INDIVIDUAL PERFORMANCE AND COMMITMENT FORM (IPCRF)

for Teacher I, II and III

NAME OF EMPLOYEE: GERALD N. ROJAS NAME OF RATER: MARIVEL B. PARIS
POSITION: TEACHER III POSITION: ASST PRINCIPAL
REVIEW PERIOD: SY. 2017-2018 DATE OF PHASE: APRIL 20, 2018
DIVISION: COTABATO CITY
TO BE FILLED
TO BE FILLED-IN DURING PLANNING DURING
EVALUATION
TIME WEIGH ACTUAL RA SCOR
MFO KRA OBJECTIVES LINE T/KRA PERFORMANCE INDICATORS RESULT TIN E
G
QUALITY EFFICIENCY TIMELINE Q E T
K to 12 1. A. From June 2017 to March 2018 June 10% Prepared 260 or more lesson Submitted 5 4 4 4.33 0.43
Basic Teaching- developed daily lesson plans / 2017 5 plans with complete DLL/DLP daily
Educa- Learning learning logs and appropriate to components, appropriate and
tionIm
Process learning materials through some March adequate instructional
plemen
ta- (40) use of localization and 2018 materials as checked by
tion contextualization (if applicable) MT’s/Tl/SH/Department Head
to meet the needs of the learners Prepared 172 to 259 lesson Submitted
4 plans with complete DLL/DLP one day
components, appropriate and after
adequate instructional
materials as checked by
MT’s/Tl/SH/Department Head
Prepared 150 to 171 lesson Submitted
plans with complete DLL/DLP two
3 components, but without days after
appropriate or adequate
instructional materials as
checked by the
MT’s/HT/SH/Department Head

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B. Facilitated/Achieved learning
through functional lesson
plans/daily logs and innovative
teaching strategies
C. Maintained diversity
appreciation, safe, positive and
motivating environment overall
physical atmosphere, cleanliness
and orderliness of classroom
including proper waste disposal
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Prepared 101 to 149 lesson
2 plans without complete
components and appropriate
instructional materials as
checked by
MT’s/HT/SH/Department Head
Prepared 100 or less lesson
1 plans without instructional
materials
June 10% 5 85-90% of the students
2017 achieved above 75% final
to rating
March
2018 4 80-84% of the students
achieved above 75% final
rating
3 75-79% of the students taught
achieved above 75% final
rating
2 70-74% of the students t
achieved above 75% final
rating
1 65-69% of the students taught
achieved above 75% final
rating
Every 10% 5 Maintained safe, orderly and
Quart clean classrooms and practiced
er proper waste segregation
regularly(daily) for a conducive
learning environment
4 Maintained safe, orderly but
not regularly clean classrooms
Submitted
DLL/DLP 3 days
after
Submitted
DLL/.DLP 4 days
after
Reported to class and 5 5 4 4.67 0.47
facilitated learning within
95-100%of the number
of school days
Reported to class and
facilitated learning within
90-94% of the number of
school days
Reported to class and
facilitated learning within
85-89% of the number of
school days
Reported to class and
facilitated learning within
80-84% of the number of
school days
Reported to class and
facilitated learning within
75-79% of the number of
school days
5 5 3 4.33 0.43
 and seldom practiced proper
waste segregation
3 Maintained safe, orderly and
clean classrooms and
sometimes practiced proper
waste segregation
2 Maintained safe, orderly and
clean classrooms butdid not
practice proper waste
segregation
1 Did not maintain safe, orderly
and clean classrooms and did
not practice proper waste
segregation
D. Monitored students’ daily Daily 10% 5 Monitored attendance daily Submitted School 5 4 4 4.33 0.43
attendance (accomplished SF 2) Year (SF 2 duly accomplished) form 2 on due
and submitted at the Office of round date
the Principal at the end of the 4 Monitored attendance Submitted School
month regularly except for 1 instance form 2 a day
in a week after
3 Monitored attendance Submitted School
regularly except for 2 instances form 2,2 days
in a week after
2 Monitored attendance except Submitted School
for 3 instances in a week form 2, 3 days
after
1 Failed to check attendance Submitted School
weekly form 2, 4 days
after
2. A. Monitored, evaluated and Every 10% 5 Prepared and administered 4 Written tests / 5 4 4 4.33 0.43
Students maintained students’ progress Quart summative tests (written or performance test and
Outcomes er performance) with Table of TOS/Rubrics are aligned
(30%) Specifications (TOS)/Rubrics with the competencies
within the quarter and budget of work
within the quarter

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 4 Prepared and administered 4 Written tests/
summative tests (written or performance tests and
performance) with Table of TOS/Rubrics are aligned
Specifications (TOS) but did with the competencies
not cover the rubrics within and budget of work , but
the quarter did not finish the quarter
3 Prepared and administered 4 Written test /
summative tests (written or performance tests and
performance) but no Table of TOS/Rubrics are not
Specifications (TOS) aligned with the
competencies and only
half in the budget of
work completed for the
given quarter
2 Did not prepare and Written tests/
administer 4 summative tests performance tests and
(written or performance) TOS/Rubrics are not all
aligned and covered only
a few of the
competencies for the
given quarter
1 Did not prepare and No written
administer 4 summative tests tests/performance tests
(written or performance) were given
B. Issued Class Progress Report Every 10% 5 Completed the entries with no Issued F-138 to 5 4 4 4.67 0.47
Card (F-138) to parent/guardian Quart error parent/guardian
er on card day
4 Completed the entries with 1 Issued F-138 to
error parent/guardian
1 day after card
Distribution of Form 138 day
1stQtr - 3 Completed the entries with 2 Issued F-138 to
2ndQtr - errors parent/guardian
3rdQtr -
2 days after card
4thQtr -
day

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 (DO No. 23 s, 2016) 2 Completed the entries with 3
errors
1 Incomplete entries
C. Conducted Every 10% 5 Conducted
remediation/enrichment Quart remediation/enrichment
programs to improve er programs to learners regularly
performance with individual development
program during off session for
at least 30 minutes per session
4 Conducted
remediation/enrichment
programs to learners at least
thrice a week with individual
development program during
off session for at least 30
minutes per session
3 Conducted
remediation/enrichment
programs to learners at least
twice a week with individual
development program during
off session in at least 30
minutes per session
2 Conducted
remediation/enrichment
programs to learnersat least
once a week with individual
development program during
off session for at least 30
minutes per session
1 Conducted
remediation/enrichment
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Issued F-138 to
students/parents
3 days after card
day
Did not issue
F-138 during the
quarter
100% of the students 5 5 4 4.67 0.47
under remedial classes
have achieved 100-85%
mastery level
85% of the students
under remedial classes
have achieved 85-100%
mastery level
75% of the students
under remedial classes
have achieved 85-100%
mastery level
60% of the students
under remedial classes
have achieved 85-100%
mastery level
50% of the students
under remedial classes
 programs to learners at least achieved 85-100%
once a week with no Mastery level
individual development
program during off session for
at least 30 minutes per session
3. A. Conducted Homeroom Parents- Every 5% 5 Conducted 4 Homeroom PTA Conducted 4 5 4 4 4.33 0.22
Communi- Teachers (PTA) Conference Quart meetings HRPTA meetings
ty Involve Quarterly er on the prescribed
ment (10) date
4 Conducted 3 Homeroom PTA Conducted 3
meetings HRPTA meetings
on the prescribed
date
3 Conducted 2 Homeroom PTA Conducted 2
meetings HRPTA meetings
on the prescribed
date
2 Conducted 1 Homeroom PTA Conducted 1
meetings HRPTA meetings
on the prescribed
date
1 Did not conduct Homeroom Did not conduct
PTA meetings HRPTA meetings
on the prescribed
date
B. Conduct/involved in school- 5% 5 Conducted 5 school-wide 5 5 4 4.67 0.23
approved activities to solicit advocacy program to promote
stakeholders’ support school PPAs
Or Prepared CAP approved and
Initiated communications advocacy used by school to gain support
plan (CAP) for stakeholders to
gain support
4 Conducted 4 school-wide
advocacy program to promote
school PPAs
Prepared CAP approved and
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 used by school to gain support

3 Conducted 3school-wide
advocacy program to promote
school PPAs.
Prepared CAP approved and
used by school to gain support
2 Conducted 2 school-wide
advocacy program to promote
school PPAs
Prepared CAP approved and
used by school to gain support
1 Conducted 1 school-wide
advocacy program to promote
school PPAs
Prepared CAP approved and
used by school to gain support

4. Profes- A. Conducted/Implemented Once 2% 5 Conducted and completed CAR Before the due 5 5 5 5 0.1
sional Classroom Action Research (CAR) every and adapted by other date
Growth school department/grade level
and Year 4 Conducted and completed CAR On the due date
Develop- SDO Cut -Off: and implemented within the
ment (10) March ____ 2018 classroom
3 Conducted and completed CAR One day after the
but not implemented due date
2 Submitted CAR proposal Two days after
the due
1 No CAR proposal No proposal
submitted within
the year
B. Received special Every 2% 5 Served as
awards/citation/recognition for quart participant/trainer/coach and
exemplary performance er won first place in any
competition OR received
National Level commendation
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 from DepEd or stakeholder

4 Served as participant
trainer/coach and won 2nd
place in any competition OR
received regional Level
commendation from DepEd or
stakeholder
3 Served as
participant/trainer/coach and
won 3rd place in any
competition OR received
Division Level commendation
from DepEd orstakeholder
2 Served as
participant/trainer/coach and
won 4th place in any
competition or Received
District Level commendation
from DepEd or stakeholder
1 Served as
participant/trainer/coach and
won 5th place in any
competition or received
School Level commendation
from the school head or
stakeholder
C. Attended relevant As 2% 5 Attended at least 5 5 4 4.67 0.09
INSET/Seminar/Training for neede 1International1 National
teachers d level 3-days training or 2
Regional Level 3 day
training or 3 Division 3
day training
4 Attended 1 regional Level
3 day training or 2
Division Level 3 day
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 training

3 Attended I Regional Level

3 day training or 3
Division Level 2-day
training or 4 division level
1 day training
2 Attended 2 Division Level
2-day training or 3
Division Level 1-day
training
1 Attended 1 division level
2-day training or 2
Division Level 1 -day
training
D. Participated in / completed Every 2% 5 Participated in / completed all Arrived in all LAC 5 5 4 4.67 0.09
School-Based Learning Action Cell Friday (monthly) LAC sessions session on time
(LAC) sessions. of the 4 With 1 instance of non - With 1 instances
week participation of tardiness
(Sec. 17.5, DepEd Order No. 35, s. year 3 With 2 instances of non - With 2 instances
2016) round participation of tardiness
2 With 3 instances of non - With 3 instances
participation of tardiness
1 With 4 instances of non - With 4 instances
participation of tardiness
E. Served as As 2% 5 At least one (1) division 5 4 4 4.33 0.09
Demo Teacher/Speaker/Facilitator neede level OR 5 school level
d 4 3-4 School level

3 2 school level

2 1 school level

1 No Demo
teaching/speakership/
facilitatorship
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 5. PLUS A. Objectives are based on the As 10% 5 Accomplished and submitted Accomplished 100% of Submitted all 5 4 4 4.33 0.43
FACTORAd add-ons/special assignments neede the needed reports with no the needed reports documents I day
ditional d revision with complete before the due
assignment (e.g. EBEIS work, Canteen work, SF supporting documents date
related to work, Winnings, Teacher 4 Accomplished and submitted Accomplished 90% of the Submitted on
instruction Awardee) the needed report with minor needed reports the due date
on top of
revisions
job
description 3 Accomplished and submitted Accomplished 80% of the Submitted 1 day
(10) the needed report with major needed reports after the due
revisions and incomplete date
supporting documents
2 Accomplished and submitted Accomplished 75% of the Submitted 2 day
reports with general revision needed reports after the due
date
1 Accomplished but inadequate Accomplished 50% of the Submitted 1
report and no supporting needed reports week after the
documents due date
100% 100 4.48

Over-all Rating for Accomplishments VS

*MFO – Major Final Output: increased access rate, increased retention rate/decreased -out
rate and increased achievement rate

____________________________ ___________________________
Rater Ratee
Date Signed : _________________ Date Signed : _______________

Approved by : _________________________

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 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results Rating Adjectival Rating

Accomplishments of KRAs and Objectives %

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: Name of Superior:

Signature: Signature:

Date: Date:

PART IV: DEVELOPMENT PLANS

Action Plan
Strengths Development Needs Timeline Resources Needed
(Recommended Development Intervention)

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 Rater Ratee Approving Authority

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