Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region - Region XIII
SCHOOLS DIVISION OFFICE OF SURIGAO CITY
DAY-ASAN ELEMENTARY SCHOOL
Surigao City District 1, Barangay Day-Asan, Surigao City
SCHOOL ID: 132249

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for Teacher I-III
Name of Employee: ROSE MARIE D. PRIETOS Name of Rater: GIRLIE B. GIPALA, EdD.
Position: TEACHER I Position: HEAD TEACHER III
Bureau/Center/Service/Division: SURIGAO CITY Date of Review: JANUARY 31-FEBRUARY 4, 2022
Rating Period: SY: 2021-2022

TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVALUATION

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 1. Content 1. Applied Quality No acceptable 5 4 4.500 0.337
Services Knowledge and knowledge of evidence was
Pedagogy content within shown
and across Showed Showed Showed
curriculum knowledge of Showed knowledge knowledge of knowledge of
teaching areas. content and its of content and its content and its content and its
integration within integration within integration within integration within
and across subject and across subject and across subject and across subject
areas as shown in areas as shown in areas as shown in areas as shown in
MOV 1 with a MOV 1 with a MOV 1 with a MOV 1 with a
7.5% rating of 7 rating of 6 rating of 5 rating of 4
Efficiency Submitted at least Submitted 3 lessons Submitted 2 Submitted any 1 No acceptable
4 lessons using using MOV 1 and lessons using of the given MOV evidence was
MOV 1 and supported by any 1 MOV 1 and shown
supported by any of the other given supported by any
1 of the other MOV 1 of the other
given MOV given MOV

Timeliness
Basic Education 2. Used a range Quality Facilitated using Facilitated using Facilitated using Facilitated using No acceptable 5 5 5.000 0.375
Services of teaching different teaching different teaching different teaching different teaching evidence was
strategies that strategies that strategies that strategies that strategies that shown
enhance learner promote reading promote reading promote reading promote reading
schievement in writing and/or writing and/or writing and/or writing and/or
literacy and numeracy skills as numeracy skills as numeracy skills as numeracy skills as
numeracy skills shown in MOV 1 shown in MOV 1 shown in MOV 1 shown in MOV 1
with a rating of 7 with a rating of 6 with a rating of 5 with a rating of 4

7.5%
Efficiency Submitted at least Submitted 3 learner- Submitted 2 Submitted 1 No acceptable
4 learner-centered centered lessons as learner-centered learner-centered evidence was
lessons as evidently shown in lessons as lessons as shown
evidently shown MOV 1 and evidently shown evidently shown
in MOV 1 and supported by any 1 in MOV 1 and in any of the other
supported by any of the other MOV supported by any given MOV
1 of the other given 1 of the other
MOV given MOV given

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 1. Content 3. Applied a Quality Used different Used different Used different Used different No acceptable 5 4 4.500 0.337
Services Knowledge and range of teaching strategies teaching strategies teaching strategies teaching strategies evidence was
Pedagogy teaching that develop that develop critical that develop that develop shown
strategies to critical and and creative critical and critical and
develop critical creative thinking thinking skills creative thinking creative thinking
and creative skills and/or other and/or other HOTS skills and/or other skills and/or other
thinking, as well HOTS as shown as shown in MOV 1 HOTS as shown HOTS as shown
as other higher in MOV 1 with a with a rating of 6 in MOV 1 with a in MOV 1 with a
order thinking rating of 7 rating of 5 rating of 4
skills.
7.5%
Efficiency Submitted at least Submitted 3 lessons Submitted 2 Submitted 1 No acceptable
4 lessons as as evidenced by lessons as lesson as evidence was
evidenced by MOV 1 and evidenced by evidenced by any shown
MOV 1 and supported by any 1 MOV 1 and of the other given
supported by any of the other given supported by any MOV
1 of the other MOV 1 of the other
given MOV given MOV

Timeliness
Basic Education 2. Learning 4. Managed Quality No acceptable 5 4 4.500 0.337
Services Environment and classroom evidence was
Diversity of structure to shown
Learners engage learners, Used classroom Used classroom Used classroom Used classroom
individually or management management management management
in groups, in strategies that strategies that strategies thatstrategies that
meanigful engage learners in engage learners in engage learners in
engage learners in
exploration, activities/tasks as activities/tasks as activities/tasks as
activities/tasks as
discovery and 7.5% shown in MOV 1 shown in MOV 1 shown in MOV 1 shown in MOV 1
hands-on with a rating of 7 with a rating of 6 with a rating of 5
with a rating of 4
activities within Efficiency Submitted at least Submitted 1 No acceptable
a range of 4 lessons Submitted 3 lessons Submitted 2 lesson supported evidence was
physical supported by supported by MOV lessons supported by any of the shown
learning MOV 1 and any 1 1 and any 1 of the by MOV 1 and acceptable MOV
environments. of the other other acceptable any 1 of the other
acceptable MOV MOV acceptable MOV
Timeliness
Basic Education 5. Managed Quality Applied teacher Applied teacher Applied teacher Applied teacher No acceptable 5 4 4.500 0.337
Services learner behavior management management management management evidence was
constructively strategies of strategies of learner strategies of strategies of shown
by applying learner behavior behavior that learner behavior learner behavior
positive and that promote promote positive that promote that promote
non-violent positive and non- and non-violent positive and non- positive and non-
discipline to violent discipline discipline as shown violent discipline violent discipline
ensure learning- as shown in MOV in MOV submitted as shown in MOV as shown in MOV
focused submitted with a with a rating of 6 submitted with a submitted with a
environment 7.5% rating of 7 rating of 5 rating of 4

Efficiency Submitted at least Submitted at least 4 Submitted at least Submitted any 1 No acceptable
4 of the given of the given 4 of the given of the given evidence was
strategies as strategies as strategies as strategies as shown
observed in at observed in 3 observed in 2 observed in only 1
least 4 lessons lessons lessons lesson

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 2. Learning 6. Used Quality Applied Applied Applied No acceptable 5 4 4.500 0.337
Services Environment and differentiated, differentiated differentiated differentiated evidence was
Diversity of developmentally teaching strategies Applied teaching strategies teaching strategies shown
Learners appropriate to address learner differentiated to address learner to address learner
learning diversity as teaching strategies diversity as diversity as
experiences to shown in MOV 1 to address learner shown in MOV 1 shown in MOV 1
address learners’ with a rating of 7 diversity as shown with a rating of 5 with a rating of 4
gender, needs, in MOV 1 with a
strengths, rating of 6
interests and Efficiency Submitted at least Submitted 3 Submitted 2 Submitted any 1 No acceptable
experiences. 4 differentiated differentiated differentiated differentiated evidence was
7.5% teaching strategies teaching strategies teaching strategies teaching strategy shown
in at least 2 in at least 2 lessons in 2 lessons as in only 1 lesson
lessons as as evidenced by evidenced by as evidently
evidenced by MOV 1 and MOV 1 and shown in any 1 of
MOV 1 and supported by any 1 supported by any the acceptable
supported by any of the other 1 of the other MOV
1 of the other acceptable MOV acceptable MOV
acceptable MOV

Timeliness
Basic Education 3. Curriculum 7. Planned, Quality Planned and Planned and Planned and Planned and No acceptable 5 4 4.500 0.337
Services and Planning managed and implemented implemented implemented implemented evidence was
implemented developmentally developmentally developmentally developmentally shown
developmentally sequenced sequenced teaching sequenced sequenced
sequenced teaching and and learning process teaching and teaching and
teaching and learning process as shown in MOV 1 learning process learning process
learning as shown in MOV with a rating of 6 as shown in MOV as shown in MOV
processes to 1 with a rating of 1 with a rating of 1 with a rating of
meet curriculum 7 5 4
requirements
and varied
teaching Efficiency Submitted at least Submitted 3 Submitted 2 Submitted 1 No acceptable
contexts. 7.5% 4 developmentally developmentally developmentally evidence was
developmentally sequenced teaching sequenced sequenced shown
sequenced and learning process teaching and teaching and
teaching and as evidently shown learning process learning process
learning process in MOV 1 and as evidently as evidently
as evidently supported by any 1 shown in MOV 1 shown in any 1 of
shown in MOV 1 of the other given and supported by the given MOV
and supported by MOV any 1 of the other
any 1 of the other given MOV
given MOV

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. Participated Quality Consistently Frequently Occasionally Rarely No acceptable 5 4 4.500 0.337
Services and Planning in collegial participated in participated in participated in participated in evidence was
discussions that LACs/FGDs/meet LACs/FGDs/meetin LACs/FGDs/ LAC/FGD/ shown
use teacher and ings to discuss gs to discuss meetings to meeting to discuss
learner feedback teacher/learner teacher/learner discuss teacher/learner
to enrich feedback to enrich feedback to enrich teacher/learner feedback to enrich
teaching instruction as instruction as shown feedback to enrich instruction as
practice. shown in the in the MOV instruction as shown in the
MOV submitted submitted shown in the MOV submitted
MOV submitted
7.5%

Efficiency Participated in at Participated in 3 Participated in 2 Participated in 1 No acceptable

least 4 LACs/FGDs/meetin LACs/FGDs/meet LAC/FGD/meetin evidence was
LACs/FGDs/meet gs as evidently ings as evidently g as evidently shown
ings as evidently shown in any 1 of shown in any 1 of shown in any 1 of
shown in any 1 of the given MOV the given MOV the given MOV
the given MOV

Timeliness
Basic Education 9. Selected, Quality Developed and Developed and used Developed and Developed and No acceptable 5 4 4.500 0.337
Services developed, used varied varied teaching and used varied used varied evidence was
organized and teaching and learning resources, teaching and teaching and shown
used appropriate learning including ICT, to learning learning
teaching and resources, address learning resources, resources,
learning including ICT, to goals as shown in including ICT, to including ICT, to
resources, address learning MOV 1 with a address learning address learning
including ICT, goals as shown in rating of 6 goals as shown in goals as shown in
to address MOV 1 with a MOV 1 with a MOV 1 with a
learning goals. rating of 7 rating of 5 rating of 4

Efficiency Submitted 3 varied Submitted 2 Submitted any No acceptable

7.5% teaching and varied teaching teaching and evidence was
learning resources, and learning learning resource, shown
Submitted at least including ICT, as resources, including ICT, as
4 varied teaching evidently shown in including ICT, as evidently shown
and learning MOV 1 and evidently shown in any of the
resources, supported by any 1 in MOV 1 and acceptable MOV
including ICT, as of the acceptable supported by any
evidently shown MOV 1 of the
in MOV 1 and acceptable MOV
supported by any
1 of the
acceptable MOV
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 4. Assessment 10. Designed, Quality Designed, Designed, selected, Designed, Designed, No acceptable 5 5 5 0.375
Services and Reporting selected, selected, organized and used selected, selected, evidence was
organized and organized and diagnostic, organized and organized and shown
used diagnostic, used diagnostic, formative and used diagnostic, used diagnostic,
formative and formative and summative formative and formative and
summative summative assessment summative summative
assessment assessment strategies consistent assessment assessment
strategies strategies with curriculum strategies strategies
consistent with consistent with requirements as consistent with consistent with
curriculum curriculum shown in MOV 1 curriculum curriculum
requirements. requirements as with a rating of 6 requirements as requirements as
shown in MOV 1 shown in MOV 1 shown in MOV 1
7.5% with a rating of 7 with a rating of 5 with a rating of 4

Efficiency Submitted at least Submitted 3 varied Submitted 2 Submitted 1 No acceptable

4 varied assessment tools as varied assessment assessment tool as evidence was
assessment tools evidently shown in tools as evidently evidently shown shown
as evidently any 1 of the shown in any 1 of in any of the
shown in any 1 of acceptable MOV the acceptable acceptable MOV
the acceptable MOV
MOV

Timeliness
Basic Education 11. Monitored Quality Consistently Frequently Occasionally Rarely monitored No acceptable 4 4 4 4.000 0.300
Services and evaluated monitored and monitored and monitored and and evaluated evidence was
learner progress evaluated learner evaluated learner evaluated learner learner progress shown
and achievement progress and progress and progress and and achievement
using learner achievement achievement using achievement using learner
attainment data. using learner learner attainment using learner attainment data as
attainment data as data as shown in the attainment data as shown in the
shown in the MOV submitted shown in the MOV submitted
MOV submitted MOV submitted
7.5%

Efficiency Submitted a Submitted a Submitted 1 No acceptable

combination of at combination of 2 acceptable MOV evidence was
Submitted a
least 4 of the of the acceptable shown
combination of 3 of
acceptable MOV MOV
the acceptable MOV
Timeliness Submitted MOV Submitted MOV Submitted MOV Submitted MOV No acceptable
were distributed were distributed were distributed was completed in evidence was
across 4 quarters across 3 quarters across 2 quarters only 1 quarter shown
 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 4. Assessment 12.Communica Quality Consistently Frequently showed Occasionally Rarely showed No acceptable 5 4 4 4.333 0.324
Services and Reporting ted promptly showed prompt prompt and clear showed prompt prompt and clear evidence was
and clearly the and clear communication of and clear communication of shown
learners’ needs, communication of the learners’ needs, communication of the learners’
progress and the learners’ progress and the learners’ needs, progress
achievement to needs, progress achievement to key needs, progress and achievement
key and achievement stakeholders, and achievement to key
stakeholders, to key including parents/ to key stakeholders,
including stakeholders, guardians as shown stakeholders, including parents/
parents/ including parents/ in the MOV including parents/ guardians as
guardians. guardians as submitted guardians as shown in the
shown in the shown in the MOV submitted
7.5% MOV submitted MOV submitted

Efficiency Submitted a Submitted a Submitted a Submitted any 1 No acceptable

combination of at combination of 3 of combination of 2 of the given MOV evidence was
least 4 of the the acceptable MOV of the acceptable shown
acceptable MOV MOV
Timeliness Submitted MOV Submitted MOV Submitted MOV Submitted MOV No acceptable
were distributed were distributed were distributed was completed in evidence was
across 4 quarters across 3 quarters across 2 quarters only 1 quarter shown
Basic Education 5. Plus Factor 13. Performed Quality Consistently Frequently Occasionally Rarely performed No acceptable 5 4 4.500 0.450
Services various related performed various performed various performed various various related evidence was
works/activities related related related work/activities shown
that contribute work/activities work/activities that work/activities that contribute to
to the teaching- that contribute to contribute to the that contribute to the teaching
learning process. the teaching teaching learning the teaching learning process
learning process process as shown in learning process as shown in the
as shown in the the MOV submitted as shown in the MOV submitted
10% MOV submitted MOV submitted

Efficiency Submitted at least Submitted 3 Submitted 2 Submitted any 1 No acceptable

4 different kinds different kinds of different kinds of of the acceptable evidence was
of acceptable acceptable MOV acceptable MOV MOV shown
MOV

Timeliness
RATING FOR OVER-ALL
ACCOMPLISHMENTS Outstanding 4.520

ADJECTIVAL RATING EQUIVALENCIES

RANGE ADJECTIVAL RATING
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory ROSE MARIE D. PRIETOS GIRLIE B. GIPALA, EdD. GIRLIE B. GIPALA, EdD.
below 1.499 Poor Ratee Rater Approving Authority
 INDIVIDUAL PERFORMANCE COMMITMENT REVIEW FORM (IPCRF) SUMMARY SHEET
Teacher I-III (Proficient Teacher)

Name of Employee: Rose Marie D. Prietos Name of Rater: Girlie B. Gipala, Ed,D.
Position: Teacher 1 Position: Head Teacher III
Bureau/Center/Service/Division: Surigao City Division Date of Review:
Rating Period: June 2019-April 2020

Weight per Numerical Ratings

KRA Weight per KRA Objectives Score
Objective Q E T Ave
Objective 1 7.5% 5 4 4.500 0.337
KRA 1 22.5% Objective 2 7.5% 5 5 5.000 0.375
Objective 3 7.5% 5 4 4.500 0.337
Objective 4 7.5% 5 4 4.500 0.337
KRA 2 22.5% Objective 5 7.5% 5 4 4.500 0.337
Objective 6 7.5% 5 4 4.500 0.337
Objective 7 7.5% 5 4 4.500 0.337
KRA 3 22.5% Objective 8 7.5% 5 4 4.500 0.337
Objective 9 7.5% 5 4 4.500 0.337
Objective 10 7.5% 5 5 5.000 0.375
KRA 4 22.5% Objective 11 7.5% 4 4 4 4.000 0.300
Objective 12 7.5% 5 4 4 4.333 0.324
Plus Factor 10% Objective 13 10% 5 4 4.500 0.450
Final Rating Outstanding
Adjectival Rating 4.52

ROSE MARIE D. PRIETOS GIRLIE B. GIPALA,ED.D. GIRLIE B. GIPALA,ED.D

Ratee Rater Approving Authority