INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS

ELEMENTARY LEVEL
(1st Semester)
Name of Employee Name of Rater
Position Position
Review Period Date of Review
Bureau/Center/Service/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
complete DLP/DLL October) complete and the 1st period of
throughout the rating congruent set of lesson classes
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 DzepEd Order 5 - Utilized 5 or more
Varied Learning October) No. 42, s. 2016) appropriate IMs
Resources that are 5 - ICT/Multimedia, 4 - Utilized 4
appropriate to the Audio, Visual and appropriate IMs
lesson’s objective Printed and 3 - Utilized 3
daily. Manipulative appropriate IMs
(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
Teacher for at least 3 Technical Assistance 3 - observed 3 times
classroom given from School 2 - observed 2 times
observations with 75% Head/Master Teacher. 1 - observed 1 time
implementation of 4 - 81%-90% implemented
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

adviser) Established October) 100% home starting in
and maintained class of the items on the May to October
home that is class home 4 - Prepares the class
conducive for structure home in June to
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- 5% 5 - with 90-100% mastery 5 - 95% - 100% and 5 - 90-100% in line
teachers) Prepared October) above of the With the LCD
an updated board 4 - with 80-89% mastery competencies for 4 - 80-89% in line
structuring and 3 - with 70-79% mastery the quarter were with the LCD
others required of taught 3 - 70-79% in line
2 - with 60-69% mastery
the 4 - 85-94% with the LCD
subject/assignment 1 - with 59 and below 2 - 60-69% in line
3 - 75-84%
with 75% mastery with the LCD
2 - 65-74%
accomplishment. 1 - 59 and below in
(Refer to monitoring 1 - 64% and below line with mastery
check list)

5. Taught all
competencies in the
Budget of Lesson per
quarter in all subject
areas with at least 75%
mastery.
MOV:
 Lesson Plan
 LCD (Learning
Competency
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 IMs/eIMs
40 complete varied October 60 or more daily
indexed IMs/e- 4-
IMs/Learning 3 - constructed/enhanced
Resources. 40-49 only 4 - indexed IMs/eIMs
(Note: Acknowledge 2 - constructed/enhanced every other day
the source of the 30-39 only 3 - indexed IMs/eIMs
copied materials and 1 - constructed/enhanced weekly
show the enhanced 29 and below 2 - indexed IMs/eIMs
materials) monthly

1 - indexed IMs/eIMs
quarterly

KRA 2 II. Pupils/ 30%

Students
Outcomes 1. Attained an average May- 3% 5 - attained 75% MPS and 5 - 80% and above of
MPS of 75% in the October above the students
NAT. 4 - attained 70-74% MPS
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

2. Attained an average For the 3% 5 - 0 dropout rate

MPS of 75% in the 1st Sem- 4 - 0.1-1.0% dropout rate
Quarterly Test. SMEA
2nd & 3rd 3 - 1.1-2.0% dropout rate

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 (Note: To be Quarter 2 - 2.1-3.0% dropout rate
implemented in SY Result
1 - above 3.0% dropout
2017-2018)
rate
MOV: Quarterly Test
Result

3. Attained a 0 drop-out 5 - 0 non-reader

(May- 2%
rate in all classes October 4 - non-reader is only 0.1-
handled for the for 1.0% of
attainment of the Grades 2- the class
objectives of the 6 only) 3 - non-reader is only 1.1-
School Banner Project. 2.0% of
the class
MOV: LIS 2 - non-reader is only 2.1-
(transfer to KRA on 3.0% of
access) the class
1 - non-reader is above
3.0% of the
class

4. Zero-out non-readers (May- 2% 5 - 0 non-numerates

(for grades 1 to 6) October
(Based on EGRA/ Phil for 4 - non-numerates is only
IRI result) Grades 2- 0.1-1.0% of the class
6 only) 3 - non-numerates is only
MOV: Phil-IRI Result, 1.1-2.0% of the class
SMEA Report
2 - non-numerates is only
2.1-3.0% of the class
1 - non-numerates is above
3.0% of the class

5. Zero-out non – (May- 2% 5 - increased 5 or more

numerates (based on October) readers from
the EGMA and other current reading level to
test) the next
higher reading level
MOV: Numeracy Test 4 - increased 4 readers from
Result, SMEA Report current

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 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

6. Increased number of 3%
readers from non-
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

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7. Compiled Pupil’s (May- 3% 5 - Compiled complete and 5 - compiled weekly
Portfolio October) Properly labelled 4 - compiled twice a
students' written and month
MOV: Pupil’s income generating 3 - compiled monthly
Portfolio product/performance- 2 - compiled quarterly
based output 1 - compiled semestral
4 - Compiled complete
and properly labelled
students written and
product/
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
with advisory class)
4 - lacks 1 school
 SF1
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

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

9. Prepared test item bank (May- 3% 5 - Prepared test item 5 - on time

with at least 5 test October) bank with 10 and
questionnaires per above sets of test 4 - 1 - 3 days late
subject handled. questionnaires. 3 - 4 - 7 days late
4 - Prepared test item 2 - 8-10 days late
MOV: Test Item Bank bank with at least 8 1 - more than 10 days
sets of test late
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 (May- 3% 5 - accurate, legible, reliable,

submitted any of the October) valid, authentic
following reports as 4 - lacks 1 of the
required characteristics…
 Quarterly Periodic 3 - lacks 2 of the
Exam characteristics…
Results(MPS) 2 - lacks 3 of the
 Oral Reading Test characteristics…
Results (PHIL IRI 1 - lacks 4 of the
Oral & Silent, characteristics…
EGRA, MTB-
MLE, Numeracy
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  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 (Nov. - 3% 5 - Conducted 5 or more
PTA Meetings with April) PTA meetings with
the following MOVs; complete MOVs
• Agenda 4 - Conducted 4 PTA
• Attendance meetings with
• 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

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 MOVs

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

District Meetings April) school/district of the meetings on
meetings time
MOV: 4 - 85-94% attendance in 4 - attended 85-94% of
• Agenda school/district meeting the meetings on
 Conference 3 - 75-84% attendance in time
Notebook school/district 3 - attended 75-84% of
• Attendance meetings the meetings on
• Minutes of the 2 - 55-74% attendance in time
Meetings school/district 2 - attended 55-74% of
• Others (pls. Specify) meetings the meetings on
1 - 1-54%attendance in time
school/district 1 - attended 1-54%
meetings of the meetings
on time
3. Initiated the conduct of (Nov. - 3% 5 - Conducted four (4)
Brigada Eskwela April) Brigada Eskwela
activities activities with
complete
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

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 4. Participated in at least
three civic-
oriented activities
MOV: ACR,
Attendance Sheets
KRA 4 IV. Professional
Growth &
Development
1. Attended at least 3 (May-
District/School-Based October)
In Service Trainings of
at least 3 days.
2. Earned units/or degree
(Nov. - 2% 5 - participated 5 or more
April) civic-oriented
activities with MOVs
(pictures, certificate)
4 - participated 4 civic-
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
20%
5% 5 - Attended 5 and above 5 - Doctoral Degree
District/School-Based holder
In Service Trainings of 4 - Earned units in
at least 3 days. Doctoral Degree
4 - Attended 4 3 - Masters Degree
District/School-Based 2 - CAR in Masters
In Service Trainings of Degree
at least 3 days. 1 - Units in Masters
3 - Attended 3 Degree
District/School-Based
In Service Trainings of
at least 3 days.
2 - Attended at least 2
(May- 5% District/School-Based
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 in Post Graduate October In Service Trainings of
Studies at least 3 days.
MOV: 1 - Attended 1
TOR/ Certificates of District/School-Based
Units Earned/ Permit to In Service Training of
Study with School at least 3 days.
Head indorsement
3%
4. Submitted at least 75% (May- 5 - Submitted 91-100% of
of the reports needed October) the required reports
for the improvement of 4 - Submitted 81-90% of
SBM Level of Practice the required reports
with complete 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
3%
5. Participated on the (May- 5 - Level 3 of SBM
improvement of SBM October) practice, Regional
Level of Practice Level
MOV: 4 - Level 3 of SBM
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
4%
6. Acted as any of the (May- 5 - National/Regional
following: Winning October) Level
Coach (Academic & 4 - Division Level
Non- 3 - Area Level
Academic)/Awardee, 2 - District Level
Resource 1 - School Level
Speaker/Trainer,

Page 13 of 18
 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

Attendance academic classes and 4 - 1 to 2 absences
non- academic activities 3 - 3 to 5 absences
of the school 2 - 6 to 8 absences
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
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-Chair 2% 5 - 3 or more chairmanship

Co- / member in any Deped / school level
chairmanship School or Regional 4 - 2 chairmanship school
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 * School-Based organizations, programs level
INSET and projects 3 - 1 chairmanship or 4 or
* SLAC more membership
* PAPs (Gulayan school level
sa Paaralan, 2 - active member in 3 or
DRR, Eco- more comm. School
Friendly, level
SBFP, SBM, 1 - active member in 1-2
SBM WINs, comm. School level
Adopt-a-
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
Journal, MOVs
compilation of 1 - presence of only 1
LPs, compilation MOV
of indexed IMs,
observation of
TA notes

Overall Rating for Accomplishments

Page 15 of 18
 Rater Ratee Approving Authority

PART III: SUMMARY OF RATINGS DISCUSSIONS

Final Performance Results Rating Adjectival Rating

Accomplishment of KRAs and Objectives

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 Name of Superior

Signature Signature

Date Date

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 PART IV: DEVELOPMENT PLANS

Strengths Development Needs Action Plan Timeline Resources Needed

(Recommended Developmental
Intervention)

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.

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