Republic of the Philippines

Department of Education
CARAGA REGION
DIVISION OF AGUSAN DEL SUR

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

MID-YEAR REVIEW FORM FOR PROFICIENT TEACHER (TEACHER I to TEACHER III)
Name of Teacher: FABAY, MERVIN F. Name of Rater: ANTONIO S. SAROMINES
Position: TEACHER I Position: PRINCIPAL III
School/Office: LORETO NATIONAL HIGH SCHOOL Date of Review: JAN. 24, 2024
Rating Period: August 29, 2023 – July 8, 2024
Weight Mid-Year Review Rating
Performance Mid-Year Review
KRAs Objectives Timeline per MOVs Ratee Rater
Target Results
Objective Rating Remarks Rating Remarks
KRA 1: 1. Applied knowledge of content August 7% Classroom Observation Tool (COT) Quality 3
Content within and across curriculum 2023 to rating sheet/s or inter-observer
Knowledge teaching areas (PPST 1.1.2) July 2024 agreement form/s done through
Efficiency 3
and Pedagogy onsite/face-to-face/in-person
classroom observation.
2. Used a range of teaching August 7% Classroom Observation Tool (COT)
strategies that enhance learner 2023 to rating sheet/s or inter-observer Quality 3
achievement in literacy and July 2024 agreement form/s done through
numeracy skills (PPST 1.4.2) onsite/face-to-face/in-person
Efficiency 3
classroom observation.
3. Applied a range of teaching August 7% Classroom Observation Tool (COT)
strategies to develop critical 2023 to rating sheet/s or inter-observer
and creative thinking, as well as July 2024 agreement form/s done through Quality 3
other higher-order thinking skills onsite/face-to-face/in-person
(PPST 1.5.2) classroom observation.

Efficiency 3
 4. Displayed proficient use of August 7% Classroom Observation Tool (COT) 3
Mother Tongue, Filipino, and 2023 to rating sheet/s or inter-observer Quality
English to facilitate teaching July 2024 agreement form/s done through
3
and learning (PPST 1.6.2) onsite/face-to-face/in-person Efficiency
classroom observation.
KRA 2: 5. Established safe and secure August 7% Classroom Observation Tool (COT) 3
Learning Quality
learning environments to 2023 to rating sheet/s or inter-observer
Environment & enhance learning through the July 2024 agreement form/s done through 3
Diversity of consistent implementation of onsite/face-to-face/in-person
Learners policies, guidelines, and classroom observation. Efficiency
procedures (PPST 2.1.2)
6. Maintained learning August 7% Classroom Observation Tool (COT)
environments that promote 2023 to rating sheet/s or inter-observer Quality 4
fairness, respect, and care to July 2024 agreement form/s done through
encourage learning (PPST onsite/face-to-face/in-person
2.2.2) classroom observation. 3
Efficiency

7. Established a learner- August 7% Classroom Observation Tool (COT)

centered culture using teaching 2023 to rating sheet/s or inter-observer Quality 3
strategies that respond to their July 2024 agreement form/s done through
linguistic, cultural, socio- onsite/face-to-face/in-person Efficiency 5
economic and religious classroom observation.
backgrounds (PPST 3.2.2)
8. Adapted and used culturally August 7% Classroom Observation Tool (COT) 3
appropriate teaching strategies 2023 to rating sheet/s or inter-observer Quality
to address the needs of July 2024 agreement form/s done through
learners from indigenous onsite/face-to-face/in-person
groups (PPST 3.5.2) classroom observation. 3
Efficiency
KRA 3: 9. Set achievable and August 7% At least one (1) lesson plan (e.g., DLP,
Curriculum appropriate learning outcomes 2023 to DLL, WHLP, WLP, WLL, Lesson
and Planning that are aligned with learning July 2024 Exemplars, and the likes) or one
& Assessment competencies (PPST 4.2.2) lesson from a self-learning module, Quality 2
and Reporting developed by the ratee* and used in
instruction, with achievable and

10. Used strategies for
providing timely, accurate, and
constructive feedback to
improve learner performance
(PPST 5.3.2)
11. Utilized assessment data to
inform the modification of
teaching and learning practices
and programs (PPST 5..5.2)
appropriate learning outcomes that are
aligned with learning competencies as
shown in any one (1) of the following:
 lecture/discussion
 activity/activity sheet Efficiency
 performance task 3
 rubric for assessing performance
using criteria that appropriately
describe the target output
August Classroom Observation Tool (COT)
2023 to rating sheet/s or inter-observer Quality 3
July 2024 agreement form/s done through
onsite/face-to-face/in-person
classroom observation. 3
Efficiency
August 7% A list of identified least/most mastered
2023 to skills based on the frequency of
July 2024 errors/correct responses with any one
(1) of the following supporting MOVs
1. accomplishment report for Quality 3
remedial/enhancement activities
(e.g. remedial sessions, summer,
Reading Camp, Phil-IRI-based
reading program
2. intervention material used for
remediation/reinforcement/
enhancement
3. lesson plan/activity log for Timeliness
remediation/enhancement utilizing 3
of assessment data to modify
teaching and learning practices or
programs
 KRA 4: 12. Build relationships with
Community parents/guardians and the
Linkages & wider school community to
Professional facilitate involvement in the
Engagement educative process (PPST 6.2.2)
13. Participated in professional
networks to share knowledge
and to enhance practice (PPST
7.3.2)
August 7% Any one (1) of the following:
2023 to 1. Proof of participation in any activity
July 2024 highlighting the objective, such as,
but not to the following:
 Receipt form/monitoring form
during distribution of learning
materials, etc. Quality 5
 Commitment form to
 stakeholders, developed
advocacy materials, certificate of
participation that shows
parents’/stakeholders’
engagement signed by the
school head, etc.
 Home Visitation Forms
 Any equivalent ALS
form/document that highlights
the objective
 Others (please specify and
provide annotations)
2. Parent-teacher log or proof of other
stakeholders’ meeting (e.g., one-on-
one parent-teacher learner Timeliness 5
conference log; attendance sheet
with minutes of meeting; proof of
involvement in the learners’/parents’
orientation, etc.)
3. Any form of communication to
parents/stakeholders (e.g. notice of
meeting; screenshot of chat/text
message/communication with
parent/guardian)
August 7% 1. Certificate of completion in a
2023 to course/training
July 2024 2. Certificate of participation in a Quality 3
webinar, retooling, upskilling, and
other training/seminar/workshop
3. Certificate of Timeliness
recognition/speakership in a
webinar and other 3
training/seminar/workshop
4. Any proof of participation to a
benchmarking activity
 5. Any proof of participation in school
LAC sessions (online/face-to-face)
certified by the LAC Coordinator
6. Others (please specify and provide
annotations)
KRA 5: 14. Developed a personal August 7% 1. Certification form the ICT Quality 5
Personal improvement plan based on 2023 to Coordinator/School Head/Focal 5
reflection of one’s practice and July 2024 Person In-Charge of e-SAT Efficiency
Growth and
Professional ongoing professional learning 2. IPCRF-DP
Development (PPST 7.4.2) 3. Mid-Year Review Form (MRF) Timeliness 5
4. Updated IPCRF-DP from Phase II
Plus Factor 15. Performed various related August 2% Any one (1) proof of:
works/activities that contribute 2023 to 1. Committee involvement;
to the teaching-learning July 2024 2. Involvement as module/learning
process. material writer/validator; Quality 5
3. Involvement as a resource
person/speaker/learning facilitator in
the RO/SDO/school-initiated
TV/radio-based instruction;
4. Book or journal authorship/co-
authorship;
5. Advisorship/coordinatorship/ Efficiency 5
Chairpersonship;
6. Participation in demonstration
teaching;
7. Participation as research presenter
in a forum/conference;
8. Mentoring of pre-service/in-service
teachers
9. Conducted research within the Timeliness
rating period; 5
10.Others (Please specify)
With annotations on how it contributed
to the teaching-learning process.

MERVIN F. FABAY MARWEN B. MIEL, MT-I ANTONIO S. SAROMINES, P-III

Ratee Rater School Principal