Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III – Central Luzon
Tarlac City Schools Division
Tarlac North-B District
STO. DOMINGO ELEMENTARY SCHOOL
Sto. Domingo, Tarlac City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS
June 2017 - March 2018

Name of
Employee: MANUELITO C. MONTOYA II Name of Rater: CYNTHIA O. LAPUZ
Position: Teacher - I Position: Head Teacher II
School: STO. DOMINGO ELEMENTARY SCHOOL Date of Review:
TO BE FILLED UP DURING PLANNING TO BE FILLED UP DURING EVALUATION

KEY
MAJOR ACTUAL
RESULT WEIGHT
FINAL OBJECTIVES TIMELINE PERFORMANCE INDICATORS RESULTS RATING SCORE
AREAS PER KRA
OUTPUTS
(KRAs) Q E T
200 or more updated lesson plans
5
prepared in SMART way
150-199 updated lesson plans prepared in
4
SMART way
Prepared daily
lesson log in 6 90-149 updated lesson plans prepared in
10% 3 5 5 5 5 0.5
learning areas for SMART way
Grade VI.
60-89 updated lesson plans prepared in
2
SMART way
1-59 updated lesson plans prepared in
1
SMART way
5 or more Video Mediated Material/ SLK/
5
Bigbook was produced.
4 Video Mediated Material/ SLK/ Bigbook
4
Modified /developed
was produced.
at least 5 instructional
3 Video Mediated Material/ SLK/ Bigbook
video/ SLK/ Bigbook 15% 3 5 4 4 4.33 0.65
Teaching for higher learning was produced.
Learning expectations May 2017 to
Process April 2018 2 Video Mediated Material/ SLK/ Bigbook
(40%) 2
was produced.
1 Video Mediated Material/ SLK/ Bigbook
1
was produced.
100% Prepared Test questions with Table
5 of Specifications in 6 learning areas used
for quarterly test within a year..
(85-99%) Prepared Test questions with
4 Table of Specifications in 6 learning areas
Prepared Test used for quarterly test within a year..
Questions with Table
of Specifications in 7 (70-84%) Prepared Test questions with
learning areas on or 15% 3 Table of Specifications in 6 learning areas 5 4 4 4.33 0.65
before due date used for quarterly test within a year.
quarterly using
bloom's taxonomy. (55-69%) Prepared Test questions with
2 Table of Specifications in 6 learning areas
used for quarterly test within a year.

Did not prepared test questions with table

1
of specifications in all learning areas.

5 Updated 5 pupil's records every quarter

Updated pupils
records every quarter 4 Updated 4 pupil's records every quarter
using the following
(SF-2, Form 137-E,
10% 3 Updated 3 pupil's records every quarter 5 4 4 4.33 0.43
Form 138, E Class
Record, Anecdotal
Record/Guidance
Form) 2 Updated 2 pupil's records every quarter

1 Updated 1 pupil's records every quarter

10 pupils or more improved their reading

5
level

Improve pupils'
reading level through
the initiated reading 10% 4 4 4 4 0.4
program and reading
intervention.
Pupils'
May 2017 to
 8 pupils or more improved their reading
4
level
Improve pupils'
reading level through
6 pupils or more improved their reading
the initiated reading 10% 3 4 4 4 4 0.4
program and reading level
intervention.
Pupils'
May 2017 to 4 pupils or more improved their reading
Outcomes
April 2018 2
(30%) level

2 pupils or more improved their reading

1
level

Basic
Education
Services
 Pupils'
May 2017 to
Outcomes
(30%) April 2018

10 pupils and above attained 85%-89%

5
(proficiency level) Gen. Average.

7-9 pupils attained 85%-89% (proficiency

4
level) Gen. Average.
Attained 10
pupils/learners with
GSA (General 4-6 pupils attained 85%-89% (proficiency
10% 3 5 4 5 4.67 0.47
Scholastic Average) level) Gen. Average.
of 85% and above
Proficiency Level.
2-3 pupils attained 85%-89% (proficiency
2
level) Gen. Average.

1 pupil attained 85%-89% (proficiency

1
level) Gen. Average.

Conducted 8 or more home visistations for

5 pupils needing academic monitoring/
Basic follow-up
Education
Services Conducted 6-7 or home visistations for
4 pupils needing academic monitoring/
follow-up
Conducted Home
Visitation for at least Conducted 4-5 or home visistations for
2 pupils per quarter 5% 3 pupils needing academic monitoring/ 3 4 4 3.67 0.18
needing academic follow-up
monitoring follow-up.
Conducted 2-3 or home visistations for
2 pupils needing academic monitoring/
follow-up
Conducted at least 1 home visitation to a
1 pupil needing academic monitoring/ follow-
up

Conducted 4 or more Homeroom Parent-

5
Teacher Conference

Parents' Conducted 3 Homeroom Parent- Teacher

4
Involvemen Conference
t and May 2017 to
community Conducted at least 1 April 2018
Partnership Homeroom Parent- Conducted 2 Homeroom Parent- Teacher
5% 3 4 4 4 4 0.2
(15%) Teacher Conference Conference
in every quarter.
Conducted 1 Homeroom Parent- Teacher
2
Conference

No Homeroom Parent- Teacher

1
Conference was conducted

100% of project/activity were sponsored for

5
school welfare

90%-99% of project/activity were

4
sponsored for school welfare
Initiated at least 1
project/activity with
80%-89% of project/activity were
external 5% 3 3 3 4 3.33 0.17
funding/sponsorship sponsored for school welfare
for school welfare.
70%-79% of project/activity were
2
sponsored for school welfare

69% and below of project/activity were

1
sponsored for school welfare

Served as Resource Speaker/ Facilitator in

5 5 or more seminars/Trainings/ LAC in
school/ District/ Division/ Regional Level

Served as Resource Speaker/ Facilitator in

4 4 seminars/Trainings/ LAC in school/
District/ Division/ Regional Level
Served as Resource
Speaker/ Facilitator in
at least 5 seminars/
Trainings/ LAC in 5% 5 5 5 5 0.25
School/ District/
Division/ Regional
Level
 Served as Resource
Speaker/ Facilitator in
at least 5 seminars/ Served as Resource Speaker/ Facilitator in
Trainings/ LAC in 5% 3 3 seminars/Trainings/ LAC in school/ 5 5 5 5 0.25
School/ District/ District/ Division/ Regional Level
Division/ Regional
Level
Served as Resource Speaker/ Facilitator in
2 2 seminars/Trainings/ LAC in school/
District/ Division/ Regional Level

Served as Resource Speaker/ Facilitator in

1 1 seminars/Trainings/ LAC in school/
District/ Division/ Regional Level
Professiona
l Growth
and
Developme
nt (15%)
 Professiona
l Growth
and Attended 80 hours or more seminars/
Developme 5 trainings in school/ district/ division/
nt (15%) regional level

Attended 60- 79 hours seminars/ trainings

Accumulated at least
eighty (80) hours
seminars/ Trainings in
school/ district/
division/ regional /
national/ International
Level
4
in school/ district/ division/ regional level
Attended 40- 59 hours seminars/ trainings
5% 3 5 5 5 5 0.25
in school/ district/ division/ regional level
Attended 20- 39 hours seminars/ trainings
2
in school/ district/ division/ regional level

Attended 1- 19 hours seminars/ trainings

1
in school/ district/ division/ regional level

Organized/ Chaired 3 School/District LAC with

5
complete accomplishment report.
Organized/ Chaired 2 School/District LAC with
4
Served as mentor to complete accomplishment report.
at least 5 teachers in Organized/ Chaired 1 School/District LAC with
5% 3 3 4 4 3.67 0.18
the use of interactive complete accomplishment report.
mode of teaching. Organized/ Chaired 2 School/District LAC without
2
complete accomplishment report.
Organized/ Chaired 1 School/District LAC without
1
complete accomplishment report.
TOTAL (Excluding Plus Factor) 100% OVER - ALL RATING OF ASSESSMENT 4.83

Plus Factor 0.5 DESCRIPTION OF OVER ALL RATING Outstanding

Adjectival Rating Scale

Ratee:
Outstanding 4.500 5.000 MANUELITO C. MONTOYA II Noted:

Very Satisfactory 3.500 4.499 Teacher - I PATRICIA P. ESPINOSA, Ed. D.

Satisfactory 2.500 3.499 Rater: District Supervisor

Unsatisfactory 1.500 2.499 CYNTHIA O. LAPUZ

Poor 1.000 1.499 School Head

 Q E T R S
15% 5 5 5 5 0.75
10% 5 4 5 4.666667 0.466667

5% 5 4 4 4.333333 0.216667

5% 5 4 4 4.333333 0.216667
5% 5 4 4 4.333333 0.216667

10% 5 4 5 4.666667 0.466667

5% 4 5 4 4.333333 0.216667

10% 4 4 5 4.333333 0.433333

5% 4 5 4 4.333333 0.216667

10% 4 4 4 4 0.4

10% 4 5 5 4.666667 0.466667

5% 4 4 4 4 0.2

5% 4 4 5 4.333333 0.216667

100% 4.483333

Q E T R S

0.15 5 5 5 5 0.75

0.1 5 4 5 4.666667 0.466667

0.05 5 4 4 4.333333 0.216667

0.05 5 4 4 4.333333 0.216667

0.05 5 4 4 4.333333 0.216667

0.1 5 4 5 4.666667 0.466667

0.05 4 5 4 4.333333 0.216667

0.1 4 4 5 4.333333 0.433333

0.05 4 5 4 4.333333 0.216667

0.1 4 4 4 4 0.4

0.1 4 5 5 4.666667 0.466667