Ipcrf Yearend 201718 Blank

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)
Name of Employee : Name of Rater :

Position: Position:
Division/School : Date of Review :
Rating Period :
TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION
WEIGHT PERFORMANCE INDICATORS Rating

MFO's KRA's OBJECTIVES TIMELINE Actual Results
PER KRA
(Quality,Efficiency,Timeliness) Q E T
5-Utilized daily lesson plan/daily log with complete
parts presented with simplicity and neatness,
integrated values, aligned with PSSLC, PELC/ K to 12
BEC, maintained congruency and effectiveness at all
times
Utilized daily lesson
plan/daily log with
complete parts presented 4 -Q/E- Met four of five indicators. _x000D_
with simplicity and T- 4 times in a week
neatness, integrated values, June 2017 to March 10%
2018 3 -Q/E Met three of five indicators. _x000D_
aligned with PSSLC, PELC/ K
to 12 BEC, maintained T-3 times in a week
congruency and 2 -Q/E Met two of five indicators.
effectiveness at all times _x000D_
T- twice a week
1 - Met one of five indicators. _x000D_
T- at least once a week
Basic Education Services Teaching Learning

Process (30%)
5-Facilitated individual/group activities, utilized
innovative teaching strategies/computer aided
instruction, elicitated interactive classroom
Facilitated individual/group discussions, developed HOTS questions, maintained
activities, utilized being a facilitator in the class with efficiency and
innovative teaching effectiveness at all times
strategies/computer aided
instruction, elicitated
interactive classroom June 2017 to March 4 -Q/E- Met four of five indicators. _x000D_
15%
discussions, developed 2018 T- 4 times in a week
HOTS questions,
maintained being a
facilitator in the class with Page 1 of 24
efficiency and effectiveness
Basic Education Services Teaching Learning
Process (30%)
Name of Employee : Facilitated individual/group Name of Rater :
activities, utilized
Position: innovative teaching Position:
Division/School : strategies/computer aided Date of Review :
Rating Period : instruction, elicitated
interactive classroom June 2017 to March 15%
discussions, developed 2018
HOTS questions,
maintained being a 3 -Q/E Met three of five indicators. _x000D_
facilitator in the class with T-3 times in a week
efficiency and effectiveness
at all times 2 -Q/E Met two of five indicators.
_x000D_
T- twice a week
1 - Met one of five indicators. _x000D_
T- at least once a week
PERFORMANCE INDICATORS Rating

WEIGHT
PER KRA
5- Maintained classroom discipline guided with the

rules and regulations, treated students with fairness,
maintained cleanliness and orderliness, observed
ethical behavior and observed routinary activity
Maintained classroom effectively always
discipline guided with the
rules and regulations,
Teaching Learning treated students with June 2017 to March 4- Q/E -Lacked 1 observable indicator.
fairness, maintained 5%
Process 2018 T- most of the time
cleanliness and orderliness,
observed ethical behavior 3- Q/E Lacked 2 observable indicators.
and observed routinary T- sometimes
activity effectively always
2- Q/E Lacked 3 observable indicators.
T- seldom
1- Q/E Lacked 4 observable indicators.
T- never
Basic Education Services
Page 2 of 24
Position: Position:
Rating Period :

5 - Submitted updated,complete and accurate
students record with learners performance analysis,
student portfolio, test result with analysis and
Submitted interpretation students forms 137, form 138, SFs
updated,complete and three days before the due date.
accurate students record
with learners performance
Student Outcomes analysis, student portfolio, June 2017 to March 4 -Submitted learners record 1 to 2 days before the
10%
(35%) test result with analysis and 2018 due date.
interpretation students
forms 137, form 138, SFs 3 -Submitted learners records on the due date.
three days before the due
date. 2-Submitted learners record 3 to 4 days late
1 -Submitted learners record 1 week late after the

due date.

WEIGHT
PER KRA
5- Prepared and conducted

enhancement/intervention/remediation activities with
91%-100% increase in the performance of
theacademically challenged learners
Prepared and conducted

enhancement/intervention Page 3 of 24
Position: Position:
Rating Period :
Prepared and conducted

enhancement/intervention 3- Prepared and conducted
/remediation activities with June 2017 to March enhancement/intervention/remediation activities with
Basic Education Services Student Outcomes 100% increase in the 15% 75%-84% increase in the performance of
2018 theacademically challenged learners
performance of
theacademically challenged
learners

below 50% increase in the performance of

WEIGHT
PER KRA
5- Attained 86% and above students passing grades to

all the subjects taught
4- Attained 80%-85% passing grades to all the subjects
Attained the indicated taught
June 2017 to March taught
Student Outcomes passing grade to all the 10%
2018
subjects taught
taught
Page 4 of 24
Position: Position:
Division/School : Attained the indicated Date of Review :
June 2017 to March
Student Outcomes passing grade to all the 10%
Rating Period : 2018
subjects taught
1- Attained 64% below passing grades to all the

subjects taught
5-Conducted and documented 6 and above
Basic Education Services regular/scheduled PTA(HPTA/GPTA
meetings/conferences within the rating period and
accomplished set agreements on time
Conducted and
documented 6 and above 4-Conducted and documented 5 PTA meetings and
regular/scheduled accomplished set agreement somewhat late
Community PTA(HPTA/GPTA June 2017 to March 4%
Involvement (10%) meetings/conferences 2018 3-Conducted and documented 4 PTA meetings and
within the rating period accomplished set agreement late
and accomplished set
agreements on time 2-Conducted and documented 3 PTA meetings and
accomplished set agreement too late
1-Conducted and documented 2 PTA meetings and
accomplished set agreement

WEIGHT
PER KRA
5 - Participated 5 or more events/activities organized

by LGUs, community, and other organizations (i.e fun
run, brigada eskwela, education summit, tree planting,
world teachers day, etc)
Participated in various
events/activities organized
by LGUs, community, and 4 - Participated in 4 event/s activities.
other organizations (i.e fun June 2017 to March 3%
run, brigada eskwela, 2018
education summit, tree
planting, world teachers Page 5 of 24
day, etc)
Position: Position:
Rating Period : Participated in various
events/activities organized
by LGUs, community, and
other organizations (i.e fun June 2017 to March 3%
run, brigada eskwela, 2018
education summit, tree 3 - Participated in 3 events/ activities.
planting, world teachers
day, etc)
2 - Participated in 2 events/ activities
Community
Basic Education Services Involvement 1 - Participated in 1 event/ activity
5- Encouraged stakeholders to participate in school

programs, activities,events for 5 times or more with
evidences of projects
4- Encouraged stakeholders participation 4 times
Encouraged stakeholders to
participate in school 3- Encouraged stakeholders participation 3 times
programs, activities,events June 2017 to March 3%
for 5 times or more with 2018
evidences of projects
accomplished or realized 2- Encouraged stakeholders participation 2 times
1- Encouraged stakeholders participation 1 time only

WEIGHT
MFO's KRA's OBJECTIVES TIMELINE PER KRA Actual Results
5 - Graduated post graduate studies
4- earned 36 units in MA/Doctorate degree with the

school year
Pursued Post Graduate June 2017 to March Page 6 of 24
3%
Position: Position:
Rating Period :
Pursued Post Graduate June 2017 to March 3- earned 24 units in MA/Doctorate degree with the
3%
Studies 2018 school year
2- earned 18 units in MA/Doctorate degree within a
semester
1- earned 9 units in MA/Doctorate degree within a
semester
5-Participated/attended 5 seminars/SLAC session in
Professional school, district, division, region and national level by
Growth and March 2018
Basic Education Services Development
(15%) 4-Participated/attended 4 seminars/SLAC session in
school, district, division, region and national level by
the March 2018
Participated / attended 5
seminars / SLAC session / 3-Participated/attended 3 seminars/SLAC session in
meeting in school cluster, June 2017 to March school, district, division, region and national level by
3%
division, region, and 2018 March 2018
national level by March
2017
2-Participated/attended 2 seminars/SLAC session in
March 2018
1-Participated/attended 1 seminar/SLAC session in

March 2018

Page 7 of 24
Position: Position:
Rating Period :
5 - Conducted one (1) Action Research with full

documentation on completion of intervention for the
least mastered skills until the end of first semester
4 - Conducted one (1) Action Research without

Conducted 1 action intervention _x000D_
research in the school with T- until November 2017
full documentation as June 2017 to March 3%
intervention for the least 2018 3 - Conducted partial Action Research without
mastered skills until the intervention _x000D_
end of the first semester T- until December 2017
2 - Classroom/learning problems identified with

research proposals _x000D_
T- until January 2018
1- Problems/issues identified/solved
T- until February 2018
5- Demonstrated/ manifested punctuality and

promptness by coming to school 10 minutes before
Professional the time everyday andincurred no absences within the
Basic Education Services Growth and school year
Development
4- Demonstrated/manifested punctuality and
the time everyday andincurred 1-2 absences within
the school year
Demonstrated/ manifested 3- Demonstrated/manifested punctuality and

punctuality and promptness by coming to school 10 minutes before
promptness by coming to June 2017 to March the time everyday andincurred 3 absences within the
school 10 minutes before 2018 3% school year
the time everyday and
incurred no absences
within the school year
Page 8 of 24
Professional
Basic Education Services Growth and
Development
Position: Position:
Division/School : Demonstrated/ manifested Date of Review :
Rating Period : punctuality and
promptness by coming to June 2017 to March
school 10 minutes before 3%
2018
the time everyday and
incurred no absences
within the school year 2- Demonstrated/manifested punctuality and
the time everyday andincurred 4-5 absences within
the school year
1 - Demonstrated/manifested punctuality and

promptness by coming to school 5 minutes before the
time everyday and incurred 6 or more absences within
the school year

5-Maintained harmonious relationship with superior,

peers, parents,students, and other stakeholders
without reported incident of conflict

peers, parents,students, and other stakeholders with 1
reported incident of conflict
Maintain harmonious
Professional relationship with 3-Maintained harmonious relationship with superior,
June 2017 to March
Growth and superior,peers,parents, 3% peers, parents,students, and other stakeholders with 2
2018
Development pupils and other reported incidents of conflict
stakeholders.
Page 9 of 24
Position: Position:
Division/School : Maintain harmonious Date of Review :
Professional relationship with
Rating Period : June 2017 to March
Growth and superior,peers,parents, 3%
2018
Development pupils and other
stakeholders.

reported incidents of conflict

or more reported incidents of conflict
5-Acted as coach, facilitator, contributor, writer,and

speaker or lecturer, demo-teacher/overall chairman in
various contest,events or activities in the
Acted as coach, facilitator, National/International level
contributor, writer and
speaker or lecturer, demo-
Plus Factor (10%) teacher/over-all chairman June 2017 to March 4% 4 - Served / involved in the Regional Level.
in various contests, events 2018
or activities in the
National /International 3 - Served / involved in the Division level
level.
2 - Served / involved in the District level
1 - Served / involved in the School level

5- Awarded as Outstanding teacher by DepEd/Private

organization in the National/International Level
Page 10 of 24
Position: Position:
Rating Period :

organization in the Regional Level
2. Awarded as Outstanding
teacher by DepEd/ Private June 2017 to March 3- Awarded as Outstanding teacher by DepEd/Private
organization accredited by 3%
2018 organization in the Division Level
DepEd in the National or
International Level
organization in the District/School Level
Basic Education Services Plus Factor (10%)

organization in the School Level
5 - Acted as chairman/coordinator/key teacher in the

Division level with complete documents.
4 - Acted as chairman/coordinator/key teacher in the

3. Acted as grade level District/school level with complete documents.
chairman/coordinator /key June 2017 to March
teacher in the 3% 3 - Acted as chairman/coordinator/key teacher in the
2018
division/district/school school level with complete documents.
level.
2 - Acted as chairman / coordinator /key teacher in
the school level with partial documents.
1 - Acted as chairman /coordinators/ key teacher
without documents.
* To get the score, the rating is multiplied by the weight assigned Overall Rating for
Accomplishments
Page 11 of 24
Position: Position:
Rating Period :
ANITA M. ROM, Ed
0 0 Principal IV
Rater Ratee Approving Author
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ANITA M. ROM, Ed.D.

Principal IV
Approving Authority
Page 24 of 24

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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : Name of Rater :

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PERFORMANCE INDICATORS Rating

Basic Education Services Teaching Learning

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

PERFORMANCE INDICATORS Rating

5- Maintained classroom discipline guided with the

Basic Education Services

1 -Submitted learners record 1 week late after the

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

PERFORMANCE INDICATORS Rating

5- Prepared and conducted

Prepared and conducted

Prepared and conducted

1- Prepared and conducted

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

PERFORMANCE INDICATORS Rating

5- Attained 86% and above students passing grades to

1- Attained 64% below passing grades to all the

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

PERFORMANCE INDICATORS Rating

5 - Participated 5 or more events/activities organized

5- Encouraged stakeholders to participate in school

1- Encouraged stakeholders participation 1 time only

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

PERFORMANCE INDICATORS Rating

5 - Graduated post graduate studies

4- earned 36 units in MA/Doctorate degree with the

1-Participated/attended 1 seminar/SLAC session in

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PERFORMANCE INDICATORS Rating

5 - Conducted one (1) Action Research with full

4 - Conducted one (1) Action Research without

2 - Classroom/learning problems identified with

5- Demonstrated/ manifested punctuality and

Demonstrated/ manifested 3- Demonstrated/manifested punctuality and

1 - Demonstrated/manifested punctuality and

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PERFORMANCE INDICATORS Rating

5-Maintained harmonious relationship with superior,

4-Maintained harmonious relationship with superior,

2-Maintained harmonious relationship with superior,

1-Maintained harmonious relationship with superior,

5-Acted as coach, facilitator, contributor, writer,and

1 - Served / involved in the School level

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PERFORMANCE INDICATORS Rating

5- Awarded as Outstanding teacher by DepEd/Private

4- Awarded as Outstanding teacher by DepEd/Private

Basic Education Services Plus Factor (10%)

5 - Acted as chairman/coordinator/key teacher in the

4 - Acted as chairman/coordinator/key teacher in the

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

TO BE FILLED DURING EVALUATION

ANITA M. ROM, Ed.D.