Appendix E

SUGGESTED MID-YEAR REVIEW FORM (MRF)

Name of Employee: ALDRIN B. ASUNCION Name of Rater: LOUELLA G. FLORES

Position: Master Teacher I Position: HEAD TEACHER I

Bureau/Center/Service/Division: DMIV ES/ SISON DISTRICT/SDO PANG2 Date of Review: January 25, 2024

Rating Period: _SCHOOL YEAR 2023 - 2024

MFOs KRAs Objectives Timeline Weight MOV Performanc Mid-year Review/Rating Mid-Year Review Results
per e Target
KRA Ratee (Teacher) Rater (Principal)

Rating Remark Rating Remarks

s

Basic KRA 1 1. Modeled August,2023 7% Classroom Quality

Education to Observation
effective January, Tool (COT)
Services
2024 rating sheet/s
applications
or inter-
of content observer form/s
done through
knowledge onsite/face to
Efficiency
face/ in-person
within and
classroom
across observation

curriculum
Timeliness
teaching

areas.

(PPST 1.1.3)
 2. Evaluated 1. Proof/s of attendance in
uBasic KRA 1 August,2023 7% Quality
Education to coaching and mentoring
with
Services January,
sessions/meetings/LAC
colleagues 2024
sessions / FGDs / other

the collegial discussions that

effectiveness highlights the objective

2. Minutes/Notes of
Efficiency
of teaching
coaching and mentoring
strategies
sessions/meetings / FGDs

that promote
/ other collegial

learner discussions that highlights Timeliness

the objective
achievement
3. Reflection notes of
in literacy and
teachers on the coaching

numeracy.
and mentoring

(PPST 1.4.3) sessions/meetings/LAC

sessions / FGDs/other

collegial discussions that

highlights the objective

with proof/s of

attendance

4. Performance
Monitoring

and Coaching Form

(PMCF), with annotations

highlighting the objective

 3. Developed August,2023 Classroom Observation
Basic KRA 1 7% Quality
Tool (COT) rating
and applied to
Education sheet/s or inter-
effective January, observer form/s done
Services teaching through onsite/face to
2024 face/ in-person
strategies to
classroom observation
promote
critical and
creative
thinking, as and proof of
well as other attendance of
higher-order colleague/s
thinking skills.
(PPST 1.5.3) Efficiency

Timeliness

4. Modeled August,2023 Classroom Observation

Basic KRA 1 7% Quality
Tool (COT) rating
and to
Education sheet/s or inter-
supported January, observer form/s done
Services colleagues in through onsite/face to
2024 face/ in-person
the proficient
classroom observation
use of Mother
Tongue,
Filipino and
English to and proof of
improve attendance of
teaching and colleague/s
learning, as
well as to Efficiency
develop the
learners’
pride of their
 language,
heritage and
culture. (PPST
1.6.3)

Timeliness

SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performance Mid-year Review/Rating Mid-Year Review Results
per KRA Target

Ratee (Teacher) Rater (Principal)

 Rating Remarks Rating Remarks

August,20 Classroom
Basic KRA 2 5. Exhibited 7% Quality
Observation Tool
Education effective 23 to (COT) rating

Services strategies that January, sheet/s or inter-

observer form/s
2024
ensure safe and done through
onsite/face to
secure learning face/ in-person
environments classroom
observation
to enhance
learning
through the and proof of
consistent attendance of
implementatio colleague/s Efficiency
n of policies,
guidelines and
procedures. Timeliness
(PPST 2.1.3)

August,20 Classroom
Basic KRA 2 6. Exhibit 7% Quality
Observation Tool
Education effective 23 to (COT) rating

Services practices to January, sheet/s or inter-

observer form/s
2024
foster learning done through
onsite/face to
environments face/ in-person
that promote classroom
observation
fairness,
respect and and proof of
attendance of
care to
colleague/s
encourage
learning. (PPST Efficiency
2.2.3)
 Timeliness

SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performanc Mid-year Review/Rating Mid-Year Review
per e Target Results
KRA
Ratee (Teacher) Rater (Principal)

Rating Remarks Rating Remarks

Basic KRA 2 7. Exhibited a August,20 7% Classroom Quality

Observation
Education learner-centered 23 to
Tool (COT)
Services culture that January, rating sheet/s
promotes success 2024 or inter-
by using effective observer
form/s done
teaching strategies
through
that respond to onsite/face to
their linguistic, face/ in-
Efficiency
cultural, person
classroom
socioeconomic and
observation
religious
backgrounds. (PPST and proof of
3.2.3) attendance of
colleague/s

Timeliness
 Basic KRA 2 8. Developed and August,20 7% Classroom Quality
23 to Observation
Education applied teaching
January, Tool (COT)
Services strategies to rating
2024
address sheet/s or
effectively the inter-
needs of learners observer
agreement
from indigenous
form/s done
groups. (PPST through
3.5.3) onsite / face-
to-face / in-
person Efficiency
classroom
observation
and proof of
attendance
of
colleague/s.

Timeliness
Appendix E

SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performance Mid-year Review/Rating Mid-Year Review Results
per KRA Target

Ratee (Teacher) Rater (Principal)

Rating Remark Rating Remarks

s

Basic KRA 2 9. Modeled to August,20 7% At least one (1) Quality

lesson plan (e.g.,
Education colleagues the 23 to
DLP, DLL, WHLP,
Services setting of January, WLP, WLL, Lesson
2024 Exemplars, and
achievable
the likes) or one
and lesson from a self
challenging -learning module,
developed by the
learning ratee* and used
Efficiency
outcomes in instruction,
that are with achievable
and appropriate
aligned with learning
learning outcomes that are
aligned with the
competencies
learning
to cultivate a competencies as
culture of shown in any one
Timeliness
(1) of the
excellence for following:
all learners. •lecture/
(PPST 4.2.3) discussion

• activity/activity
sheet
• performance
task
• rubric for
 assessing
performance
using criteria that
appropriately
describe the
target output

and demonstrated in
a LAC session as
attested by the LAC
Coordinator/
Approving Authority
with proof of
attendance of
colleague/s

10. Used August,2 7% Classroom Quality

Basic KRA 3
effective 023 to Observation Tool
Education
strategies for January, (COT) rating
Services sheet/s or inter-
providing 2024
observer
timely,
agreement form/s
accurate and done through
 constructive onsite / face-to-
feedback to face / in-person
classroom Efficiency
encourage
observation and
learners to
proof of
reflect on and
attendance of
improve their colleague/s.
own learning.
(PPST 5.3.3)

Timeliness

SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performanc Mid-year Review/Rating Mid-Year Review
per KRA e Target Results

Ratee (Teacher) Rater (Principal)

Rating Remarks Rating Remark

s

11. Worked 1. Approved LAC/FGD Plan

Basic KRA 3 August,20 7% 2. Any proof of communication with
Quality
collaborativel 23 to
Education colleagues (e.g., text/ chat)
y with January,
3. Any proof of collaborative review
Services colleagues to
(e.g., accomplishment report) of

2024 • learner assessment data

analyze and • intervention materials developed
for remediation/
utilize • enhancement/ enhancement/
assessment enrichment activities
4. Minutes of coaching and
data to mentoring sessions, meetings,
 modify LAC/FGD session, or other collegial
discussions, with proof of
practices and attendance
programs to 5. Performance Monitoring and
Coaching Form (PMCF), with
further annotations highlighting
support interpretation of monitoring and
Efficiency
evaluation strategies of attainment
learner data
progress and
achievement.
(PPST 5.5.3)

Timeliness

Appendix E

SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performance Mid-year Review/Rating Mid-Year Review Results
per KRA Target

Ratee (Teacher) Rater (Principal)

Rating Remarks Rating Remark

s

Basic KRA 3 12. Guided August, 7% 1. Proof/s of attendance in Quality

coaching and mentoring
Education colleagues 2023 to sessions/meetings/LAC
sessions / FGDs / other
Services to January,
collegial discussions that
strengthen 2024 highlights the objective
2. Minutes/Notes of
relationship
coaching and mentoring
s with sessions/meetings / FGDs /
parents/ other collegial discussions
that highlights the objective
guardians 3. Reflection notes of
and the teachers on the coaching and
wider mentoring
sessions/meetings/LAC Efficiency
school sessions / FGDs/other
community collegial discussions that
highlights the objective with
to maximize
proof/s of attendance
their 4. Performance Monitoring
involvemen and Coaching Form (PMCF),
with annotations highlighting
t in the the objective
educative
process.
(PPST 6.2.3)
Timeliness
 SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performanc Mid-year Review/Rating Mid-Year Review
per KRA
e Target Results

Ratee (Teacher) Rater (Principal)

Rating Remarks Rating Remarks

Basic KRA 4 13. August,2023 7% 1. Approved activity/project Quality

proposal for a webinar,
Education Contributed to
retooling, upskilling, and other
Services actively to January, training/ seminar/ workshop
professional 2024 with accomplishment report
networks 2. Approved activity/project
proposal for benchmarking or
within and
innovation with
between accomplishment report
schools to 3. Certificate as contributor to
Efficiency
improve LRMDS
4. Certificate of completion in a
knowledge
course/training
and to 5. Certificate of recognition/
enhance speakership in a webinar,
practice. retooling, upskilling, and other
training/ seminar/ workshop
(PPST 7.3.3)
6. Any proof of participation in
school LAC sessions
Timeliness
(online/face-to-face) certified by
the LAC Coordinator
7. Others (Please specify and
provide annotations)
 August, 1. Proof/s of attendance in Quality
Basic KRA 4 14. Initiated 7%
coaching and mentoring
Education professional 2023 to sessions/meetings/LAC sessions /

Services reflections January, FGDs / other activities that

highlights the objective
2024
and promote 2. Approved LAC/FGD Plan
3. Training matrix of LAC sessions
learning highlighting the teacher’s role
opportunitie 4. Minutes of LAC sessions/FGDs
highlighting the teacher’s role, with
s with proof of attendance
5. Performance Monitoring and
colleagues to
Coaching Form (PMCF)
improve 6. Personal notes/reflections of
Efficiency
colleagues on regional/ division/
practice. school-led INSETs and/or other
(PPST 7.4.3) trainings supervised/ conducted by
teacher
7. Others (Please specify and
provide annotations)

Timeliness

*Please see attached list of MOV

SUGGESTED MID-YEAR REVIEW FORM (MRF)

MFOs KRAs Objectives Timeline Weight MOV Performance Mid-year Review/Rating Mid-Year Review
per Target Results
KRA
Ratee (Teacher) Rater (Principal)

Rating Remarks Rating Remark

 s

August,2023 Any one (1) proof that the Quality

Basic KRA 4 15. Performed 2%
master teacher:
Education various related to
Services works / January, ● served as facilitator /
speaker
2024
activities that
● served as demonstration
contribute to teacher
the
● served as a member of the
teachinglearnin technical working group
g process.
● served as OIC in the
absence of the principal Efficiency
● represented the principal
in meetings and conference
● observed classes of
Teachers I-III

● assisted the school

selection committee in the
evaluation of credentials
when hiring or promoting
teachers

● served in a committee

● served as adviser to co-

curricular activities Timeliness
● served as coordinator /
chairperson

● authored / contributed to
a book or journal

● coached and mentored

learners in competitions

● mentored pre-service / in-

service teachers

● conducted research within

the rating period;

● others (please specify)

with annotation on how it
contributed to the teaching-
 learning process.

LOUELLA G. FLORES ALDRIN B. ASUNCION ROSARIO O. CABRERA

Head Teacher I Master Teacher I Asst. Schools Division Superintendent
Rater Ratee Approving Authority