Republic of the Philippines Department of Education Region IV A CALABARZON Division of Quezon

INDIVIDUAL PERFORMANCE AND

COMMITMENT
FORM (IPCRF)
Name
of Rater:

Name of Employee:
Position:
Bureau/Center/Service/Division:
MFO
I. BASIC
EDUCATION
SERVICES

KRAs
I.A.
TeachingLearning
Process

OBJECTIVES
I.A.1. Prepare
lesson plans with
appropriate
objectives,
activities &
instructional
materials

TEACHER 1-11-111
Division of Quezon
WEIGHT
TIMEPER
LINESS
KRA
April
2016
to
March
2017

Q
E
T

I.A.2. Facilitates
individual/group
activities
throughout the
year.

April
2016
to
March
2017

Position:
Date of Review:
PERFORMANCE INDICATORS

Principal
ACTUAL
RESULTS

5
96-100% of lesson
plans prepared with
appropriate
objectives, activities
and instructional
materials.

4
91-95% of lesson
plans prepared with
appropriate
objectives, activities
and instructional
materials.

3
80-90% of lesson
plans prepared with
appropriate
objectives, activities
and instructional
materials.

2
71-79% of lesson
plans prepared with
appropriate
objectives, activities
and instructional
materials.

1
78% and below of
lesson plans prepared
with appropriate
objectives, activities
and instructional
materials.

96-100% of lesson
plans utilized with
appropriate
objectives, activities
and instructional
materials

91-95% of lesson
plans utilized with
appropriate
objectives, activities
and instructional
materials.

80-90% of lesson
plans utilized with
appropriate
objectives, activities
and instructional
materials.

71-79% of lesson
plans utilized with
appropriate
objectives, activities
and instructional
materials.

78% and below of

lesson plans utilized
with appropriate
objectives, activities
and instructional
materials.

96-100% of lesson
plans objectives
obtained with
appropriate
instructional
materials, activities
and instructional
materials updated all
the lesson plan for the
day.

91-95% of lesson
plans objectives
obtained with
appropriate
instructional
materials, activities
and instructional
materials
updated all the lesson
plan for the day.

80-90% of lesson
plans objectives
obtained with
appropriate
instructional
materials, activities
and instructional
materials updated
all the lesson plan
for the day.

71-79% of lesson
plans objectives
obtained with
appropriate
instructional
materials, activities
and instructional
materials
updated all the lesson
plan for the day.

78% and below of

lesson plans objectives
obtained with
appropriate
instructional materials,
activities and
instructional materials
updated all the lesson
plan for the day .

96-100%
individual/group
activities conducted
throughout the year

91-95%
individual/group
activities conducted
throughout the year

80-90%
individual/group
activities
conducted
throughout the year

71-79%
individual/group
activities conducted
throughout the year

78% and below of

individual/group
activities conducted
throughout the year

96-100%
individual/group
activities supervised
throughout the year

91-95%
individual/group
activities supervised
throughout the year

80-90%
individual/group
activities
supervised
throughout the year

71-79%
individual/group
activities supervised
throughout the year

78% and below of

individual/group
activities supervised
throughout the year

96-100%
individual/group
activities performed
throughout the year

91-95%
individual/group
activities performed
throughout the year

80-90%
individual/group
activities performed
throughout the year

71-79%
individual/group
activities performed
throughout the year

78% and below of

individual/group
activities performed
throughout the year

RATING
Q

SCORE
AVE.

MFO

KRAs

OBJECTIV
ES
I.A.3. Structure
and maintain a
classroom that is
conducive to
learning

TIMELINESS
April
2016
to
March
2017

WEIGHT
PER
KRA

Q
E
T

I.B. Pupils
Outcomes

I.B.1.Conducted
four (4) quarterly
examinations in a
year

April
2016
to
March
2017

I.B.2. Maintain
updated progress
reports/class
records of pupils

April
2016
to
March
2017

PERFORM
ANCE
ACTUAL
RATING
INDICATO
RESULTS
RS
5
4
3
Well-organized
Well-organized
Well-organized
classroom that is
classroom that is
classroom that is
conducive to learning
conducive to learning conducive to
with complete
with classroom walls
learning
bulletin boards and
fully painted
decoration.

2
Organized classroom
with poor ventilation

1
Classroom with poor
amenities

Always maintained
well-organized
classroom that is
conducive to learning

Frequently
maintained wellorganized classroom
that is conducive to
learning

Sometimes
maintained wellorganized
classroom that is
conducive to
learning

Rarely maintained
well-organized
classroom that is
conducive to learning

Never maintained
well-organized
classroom that is
conducive to learning

Always supervised
well-organized
classroom with up to
date bulletin board

Frequently
supervised wellorganized classroom
up to date bulletin
board

Sometimes
supervised wellorganized
classroom up to
date bulletin board

Rarely supervised
well-organized
classroom up to date
bulletin board

Supervised wellorganized classroom

without documentation
up to date bulletin
board

Facilitated the
conduct of quarterly
examination
with 80-100% MPS

Facilitated the
conduct of quarterly
examination with 6079% MPS

Facilitated the
conduct of quarterly
examination with
40-59% MPS

Facilitated the
conduct of quarterly
examination with 2039% MPS

Facilitated the conduct

of quarterly
examination with 19%
below MPS

Increased 5% from
the previous MPS

Increased 4% from
the previous MPS

Increased 3% from
the previous MPS

Increased 2% from
the previous MPS

Increased 1% from
the previous MPS

Conducted quarterly
examination and
submit the result at
the given time

Conducted quarterly
examination and
submit the result at
the given time

Conducted quarterly
examination and
submit the result at
the given time
nation two (2)

Conducted quarterly
examination three (3)
submit the result at
the given time

Recorded the progress

reports/class records
of all pupils (100%)

Recorded the
progress reports/class
records of pupils
(80%-99%)

Recorded the
progress
reports/class records
of pupils (60%79%)

Recorded the
progress reports/class
records of pupils (4059%

Recorded the progress

reports/class records of
pupils 39% and below

Evaluated the
progress reports/class
records of all pupils
(100%)

Evaluated the
progress reports/class
records of pupils
(80%-99%)

Evaluated the
progress reports/class
records of pupils (4059% )

Evaluated the progress

reports/class records of
pupils 39% and below

Accomplished the
progress reports/class
records of all pupils
(100%) of the given
time

Accomplished the
progress reports/class
records of pupils
(80%-99%) a day
after

Evaluated the
progress
reports/class records
of pupils (60%79%)
Accomplished the
progress
reports/class records
of pupils (60%79%) 2 days

Accomplished the
progress reports/class
records of pupils (4059% ) 3 days

Accomplished the
progress reports/class
records of pupils 39%
and below 4 days

SCORE

Conducted quarterly
examination four (4)
submit the result at the
given time

AVE.

MFO

KRAs

OBJECTIVES
I.C.3.Leads in the
program and
projects on CIP

TIMELINESS
April
2016
to
March
2017

WEIGHT
PER
KRA

Q
E
T
Q

T
I.D.
Professional
Development

I.D.1. Attend
work- related
seminars and
trainings

April
2016
to
March
2017

T
I.D.2.Assigned by
and implement
school policies
and procedures
Meetings and
seminars
conference

April
2016
to
March
2017

ACTUAL
RESULTS

PERFORMANCE INDICATORS
5
Participated actively
to 5 and above CIP as
team leader

4
Participated actively
to 4 CIP

3
Participated
actively to 3 CIP

2
Participated actively
to 2 CIP

1
Participated actively to
community 1 activities
without proper
documentation

Performed the tasks

given with full
documentation

Performed the tasks

given with partial
documentation

Partially performed
the tasks given

Performed the tasks

given without
documentation

Partially performed the

tasks given without
documentation

Submit CIP reports

before the given time

Appeared in the
activity venue on the
given time
Attended at 8
least one regional
training/seminar once
a year

Appeared in the
activity venue 30
minutes after the
time
Attended at least 4
and above district
trainings/seminar

Appeared in the
activity venue 40
minutes after the time

Attended at least one

10 training/seminars
serve as a chairman

Appeared in the
activity venue 20
minutes after the
time
Attended at least 6
one division
training/seminar
twice

Participated actively
during
trainings/seminar
with full
documentation

Participated actively
during
trainings/seminar
with partial
documentation

Partially
participated in the
trainings/seminar

Participated in the
trainings/seminar
without
documentation

Partially participated
in the
trainings/seminars
without documentation

Submitted outputs
before the given time

Submitted outputs on
the given time

Submitted outputs
20 minutes after the
given time

Submitted outputs 30
minutes after the
given time

Submitted outputs one

hour after the given
time

Perfect 100%
attendance in a year

One 90% absent in a

year

Two 80% absents in

a year

Three 20% absents in

a year

Four 60% and above

absents in a year

Always performed
school policies and
procedure

Frequently
performed school
policies and
procedure

Sometimes
performed school
policies and
procedure

Rarely performed
school policies and
procedure

Attempted to perform
but failed to do school
policies and
procedures

Accomplished /
submitted school
reports two (2) days
ahead of the given
time

Accomplished/submi
tted school reports
one (1) day ahead of
the given time

Accomplished/sub
mitted school
reports on the given
time

Accomplished/submi
tted school reports
two (2) days late of
the given time

Accomplished/submitt
ed school reports
four(4) days late of the
given time

Attended at least 2
district
training/seminar

RATING
Q

SCORE
AVE.

Republic of the Philippines Department of Education Region IV A CALABARZON Division of Quezon

INDIVIDUAL PERFORMANCE AND COMMITMENT FORM (IPCRF)
Name of Employee:
Position:
Bureau/Center/Service/Division:
MFO

KRAs

OBJECTIVES
I.D.3.Performs
assigned task

TIMELINESS
April
2016
to
March
2017

WEIGHT
PER
KRA

Q
E
T

Performed assigned
task with full
commendation and
award

Performed assigned
task with full
commendation

Performed assigned
task with
commendation

Partially Performed
assigned task with
commendation

Partially Performed
assigned task

Performed assigned
task demonstration
teaching with full
documentation

Performed
demonstration
teaching with partial
documentation

Performed assigned
task with minimal

Performed
demonstration
teaching without
documentation

Aimed to perform
assigned task teaching
but failed to do

Performed assigned
task one day advance

Performed assigned
task on a given time

Performed assigned
task one day late

Performed assigned
task 2 days late

Performed assigned
task 3-more days late

I.D.4 Conducts
action research
related to school
concerns/problems
within a year

Action Research
conducted and
utilized division wide

Action Research
conducted and
utilized division wide
with required
evidences
District wide

Action Research
conducted and
utilized by the
school with
required evidences

Action Research
conducted but not
utilized

Action research
proposal approved

I.E.I
Creates/utilizes
suitable localized
indigenous
learning materials

Created/utilized
suitable localized
indigenous learning
materials in the
classroom in at least
five learning areas

Created/utilized
suitable localized
indigenous learning
materials in the
classroom in at least
four learning areas

Created/utilized
suitable localized
indigenous learning
materials in the
classroom in at least
three learning areas

Created/utilized
suitable localized
indigenous learning
materials in the
classroom in at least
two learning areas

Created/utilized
suitable localized
indigenous learning
materials in the
classroom in at least
one learning area

Created/utilized
suitable localized
indigenous learning
materials in the
classroom at least
four quarters

Created/utilized
suitable localized
indigenous learning
materials in the
classroom at least
three quarters

Created/utilized
suitable localized
indigenous learning
materials in the
classroom at least
two quarters

Created/utilized
suitable localized
indigenous learning
materials in the
classroom at least
one quarter

Created/utilized
suitable localized
indigenous learning
materials in the
classroom once in two
quarters

Created/utilized
suitable localized
indigenous learning
materials within the
time frame

Created/utilized
suitable localized
indigenous learning
materials within the
adjusted time frame

Created/utilized
suitable localized
indigenous learning
materials with 2
days after the
adjusted time frame

Created/utilized
suitable localized
indigenous learning
materials with 4 days
after the adjusted
time frame

Created/utilized
suitable localized
indigenous learning
materials a week after
the adjusted time frame

Participated on
capacity building
program in the school
with complete
documents in four
quarters

Participated on
capacity building
program in the
school with complete
documents in three
quarters

Participated on
capacity building
program in the
school with
complete
documents in two
quarters

Participated on
capacity building
program in the
school with complete
documents in one
quarter

Participated on capacity
building program in the
school with complete
documents in once in a
semester

I.E.
Curriculum
implementatio
n and
evaluation

Name of Rater:
Position:
Date of Review:
PERFORMANCE INDICATORS

I.E.2 Participates
on capacity
building program
in the school

ACTUAL
RESULTS

RATING
Q

SCORE
T

AVE.

Participated on five
capacity building
program in the school
within the rating
period

Participated on four
capacity building
program in the
school within the
rating period

Participated on
three capacity
building program in
the school within
the rating period

Participated on two
capacity building
program in the
school within the
rating period

Participated on one
capacity building
program in the school
within the rating period

Submitted documents
within the time frame

Submitted documents
within the adjusted
time frame

Submitted
documents within2
days after the
adjusted time frame

Submitted documents
within three days
after the adjusted the
time frame

Submitted documents a
week after adjusted
time frame

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs with full
documentation

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs with full
documentation

Provided support to
leader school/
partner school in
all the activities
such as CIP/LAC
and other programs
with full
documentation

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs with full
documentation

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs with full
documentation

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs five times
within the rating
period

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs four times
within the rating
period

Provided support to
leader school/
partner school in
all the activities
such as CIP/LAC
and other programs
three times within
the rating period

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs two times
within the rating
period

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs one times
within the rating period

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs submitted
reports in advance

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs submitted
reports on time

Provided support to
leader school/
partner school in
all the activities
such as CIP/LAC
and other programs
submitted reports
one day late

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs submitted
reports two days late

Provided support to
leader school/ partner
school in all the
activities such as
CIP/LAC and other
programs submitted
reports 3-4 days late

T
I.E.3. Provides
support to
Leader/partner
school in all
activities

RATER:

RATEE:

________________________
ES Principal III

_________________________
Teacher I