Name of Employees: JUAN DELA CRUZ Rater:

Position: MASTER TEACHER I Position:

Employee ID No: Date of Review:
Employment Status: REGULAR PERMANENT Rating Period:
Age:
Sex: Number of Years in Teaching:
Level Taught: Highest Degree Obtained:
Grade level Taught:
Subject Taught: Area of Specialization

COT 1 COT 2
COT Mathematics Mathematics
Weight Weight per
KRA per KRA Objectives Objective Indicator
Number RPMS
Rating 5-pt Scale Rating

Objective 1 8.0% 1
KRA 1 Objective 2 8.0%
Objective 3 8.0%
Objective 4 8.0%
KRA 2 Objective 5 8.0% 2
Objective 6 8.0%
Objective 7 8.0% 3
KRA 3
Objective 8 8.0%
Objective 9 8.0%
KRA 4 Objective 10 8.0%
Objective 11 8.0%
Plus Factor Objective 12 12.0%

Date Observed
 Region:
Division:
District/Municipality:
School Name:
School ID:
School Type:
School Small:
Curr. Classification:

COT 2
IPCRF Numerical Ratings
Mathematics
Ave Score Adjectival Rating
RPMS
5-pt Scale Q E T Average

0
0
0
0
0.000 0.000 Poor
0
0
0
0
0
0
0
Final Rating 0
Adjectival Rating Poor
 Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 2. Diversity of 6. Used effective Quality Modelled Modelled Showed No evidence was 0
Services Learners & strategies for effective effective strategies in shown
Modelled
Assessment providing timely, strategies in strategies in giving feedback
effective
and Reporting accurate and providing providing but feedback
strategies in
constructive learners with learners with were
providing
feedback to accurate, and accurate, and inaccurate
learners with
encourage specific and general and/or
accurate, and
learners to reflect directed constructive destructive
specific
on and constructive feedback as shown in the
constructive
improve their own feedback* as shown in the evidence
feedback
learning as shown in the evidence submitted
as shown in the
evidence submitted
evidence
8.0% submitted
submitted

Efficiency
MOV submitted MOV MOV MOV submitted No evidence was
shows feedback submitted submitted shows shown
given within 5 shows shows feedback given
working days feedback feedback beyond 20
from given within given within working days
submission** 6-10 working 11-20 from
days from working days submission**
submission** from
submission**
Timeliness
Basic Education 3. Curriculum 7. Advised Quality Modelled Level 8 Modelled Level 7 Modelled Level 6 Modelled Level 5 Modelled Level 4
Services and Planning and guided in Objective 7 as in Objective 7 as in Objective 7 as in Objective 7 as in Objective 7 as
colleagues in shown in COT shown in COT shown in COT shown in COT shown in COT
the selection, rating sheets rating sheets rating sheets rating sheets rating sheets
organization, or
development No acceptable
and use of evidence was
appropriate shown
teaching and
learning 8.0%
resources,
including ICT,
to address
specific
learning
goals

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 3. Curriculum 8. Modelled to Quality All of the Majority of Half of the Less than half No acceptable
Services and Planning colleagues the learning the learning learning of the learning evidence was
setting of outcomes set outcomes set outcomes set outcomes set shown
achievable and are aligned are aligned are aligned are aligned with
challenging with the with the with the the learning
learning learning learning learning competencies
outcomes that competencies competencies competencies as shown in the
are aligned as shown in as shown in as shown in MOV submitted
 PART II: COMPETENCIES
CORE BEHAVIORAL COMPETENCIES CORE SKILLS
Self-Management Teamwork Oral Communication

1 1 Sets personal goals and direction, needs and development. 1 1 Willingly does his/her share of responsibility. 1 1 Follows instruction accurately.

2 Undertakes personal actions and behaviors that are clear and purposive and
1 takes into account personal goals and values congruent to that of the 1
organization.
3 Displays emotional maturity and enthusiasm for and is challenged by higher
1 goals.
4 Prioritizes work tasks and schedules (through Gantt charts, checklists, etc.) to
1 achieve goals.
5
Sets high quality, challenging, realistic goals for self and others.
Professionalism and Ethics
1 Demonstrates the values and behavior enshrined in the Norms of Conduct and
1 Ethical Standards for public officials and employees (RA 6713).
2 Practices ethical and professional behavior and conduct taking into account the
1 impact of his/her actions and decisions.
3 Maintains a professional image: being trustworthy, regularity of attendance and
1 punctuality, good grooming and communication.
4 Makes personal sacrifices to meet organization’s needs.
5 Acts with a sense of urgency and responsibility to meet organization’s needs,
improve systems and help others improve their effectiveness.
Result Focus
1 1 Achieves results with optimal use of time and resources most of the time.
2 Avoids rework, mistakes and wastage through effective work methods by
placing organizational needs before personal needs.
3 Delivers error-free outputs most of the time by conforming to standard operating 1
procedures correctly and consistently. Able to produce very satisfactory quality
of work in terms of usefulness/acceptability and completeness with no
supervision required.
4 Expresses a desire to do better and may express frustration at waste or
1 inefficiency. May focus on new or more precise ways of meeting goals set.
5 Makes specific changes in the system or in own work methods to improve
performance. Examples may include doing something better, faster, at a lower
cost, more efficiently, or improving quality, customer satisfaction, morale,
without setting any specific goal.
Promotes collaboration and removes barriers to teamwork and goal
2 accomplishment across the organization.
3 Applies negotiation principles in arriving at win-win agreements.
4 Drives consensus and team ownership of decisions.
5 Works constructively and collaboratively with others and across organizations to
1 accomplish organizational goals and objectives.
Service Orientation
1 1 Can explain and articulate organizational directions, issues and problems.
2 Takes personal responsibility for dealing with and/or correcting customer
1 service issues and concerns.
3 Initiates activities that promotes advocacy for men and women empowerment.
1
4 Participates in updating of office vision, mission, mandates and strategies
based on DepEd strategies and directions.
5 Develops and adopts service improvement programs through simplified
procedures that will further enhance service delivery.
Innovation
1 Computer/ICT Skills
Examines the root cause of problems and suggests effective solutions. Fosters
1 new ideas, processes, and suggests better ways to do things (cost and/or
operational efficiency).
2 1
Demonstrates an ability to think “beyond the box”. Continuously focuses on
improving personal productivity to create higher value and results.
3
Promotes a creative climate and inspires co-workers to develop original ideas or
solutions.
4 Translates creative thinking into tangible changes and solutions that improve
the work unit and organization.
5 5
Uses ingenious methods to accomplish responsibilities. Demonstrates
resourcefulness and the ability to succeed with minimal resources.
1 2 Expresses self clearly, fluently and accurately.
1 3 Uses appropriate medium for the message
4 Adjust communication styles to others.
5 Guides discussions between and among peers to meet an objective.
Written Communication
2
1 Knows the different written business communication formats used in DepEd.
3 Writes routine correspondence/communications, narrative and descriptive
report based on readily available information data with minimal spelling or
grammatical errors (e.g. memos, minutes, etc.)
3 Secures information from required references (i.e., Directories, schedules,
1
notices, instructions) for specific purposes.
4
1 Self-edits words, numbers, phonethic notation and content, if necessary.
5 Demonstrates clarity, fluency, impact, conciseness and effectiveness in his/her
written communications.
1 Prepares basic compositions (e.g., letters, reports, spreadsheets and graphics
1
presentation using Word Processing and Excel).
2 Identifies different computer parts, turns the computer on/off, and work on a
given task with acceptable speed and accuracy and connects computer
peripherals (e.g. printers, modems, multimedia projectors, etc.)
1 3 Prepares simple presentation using Powerpoint.
4
Utilizes technologies to: access information to enhance professional
1 productivity, assists in conducting research and communicate through local and
global professional networks.
Recommends appropriate and updated technology to enhance productivity and
professional practice.

OVERALL COMPETENCY RATINGS

CORE BEHAVIORAL COMPETENCIES 2.83

CORE SKILLS 3.33

OVERALL RATING 3.08

 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results Rating Adjectival Rating

Accomplishment of KRAs and Objectives 0.000 Poor

Rater-Ratee Agreement

The signatures below confirm that the employee and his/her superior have agreed on the contents of this appraisal form and the performance rating.

Name of Employee Name of Superior

JUAN DELA CRUZ
MASTER TEACHER I
Signature Signature

Date Date
 PERFORMANCE MONITORING AND COACHING FORM
Critical Incidence Description Output Impact on Job Action Plan Signature of
Date
(Situation, Task & Action) (Result) (Outcome) (Reinforce/ Redirect) Ratee Rater
 EMPLOYEE FEEDBACK FORM
Action Plan
Strengths Development Needs (Recommended Developmental Timeline Resources Needed
Intervention)

Feedback:
Enrol in the Graduate school. Conquer the challenges and achieve your goals. Start, persist, and Enjoy. You should not be in that postion (Teacher I) all the time. Exert effort to be in the higher position.

Rater: Ratee: Approving Authority:

JUAN DELA CRUZ Name

MASTER TEACHER I Position
 PART IV: DEVELOPMENT PLANS

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

Rater: Ratee: Approving Authority

JUAN DELA CRUZ Name

MASTER TEACHER I Position