SF 7 Sample Form

Republic of the Philippines
Department of Education
REGION X
Division of Lanao del Norte
RAMAIN INTEGRATED SCHOOL
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW

Name of Employee: OMICALSUM S. CABSARAN
Position: TEACHER I
Bureau/Center/Service/Division: DEPED-RAMAIN INTEGRATED SCHOOL
Rating Period: SY 2018 - 2019
TO BE FILLED OUT DURING PLANNING
Performance Indicators
Weight per
MFOs KRAs Objectives Timeline
KRA
Very Satisfactory
QET Outstanding (5) Satisfactory (3)
(4)
Basic 1. Content 1. Applied knowledge AUG. 2018 7.50% Quality Showed knowledge Showed knowledge Showed knowledge
Education Knowledge and of content within and to March of content and its of content and its of content and its
Services Pedagogy across curriculum 2019 integration within integration within integration within
teaching areas. and across subject and across subject and across subject
areas as shown areas as shown areas as shown in
inMOV1witha rating inMOV1witha rating MOV 1 with a rating
of 7 of 6 of 5
Efficiency Submitted at least 4 Submitted 3 Submitted 2

lessons using MOV lessons using MOV lessons using MOV
1 and supported by 1 and supported by 1 and supported by
any 1 of the other any 1 of the other any 1 of the other
given MOV given MOV given MOV
Timeliness
Weight per
MFOs KRAs Objectives Timeline Very Satisfactory
KRA QET Outstanding (5) Satisfactory (3)
(4)
Basic 2. Used a range of AUG. 2018 7.50% Quality Showed knowledge Showed knowledge Showed knowledge
Education teaching strategies to March of content and its of content and its of content and its
Services that enhance learner 2019 integration within integration within integration within
achievement in literacy and across subject and across subject and across subject
and numeracy skills. areas as shown areas as shown areas as shown in
inMOV1witha rating inMOV1witha rating MOV 1 with a rating
of 7 of 6 of 5
Efficiency Facilitated using Facilitated using Facilitated using

different teaching different teaching different teaching
strategies that strategies that strategies that
promote reading, promote reading, promote reading,
writing and/or writing and/or writing and/or
numeracy skills as numeracy skills as numeracy skills as
shown in MOV 1 shown in MOV 1 shown in MOV 1
with a rating of 7 with a rating of 6 with a rating of 5
Timeliness
Weight per
(4)
Basic 3. Applied a range of AUG. 2018 7.50% Quality Used different Used different Used different
Education teaching strategies to to March teaching strategies teaching strategies teaching strategies
Services develop critical and 2019 that develop critical that develop critical that develop critical
creative thinking, as and creative and creative and creative
well as other higher- thinking and/or thinking and/or thinking and/or
order thinking skills. other HOTS as other HOTS as other HOTS as
Efficiency Submitted at least 4 Submitted 3 Submitted 2

lessons as lessons as lessons as
evidenced by MOV evidenced by MOV evidenced by MOV
1 and supported by 1 and supported by 1 and supported by
any1ofthe other any1 of the other any 1of the other
Timeliness
Weight per
(4)
Basic 2. Learning 4. Managed AUG. 2018 7.50% Quality Used classroom Used classroom Used classroom
Education Environment classroom structure to March management management management
Services and Diversity of to engage learners, 2019 strategies that strategies that strategies that
Learners individually or in engage learners engage learners engage learners
groups, in in activities/tasks in activities/tasks in activities/tasks
meaningful as shown in MOV as shown in as shown in MOV
exploration, 1 with a rating of MOV1witha rating 1 with a rating of
discovery and 7 of 6 5
hands-on activities
within a range of
physical learning
environments.
within a range of
physical learning
environments. Efficiency Submitted at Submitted 3 Submitted 2
least 4 lessons lessons lessons as
supported by supported by evidenced by
MOV 1 and any 1 MOV 1 and any 1 MOV 1 and
of the other of the other supported by any
acceptable MOV acceptable MOV 1of the other
given MOV
Timeliness
Weight per
(4)
Basic 5. Managed learner AUG. 2018 7.50% Quality Applied teacher Used classroom Applied teacher
Education behavior to March management management management
Services constructively by 2019 strategies of strategies that strategies of
applying positive learner behavior engage learners learner behavior
and non-violent that promote in activities/tasks that promote
discipline to ensure positive and non- as shown in positive and non-
learning- focused violent discipline MOV1witha rating violent discipline
environments. as shown in MOV of 6 as shown in MOV
submitted with a submitted with a
rating of 7 rating of 5
Efficiency Submitted at Submitted at Submitted at

least 4 of the least 4 of the least 4 of the
given strategies given strategies given strategies
as observed in at as observed in 3 as observed in 2
least 4 lessons lessons lessons
Timeliness
Weight per
(4)
Basic 6. Used AUG. 2018 7.50% Quality Applied Applied Applied
Education differentiated, to March differentiated differentiated differentiated
Services developmentally 2019 teaching teaching teaching
appropriate learning strategies to strategies to strategies to
experiences to address learner address learner address learner
address learners’ diversity as diversity as diversity as
gender, needs, shown in MOV 1 shown in MOV 1 shown in MOV 1
strengths, interests with a rating of 7 with a rating of 6 with a rating of 5
and experiences.
Efficiency Submitted at Submitted 3 Submitted 2
least 4 differentiated differentiated
differentiated teaching teaching
teaching strategies in at strategies in 2
strategies in at least 2 lessons lessons as
least 2 lessons as evidenced by evidenced by
as evidenced by MOV 1 and MOV 1 and
MOV 1 and supported by supported by
supported by any any1ofthe other any1ofthe other
1 of the other acceptable MOV acceptable MOV
acceptable MOV
Timeliness
Weight per
(4)
Basic 3. Curriculum 7. Planned, June 2018 7.50% Quality Planned and Planned and Planned and
Education and Planning managed and to March implemented implemented implemented
Services implemented 2019 developmentally developmentally developmentally
developmentally sequenced sequenced sequenced
sequenced teaching teaching and teaching and teaching and
and learning learning process learning process learning process
processes to meet as shown in MOV as shown in MOV as shown in MOV
curriculum 1 with a rating of 1 with a rating of 1 with a rating of
requirements and 7 6 5
varied teaching
contexts.

least 4 developmentally developmentally
developmentally sequenced sequenced
sequenced teaching and teaching and
teaching and learning process learning process
learning process as evidently as evidently
as evidently shown in MOV 1 shown in MOV 1
shown in MOV 1 and supported by and supported by
and supported by any 1 of the other any 1 of the other
any 1 of the other given MOV given MOV
given MOV
Timeliness
Weight per
(4)
Basic 8. Participated in June 2018 7.50% Quality Consistently Frequently Occasionally
Education collegial discussions to March participated in participated in participated in
Services that use teacher and 2019 LACs/FGDs/ LACs/FGDs/ LACs/FGDs/
learner feedback to meetings to meetings to meetings to
enrich teaching discuss discuss discuss
practice. teacher/learner teacher/learner teacher/learner
feedback to feedback to feedback to
enrich instruction enrich instruction enrich instruction
as shown in the as shown in the as shown in the
MOV submitted MOV submitted MOV submitted
Efficiency Participated in at Participated in 3 Participated in 2

least 4 LACs/FGDs/ LACs/FGDs/
LACs/FGDs/ meetings as meetings as
meetings as evidently shown evidently shown
evidently shown in any 1 of the in any 1 of the
in any 1 of the given MOV given MOV
given MOV
Timeliness
Weight per
(4)
Basic 9. Selected, AUG. 2018 7.50% Quality Developed and Developed and Developed and
Education developed, to March used varied used varied used varied
Services organized and used 2019 teaching and teaching and teaching and
appropriate teaching learning learning learning
and learning resources, resources, resources,
resources, including including ICT, to including ICT, to including ICT, to
ICT, to address address learning address learning address learning
learning goals. goals as shown goals as shown goals as shown
in MOV1witha in MOV1witha in MOV 1 with a
rating of 7 rating of 6 rating of 5

least 4 varied varied teaching varied teaching
teaching and and learning and learning
learning resources, resources,
resources, including ICT, as including ICT, as
including ICT, as evidently shown evidently shown
evidently shown in MOV 1 and in MOV 1 and
in MOV 1 and supported by any supported by any
supported by any 1 of the 1 of the
1 of the acceptable MOV acceptable MOV
acceptable MOV
Timeliness
Weight per
KRA
Weight per
(4)
Basic 4. Assessment 10. Designed, AUG. 2018 7.50% Quality Designed, Designed, Designed,
Education and Reporting selected, organized to March selected, selected, selected,
Services and used diagnostic, 2019 organized and organized and organized and
formative and used diagnostic, used diagnostic, used diagnostic,
summative formative and formative and formative and
assessment summative summative summative
strategies consistent assessment assessment assessment
with curriculum strategies strategies strategies
requirements. consistent with consistent with consistent with
curriculum curriculum curriculum
requirements as requirements as requirements as

least 4 varied varied varied
assessment tools assessment tools assessment tools
as evidently as evidently as evidently
shown shown shown in
inany1ofthe inany1ofthe any1ofthe
acceptable MOV acceptable MOV acceptable MOV
Timeliness
Weight per
(4)
Basic 11. Monitored and AUG. 2018 7.50% Quality Consistently Frequently Occasionally
Education evaluated learner to March monitored and monitored and monitored and
Services progress and 2019 evaluated learner evaluated learner evaluated learner
achievement using progress and progress and progress and
learner attainment achievement achievement achievement
data. using learner using learner using learner
attainment data attainment data attainment data
Efficiency Submitted a Submitted a Submitted a

combination of at combination of 3 combination of 2
least 4 of the of the acceptable of the acceptable
acceptable MOV MOV MOV
Timeliness Submitted MOV Submitted MOV Submitted MOV

were distributed were distributed were distributed
across 4 quarters across 3 quarters across 2 quarters
Weight per
KRA
Weight per
(4)
Basic 12. Communicated AUG 2018 7.50% Quality Consistently Frequently Occasionally
Education promptly and clearly to March showed prompt showed prompt showed prompt
Services the learners’ needs, 2019 and clear and clear and clear
progress and communication of communication of communication of
achievement to key the learners’ the learners’ the learners’
stakeholders, needs, progress needs, progress needs, progress
including and achievement and achievement and achievement
parents/guardians. to key to key to key
stakeholders, stakeholders, stakeholders,
including parents/ including parents/ including parents/
guardians as guardians as guardians as
shown in the shown in the shown in the
Efficiency Submitted a Submitted a Submitted a

combination of at combination of 3 combination of 2
least 4 of the of the acceptable of the acceptable
acceptable MOV MOV MOV
Timeliness Submitted MOV Submitted MOV Submitted MOV

were distributed were distributed were distributed
across 4 quarters across 3 quarters across 2 quarters
Weight per
(4)
Basic 5. Plus Factor 13. Performed AUG. 2018 10.00% Quality Consistently Frequently Occasionally
Education various related to March performed performed performed
Services works/activities that 2019 various related various related various related
contribute to the work/activities work/activities work/activities
teaching-learning that contribute to that contribute to that contribute to
process. the teaching the teaching the teaching
learning process learning process learning process

least 4 different different kinds of different kinds of
kinds of acceptable MOV acceptable MOV
acceptable MOV
Timeliness
ADJECTIVAL RATING EQUIVALENCES

RANGE ADJECTIVAL RATING
4.500 -5.000 Outstanding
3.500- 4.499 Very Satisfactory
2.500 - 3.499 Satisfactory
1.500 - 2.499 Unsatisfactory
Below 1.499 Poor
MONALWAN L. BALABAGAN OMICALSUM S. CABSRARAN

Rater Ratee
pines
ation
Norte
D SCHOOL
T AND REVIEW FORM (IPCRF)

Name of Rater: MONALAWAN L. BALABAGAN
Position: PRINCIPAL I
Date of Review: Apr/19
TO BE FILLED OUT DURING EVALUATION
s Rating
Actual Results Score
Poor
Unsatisfactory (2) Q E T Ave
(1)
Showed knowledge No acceptable
of content and its evidence was
3 2 2 2.5 0.1875
integration within shown
and
across subject 4
areas as shown in
MOV 1 with a
rating of 4
Submitted any 1 No
of the given MOV acceptable
evidence was
shown
5
s Rating
Poor Actual Results Score
(1)
Showed knowledge No acceptable
of content and its evidence was
4 4 4 0.3
integration within shown
and
across subject 4
areas as shown in
MOV 1 with a
rating of 4
Facilitated using No acceptable

different teaching evidence was
strategies that shown
promote
reading, writing
and/or numeracy
skills as shown in 4
MOV 1 with a rating
of 4
s Rating

(1)
Used different No acceptable

teaching strategies evidence was
3 3 3 0.225
that develop critical shown
and creative
thinking and/or
other HOTS as 4
shown in MOV
1 with a rating
of 4
Submitted 1 No acceptable
lesson as evidence was
evidenced by any shown
1of the given MOV 3
s Rating
(1)
Used classroom No acceptable 3 3 3 0.225
management evidence was
strategies that shown
engage learners
in
activities/tasks 4
as shown in
MOV 1with a
rating of 4
lesson supported evidence was
by any of the shown
acceptable
MOV 4
s Rating
(1)
Applied teacher No acceptable 4 4 4 0.3
management evidence was
strategies of shown
learner behavior
that promote
positive and
non-violent
discipline as 4
shown in MOV
submitted with a
rating of 4
Submitted any 1 No acceptable

of the given evidence was
strategies as shown
observed in only 4
1 lesson
s Rating
(1)
Applied No acceptable 3 3 3 0.225
differentiated evidence was
teaching shown
strategies to
address learner
diversity as 3
shown in MOV
1 with a rating
of 4
at least 4 lessons evidence was
as observed in 3 shown
lessons as
observed in 2
lessons observed
in only 1 lesson
differentiated
teaching strategy
in only 1 lesson
as evidently 3
shown in any 1 of
the acceptable
MOV
s Rating
(1)
Planned and No acceptable 3 3 3 0.225
implemented evidence was
developmentally shown
sequenced
teaching and
learning 4
process as
shown in MOV 1
with a rating of 4
developmentally evidence was
sequenced shown
teaching and
learning
process as
evidently shown
in any 1 of the 4
given MOV
s Rating
(1)
Rarely No acceptable 4 4 4 0.3
participated in evidence was
LAC/FGD/ shown
meeting to
discuss
teacher/learner
feedback to 4
enrich
instruction as
shown in the
MOV submitted
Participated in 1 No acceptable
LAC/FGD/ in any evidence was
1 of the given shown
MOV
4
s Rating
(1)
Developed and No acceptable 4 4 4 0.3
used varied evidence was
teaching and shown
learning
resources,
including ICT, to
address 5
learning goals
as shown in
MOV 1 with a
rating of 4
Submitted any No acceptable

teaching and evidence was
learning shown
resource,
including ICT,
as evidently
shown in any of
the acceptable 5
MOV
s Rating
(1)
Designed, No acceptable 3 3 3 3 0.225
selected, evidence was
organized and shown
used diagnostic,
formative and
summative
assessment
strategies
consistent with 4
curriculum
requirements as
shown in MOV 1
with a rating of
assessment tool evidence was
as evidently shown
shown in any of
the acceptable
3
MOV
s Rating
(1)
Rarely monitored No acceptable 4 4 4 4 0.3
and evaluated evidence was
learner progress shown
and
achievement
using learner
attainment data 4
as shown in the
MOV submitted
acceptable MOV evidence was
shown 4

of the given MOV evidence was
shown 4
s Rating
(1)
Rarely showed No acceptable 4 4 4 4 0.3
prompt and clear evidence was
communication of shown
the learners’
needs, progress
and
achievement to
key
stakeholders,
including 4
parents/
guardians as
shown in the
MOV submitted

of the given MOV evidence was
shown 4
Submitted any 1
of the given MOV
4
s Rating
(1)
Rarely performed No acceptable 3 3 3 0.3
various related evidence was
work/activities shown
that contribute
to the teaching
learning process
as shown in the 5
MOV submitted

of the acceptable evidence was
MOV shown 5
RATING FOR OVERALL ACCOMPLISHMENTS 3.4125

ADJECTIVAL RATING Very Satisfactory
Approving Authority
Region XII
Division of Sultan Kudarat
Your School Here
Poblacion I, Lebak, Sultan Kudarat
ANNOTATION TEMPLATE
OBJECTIVES Means of Verification Description of the MOV
1. Classroom observation tool (COT) rating
sheet and/or inter-observer agreement form
about knowledge of content within and
across curriculum teaching areas
2. Lesson plans/modified DLLs developed

highlighting integration of content
knowledge within and across subject areas
1. Applied knowledge of
content within and across 3. Instructional materials highlighting
curriculum teaching areas. mastery of content and its integration in
other subject areas
4. Performance tasks/test material(s)

highlighting integration of content
knowledge within and across subject areas
5. Others (Please specify and provide

annotations)

about teaching strategies that enhance
learner achievement in literacy and
numeracy skills
2. Lesson plans/modified DLLs used in

teaching highlighting learner-centered
2. Used a range of teaching strategies that promote literacy and/or
strategies that enhance numeracy skills
learner achievement in
literacy and numeracy skills. 3. Instructional materials highlighting
learner-centered strategies that promote
literacy and/or numeracy skills
4. Performance tasks/test material(s) used in
teaching
5. Results of assessment used in teaching

annotations)

about teaching strategies to develop critical
and creative thinking, as well as other
higher-order thinking skills

3. Applied a range of teaching teaching highlighting different teaching
strategies to develop critical strategies that develop critical and creative
and creative thinking, as well thinking and/or other HOTS
as other higher- order
thinking skills. 3. Instructional materials highlighting
different teaching strategies that develop
critical and creative thinking and/or other
HOTS
demonstration teaching
5. Results of assessment used in teaching

annotations)

4. Managed classroom sheet and/or inter-observer agreement form
structure to engage learners, about managing classroom structure that
individually or in groups, in engages learners in various activities
meaningful exploration,
discovery and hands-on
activities within a range of 2. Lesson plans/modified DLLs highlighting
physical learning various classroom management strategies
environments. that engage learners in activities/tasks in
different physical learning environments
annotations)
Classroom observation tool (COT) rating

about teacher management of learner
behavior using the following strategies:
1. Providing motivation d provide
annotations)
5. Managed learner behavior

constructively by applying
positive and non-violent
2. Praising the learners/Giving
5. Managed learner behavior positive feedback
constructively by applying
positive and non-violent 3. Setting house rules/guidelines
discipline to ensure learning- 4. Ensuring learners’ active
focused environments. participation
5. Allowing learners to express
their ideas/opinions
6. Giving equal opportunities to
learners
7. Encouraging learners to ask
questions
8. Others (Please specify and
provide annotations)

about using differentiated, developmentally
appropriate learning experiences
2. Lesson plans/modified DLLs developed

6. Used differentiated, highlighting differentiation in content,
developmentally appropriate product, process, learning environment or
learning experiences to others according to learners’ gender, needs,
address learners’ gender, strengths, interests and experiences
needs, strengths, interests
and experiences.
3. Instructional materials developed

highlighting differentiation in content,
product, process, learning environment or
others according to learners’ gender, needs,
strengths, interests and experiences
4. Others (Please specify and provide annotati

about using developmentally sequenced
teaching and learning process
7. Planned, managed and
implemented developmentally 2. Lesson plans/modified DLLs highlighting
sequenced teaching and developmentally sequenced instruction that
learning processes to meet meet curriculum goals and varied teaching
contexts
curriculum requirements and
varied teaching contexts.
implemented developmentally
sequenced teaching and
learning processes to meet
curriculum requirements and
varied teaching contexts.
3. Instructional materials used to implement
developmentally sequenced teaching and
learning process to meet curriculum
requirements and varied teaching contexts.
annotations)
1. Personal notes of teachers on

LACs/FGDs/meetings with proof of
attendance
8. Participated in collegial
discussions that use teacher
and learner feedback to 2. Minutes of LAC/FGD sessions on use of
enrich teaching practice. teacher and learner feedback to enrich
teaching practice with proof of attendance

annotations)

about using appropriate teaching and
learning resources, including ICT Examples:
 Activity sheets/task sheets/work
sheets
9. Selected, developed,  PowerPoint presentations
organized and used
 Video clips
appropriate teaching and
learning resources, including  Module
ICT, to address learning
goals.  SIMs-Strategic Intervention
Materials
 Others
2. Lesson plans/modified DLLs with
appropriate instructional materials
appended

annotations)

about using diagnostic, formative and
summative assessment strategies
2. Prepared lesson plans/modified DLLs
highlighting appropriate use of formative
assessment strategies
10. Designed, selected,

3. Developed diagnostic tests:
10. Designed, selected, (a) with TOS reviewed by superior;

organized and used (b) with sample accomplished
diagnostic, formative and questionnaire/answer sheets
summative assessment
strategies consistent with 4. Developed summative tests:
curriculum requirements.
(a) with TOS reviewed by superior;
(b) with sample accomplished
questionnaire/answer sheets
5. Developed performance tasks:
(a) with rubrics reviewed by
superior;
(b) with sample accomplished
rubrics

annotations)
1. Compilation of a learner’s written work

with summary of results and with signature
of parents
2. Formative/summative assessment tools

11. Monitored and evaluated with TOS and frequency of errors with
learner progress and identified least mastered skills
achievement using learner
attainment data. 3. Class records/grading sheets
4. Lesson plans/modified DLLs showing
index of mastery
annotations)
1. At least 3 samples of corrected test papers

of the same 3 learners in the same learning
area with parents’ or guardians’ signature
and date of receipt
2. Minutes of PTA meetings or Parent-

Teacher conferences in all quarters with
12. Communicated promptly proof of parents’/guardians’ attendance
and clearly the learners’
needs, progress and 3. Report cards with parent’s or guardian’s
achievement to key signature in all quarters supported by
stakeholders, including minutes of meeting
parents/guardians. 4. Communication with parents/ guardians
using various modalities
5. Anecdotal record showing entries per
quarter
6. Other documents showing learners’
needs, progress and achievement submitted
to other stakeholders
1. Certificate of Recognition or Participation
2. Certificate of Training
3. Certificate of Speakership
4. Committee involvement
13. Performed various related 5. Advisorship of Co-curricular activities

works/activities that
contribute to the teaching- 6. Book or Journal Authorship/
learning process. Coauthorship/Contributorship
7. Coordinatorship/Chairpersons hip
8. Coaching and mentoring learners in

competitions
9. Mentoring pre-service/inservice teachers
10. Others (Please specify and provide annota

blic of the Philippines Appendix M
artment of Education
Region XII
on of Sultan Kudarat
School Here
I, Lebak, Sultan Kudarat
TION TEMPLATE
Description of the MOV Presented Annotations
Region IV-A
Division of QUEZON
Your School Here
Your District Here
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: Name of Rater:
Position: Position:
Bureau/Center/Service/Division: Date of Review:
Rating Period: SY 2018 - 2019
TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVALUATION
Performance Indicators Rating

Weight per
MFOs KRAs Objectives Timeline Actual Results
KRA
Very Satisfactory Poor
QET Outstanding (5) Satisfactory (3) Unsatisfactory (2) Q E T Ave
(4) (1)
Basic 1. Content 1. Modeled effective June 2018 to 7.50% Quality Modeled effective Modeled effective Modeled effective Modeled effective No acceptable
Education Knowledge and application of content March 2019 application of application of application of application of evidence was
4 4 4
Services Pedagogy knowledge within and content knowledge content knowledge content knowledge content knowledge shown
across curriculum within and across within and across within and across within and across
teaching areas. curriculum teaching curriculum teaching curriculum teaching curriculum teaching
areas as shown in areas as shown in areas as shown in areas as shown in
MOV1 with a rating MOV1 with a rating MOV1 with a rating MOV1 with a rating
of 8 of 7 of 6 of 5
Efficiency Submitted at least 4 Submitted 3 Submitted 2 Submitted 1 No

lessons as lessons as lessons as lessons as acceptable
evidenced by MOV evidenced by MOV evidenced by MOV evidenced by MOV evidence was
1 and supported by 1 from colleagues 1 from colleagues 1 from colleagues shown
any 1 of the other and supported by and supported by and supported by
given MOV any 1 of the other any 1 of the other any 1 of the other
Timeliness
Weight per
KRA
Weight per
MFOs KRAs Objectives Timeline Very Satisfactory Poor Actual Results
KRA QET Outstanding (5) Satisfactory (3) Unsatisfactory (2) Q E T Ave
(4) (1)
Basic 2. Collaborated with June 2018 to 7.50% Quality Conducted, Conducted and Conducted action Proposed-action No acceptable
Education colleagues in the March 2019 completed and completed action research with research with evidence was
4 4 4 4
Services conduct and disseminated action research with colleagues. colleagues shown
application of research research with colleagues.
to enrich knowledge of colleagues.
content and pedagogy.
Efficiency Submitted at least 4 Submitted any 3 of Submitted any 2 Submitted any 1 No acceptable
of the given MOV the acceptable MOV MOV evidence was
MOV shown
Timeliness Presented the Completed the Conducted the Proposed the No acceptable
research report research report research report research report evidence was
within the rating within the rating within the rating within the rating shown
period period period period
Weight per
(4) (1)
Basic 3. Developed and June 2018 to 7.50% Quality Demonstrated Demonstrated Demonstrated Demonstrated No acceptable
Education applied effective March 2019 effective teaching effective teaching effective teaching effective teaching evidence was
4 4 4
Services teaching strategies to strategies to strategies to strategies to strategies to shown
promote critical and promote critical and promote critical and promote critical and promote critical and
creative thinking, as creative thinking as creative thinking as creative thinking as creative thinking as
well as other higher- well as other HOTS well as other HOTS well as other HOTS well as other HOTS
order thinking skills. as shown in MOV 1 as shown in MOV 1 as shown in MOV 1 as shown in MOV 1
with a rating of 8 with a rating of 7 with a rating of 6 with a rating of 5
Efficiency Submitted 4 or Submitted 3 Submitted 2 Submitted 1 or No acceptable

more lessons as lessons as lessons as more lessons as evidence was
evidenced by MOV evidenced by MOV evidenced by MOV evidenced by MOV shown
1 and supported by 1 and supported by 1 and supported by 1 and supported by
any 1 of the other any 1 of the other any 1 of the other any 1 of the other
given MOV given MOV given MOV given MOV
Timeliness

Weight per
(4) (1)
Basic 2. Learning 4. Work with June 2018 7.50% Quality Modeled and Modeled and Modeled and Modeled and No acceptable 4 4 4
Education Environment colleagues to model to March shared effective shared effective shared effective shared effective evidence was
Services and Diversity of and share effective 2019 classroom classroom classroom classroom shown
Learners techniques in the management management management management
management of the strategies that strategies that strategies that strategies that
classroom structure engage learners engage learners engage learners engage learners
to engage learners, in activities/tasks in activities/tasks in activities/tasks in activities/tasks
individually or in done in different done in different done in different done in different
groups, in physical learning physical learning physical learning physical learning
meaningful environments as environments as environments as environments as
exploration, shown in MOV 1 shown in MOV 1 shown in MOV 1 shown in MOV 1
discovery and with a rating of 8 with a rating of 7 with a rating of 6 with a rating of 5
hands-on activities
within a range of
physical learning
environments.
Efficiency Submitted at Submitted 3 Submitted 2 Submitted 1 No acceptable

least 4 lessons lessons lessons as lesson supported evidence was
supported by supported by evidenced by by any of the shown
MOV 1 and any 1 MOV 1 and any 1 MOV 1 and acceptable
of the other of the other supported by any MOV
acceptable MOV acceptable MOV 1of the other
given MOV
Timeliness
Weight per
(4) (1)
Basic 5. Exibited effective June 2018 7.50% Quality Exibited effective Exibited effective Exibited effective Exibited effective No acceptable 4 4 4
Education and constructive to March and constructive and constructive and constructive and constructive evidence was
Services behavior 2019 behavior behavior behavior behavior shown
management skills management management management management
by applying positive skills by applying skills by applying skills by applying skills by applying
and non-violent positive and non- positive and non- positive and non- positive and non-
discipline to ensure violent discipline violent discipline violent discipline violent discipline
learning- focused to ensure to ensure to ensure to ensure
environments. learning- focused learning- focused learning- focused learning- focused
environments. as environments. as environments. as environments. as
shown in MOV shown in MOV shown in MOV shown in MOV
submitted with a submitted with a submitted with a submitted with a
rating of 8 rating of 7 rating of 6 rating of 5
Efficiency Applied atleast 7 Applied atleast 7 Applied atleast 7 Applied atleast 7 No acceptable
of the given of the given of the given of the given evidence was
strategies as strategies as strategies as strategies as shown
observed in at observed in 3 observed in 2 observed in 1
least 4 lessons lessons lessons lesson
Timeliness

Weight per
KRA
Weight per
(4) (1)
Basic 6. Worked with June 2018 7.50% Quality Worked with Worked with Worked with Worked with No acceptable 3 3 3
Education colleagues to share to March colleagues colleagues colleagues colleagues but no evidence was
Services differentiated, 2019 atleast in the atleast in the atleast in the evidence of shown
developmentally district/cluster school level to department/grade sharing with
appropriate learning level to share share lesson level to share others
experiences to lesson lesson
address learners’
gender, needs, Efficiency Submitted at Submitted at Submitted at Submitted at No acceptable
strengths, interests least 1 lesson as least 1 lesson as least 1 lesson as least 1 lesson as evidence was
and experiences. evidently shown evidently shown evidently shown evidenced by shown
in MOV 1 and in MOV 1 and in MOV 1 and either MOV 2 or 3
supported by any supported by any supported by any but no evidence
1 of the other 1 of the other 1 of the other of sharing with
acceptable MOV acceptable MOV acceptable MOV others
Timeliness

Weight per
KRA
Weight per
(4) (1)
Basic 3. Curriculum 7. Develop and June 2018 7.50% Quality Develop and Develop and Develop and Develop and No acceptable 4 4 4
Education and Planning applied effective to March applied effective applied effective applied effective applied effective evidence was
Services strategies in the 2019 strategies in the strategies in the strategies in the strategies in the shown
planning and planning and planning and planning and planning and
management of management management management management
developmentally developmentally developmentally developmentally developmentally
sequenced teaching sequenced sequenced sequenced sequenced
and learning teaching and teaching and teaching and teaching and
processes to meet learning process learning process learning process learning process
curriculum as shown in MOV as shown in MOV as shown in MOV as shown in MOV
requirements and 1 with a rating of 1 with a rating of 1 with a rating of 1 with a rating of
varied teaching 8 7 6 5
contexts.
Efficiency Submitted at Submitted 2-3 Submitted 1 Submitted 1 No acceptable

least 4 lessons lessons as lesson as lesson as evidence was
as evidence by evidence by evidence by evidence by any shown
MOV 1 and 2 and MOV 1 and 2 and MOV 1 and 2 and 1 of the
supported by any supported by any supported by any acceptable MOV
1 of the 1 of the other 1 of the other
Timeliness
Weight per
(4) (1)
Basic 8. Review with June 2018 7.50% Quality Consistently led Frequently led Occasionally led Rarely led No acceptable 3 3 3
Education colleagues, teacher to March collaborative collaborative collaborative collaborative evidence was
Services and learner 2019 reviews of reviews of reviews of reviews of shown
feedback to plan, teacher/learner teacher/learner teacher/learner teacher/learner
facilitate and enrich feedback as feedback as feedback as feedback as
teaching practice. evidenced by the evidenced by the evidenced by the evidenced by the
MOV submitted MOV submitted MOV submitted MOV submitted
Efficiency Submitted 4 Submitted 3 Submitted 2 Submitted 1 No acceptable

collaborative collaborative collaborative collaborative evidence was
reviews of reviews of reviews of review of teacher shown
teacher and teacher and teacher and and learner
learner feedback learner feedback learner feedback feedback as
as evidently as evidently as evidently evidently shown
shown in MOV 1 shown in MOV 1 shown in MOV 1 in any of the
and supported by and supported by and supported by acceptable MOV
any 1 of the any 1 of the any 1 of the
Timeliness
Weight per
(4) (1)
Basic 9. Advised and June 2018 7.50% Quality Consistently Frequently Occasionally Rarely advised No acceptable 4 4 4
Education guided colleagues in to March advised advised advised colleagues in the evidence was
Services the selection, 2019 colleagues in the colleagues in the colleagues in the selection, shown
organization, selection, selection, selection, organization,
development and organization, organization, organization, development and
use of appropriate development and development and development and appropriate use
teaching and appropriate use appropriate use appropriate use of teaching and
learning resources, of teaching and of teaching and of teaching and learning
including ICT, to learning learning learning resources as
address specific resources as resources as resources as shown in the
learning goals. shown in the shown in the shown in the MOV submitted
Efficiency Submitted at Submitted 3 Submitted 2 Submitted 1 No acceptable

least 4 teaching teaching and teaching and teaching and evidence was
and learning learning learning learning resource shown
resources as resources as resources as as evidenced by
evidenced by at evidenced by at evidenced by at any of the
least 1 of the least 1 of the least 1 of the acceptable MOV
Timeliness
Weight per
(4) (1)
Basic 4. Assessment 10. Worked June 2018 7.50% Quality Consistently Frequently Occasionally Rarely reviewed No acceptable 3 3 3
Education and Reporting collaboratively with to March reviewed reviewed reviewed collaboratively evidence was
Services colleagues to review 2019 collaboratively collaboratively collaborativel y assessment tools shown
the design, assessment tools assessment tools assessment tools with colleagues
selection, with colleagues with colleagues with colleagues as shown in the
organization and as shown in the as shown in the as shown in the MOV submitted
use of a range of MOV submitted MOV submitted MOV submitted
effective diagnostic,
formative and
summative
assessment Efficiency Submitted at Submitted 3 Submitted 2 Submitted 1 No acceptable
strategies consistent least 4 assessment tools assessment tools assessment tool evidence was
with curriculum assessment tools as evidently as evidently as evidently shown
requirements. as evidently shown in any of shown in any of shown in any of
shown in any of the acceptable the acceptable the acceptable
the acceptable MOV MOV MOV
MOV
Timeliness
Weight per
(4) (1)
Basic 11. Interpreted June 2018 7.50% Quality Consistently Frequently Occasionally Rarely No acceptable 4 4 4
Education collaboratively to March collaborated with collaborated with collaborated with collaborated with evidence was
Services monitoring and 2019 colleagues in the colleagues in the colleagues in the colleagues in the shown
evaluation strategies interpretation of interpretation of interpretation of interpretation of
of attainment data to assessment data assessment data assessment data assessment data
support learner as shown in the as shown in the as shown in the as shown in the
progress and MOV submitted MOV submitted MOV submitted MOV submitted
achievement.
progress and
achievement.
Efficiency Submitted at Submitted at Submitted at Submitted any 1 No acceptable

least 2 different least 3 of the least 2 of the of the MOV evidence was
types of MOV same kind of same kind of MO shown
MOV
Timeliness

Weight per
(4) (1)
Basic 12. Applied skills in June 2018 7.50% Quality Consistently Frequently Occasionally Rarely applied No acceptable 3 3 3
Education the effective to March applied skills in applied skills in applied skills in skills in the evidence was
Services communication of 2019 the effective the effective the effective effective shown
learner needs, communication of communicatio n communicatio n communicatio n
progress and learner needs of learner needs of learner needs of learner needs
achievement to key and progress to and progress to and progress to and progress to
stakeholders, parents/ parents/ parents/ parents/
including guardians as guardians as guardians as guardians as
parents/guardians. shown in the shown in the shown in the shown in the
MOV submitted MOV submitted MOV submitted MOV submitted
Efficiency Submitted 4 of Submitted any 3 Submitted any 2 Submitted any 1 No acceptable

the acceptable MOV MOV MOV evidence was
MOV shown
Timeliness
Weight per
(4) (1)
Basic 5. Plus Factor 13. Performed June 2018 10.00% Quality Consistently Frequently Occasionally Rarely No acceptable 5 5 5
Education various to March performed performed performed performed evidence was
Services related 2019 special tasks special tasks special tasks special tasks shown
works/activities and/or and/or and/or and/or
that contribute to the assignments assignments assignments assignments
teaching-learning as shown in as shown in as shown in as shown in
process. the MOV the MOV the MOV the MOV
submitted submitted submitted submitted
Efficiency Submitted at Submitted only 3 Submitted only 2 Submitted any 1 No acceptable

least 4 different kinds of different kinds of of the acceptable evidence was
different kinds acceptable MOV acceptable MOV MOV shown
of acceptable
MOV
Timeliness
RATING FOR OVERALL ACCOMPLISHMENTS
ADJECTIVAL RATING VERY SATISFACTORY

ADJECTIVAL RATING EQUIVALENCES
RANGE ADJECTIVAL RATING
4.500 -5.000 Outstanding

3.500- 4.499 Very Satisfactory
2.500 - 3.499 Satisfactory
1.500 - 2.499 Unsatisfactory
Below 1.499 Poor
Rater Ratee Approving Authority

G EVALUATION
Score
0.3
Score
Score
0.3
Score
0.3
Score
0.3
Score
0.3
Score
Score
0.225
Score
Score
0.3
Score
0.225
Score
0.3
Score
0.225
Score
0.3
Score
0.225
Score
0.5
3.8
SATISFACTORY
Region XII
Your School Here
ANNOTATION TEMPLATE
OBJECTIVES Means of Verification Description of the MOV

about effective applications of content
knowledge within and across curriculum
teaching areas

demonstration teaching highlighting integration
of content knowledge within and across subject
areas
3. Instructional materials developed

1. Modeled effective highlighting effective application of content
application of content knowledge within and across subject areas
knowledge within and
across curriculum teaching 4. Performance tasks/test material(s) used in
areas. demonstration teaching highlighting integration
of content knowledge within and across subject
areas
5. Results of assessment used in demonstration

teaching highlighting mastery of lessons
learned

annotations)
1. Copy of the research proposal focused on

enriching knowledge of content and pedagogy
2. Proof of participation and/or contribution to

a collaborative research (e.g. e-mail, actual
output submitted, terms of reference, etc.)
2. Collaborated with
colleagues in the conduct
and application of research
2. Collaborated with 3. Certified completed collaborative research
colleagues in the conduct focused on enriching knowledge of content and
and application of research pedagogy
to enrich knowledge of
content and pedagogy.
4. Proof of dissemination of research findings
with colleagues
5. Proof of utilization of research findings

annotations)

about using effective teaching strategies to
promote critical and creative teaching, as well
as other higher-order thinking skills

demonstration teaching highlighting different
teaching strategies that develop critical and
3. Developed and applied creative thinking and/or other HOTS
effective teaching strategies
to promote critical and
creative thinking, as well as 3. Instructional materials highlighting different
other higher- order thinking teaching strategies that develop critical and
skills. creative thinking, and/or other HOTS

5. Results of assessment used in the


annotations)

about sharing effective techniques in the
management of classroom structure
4. Work with colleagues to
model and share effective
techniques in the
management of the
classroom structure to
4. Work with colleagues to
model and share effective
techniques in the 2. Lesson plans/modified DLLs used in
management of the demonstration teaching highlighting effective
classroom management strategies that engage
classroom structure to learners in activities/tasks in different physical
engage learners, learning environments
individually or in groups, in
meaningful exploration,
discovery and hands-on
3. Minutes of LAC highlighting the sharing on
activities within a range of effective classroom management techniques
physical learning
environments.
4. Instructional materials used in

annotations)
Classroom observation tool (COT) rating sheet

and/or inter-observer agreement form about
effective teacher management of learner
behavior using the following strategies:
1. Providing motivation
2. Praising the learners/Giving positive

feedback
5. Exibited effective and
constructive behavior
management skills by 3. Setting house rules/guidelines
applying positive and non-
violent discipline to ensure
learning- focused 4. Ensuring learners’ active
participation
environments.
5. Allowing learners to express their
ideas/opinions
6. Giving equal opportunities to

learners
7. Encouraging learners to ask

questions

annotations)
1. Minutes of LAC session/s, highlighting one’s
sharing of strategies on differentiated and
developmentally appropriate opportunities to
address learners’ differences
6. Worked with colleagues 2. Lesson plans/modified DLLs highlighting

to share differentiated, strategies on differentiated and
developmentally developmentally-appropriate opportunities to
appropriate learning address learners’ differences
experiences to address
learners’ gender, needs,
strengths, interests and 3. Corresponding instructional materials
experiences. showing differentiated and developmentally-
appropriate opportunities to address learners’
differences
4. Others (e.g. testimonial, write-up from

colleagues of the lessons/insights gained from
the Master Teacher's sharing)

about using effective strategies in
implementing developmentally sequenced
2. Results of learners’ assessment during the

actual teaching
7. Develop and applied
effective strategies in the 3. Lesson plans/modified DLLs used in
planning and management demonstration teaching highlighting
of developmentally developmentally sequenced teaching-learning
sequenced teaching and process
learning processes to meet
curriculum requirements
and varied teaching 4. Instructional materials showing effective
contexts. strategies in developmentally sequenced


annotations)
1. Implemented LAC/FGD Plan
8. Review with colleagues,
teacher and learner 2. Minutes of LAC/FGD sessions on use of
feedback to plan, facilitate teacher and learner feedback to enrich
and enrich teaching teaching practice with proof of attendance
practice.
annotations)
1. Teaching and learning resources developed

by colleagues and critiqued on their alignment
to learning goals
9. Advised and guided
colleagues in the selection,
organization, development 2. Lesson plans by colleagues critiqued in terms
and use of appropriate of the alignment of the teaching and learning
teaching and learning resources to the indicated learning goals and
resources, including ICT, to appropriateness to the target learners
address specific learning
goals.
annotations)
1. Any proof of collaborative review if the test is

designed based on its purpose (e.g. diagnostic,
formative and summative)
2. Any proof of collaborative review of the

10. Worked collaboratively alignment of the test with the curriculum
with colleagues to review
the design, selection,
organization and use of a
2.1. formative test attached to a
range of effective lesson plan
diagnostic, formative and
summative assessment
strategies consistent with
curriculum requirements. 2.2. summative assessment with TOS
2.3. diagnostic test with its TOS

annotations)
1. Collaborative interpretation of the index of
mastery obtained from 1 class
11. Interpreted
collaboratively monitoring
and evaluation strategies of
attainment data to support
learner progress and
11. Interpreted 2. Collaborative interpretation of item analysis
collaboratively monitoring of quarterly examinations
and evaluation strategies of
attainment data to support 3. Collaborative interpretation of results of
learner progress and performance assessment
achievement.
annotations)
1. Sample agreement for learners at risk signed

by parents and corresponding evidence of
improvement
2. Record of dialogue and/or parent-teacher

conferences and corresponding evidence of
improvement
3. Anecdotal record communicated to and

signed by the learners and/or parents with
corresponding evidence of improvement
4. Sample of learners' test results signed by

parents and corresponding evidence of
improvement
12. Applied skills in the
effective communication of 5. Sample of accomplished rubrics given for
learner needs, progress performance task and corresponding evidence
and achievement to key of improvement
stakeholders, including
parents/guardians. 6. Attendance sheet/minutes of parent-teacher
conference
7. Signed report cards of students at risk with

corresponding evidence of improvement
8. Correspondence notebook/letters/proof of
communication using other modalities (e.g.
email, SMS, etc.) and corresponding evidence
of improvement
9. Learners’ performance record

annotations)
1. Served as reliever of classes in the absence

of teachers
2. Served as OIC in the absence of the principal
3. Represented the principal in meetings and

conferences
4. Observed classes of Teachers I-III
5. Assisted the school selection committee in

the evaluation of credentials when hiring or
promoting teachers
6. Certificate of Recognition or Participation
7. Certificate of Training
13. Performed various
related works/activities
that contribute to the 8. Certificate of Speakership
teaching-learning
process.
9. Committee involvement
10. Advisorship of Co-curricular activities
11. Book or Journal

Authorship/Coauthorship/Contributorship
12. Coordinatorship/Chairpersonship
13. Coaching and mentoring learners in

competitions
14. Mentoring pre-service/in-service teachers

annotations)
ublic of the Philippines Appendix M
Region XII
sion of Sultan Kudarat
School Here
n I, Lebak, Sultan Kudarat
ATION TEMPLATE
Description of the MOV Presented Annotations
Region XII
Salaman Central Elementary
PART IV: DEVELOPMENT PLANS OF THE IPC

Action Plan (Recommend
Strengths Development Needs
Interventio
A. Teaching Competencies (PPST)
B. Core Behavioral Competencies (DepEd)
Feedback:
RATEE
blic of the Philippines
Region XII
ion of Sultan Kudarat
ral Elementary School
n I, Lebak, Sultan Kudarat
T PLANS OF THE IPCRF (IPCRF-DP)

Action Plan (Recommended Developmental
Timeline Resources Needed
Intervention)
RATER APPROVING AUTHORITY

Region XII
Salaman Central Elementar
PERFORMANCE MONITORING AND COAC

DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT
RATEE
Region XII
Central Elementary School
CE MONITORING AND COACHING FORM

OUTPUT IMPACT ON JOB/ACTION PLAN SIGNATURE (RATER/RATEE)
RATER APPROVING AUTHORITY

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Republic of the Philippines

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW

Efficiency Submitted at least 4 Submitted 3 Submitted 2

Efficiency Facilitated using Facilitated using Facilitated using

Efficiency Submitted at least 4 Submitted 3 Submitted 2

Efficiency Submitted at Submitted at Submitted at

Efficiency Submitted at Submitted 3 Submitted 2

Efficiency Participated in at Participated in 3 Participated in 2

Efficiency Submitted at Submitted 3 Submitted 2

Efficiency Submitted at Submitted 3 Submitted 2

Efficiency Submitted a Submitted a Submitted a

Timeliness Submitted MOV Submitted MOV Submitted MOV

Efficiency Submitted a Submitted a Submitted a

Timeliness Submitted MOV Submitted MOV Submitted MOV

Efficiency Submitted at Submitted 3 Submitted 2

ADJECTIVAL RATING EQUIVALENCES

MONALWAN L. BALABAGAN OMICALSUM S. CABSRARAN

T AND REVIEW FORM (IPCRF)

TO BE FILLED OUT DURING EVALUATION

Facilitated using No acceptable

Poor Actual Results Score

Used different No acceptable

Submitted any 1 No acceptable

Submitted any No acceptable

Submitted any 1 No acceptable

Submitted any 1 No acceptable

Submitted any 1 No acceptable

RATING FOR OVERALL ACCOMPLISHMENTS 3.4125

2. Lesson plans/modified DLLs developed

4. Performance tasks/test material(s)

5. Others (Please specify and provide

1. Classroom observation tool (COT) rating

2. Lesson plans/modified DLLs used in

6. Others (Please specify and provide

1. Classroom observation tool (COT) rating

2. Lesson plans/modified DLLs used in

6. Others (Please specify and provide

1. Classroom observation tool (COT) rating

Classroom observation tool (COT) rating

5. Managed learner behavior

1. Classroom observation tool (COT) rating

2. Lesson plans/modified DLLs developed

3. Instructional materials developed

4. Others (Please specify and provide annotati

1. Classroom observation tool (COT) rating

1. Personal notes of teachers on

3. Others (Please specify and provide

1. Classroom observation tool (COT) rating

3. Others (Please specify and provide

1. Classroom observation tool (COT) rating

10. Designed, selected,

10. Designed, selected, (a) with TOS reviewed by superior;

6. Others (Please specify and provide

1. Compilation of a learner’s written work

2. Formative/summative assessment tools

1. At least 3 samples of corrected test papers

2. Minutes of PTA meetings or Parent-

1. Certificate of Recognition or Participation

13. Performed various related 5. Advisorship of Co-curricular activities

8. Coaching and mentoring learners in

9. Mentoring pre-service/inservice teachers

10. Others (Please specify and provide annota

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)