INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS

ELEMENTARY LEVEL
(1st Semester)
Name of Employee VERVINA T. VILLONES Name of Rater MEDELINA B. BESARIO
Position TEACHER III Position MASTER TEACHER 1
Review Period 1st Semester ( May-October) Date of Review OCTOBER 27, 2017
Bureau/Center/Service/Division San Isidro ES/ Sta. Fe District/ Leyte Division

WEIGHT
ACTUAL
MFO KRA OBJECTIVES TIMELINE PER QUALITY EFFICIENCY TIMELINESS RATING SCORE
RESULT
KRA
KRA 1 I. Teaching 35%
Learning
Process
1. Prepared at least 90 (May- 5% 5 - Prepared 90 and above 5 - submitted before Q-90 Q E T A 0. 250
complete DLP/DLL October) complete and the 1st period of E- -
throughout the rating congruent set of lesson classes T-during 5 - 5 5
1st period
period. plans/DLL 4 - submitted during
4 - Prepared 68-89 the 1st period of
complete and classes
congruent set of lesson 3 - submitted during
plans/ DLL the 2nd period of
3 - Prepared 67 complete classes
and congruent set of 2 - submitted during
lesson plans/DLL the 3rd period of
2 - Prepared 24-45 classes
complete and 1 - submitted during
congruent set of lesson the 4th period of
plans/DLL classes or beyond
1 - Prepared 23 and below within the day
complete set of lesson
plans/DLL

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2. Utilized at least 3 (May- 6% (Refer to DepEd Order 5 - Utilized 5 or more Q-
Varied Learning October) No. 42, s. 2016) appropriate IMs Audio, Q E T A
Resources that are 5 - ICT/Multimedia, 4 - Utilized 4 & 0.240
appropriate to the Audio, Visual and appropriate IMs Visual 4 4 - 4
lesson’s objective Printed and 3 - Utilized 3 E- 4
daily. Manipulative appropriate IMs T- -
(ICT/Multimedia, instructional materials 2 - Utilized 2
Visual and Printed were utilized through- appropriate IMs
Materials, out the lessons. 1 - Utilized only 1 IM
Manipulative) 4 - Audio, Visual and
MOV: Printed and
- IMs Checklist manipulative
instructional materials
were utilized through-
out
the lessons.
3 - Visual, Printed and
other Manipulative
instructional materials
were utilized through-
out the lessons.
2 - Printed materials were
utilized throughout the
lessons.
1 - Innovative instructional
materials were not
utilized throughout the
lessons.

3. Observed by the May- 6% 5 - 91%-100% 5 - observed 5 times

School Head/ Master October) implemented of 4 - observed 4 times Q- 81-
Teacher for at least 3 Technical Assistance 3 - observed 3 times 90% Q E T A 0.240
classroom given from School 2 - observed 2 times E- 4
times 4 4 - 4
observations with 75% Head/Master Teacher. 1 - observed 1 time
implementation of 4 - 81%-90% implemented T- -
Technical Assistance of the Technical
given. Assistance given from
MOV: School Head/Master
Request Letter, TLOC Teacher.
3 - 75%-80%
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 implementation of
Technical Assistance
given from School
Head/Master Teacher.
2 - 50% - 74%
implementation of
Technical Assistance
given from School
Head/Master Teacher.
1 - implemented 49% and
below of the Technical
Assistance given from
School Head/Master
Teacher

4. a. (For classroom (May- 9% 5 - Presence of 96- 5 - Prepared the class Q- -

adviser) Established October) 100% home starting in E-100% 0.450
Q E T A
and maintained class of the items on the May to October T-May
home that is class home 4 - Prepares the class to
- 5 5 5
conducive for structure home in June to October
learning throughout checklist. October
the year 4 - Presence of 86-95% 3 - Prepares the class
MOV: of home in July
- Division Standard the items on the
Classhome class 2 - Prepares the class
Evaluation home structure home in August
Checklist checklist 1 - Prepares the class
3 - Presence of 75-85% home only when
of the items on the there is an
class home evaluation
structure
checklist
2 - Presence of 50-74%
of
the items on the
class
home structure
checklist
1 - Presence of only
49%
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 and below of the
items on the class
home structure
checklist

4. b. (For special subject (May-

teachers) Prepared October)
an updated board
structuring and
others required of
the
subject/assignment
with 75%
accomplishment.
(Refer to monitoring
check list)

5. Taught all
competencies in the 5% 5 - with 90-100% 5 - 95% - 100% and 5 - 90-100% in line Q- 89%
Budget of Lesson per mastery above of the With the LCD E- 85%
Q E T A
quarter in all subject 4 - with 80-89% mastery competencies for 4 - 80-89% in line T- 89%
areas with at least 75% 3 - with 70-79% mastery the quarter were with the LCD 0.200
4 4 4 4
mastery. 2 - with 60-69% mastery taught 3 - 70-79% in line
MOV: 4 - 85-94% with the LCD
 Lesson Plan 1 - with 59 and below 2 - 60-69% in line
3 - 75-84%
mastery
 LCD (Learning 2 - 65-74% with the LCD
Competency 1 - 59 and below in
1 - 64% and below line with mastery
Directory)/Budget of
Lessons
 Curriculum Guide
 Teacher’s M&E
Report (SMEA)

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 6. Constructed/Enhanced (May- 4% 5 - Constructed/enhanced 5 - indexed Q- - Q E T A
40 complete varied October 60 or more IMs/eIMs E- 4 0.120
indexed IMs/e- 4- daily T- - 3 3 3
IMs/Learning 3 - constructed/enhanced 4 - indexed weekly
Resources. 40-49 only IMs/eIMs
(Note: Acknowledge 2 - constructed/enhanced every other
the source of the 30-39 only day
copied materials and 1 - constructed/enhanced 3 - indexed
show the enhanced 29 and below IMs/eIMs
materials) weekly
2 - indexed
IMs/eIMs
monthly
1 - indexed
IMs/eIMs
quarterly

KRA 2 II. Pupils/ 30%

Students Q- 69% Q E T A
Outcomes 1. Attained an average May- 3% 5 - attained 75% MPS and 5 - 80% and above of MPS 0.090
MPS of 75% in the October above the students E- 69%
MPS 3 3 - 3
NAT. 4 - attained 70-74% MPS T- -
4 - 70-79% of the
MOV: NAT Result 3 - attained 50-69% MPS students
3 - 50-69% of the
2 - attained 30-49% MPS students
2 - 30-49% of the
1 - attained 1-29% MPS students
1 - 1-29% of the
students
Q- 74%
MPS
2. Attained an average For the 3% E- 79% 0.120
MPS of 75% in the 1st Sem- MPS

Page 5 of 18
 Quarterly Test. SMEA T- - Q E T A
2nd & 3rd
(Note: To be Quarter 4 4 - 4
implemented in SY Result
2017-2018)

MOV: Quarterly Test

Result

3. Attained a 0 drop-out (May- 2% 5 - 0 dropout rate Q- 0

rate in all classes October 4 - 0.1-1.0% dropout rate drop-out Q E T A
handled for the for E- - 0.100
attainment of the 3 - 1.1-2.0% dropout rate T- - 5 - - 5
Grades 2-
objectives of the 6 only) 2 - 2.1-3.0% dropout rate
School Banner Project.
1 - above 3.0% dropout
MOV: LIS rate
(transfer to KRA on
access)

Q- above
4. Zero-out non-readers 5 - 0 non-reader 3.0%
(May- 2% (11)
(for grades 1 to 6) October 4 - non-reader is only 0.1- Q E T A
1.0% of E- -
(Based on EGRA/ Phil for T- -
IRI result) Grades 2- the class 1 - - 1
0.020
6 only) 3 - non-reader is only 1.1-
MOV: Phil-IRI Result, 2.0% of
SMEA Report the class
2 - non-reader is only 2.1-
3.0% of
the class
1 - non-reader is above
3.0% of the
class
Q- 3.0%
0f the class
5. Zero-out non – (May- 2% (11)
numerates (based on October) 5 - 0 non-numerates E- - 0.020
the EGMA and other T- -

Page 6 of 18
 test)
MOV: Numeracy Test
Result, SMEA Report
6. Increased number of
readers from non- 3%
reader to frustration
level; from frustration
to instructional/
independent level in
all classes handled
(Note: Non-adviser
will take the reading
performance of the
classes handled)
MOV: Phil-IRI
Result, SMEA Result
4 - non-numerates is only Q E T A
0.1-1.0% of the class
3 - non-numerates is only 1 - - 1
1.1-2.0% of the class
2 - non-numerates is only Q- 3
readers
2.1-3.0% of the class
E- -
1 - non-numerates is above T- -
3.0% of the class
Q E T A
5 - increased 5 or more
readers from current 3 - - 3 0.090
reading level to the next
higher reading level
4 - increased 4 readers from
current reading level to
the next higher reading
level
3 - increased 3 readers from
current reading level to
the next higher reading
level
2 - increased 2 readers from
current reading level to
the next higher reading
level
1 - increased 1 reader from
current reading level to
the next higher
Page 7 of 18
7. Compiled Pupil’s (May- 3% 5 - Compiled complete and 5 - compiled weekly Q- Q E T A
Compiled
Portfolio October) Properly labelled 4 - compiled twice a complete and
0. 150
students' written and month Properly
5 5 - 5
MOV: Pupil’s income generating 3 - compiled monthly labelled
students'
Portfolio product/performance- 2 - compiled quarterly written and
income
based output 1 - compiled semestral generating
4 - Compiled complete product/

and properly labelled E- -

students written and weekly
product/ T- -
performance-
based output

3 - Compiled complete
students written
and product/
performance-based
output
2 - Compiled complete
written output with
no performance/product-
based output/not
properly labelled

1 - with portfolio but

incomplete output

8. Updated school (May- 3% 5 - all School Records

records (for teachers October) are updated Q- - 0.150
E- all Q E T A
with advisory class)
4 - lacks 1 school updated
 SF1 T- - 5 5 - 5
record
 SF2 3 - lacks 2 school
 SF3 records
 SF4 2 - lacks 3 school
 LIS Portal records
 Class Record 1 - lacks 4 or more
 Form138-E school records
 Form 137-E
 Grade Sheets

Page 8 of 18
  Summative Test
Question with TOS
 SREYA
 ECCD
checklist/card
MOV: School
Record Checklist

9. Prepared test item bank Q- -

with at least 5 test (May- 3% 5 - Prepared test item E- 8 sets Q E T A
questionnaires per October) bank with 10 and T- - 0.120
subject handled. above sets of test - 4 - 4
questionnaires.
MOV: Test Item Bank 4 - Prepared test item
bank with at least
8 sets of test
questionnaires.
3 - Prepared test item
bank with at least
5 sets of test
questionnaires.
2 - Prepared test item
bank with at least
3 sets of test
questionnaires.
1 - Prepared test item
bank with at least
1 set of test
questionnaires.
10. Prepared and
submitted any of the (May- 3% 5 - accurate, legible, 5 - on time Q- - Q E T A 0. 150
October) reliable, accurate,
following reports as legible,
required valid, authentic 4 - 1 - 3 days late
reliable 5 - 5 5
3 - 4 - 7 days late
 Quarterly Periodic 4 - lacks 1 of the E- -
characteristics… 2 - 8-10 days late T- on
Exam
3 - lacks 2 of the 1 - more than time
Results(MPS)
characteristics… 10 days late
 Oral Reading Test
Results (PHIL IRI 2 - lacks 3 of the
Oral & Silent, characteristics…
EGRA, MTB- 1 - lacks 4 of the
Page 9 of 18
 MLE, Numeracy characteristics…
 Test Result)
 Form 48
 Action Plan
 Monthly Activities
Accomplishment
Report
 ECCD:
Pre/Mid/Post Test
 SREYA Result
 Pre-test/Post-test
 Nutritional Status
Report
 PPFT (Grade 4-6)
 GAD Report
 Others(Pls. specify)
 Guidance Action
Plan
 Others
MOV:
School
Reports Checklist

KRA 3 III. School and 10%

Community
Involvement
1. Conducted Quarterly (May- 3% 5 - Conducted 5 or more
PTA Meetings with October) PTA meetings with Q- 4 Q E T A
the following MOVs; complete MOVs PTA 0. 120
meetings
• Agenda 4 - Conducted 4 PTA 4 - - 4
E- -
• Attendance meetings with
T- -
• Minutes of the complete MOVs
meetings 3 - Conducted 3 PTA
• Others (pls. Specify) meetings with
complete MOVs
2 - Conducted 2 PTA
meetings with
complete MOVs
1 - Conducted 1PTA
Page 10 of 18
 meeting with complete
MOVs

2. Attended School/ (May- 2% 5 - 95-100% attendance in 5 - attended 95-

District Meetings October) school/district 100% of the Q- Q E T A
meetings meetings on 100% 0. 100
MOV: 4 - 85-94% attendance in time E- - 5 - 5 5
• Agenda school/district meeting 4 - attended 85- T-100%
 Conference 3 - 75-84% attendance in 94% of the
Notebook school/district meetings on
• Attendance meetings time
• Minutes of the 2 - 55-74% attendance in 3 - attended 75-
Meetings school/district 84% of the
• Others (pls. Specify) meetings meetings on
1 - 1-54%attendance in time
school/district 2 - attended 55-
meetings 74% of the
meetings on
time
1 - attended 1-
54%
of the meetings
on time

3. Initiated the conduct of (May- 3% 5 - Conducted four (4) Q- 4

Brigada Eskwela October) Brigada Eskwela Brigada
Eskwela
activities activities with Q E T A
E- -
complete 0. 150
T- -
MOV: ACR, documentation 5 - - 5
Attendance Sheets 4 - Conducted three (3)
Brigada Eskwela
activities with
complete
documentation
3 - Conducted two (2)
Brigada Eskwela
activities with
complete
documentation
2 - Conducted one (1)
Page 11 of 18
 Brigada Eskwela
activities with
complete
documentation
1 - No documentation
Q- 2
civic-
oriented
4. Participated in at least (May- 2% 5 - participated 5 or more activities
three civic- October) civic-oriented E- -
oriented activities activities with MOVs T- - Q E T A
(pictures, certificate) 0.040
MOV: ACR, 4 - participated 4 civic- 2 - - 2
Attendance Sheets oriented activities with
MOVs (pictures,
certificate)
3 - participated 3 civic-
oriented activities with
MOVs (pictures,
certificate)
2 - participated 2 civic-
oriented activities with
MOVs (pictures,
certificate)
documentation
1 - participated in only 1
civic-oriented
activities with MOVs
(pictures, certificate)
documentation

KRA 4 IV. Professional 20%

Growth &
Development
1. Attended at least 3 5% 5 - Attended 5 and above
District/School-Based (May- District/School-Based Q- 5 Q E T A
In Service Trainings of October) In Service Trainings of E- - 0.250
at least 3 days. at least 3 days. T- - 5 - - 5
4 - Attended 4
District/School-Based
In Service Trainings of
Page 12 of 18
 at least 3 days.
3 - Attended 3
District/School-Based
In Service Trainings of
at least 3 days.
2 - Attended at least 2
5% District/School-Based
In Service Trainings of
at least 3 days.
1 - Attended 1
District/School-Based
In Service Training of
at least 3 days.

2. Earned units/or degree

in Post Graduate (May- 3% 5 - Doctoral Q- - Q E T A
Studies October) Degree holder E- - 0.090
MOV: 4 - Earned units in T- - - 3 3
TOR/ Certificates of Doctoral Degree Master’s
Degree
Units Earned/ Permit 3 – Master's
to Degree
Study with School 2 - CAR in Masters
Head indorsement Degree
1 - Units in
Masters Degree

4. Submitted at least 75% 5 - Submitted 91-100% of

of the reports needed (May- 3% the required
Q-95%
for the improvement October) reports Q E T A
E- -
of SBM Level of 4 - Submitted 81-90% of 0.150
T- -
Practice with complete the required reports 5 - - 5
MOVs 3 - Submitted 71-80% of
MOV: the required reports
Reports Checklist 2 - Submitted 61-70% of
the required reports
1 - Submitted 60% and
below of the required
report

Page 13 of 18
 5. Participated on the 5 - Level 3 of SBM Q-
improvement of SBM (May- practice, Regional Level 2
Q E T A
4% E- -
Level of Practice October) Level 0.120
MOV: 4 - Level 3 of SBM T- - 3 - - 3
SBM Level of Practice practice, Division Level
Result 3 - Level 2 of SBM
practice, Division Level
2 - Level 1 of SBM
practice, Division Level
1 - on process of
collecting and
organizing data

6. Acted as any of the (May- 5 - National/Regional

4%
following: Winning October) Level Q-
Coach (Academic & 4 - Division Level Division
Q E T A
Level
Non- 3 - Area Level (Sports 0.160
Academic)/Awardee, 2 - District Level Officiating
Officials) 4 - - 4
Resource 1 - School Level E- -
Speaker/Trainer, T- -
Facilitator,
Curriculum writer,
Sports Officiating
Officials
MOV: Certificates

V. Plus Factor Earned plus factor for the 5%

period in any of the items
indicated but shall not
exceed 5%

A. 100% Daily 100% attendance in 1% 5 - Perfect Attendance Q- perfect Q E T A

attendance
Attendance academic classes and 4 - 1 to 2 absences 0.050
non- academic activities 3 - 3 to 5 absences E- -
T- - 5 - - 5
of the school 2 - 6 to 8 absences
1 - 9 or more absences

Page 14 of 18
B. Action Research Solved problem in school 1% 5 - Action Research
through Action Research Replicated by other
schools
4 - Implemented the
Action Research with
MOVs
3 - Approved Action
Research by the
SDS/ASDS
2 - Submitted Action
Research Proposal to
be SDS/ASDS
1 - Proposed Action
Research to the
Immediate Supervisor

C. Chairmanship / Acted as Chair / Co- 2% 5 - 3 or more

Co- Chair / member in any chairmanship school
chairmanship DepEd / School or level
* School-Based Regional organizations, 4 - 2 chairmanship school Q= 4 Q E T A
INSET programs and projects level 0.100
* SLAC 3 - 1 chairmanship or 4 or E= -
5 - - 5
* PAPs (Gulayan more membership T= -
sa Paaralan, school level
DRR, Eco- 2 - active member in 3 or
Friendly, more comm. School
SBFP, SBM, level
SBM WINs, 1 - active member in 1-2
Adopt-a- comm. School level
School, DORP,
GAD, VAWC,
Brigada
Eskwela,
School
Publication,
School Banner,
CFSS, CPP,
SPG/SSG)
Page 15 of 18
 MOV: ACR

D. Served as 1% 5 - presence of all MOVs 5 - 5 practice teachers

Cooperating 4 - presence of only 4 4 - 4 practice teachers
Teacher with MOVs 3 - 3 practice teachers
MOVs – Office 3 - presence of only 3 2 - 2 practice teachers
Order, Student MOVs 1 - 1 practice teacher
Teacher’s 2 - presence of only 2
Journal, MOVs
compilation of 1 - presence of only 1
LPs, MOV
compilation of
indexed IMs,
observation of
TA notes

Overall Rating for Accomplishments 3.870

MEDELINA B. BESARIO, MT-1 VERVINA T. VILLONES RAMIL P. BINGCO, PhD

Rater Ratee Approving Authority

Page 16 of 18
 PART III: SUMMARY OF RATINGS DISCUSSIONS

Final Performance Results Rating Adjectival Rating

Accomplishment of KRAs and Objectives 3.870 VS

Rater- Ratee Agreement

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

Name of Employee VERVINA T. VILLONES Name of Superior MEDELINA B. BESARIO

Signature Signature

Date OCTOBER 27,2017 Date OCTOBER 27,2017

PART IV: DEVELOPMENT PLANS

Strengths Development Needs Action Plan Timeline Resources Needed

 Prepared complete DLL
throughout the rating period.
 Submitted all school
reports/records.
 Presence of non-readers and
non-numerates
(Recommended Developmental
Intervention)
 Will conduct Reading Clinic MOOE Fund
 Will provide numeracy and Personal Fund
November – March, 2018
reading stations.

MEDELINA B. BESARIO, MT-1 VERVINA T. VILLONES RAMIL P. BINGCO, PhD

Rater Ratee Approving Authority
Page 17 of 18
INSTRUCTIONS:
1. For teachers who have served at least a year of service in DepEd, they must fill-out the two (2) sets of IPCRF (1st Semester and 2nd Semester). To
come-up with the Overall Rating for SY 2017-2018, they must add-up the initial rating for the two (2) rating periods and divide it by 2, for
example: 4.3 (initial rating for the 1st Sem.); 4.6 (initial rating for the 2nd Sem.):
4.3 + 4.5 = 8.8
8.8/2 = 4.4
4.4 = Final IPCRF rating for SY 2017-2018

2. For newly hired teachers, they have to fill-in the semesters applicable to their ACTUAL date of service. For example:
a. Teacher A, hired August 6, 2017, IPCRF to be filled-in should be both 1st Semester and 2nd Semester;
b. Teacher B, hired November 8, 2017, IPCRF to be filled-in should be for the 2nd Semester only, therefore, the initial rating for
the 2nd Semester shall become the FINAL rating.

3. This IPCRF ready-to-print and is consisting of 13 pages. YOU ARE NOT ALLOWED TO MAKE ANY CORRECTIONS/ALTERATIONS/ADDITIONS to the
template. Any comments/suggestions will be treated separately.

Page 18 of 18