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 WEIGHT Position MASTER TEACHER 1
ACTUAL
Review Period KRA 1st Semester ( May-October)TIMELINE
OBJECTIVES PER Date of Review
QUALITY OCTOBER 27, 2017
EFFICIENCY TIMELINESS RATING SCORE
RESULT
Bureau/Center/Service/Division San Isidro ES/ Sta. Fe District/ Leyte Division
KRA
MFO
KRA 1 I. Teaching 35%
Learning
Process
Q E T A 1. Prepared at least 90 (May- 5% 5 - Prepared 90 and above 5 - submitted before Q-90 0. 250
complete DLP/DLL October) complete and the 1st period of E- -
5 - 5 5 throughout the rating congruent set of lesson classes T-during
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

Q E T A

4 4 - 4
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,
Resources that are 5 - ICT/Multimedia, 4 - Utilized 4 & 0.240
appropriate to the Audio, Visual and
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 lesson’s objective Printed and appropriate IMs Visual
daily. Manipulative 3 - Utilized 3 E- 4
(ICT/Multimedia, instructional materials appropriate IMs T- -
Visual and Printed were utilized through- 2 - Utilized 2
Materials, out the lessons. appropriate IMs
Manipulative) 4 - Audio, Visual and 1 - Utilized only 1
MOV: Printed and IM
- 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
Q E T A utilized throughout the
lessons.
4 4 - 4 1 - Innovative instructional
materials were not
utilized throughout the
lessons.

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

School Head/ Master October) implemented of
Teacher for at least 3 Technical Assistance 5 - observed 5 times Q- 81-
classroom given from School 4 - observed 4 times 90% 0.240
observations with 75% Head/Master Teacher. 3 - observed 3 times E- 4
implementation of 4 - 81%-90% implemented 2 - observed 2 times times
Technical Assistance of the Technical 1 - observed 1 time T- -
given. Assistance given from
MOV: School Head/Master
Request Letter, TLOC Teacher.
3 - 75%-80%
implementation of
Technical Assistance
given from School
Head/Master Teacher.
Q E T A
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- 5 5 5
 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 - Prepared the class

adviser) Established October) home starting in Q- -
and maintained class 5 - Presence of 96- May to October E-100%
home that is 100% 4 - Prepares the class T-May 0.450
conducive for of the items on the home in June to to
learning throughout class home October October
the year structure 3 - Prepares the class
MOV: checklist. home in July
- Division Standard 4 - Presence of 86-95%
Classhome of 2 - Prepares the class
Evaluation the items on the home in August
Checklist class 1 - Prepares the class
home structure home only when
checklist there is an
3 - Presence of 75-85% evaluation
of the items on the
class home
structure
checklist
2 - Presence of 50-74%
of
the items on the
class
home structure
checklist
1 - Presence of only
49%
Q E T A
and below of the
4 4 4 4
items on the class
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 home structure
4. b. (For special subject (May- checklist
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 - 90-100% in line
Budget of Lesson per mastery With the LCD Q- 89%
quarter in all subject 4 - with 80-89% mastery 5 - 95% - 100% and 4 - 80-89% in line E- 85%
areas with at least 75% 3 - with 70-79% mastery above of the with the LCD T- 89%
mastery. competencies for 3 - 70-79% in line 0.200
2 - with 60-69% mastery
MOV: the quarter were with the LCD
 Lesson Plan 1 - with 59 and below taught 2 - 60-69% in line
mastery 4 - 85-94% with the LCD
 LCD (Learning
Competency 3 - 75-84% 1 - 59 and below in
Directory)/Budget of 2 - 65-74% line with mastery
Lessons
1 - 64% and below
 Curriculum Guide
 Teacher’s M&E
Report (SMEA)

Q E T A
6. Constructed/Enhanced (May- 4% 5 - Constructed/enhanced 5 - indexed Q- -
- 3 3 3
40 complete varied October 60 or more IMs/eIMs E- 4 0.120
indexed IMs/e- 4- daily T-
IMs/Learning 3 - constructed/enhanced 4 - indexed weekly
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 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%

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

5 - - 5
Quarterly Test. SMEA T- -
2nd & 3rd
(Note: To be Quarter
implemented in SY Result
2017-2018)
Page 5 of 18
 MOV: Quarterly Test
Result
Q E T A
3. Attained a 0 drop-out (May- 2% 5 - 0 dropout rate Q- 0
1 - - 1
rate in all classes October 4 - 0.1-1.0% dropout rate drop-out
handled for the for E- - 0.100
attainment of the 3 - 1.1-2.0% dropout rate T- -
Grades 2-
objectives of the 6 only) 2 - 2.1-3.0% dropout rate
School Banner Project.
1 - above 3.0% dropout rate
MOV: LIS
(transfer to KRA on
access)
Q E T A

1 - - 1

Q E T A 5 - 0 non-reader Q- above
3.0%
4. Zero-out non-readers (May- 2% 4 - non-reader is only 0.1- (11)
3 - - 3 (for grades 1 to 6) October 1.0% of E- -
(Based on EGRA/ Phil for the class T- -
IRI result) Grades 2- 3 - non-reader is only 1.1- 0.020
6 only) 2.0% of
MOV: Phil-IRI Result, the class
SMEA Report 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)
5 - 0 non-numerates E- -
numerates (based on October) 0.020
the EGMA and other 4 - non-numerates is only T- -
test) 0.1-1.0% of the class
3 - non-numerates is only
MOV: Numeracy Test 1.1-2.0% of the class
Result, SMEA Report 2 - non-numerates is only
2.1-3.0% of the class Q- 3
readers
Page 6 of 18
 1 - non-numerates is above E- -
3.0% of the class T- -

5 - increased 5 or more
6. Increased number of readers from current
readers from non- 3% reading level to the next
reader to frustration higher reading level 0.090
level; from frustration 4 - increased 4 readers from
to instructional/ current reading level to
independent level in the next higher reading
all classes handled level
(Note: Non-adviser 3 - increased 3 readers from
will take the reading current reading level to
performance of the the next higher reading
classes handled) level
2 - increased 2 readers from
MOV: Phil-IRI current reading level to
Result, SMEA Result the next higher reading
level
1 - increased 1 reader from
current reading level to
the next higher

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
students' written and month Properly 5 5 - 5
labelled
MOV: Pupil’s income generating 3 - compiled monthly students'
Portfolio product/performance- 2 - compiled quarterly written and
income
based output 1 - compiled semestral generating
0. 150
4 - Compiled complete product/

and properly labelled E- -

students written and weekly
product/ T- -

Page 7 of 18
 performance-

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- -
with advisory class) E- all
4 - lacks 1 school
 SF1 updated
record T- -
 SF2 3 - lacks 2 school
 SF3 records
 SF4 2 - lacks 3 school
 LIS Portal records
Q E T A 0.150
 Class Record 1 - lacks 4 or more
 Form138-E school records
5 5 - 5
 Form 137-E
 Grade Sheets
 Summative Test
Question with TOS
 SREYA
 ECCD
checklist/card
MOV: School
Record Checklist

9. Prepared test item bank

with at least 5 test (May- 3% Q- -
5 - Prepared test item
Page 8 of 18
 questionnaires per October) bank with 10 and E- 8 sets
subject handled. above sets of test T- -
questionnaires.
MOV: Test Item Bank 4 - Prepared test item
bank with at least
8 sets of test
questionnaires.
3 - Prepared test item
Q E T A bank with at least
5 sets of test 0.120
- 4 - 4 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 - on time
following reports as October) Q- -
required 5 - accurate, legible, 4 - 1 - 3 days late accurate,
reliable, 3 - 4 - 7 days late legible,
 Quarterly Periodic reliable
valid, authentic 2 - 8-10 days late E- -
Exam
4 - lacks 1 of the 1 - more than
Results(MPS) T- on
characteristics… 10 days late
 Oral Reading Test time
3 - lacks 2 of the
Results (PHIL IRI
characteristics…
Oral & Silent,
2 - lacks 3 of the
EGRA, MTB-
characteristics…
MLE, Numeracy 0. 150
Q E T A 1 - lacks 4 of the
 Test Result) characteristics…
5 - 5 5  Form 48
 Action Plan
 Monthly Activities
Accomplishment
Report
 ECCD:
Pre/Mid/Post Test
 SREYA Result
Page 9 of 18
  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
Q E T A PTA Meetings with October) PTA meetings with Q- 4
the following MOVs; complete MOVs PTA 0. 120
meetings
4 - - 4 • Agenda 4 - Conducted 4 PTA
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
meeting with complete
MOVs

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

Q-
Q E T A District Meetings October) school/district 100% of the
100%
meetings meetings on 0. 100
E- -
5 - 5 5 MOV: 4 - 85-94% attendance in time
T-100%
• Agenda school/district meeting 4 - attended 85-
Page 10 of 18
  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
Q- 4
3. Initiated the conduct of (May- 3% 5 - Conducted four (4) Brigada
Eskwela
Brigada Eskwela October) Brigada Eskwela
E- -
Q E T A activities activities with
T- -
complete 0. 150
5 - - 5 MOV: ACR, documentation
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)
Brigada Eskwela
activities with
complete
documentation
1 - No documentation
Q- 2
civic-
oriented
(May- 2% 5 - participated 5 or more activities
4. Participated in at least
Page 11 of 18
 three civic- October) civic-oriented E- -
Q E T A oriented activities activities with MOVs T- -
(pictures, certificate) 0.040
2 - - 2 MOV: ACR, 4 - participated 4 civic-
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
Q E T A District/School-Based (May- District/School-Based Q- 5
In Service Trainings of October) In Service Trainings of E- - 0.250
5 - - 5 at least 3 days. at least 3 days. T- -
4 - Attended 4
District/School-Based
In Service Trainings of
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
Page 12 of 18
 at least 3 days.
1 - Attended 1
District/School-Based
In Service Training of
at least 3 days.

2. Earned units/or degree 3%

Q E T A in Post Graduate (May- 5 - Doctoral Q- -
Studies October) Degree holder E- - 0.090
- - 3 3 MOV: 4 - Earned units in T-
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% 3% 5 - Submitted 91-100% of

of the reports needed (May- the required
Q-95%
Q E T A for the improvement October) reports
E- -
of SBM Level of 4 - Submitted 81-90% of 0.150
T- -
5 - - 5 Practice with complete the required reports
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

5. Participated on the 5 - Level 3 of SBM

Q-
improvement of SBM (May- 4% practice, Regional Level 2
Q E T A
Level of Practice October) Level E- - 0.120
3 - - 3
MOV: 4 - Level 3 of SBM T- -
SBM Level of Practice practice, Division Level
Result 3 - Level 2 of SBM
practice, Division Level
2 - Level 1 of SBM
Page 13 of 18
 practice, Division Level
1 - on process of
collecting and
organizing data
4%
6. Acted as any of the (May- 5 - National/Regional
following: Winning October) Level
Q-
Q E T A Coach (Academic & 4 - Division Level Division
Non- 3 - Area Level Level 0.160
(Sports
4 - - 4 Academic)/Awardee, 2 - District Level Officiating
Resource 1 - School Level Officials)

Speaker/Trainer, E- -
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%

Q E T A.
A 100% Daily 100% attendance in 1% 5 - Perfect Attendance Q- perfect
attendance
Attendance academic classes and 4 - 1 to 2 absences 0.050
non- academic activities 3 - 3 to 5 absences E- -
5 - - 5
of the school 2 - 6 to 8 absences T- -
1 - 9 or more absences

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
Page 14 of 18
 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)
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
Page 15 of 18
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

PART III: SUMMARY OF RATINGS DISCUSSIONS

Final Performance Results Rating Adjectival Rating

Accomplishment of KRAs and Objectives 3.870 VS

Page 16 of 18
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

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

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

Rater Ratee Approving Authority

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 (1 st 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
Page 17 of 18
 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 1 st Semester and 2nd Semester;
b. Teacher B, hired November 8, 2017, IPCRF to be filled-in should be for the 2 nd 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.

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