Appendix E

SUGGESTED MID-YEAR REVIEW FORM (MRF)

Name of Employee: MARY JOY S. ALIBANG Name of Rater: ALDRIN B. ASUNCION

Position: Teacher I Position: MASTER 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

August,2023 Classroom Observation

Basic KRA 1 1. Applied 7% Quality
Tool (COT) rating
Education knowledge to sheet/s or inter-

Services of content January, observer form/s done

through onsite/face to
2024
within and face/ in-person
classroom observation
across
curriculum
teaching
Efficiency
areas.

Timeliness

2. Used a Classroom Observation

Basic KRA 1 August,2023 7% Tool (COT) rating sheet/s
Quality
range of to
Education or inter-observer form/s
teaching done through onsite/face
 strategies to face/ in-person
Services January, classroom observation
that enhance 2024
learner
achievement
in literacy and
numeracy
skills Efficiency

Timeliness

August,2023 Classroom Observation

Basic KRA 1 7% Quality
Tool (COT) rating
Education to sheet/s or inter-
3. Applied a
Services January, observer form/s done
range of through onsite/face to
teaching 2024 face/ in-person
strategies to classroom observation

develop critical
and creative
thinking, as
well as other
higher order
thinking skills.

Efficiency
 Timeliness

4. Displayed August,2023 Classroom Observation

Basic KRA 1 7% Quality
Tool (COT) rating
Education to sheet/s or inter-
proficient use
Services January, observer form/s done
of through onsite/face to
2024 face/ in-person
Mother classroom observation
Tongue,

Filipino and

English to

facilitate

teaching and
Efficiency

learning.

(PPST 1.6.2)

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. Established 7% Quality
Observation Tool
Education safe and secure 23 to (COT) rating

Services learning January, sheet/s or inter-

observer form/s
2024
environments done through
onsite/face to
to enhance face/ in-person
learning classroom
observation
through the
consistent
implementatio
n of policies,
guidelines and Efficiency
 procedures.
(PPST 2.1.2)
Timeliness

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

Services environments January, sheet/s or inter-

observer form/s
2024
that promote done through
onsite/face to
fairness, face/ in-person
respect and classroom
observation
care to
encourage
learning. (PPST
2.2.2)
Efficiency

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. Established a August,20 7% Classroom Quality

Observation
Education learner-centered 23 to
Tool (COT)
Services culture by using January, rating sheet/s
2024 or inter-
teaching
observer
strategies that form/s done
respond to their through
onsite/face to
linguistic, face/ in-
Efficiency
cultural, person
socioeconomic classroom
observation
and religious
backgrounds.
(PPST 3.2.2)

Timeliness

Basic KRA 2 8. Adapted and August,20 7% Classroom Quality

Education used culturally 23 to Observation
Services appropriate January, Tool (COT)
2024 rating
teaching
sheet/s or
strategies to
 address the inter-
needs of learners observer
from indigenous agreement
form/s
groups. (PPST
done
3.5.2)
through
Efficiency
onsite /
face-to-face
/ in-person
classroom
observation
.

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. Set August,20 7% At least one (1) Quality

lesson plan (e.g.,
Education achievable 23 to
DLP, DLL, WHLP,
Services and January, WLP, WLL, Lesson
2024 Exemplars, and
appropriate
the likes) or one
learning lesson from a self
outcomes -learning module,
developed by the
that are ratee* and used
Efficiency
aligned with in instruction,
learning with achievable
and appropriate
competencies learning
. (PPST 4.2.2) outcomes that are
aligned with the
learning
competencies as
shown in any one
Timeliness
(1) of the
following:
•lecture/
discussion

• activity/activity
sheet
• performance
task
• rubric for
assessing
performance
using criteria that
appropriately
describe the
target output
 August,2 7% Quality
Basic KRA 3 10. Used Classroom
Education strategies for 023 to Observation
Services providing January, Tool (COT)
2024
timely, rating sheet/s
accurate and or
constructive interobserver
feedback to agreement
improve form/s done Efficiency
learner through
performance. onsite / face-to
(PPST 5.3.2) face / in-person
classroom
observation.
 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

August,20 A list of identified least / most

Basic KRA 3 11. Utilized 7% Quality
mastered skills based on the
Education assessment 23 to frequency of errors / correct

Services data to January, responses with any one (1) of

the following supporting
2024
inform the MOVs

modificatio 1. accomplishment report for

n of remedial / enhancement
activities (e.g., remedial
teaching sessions, Summer Reading
Camp, Phil-IRIbased reading
and
program)
learning
2. intervention material used
practices for remediation /
and reinforcement / enhancement Efficiency
3. lesson plan/activity log for
programs. remediation / enhancement
(PPST 5.5.2) utilizing of assessment data to
modify teaching and learning
practices or programs
 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

August, Any one (1) of the following: 1.

Basic KRA 3 12. Build 7% Quality
Proof of participation in any
Education relationship 2023 to activity highlighting the

Services s with January, objective, such as, but not

limited the following:
2024
parents/ • Receipt form/monitoring form
during distribution of learning
guardians materials, etc.
and the • Commitment form to
stakeholders, developed
wider advocacy materials, certificate of
participation that shows
school
parents’/stakeholders’
 engagement signed by the school
community
head, etc.
to facilitate • Home visitation forms

involvemen • Any equivalent ALS Efficiency

form/document that highlights
t in the the objective
• Others (please specify and
educative provide annotations)
process. 2. Parent-teacher log or proof of
other stakeholders meeting (e.g.,
(PPST 6.2.2) one-on-one parent-teacher
learner conference log;
attendance sheet with minutes
of online or face-to-face meeting;
proof of involvement in the
learners’/parents’ orientation,
etc.)
3. Any form of communication to
parents/stakeholders (e.g.,
notice of meeting; screenshot of Timeliness
chat/text
message/communication with
parent/guardian)

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. Certificate of completion in a Quality

course/training
Education Participated to
2. Certificate of participation in
Services in January, a webinar, retooling, upskilling,
professional 2024 and other training/ seminar/
networks to workshop with proof of
implementation
share
3. Certificate of recognition/
knowledge speakership in a webinar and
and to other training/ seminar/
Efficiency
enhance workshop
4. Any proof of participation to a
practice.
benchmarking activity
(PPST 7.3.2) 5. Any proof of participation in
school LAC sessions
(online/face-to-face) certified by
the LAC Coordinator
6. Others (please specify and
provide annotations)
Timeliness

Basic KRA 4 14. August, 7% 1. Certification from Quality

Education Developed a 2023 to the ICT Coordinator /

Services personal January, School Head / Focal
2024
improvemen Person in charge of
t plan based eSAT
on reflection 2. IPCRF-DP
 of one’s 3. Mid-year Review
practice and Form (MRF)
Efficiency
ongoing 4. Updated IPCRF-DP
professional from Phase II
learning.
(PPST 7.4.2)

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
Any one (1) proof of: Quality
Basic KRA 4 15. Performed August,2023 2% ● committee involvement;
Education various related to ● involvement as
module/learning material
Services works / January, writer/validator;
● involvement as a resource
activities that person/speaker/learning
 facilitator in in the
contribute to 2024 RO/SDO/school-initiated
the teaching TV/radio-based instruction;
● book or journal authorship/ co-
learning authorship/ contributor ship;
● advisor ship/coordinator ship/
process. chairpersonship;
● participation in demonstration
teaching; Efficiency
● participation as research
presenter in a forum/conference;
● mentoring of 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.

Timeliness

ALDRIN B. ASUNCION MARY JOY S. ALIBANG LOUELLA G. FLORES

Master Teacher I Teacher I Head Teacher I
Rater Ratee Approving Authority