Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OF PANGASINAN II
Binalonan District I
Binalonan, Pangasinan

MID-YEAR REVIEW FORM (MRF) for Teacher I – III

Name of Employee: Armando D. Tabelin Name of Rater: Mirasol B. Ledesma PhD

Position: Teacher III Position: Education Program Specialist II
Bureau/Center/ Don Rufino Tabayoyong CS/Pang II Date of Review: January 26, 2024
Service/Division:
Rating Period: August 2023-June-2024

MFOs KRAs Objectives Timeline Weight Means of Verification Mid-year Review Rating
per Performance Target Ratee (Teacher) Rater Mid-
KRA Rating Remarks Rating Remarks Year
Review
Results
Basic Content 1. Applied 2023 Classroom Observation Quality
Education Knowledge knowledge of - Tool (COT) rating sheet/s
Services and content within 2024 or inter-observer
Pedagogy and across agreement form/s done
curriculum through onsite / face-to-face
teaching areas. / in-person classroom
(PPST 1.1.2) observation. Efficiency

Basic Content 2. Used a range 2023 Classroom Observation Quality

Education Knowledge of teaching - Tool (COT) rating sheet/s
Services and strategies that 2024 or inter-observer
Pedagogy enhance agreement form/s done
learner through onsite / face-to-face
achievement in / in-person classroom
literacy and observation. Efficiency
numeracy
 skills.
(PPST 1.4.2)
Basic Content 3. Applied a 2023 Classroom Observation Quality
Education Knowledge range of - Tool (COT) rating sheet/s
Services and teaching 2024 or inter-observer
Pedagogy strategies to agreement form/s done
develop through onsite / face-to-face
critical and / in-person classroom
creative observation. Efficiency
thinking, as
well as
other
higher-order
thinking
skills.
(PPST 1.5.2)
Basic Content 4. Displayed 2023 Classroom Observation Quality
Education Knowledge proficient use of - Tool (COT) rating sheet/s
Services and Mother Tongue, 2024 or inter-observer
Pedagogy Filipino and agreement form/s done
English to through onsite / face-to-face
facilitate / in-person classroom
teaching and observation. Efficiency
learning.
(PPST 1.6.2)
Basic KRA 2: 5. Established 2023 Classroom Observation Quality
Education Learning safe and secure - Tool (COT) rating sheet/s
Services Environment learning 2024 or inter-observer
& Diversity environments to agreement form/s done
of Learners enhance through onsite / face-to-face
learning / in-person classroom
through observation. Efficiency
the consistent
implementation
of policies,
guidelines and
procedures.
(PPST 2.1.2)
Basic KRA 2: 6. Maintained 2023 Classroom Observation Quality
Education Learning learning - Tool (COT) rating sheet/s
Services Environment environments 2024 or inter-observer
& Diversity that promote. agreement form/s done
of Learners fairness, respect through onsite / face-to-face
and care to / in-person classroom
encourage observation. Efficiency
learning.
(PPST 2.2.2)
Basic KRA 2: 7. Established a 2023 Classroom Observation Quality
Education Learning learner-centered - Tool (COT) rating sheet/s
Services Environment culture by using 2024 or inter-observer
& Diversity teaching agreement form/s done
of Learners strategies that through onsite / face-to-face
respond to their / in-person classroom
linguistic, observation. Efficiency
cultural,
socioeconomic
and
religious
backgrounds.
(PPST 3.2.2)
Basic KRA 2: 8. Adapted and 2023 Classroom Observation Quality
Education Learning used culturally - Tool (COT) rating sheet/s
Services Environment appropriate 2024 or inter-observer
& Diversity teaching agreement form/s done
of Learners strategies to through onsite / face-to-face
address the / in-person classroom
needs of observation. Efficiency
learners from
indigenous
groups. (PPST
3.5.2)
Basic KRA 3: 9. Set 2023 At least one (1) lesson plan Quality
Education Curriculum achievable - (e.g., DLP, DLL, WHLP, WLP,
Services and and appropriate 2024 WLL, Lesson Exemplars, and
Planning & learning the
Assessment outcomes that likes) or one lesson from a
and are aligned with selflearning module,
Reporting learning developed by Efficiency
 competencies. the ratee* and used in
(PPST 4.2.2) instruction,
with achievable and
appropriate
learning outcomes that are
aligned with the learning
competencies as shown in
any
one (1) of the following:
• lecture/discussion
• activity/activity sheet
• performance task
• rubric for assessing
performance using criteria
that appropriately describe
the target output
Basic KRA 3: 10. Used 2023 Classroom Observation Quality
Education Curriculum strategies for - Tool (COT) rating sheet/s
Services and providing timely, 2024 or inter-observer
Planning & accurate and agreement form/s done
Assessment constructive through onsite / face-to-face
and feedback to / in-person classroom
Reporting improve learner observation. Efficiency
performance.
(PPST 5.3.2)
Basic KRA 3: 11. Utilized 2023 A list of identified least / Quality
Education Curriculum assessment - most mastered skills based
Services and data to inform 2024 on the frequency of errors /
Planning & the correct responses with any
Assessment modification one (1) of the following
and of teaching supporting MOVs
Reporting and learning 1. accomplishment report for Timeliness
practices and remedial / enhancement
programs. activities (e.g., remedial
(PPST 5.5.2) sessions, Summer
Reading Camp, Phil-IRIbased
reading program)
2. intervention material used
for remediation /
reinforcement /
enhancement
3. lesson plan/activity log for
remediation / enhancement
utilizing of assessment
data to modify teaching
and learning practices or
programs
Basic KRA 4: 12. Build 2023 Any one (1) of the following: Quality
Education Personal relationships - 1. Proof of participation in
Services Growth and with parents/ 2024 any activity
Professional guardians and highlighting the objective,
Development the wider such as, but not
& Personal school limited the following:
Growth and community to • Receipt form/monitoring Timeliness
Professional facilitate form during
Development involvement in distribution of learning
the educative materials, etc.
process. • Commitment form to
(PPST 6.2.2) stakeholders,
developed advocacy
materials,
certificate of participation
that shows
parents’/stakeholders’
 engagement
signed by the school head,
etc.
• Home visitation forms
• Any equivalent ALS
form/document
that highlights the objective
• Others (please specify and
provide
annotations)
2. Parent-teacher log or proof
of other
stakeholders meeting (e.g.,
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
chat/text
message/communication
with
parent/guardian)
Basic KRA 4: 13. Participated 2023 1. Certificate of completion Quality
Education Personal in professional - in a course/training
Services Growth and networks to 2024 2. Certificate of participation
Professional share knowledge in a webinar, retooling,
Development and to enhance upskilling, and other
& Personal practice. (PPST training/ seminar/
Growth and 7.3.2) workshop with proof of Timeliness
Professional implementation
 Development 3. Certificate of recognition/
speakership in a webinar
and other training/
seminar/ workshop
4. Any proof of participation
to a benchmarking activity
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
Basic KRA 4: 14. Developed 2023 1. Certificate of completion Quality
Education Personal a personal - in a course/training
Services Growth and improvement 2024 2. Certificate of participation
Professional plan based on in a webinar, retooling,
Development reflection of upskilling, and other
& Personal one’s practice training/ seminar/
Growth and and ongoing workshop with proof of Efficiency
Professional professional implementation
Development learning. 3. Certificate of recognition/
(PPST 7.4.2) speakership in a webinar
and other training/
seminar/ workshop
4. Any proof of participation Timeliness
to a benchmarking activity
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
Basic Plus Factor 15. Performed 2023 Any one (1) proof of: Quality
Education various related - ● committee involvement;
Services works / 2024 ● involvement as
activities that module/learning material
contribute to writer/validator;
 the ● involvement as a resource
teachinglearning person/speaker/learning Efficiency
process. facilitator in in the
RO/SDO/school-initiated
TV/radio-based instruction;
● book or journal
authorship/
co-authorship/contributorshi Timeliness
p;
●
advisorship/coordinatorship/
chairpersonship;
● participation in
demonstration teaching;
● participation as research
presenter in a
forum/conference; ●
mentoring of
pre-service/inservice
teachers;
● conducted research within
the rating period;
● others (please specify) with
annotation on how it
contributed to the
teachinglearning process.

MIRASOL B. LEDESMA PhD ARMANDO D. TABELIN JUPITER L. PETILLA EdD

Rater Ratee Approving Authority