholders and procedures
other through by MOV no. 2 through
stakeholders schoolcommunity schoolcommunity
partnership/s partnership/s
as evidenced as evidenced
by MOV no. 1 by MOV no. 1

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Community 16. Applied a September Quality Applied Applied Applied Application of No acceptable Applied 5 5.000 0.25
Services Linkages and personal 2021-July learnercentered learnercentered learnercentered learner-centered evidence was learnercentered
Professional philosophy of 2022 teaching teaching teaching teaching shown teaching
Engagement & teaching that is philosophy in philosophy in philosophy in philosophy is philosophy in
Personal learner-centered the lesson plan the lesson plan the lesson plan reflected but the lesson plan
Growth and in all the in two in one was poorly in all the
Professional components of components of component of used as basis components of
Development instruction in instruction in instruction in for planning / instruction in
5.0% the lesson the lesson the lesson designing the the lesson
plan to plan to plan to lesson. plan to
improve improve improve improve
student student student student
learning learning learning learning

Efficiency
Timeliness
Basic Education 4. Community 17. Adopted September Quality Exhibited Exhibited Adopted Adopted a No acceptable Exhibited 5 5.000 0.25
Services Linkages and practices that 2021-July dignity of dignity of practices that practice that evidence was dignity of
Professional uphold the 2022 teaching as a teaching as a uphold the uphold the shown teaching as a
Engagement & dignity of profession by profession by dignity of dignity of profession by
Personal teaching as a exhibiting exhibiting teaching as a teaching as a exhibiting
Growth and profession by qualities such qualities such profession by profession by qualities such
Professional exhibiting as caring as caring exhibiting exhibiting as caring
Development qualities such attitude, attitude, qualities such qualities such as attitude,
as caring respect, and respect, and as caring caring attitude, respect, and
attitude, integrity with integrity with attitude, respect, and integrity with
respect and 5.0% affirmation affirmation respect, and integrity as affirmation
integrity from different from any integrity as evidenced by from different
school school evidenced by one MOV No. 2 school
stakeholders stakeholder as at least two stakeholders
as evidenced evidenced by MOV No. 2 as evidenced
by at least two one MOV No. 1 by at least two
MOV No. 1 MOV No. 1

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Community 18. Set September Quality Updated Discussed Set Accomplished No acceptable Updated 5 5.000 0.25
Services Linkages and professional 2021-July professional progress on professional the e-SAT at the evidencee professional
Professional development 2022 development professional development beginning of the development
Engagement & goals based on goals during development goals based school year as goals during
Personal the Philippine Phase II of the goals with the on e-SAT evidenced by Phase II of the
Growth and Professional RPMS Cycle as rater during the results as MOV No. 4 RPMS Cycle as
Professional Standards for 5.0% evidenced by mid-year review evidenced by evidenced by
Development Teachers MOV No. 1 as evidenced MOV No. 3 MOV No. 1
by MOV No. 2

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 5. Plus factor 19. Performed September Quality Performed at Performed at Performed at Performed at No acceptable Performed at 5 5.000 0.5
Services various related 2021-July least 1 related least 1 related least 1 related least 1 related evidence was least 1 related
works / 2022 work / activity work / activity work / activity work / activity shown work / activity
activities that that contributed that contributed that that contributed that contributed
contribute to to the to the contributed to to the to the
the teachinglearning teachinglearning the teachinglearning teachinglearning
teachinglearning process process within teachinglearning process process
process beyond the the school / process within within the class beyond the
school / Community the learning as evidenced by school /
10.0% Community Learning area / submitted MOV Community
Learning Center (CLC) department as Learning
Center (CLC) as evidenced evidenced by Center (CLC)
as evidenced by submitted submitted as evidenced
by submitted MOV MOV by submitted
MOV MOV

Efficiency
Timeliness
RATING FOR OVER-ALL
#DIV/0! #DIV/0!
ACCOMPLISHMENTS

ADJECTIVAL RATING EQUIVALENCIES


RANGE ADJECTIVAL RATING
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory JUAN A. DELA CRUZ JUANA DELA CRUZ JUAN DELA CRUZ, Ed.D.
below 1.499 Poor TEACHER I PRINCIPAL I PRINCIPAL III
Ratee Rater Approving Authority
PART II: COMPETENCIES
CORE BEHAVIORAL COMPETENCIES CORE SKILLS
Self-Management Teamwork Oral Communication
1 1 Sets personal goals and direction, needs and development. 1 1 Willingly does his/her share of responsibility. 1 1 Follows instruction accurately.

2 Undertakes personal actions and behaviors that are clear and purposive and Promotes collaboration and removes barriers to teamwork and goal
1 takes into account personal goals and values congruent to that of the 1 2 accomplishment across the organization. 1 2 Expresses self clearly, fluently and accurately.
organization.
3 Applies negotiation principles in arriving at win-win agreements. 1 3 Uses appropriate medium for the message
3 Displays emotional maturity and enthusiasm for and is challenged by higher
1 goals.
4 Drives consensus and team ownership of decisions. 4 Adjust communication styles to others.
4 Prioritizes work tasks and schedules (through Gantt charts, checklists, etc.) to
1 achieve goals. 5 Works constructively and collaboratively with others and across organizations
1 to accomplish organizational goals and objectives. 5 Guides discussions between and among peers to meet an objective.
5
Sets high quality, challenging, realistic goals for self and others.
Service Orientation Written Communication
Professionalism and Ethics 2
1 1 Can explain and articulate organizational directions, issues and problems. 1 Knows the different written business communication formats used in DepEd.
1 Demonstrates the values and behavior enshrined in the Norms of Conduct and
1 Ethical Standards for public officials and employees (RA 6713). 2 Takes personal responsibility for dealing with and/or correcting customer 3 Writes routine correspondence/communications, narrative and descriptive
1 service issues and concerns.
2 Practices ethical and professional behavior and conduct taking into account the report based on readily available information data with minimal spelling or
1 impact of his/her actions and decisions. grammatical errors (e.g. memos, minutes, etc.)
3 Initiates activities that promotes advocacy for men and women empowerment.
1
3 Maintains a professional image: being trustworthy, regularity of attendance and 3 Secures information from required references (i.e., Directories, schedules,
1 punctuality, good grooming and communication. 1
4 Participates in updating of office vision, mission, mandates and strategies notices, instructions) for specific purposes.
based on DepEd strategies and directions. 4
4 Makes personal sacrifices to meet organization’s needs. 1 Self-edits words, numbers, phonethic notation and content, if necessary.
5 Develops and adopts service improvement programs through simplified
5 Acts with a sense of urgency and responsibility to meet organization’s needs, procedures that will further enhance service delivery. 5 Demonstrates clarity, fluency, impact, conciseness and effectiveness in his/her
improve systems and help others improve their effectiveness. Innovation written communications.
Result Focus 1 Computer/ICT Skills
Examines the root cause of problems and suggests effective solutions. Fosters 1 Prepares basic compositions (e.g., letters, reports, spreadsheets and graphics
1 1 Achieves results with optimal use of time and resources most of the time. 1 new ideas, processes, and suggests better ways to do things (cost and/or 1
presentation using Word Processing and Excel).
operational efficiency).
2 Avoids rework, mistakes and wastage through effective work methods by 2 Identifies different computer parts, turns the computer on/off, and work on a
placing organizational needs before personal needs. 2 1 given task with acceptable speed and accuracy and connects computer
Demonstrates an ability to think “beyond the box”. Continuously focuses on peripherals (e.g. printers, modems, multimedia projectors, etc.)
3 Delivers error-free outputs most of the time by conforming to standard 1
improving personal productivity to create higher value and results.
operating procedures correctly and consistently. Able to produce very
satisfactory quality of work in terms of usefulness/acceptability and 1 3 Prepares simple presentation using Powerpoint.
3
completeness with no supervision required. Promotes a creative climate and inspires co-workers to develop original ideas
4
or solutions. Utilizes technologies to: access information to enhance professional
4 Expresses a desire to do better and may express frustration at waste or
1 inefficiency. May focus on new or more precise ways of meeting goals set. 1 productivity, assists in conducting research and communicate through local
4 Translates creative thinking into tangible changes and solutions that improve and global professional networks.
5 Makes specific changes in the system or in own work methods to improve the work unit and organization.
performance. Examples may include doing something better, faster, at a lower 5 5
cost, more efficiently, or improving quality, customer satisfaction, morale, Uses ingenious methods to accomplish responsibilities. Demonstrates Recommends appropriate and updated technology to enhance productivity and
without setting any specific goal. resourcefulness and the ability to succeed with minimal resources. professional practice.

OVERALL COMPETENCY RATINGS


CORE BEHAVIORAL COMPETENCIES 2.83

CORE SKILLS 3.33

OVERALL RATING 3.08


PART III: SUMMARY OF RATINGS FOR DISCUSSION

Name of Employee: 0 Name of Rater: 0


Position: 0 Position: 0
Bureau/Center/Service/Division: Department of Education/ Division of Quezon Date of Review: 0
Rating Period: 0

Weight per Numerical Ratings


KRA Objectives
Weight per KRA Objective Q E T Ave Score Adjectival Rating
Objective 1 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 2 5% 5 5 0.25 Satisfactory
KRA 1 20%
Objective 3 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 4 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 5 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 6 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
KRA 2 20%
Objective 7 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 8 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 9 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Objective 10 5% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
KRA 3 20%
Objective 11 5% 5 5 0.25 Satisfactory
Objective 12 5% 5 5 0.25 Satisfactory
Objective 13 5% 5 5 0.25 Satisfactory
Objective 14 5% 5 5 0.25 Satisfactory
Objective 15 5% 5 5 0.25 Satisfactory
KRA 4 30%
Objective 16 5% 5 5 0.25 Satisfactory
Objective 17 5% 5 5 0.25 Satisfactory
Objective 18 5% 5 5 0.25 Satisfactory
KRA 5 10% Objective 19 10% 5 5 0.5 Outstanding
Final Rating #DIV/0!
FINAL PERFORMANCE RESULT Accomplishments of KRAs & Objectives
Adjectival Rating #DIV/0!

JUAN A. DELA CRUZ JUANA DELA CRUZ JUAN DELA CRUZ, Ed.D.
TEACHER I PRINCIPAL I PRINCIPAL III
Ratee Rater Approving Authority
PART IV: DEVELOPMENT PLANS
Action Plan
Strengths Development Needs Timeline Resources Needed
(Recommended Developmental Intervention)

0 0 JUAN DELA CRUZ, Ed.D.


0 0 PRINCIPAL III
Ratee Rater Approving Authority
PERFORMANCE MONITORING AND COACHING FORM
Critical Incidence Description Output Impact on Job Action Plan Signature of
Date
(Situation, Task & Action) (Result) (Outcome) (Reinforce/ Redirect) Ratee Rater

Some of the materials are not on their proper Difficulty in finding the location ofmaterials Ensure that materials are on their proper
July, 2017 Materials are not on proper places.
places to be used. places.
EMPLOYEE FEEDBACK FORM
Action Plan
Strengths Development Needs (Recommended Developmental Timeline Resources Needed
Intervention)

Feedback:
Enrol in the Graduate school. Conquer the challenges and achieve your goals. Start, persist, and Enjoy. You should not be in that postion (Teacher I) all the time. Exert effort to be in the higher position.

JUAN A. DELA CRUZ JUANA DELA CRUZ JUAN DELA CRUZ, Ed.D.
TEACHER I PRINCIPAL I PRINCIPAL III
Ratee Rater Approving Authority

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