Republic

Republic of
of the
the Philippines
Philippines
DEPARTMENT
DEPARTMENT OF OF EDUCATION
EDUCATION
Region
Region III
III
SAN
SAN ANTONIO
ANTONIO INTEGRATED
INTEGRATED SCHOOL
SCHOOL
DIVISION
DIVISION OF
OF SCIENCE
SCIENCE CITY
CITY OF
OF MUŇOZ
MUŇOZ
Science
Science City
City of
of Muñoz,
Muñoz, Nueva
Nueva Ecija
Ecija

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: JASMIN M. GACUTAN Name of Rater:

Position TEACHER II Position:
Review Period: Date of Review:
Division: SCIENCE CITY OF MUÑOZ
TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
WEIGHT
MFO KRAs OBJECTIVES TIMELINE (Quality, Efficiency, Timeliness)
PER KRA
5 4 3 2
Teaching-
Learning
Process (30%)
● Prepared daily lesson logs
with SMART objectives and
developed appropriate, 100% daily lesson logs 90-99% daily lesson 80-89% daily lesson logs 70-79% daily lesson logs
adequate , updated and (DLLs) and DLP were logs (DLLs) were (DLLs) were (DLLs) were
localized teacher-made 10% checked/noted by head checked/noted by the checked/noted by the checked/noted by the
instructional material (IM) like teacher/principal within head teacher/principal head teacher/principal head teacher/principal
SIM/Module/Learning Kit/Book the rating period within the rating period within the rating period within the rating period
that will facilitate teaching and
learning process

Q June 2016
– March
2017 All daily lesson logs Daily lesson logs (DLLs) Daily lesson logs (DLLs) Daily lesson logs (DLLs)
(DLLs) had the six had five of the six parts had four of the six parts had three of the six parts
parts and IM was and IM was localized and IM was localized and IM was localized
U localized
 U
A was parallel to the
L
●Facilitated learning through
I functional lesson plans/ daily
lesson logs and innovative
teaching strategies
T
Y ●Initiated discipline of students
including classroom rules,
guidelines and individual and
group tasks within the rating
period
100% of the objectives 85-90% of the objectives 80-84% of the objectives 75-79-% of the objectives
were SMART and were SMART and were SMART and teacher- were SMART
teacher-made IM
teacher-made made and teacher-made IM was
IM wa parallel to the IM was parallel to the parallel to the objectives
objectives and
applicable to all types of objectives and applicable objectives and applicable and applicable to all types
to all types of learners to all types of learners of learners
learners
91-100% demonstrated 85-90% demonstrated 80-84% demonstrated 75-79-% demonstrated
mastery of the subject mastery of the subject mastery of the subject mastery of the subject
matter wherein all goals, matter wherein all goals, matter wherein some matter wherein not all
5%
objectives and objectives, and goals, objectives, and goals, objectives, and
competencies were competencies were competencies were competencies were
achieved achieved achieved achieved
Used at least 5 ICT Used 4 ICT integration Used 3 ICT integration Used 2 ICT integration
integration
Students were 100% Students were 85-99%
guided in the guided in the Students were 70-84% Students were 55-69%
guided in the observation guided in the observation
observation of observation of classroom of classroom rules and of classroom rules and
5% classroom rules and rules and guidelines as guidelines as evidenced guidelines as evidenced
guidelines as evidenced evidenced by descriptive by descriptive rating in by descriptive rating in
by descriptive rating in rating in the report the report card/journal the report card/journal
the report card/journal card/journal
 June 2016
– March
2017
●Monitored attendance, Attendance checking Attendance checking
diversity appreciation, safe, Attendance checking was Attendance checking was
was 100% systematically was 85-99%
positive and motivating 70-84% systematically 55-69% systematically
carried out and systematically carried
environment, overall physical carried out and carried out and
10% recognized different out and recognized
atmosphere, cleanliness and recognized different recognized different
students' needs, different students'
orderliness of classrooms students' needs, abilities, students' needs, abilities,
abilities, and learning needs, abilities, and
including proper waste disposal and learning styles and learning styles
styles learning styles
daily

Safety, orderliness and Safety, orderliness and Safety, orderliness and Safety, orderliness and
cleanliness of floors, cleanliness of floors, cleanliness of floors, cleanliness of floors,
toilets and proper waste toilets and proper waste toilets and proper waste toilets and proper waste
disposal were 100% disposal were 85-99% disposal were 70-84% disposal were 55-69%
maintained maintained maintained maintained

Participated during Participated during Participated only during Participated only during
DRRM activities like DRRM activities like Grade Level Fire and Grade Level Fire and
Grade Level Fire and Grade Level Fire and Earthquake Drill or Earthquake Drill or
Earthquake Drill and Earthquake Drill and National Shake Drill and National Shake Drill and
National Shake Drill and National Shake Drill and Symposium with Symposium with
Symposium with Symposium with complete evidences incomplete evidences
complete evidences incomplete evidences
Students
Outcomes ●Monitored, evaluated and
maintained students’ progress
(25%) and updated students' school 91-100% monitored, 81-90% monitored,
records within the rating evaluated and evaluated and 71-80% monitored, 61-70% monitored,
period maintained students' maintained students' evaluated and maintained evaluated and maintained
progress in all the progress in all the students' progress in all students' progress in all
lessons and lessons and the lessons and the lessons and
performances performances performances undertaken performances undertaken
10% undertaken were undertaken were were computed and were computed and
computed and recorded computed and recorded recorded accurately and recorded accurately and
accurately and accurately and determined the learners determined the learners
determined the learners determined the learners at risk with three of the at risk with two of the
at risk with the following at risk with four of the five evidences fove evidences
evidences: five evidences

Class record
Students’ portfolio Table
Every of Specifications
grading Test questions Pretest
period and Post-test were 100%
and above administered
in all classes/subject
area (supported by
analysis report on
subject area per
class/grade level)

●Attained the required at least 50% of the 41-49% of the classes 31-40% of the classes 21-30% of the classes
GSA/GPA/QA for grade level 10% classes handled handled achieved 80% handled achieved 80% handled achieved 80%
and learning areas achieved 80% GSA GSA GSA GSA

●Conducted
remediation/enrichment
programs to improve
performance indicators 100% of students who 91-99% of students who 81-90% of students who 71-80% of students who
5% needs remediation needs remediation needs remediation needs remediation
Professional
Growth and ●Participated in activities such 100% attendance 91-99% attendance/ 81-90% attendance 71-80% attendance/
Development as teachers’ association/ /participation in
5% activities with complete with complete evidences with complete evidences with completeinevidences
particpation in activities /particpation in activities participation activities
(15%) FSO/professional organization evidences

● Attended in-service, Conducted/ participated Conducted/ participated Conducted/ participated Conducted /participated
specialized trainings/enrolled in seminars/ workshops/ in seminars/ workshops/ in seminars/ in seminars/ workshops/
in/graduated in advance trainings in specific trainings in specific workshops/ trainings in trainings in specific
studies learning areas learning areas specific learning areas learning areas (supported
(supported by evidence/ (supported by evidence/ (supported by evidence/ by evidence/ assessment
assessment reports) assessment reports) assessment reports) reports)
• 56hrs.—Sch./Div. level • 40hrs.—Sch./Div. level • 32hrs.—Sch./Div. level • 24hrs.—Sch./Div. level
• 48hrs – Regional
• 40hrs.- National
• 24hrs.-International
Completed at least 36 Completed 15-
Graduated units in graduate studies Completed 24-33 units in 21 units in graduate
in post graduate studies graduate studies studies

(Note : Whatever the case

5% maybe)
June 2016
– March
2017

●Received special Received at least 1 Received 3 School/ Received 2 School/ Received 1 School/
awards/citation/re-cognition National/Regional/ Department Department Department
5%
for exemplary performance like Division award/citation/ award/citation/ award/citation/ award/citation/
outstanding employee recognition recognition recognition recognition
award/punctuality in
attendance/ submission of
accurate reports on time
 Community
and School ●Visited parents of students
Involvement needing academic
(25%) monitoring/follow-up

E
June 2016 Conducted at least 10 Conducted 7-9 home Conducted at least 4-6 Conducted at least 2-3
– March 5% home visitation. visitation. home visitation. home visitation.
2017

S Every ____ Conducted at least 5

PTA meetings with
●Conducted regular/periodic of the complete evidences Conducted 4 PTA Conducted 3 PTA Conducted 2 PTA
PTA meetings Month 5% such as meetings with complete meetingswith complete meetingswith complete
(Note: PTC (parents' teachers (June 2016 minutes/resolutions of evidences evidences evidences
conference) is encouraged to – March PTA meetings, letter to
non-advisers 2017) parents

&
 ●Attended/participated in
school and community-related
S activities within the locality

(Note:
Choose only those applicable to you)

June 2016 100% attendance/ 91-99% attendance/ 81-90% attendance/ 71-80% attendance/
– March 10% participation in School participation with participation with participation with
2017 activities such as: Health complete evidences complete evidences complete evidences
and Nutrition Program;
School-based
& Immunization;
Deworming; Students'
Orientation; Flag Raising
Ceremony; Sports
Program and Scouting
Program; and Brigada
Eskwela and
community activities
Q such as Feeding
Prgogram/ Tree
Planting/Gift
Giving/Civic Parade
with complete
evidences

U ●Undertaken/initiated
projects/events/activities with
external funding/sponsorship 100% active 91-99% active
participation with any of participation with any of
the activites done with the activites done with
DOD (deed of donation), DOD (deed of donation), 81-90% active
June 2016 71-80% active
approved project approved project participation with any of
– March 5% participation with
A 2017 proposal or
accomplishment
proposal or
accomplishment
the activites done with
complete evidences complete evidences
report/financial report/financial
statement/ statement/
documentation documentation

L
PLUS FACTOR
(5%)
(2.5 each
indicator but not
to exceed 5 %)
●Conducted classroom-based
(Note: Choose only
those applicable to Action Research/Innovation/
you) IGP
●Elected as officer in the
Division and other higher level
category
●Served as school June
– March
coordinator/Adviser of club
and other tasks/assignments
●Served as demo
teacher/speaker/facilitator/coa
ch/ judge in school/division or
higher level
• Approved summary • Implemented but • Approved Action • Action Research
results with complete without summary results Research proposal. Proposal.
documentation. and documentations. • Secretary/Treasurer • Escort-Auditor
• President • Vice-President •Performed 3 special •Performed 2 special
•Performed at least 5 •Performed 4 special tasks/assignments tasks/assignments
special tasks/assignments •Division Third Place •Division Fourth Place
tasks/assignments •Division Second Place Coach Coach/Cluster First Place
•Division First Place Coach Coach
Coach
2016
5%
2017

TOTAL 100%

Adjectival Rating Scale:

RATER:
Outstanding = 4.500 – 5.000
Very Satisfactory = 3.500 – 4.499 PEDRO J. DE GUZMAN
Satisfactory = 2.500 – 3.499 Head Teacher I
Unsatisfactory = 1.500 – 2.499
Poor = 1.000 – 1.499 APPROVING OFFICER:

EMMANUEL D. ALVAREZ, PhD

Principal IV
EW FORM (IPCRF) FOR TEACHERS

Name of Rater: PEDRO J. DE GUZMAN

Position: HEAD TEACHER I
Date of Review:

TO BE FILLED IN DURING EVALUATION

S
ACTUAL Rating AVE.
SCORE
RESULTS
1 Q E T

69% and below daily

lesson logs (DLLs) were
checked/noted by the
head teacher/principal
within the rating period

Daily lesson logs (DLLs)

had two of the five parts
and IM was localized
70-74% of the objectives
were SMART
and teacher-made IM
was parallel to the
objectives and applicable
to all types of learners

70-74% and below

demonstrated mastery of
the subject matter
wherein no goals,
objectives, and
competencies were
achieved

Used 1 ICT integration

Students were 54%

guided in the observation
of classroom rules and
guidelines as evidenced
by descriptive rating in the
report card/journal
Attendance checking was
54% systematically carried
out and recognized
different students' needs,
abilities, and learning
styles

Safety, orderliness and

cleanliness of floors,
toilets and proper waste
disposal were 54% and
below consistently
maintained

Participated in such
activities but no evidences
60% monitored, evaluated
and maintained students'
progress in all the lessons
and performances
undertaken were
computed and recorded
accurately and
determined the learners
at risk with no evidences

all students passed

70% and below of

students who needs
remediation
 70% and below
attendance/ participation
in activities with complete
evidences

Conducted/ participated
in seminars/ workshops/
trainings in specific
learning areas (supported
by evidence/ assessment
reports)
• 16hrs.—Sch./Div. level

Completed at least 9 units

in graduate studies

Received Award from

external organization
 Conducted 1 home
visitation.

Conducted 1 PTA
meetings with complete
evidences
 60% attendance/
participation with
complete evidences

70% and below active

participation with
complete evidences
• Conceptualized.
• Member
•Performed 1 special
task/assignment
•Division Fifth Place
Coach/Cluster Runner Up
Coach

Overall Rating for Assessment

RATEE:

JASMIN M. GACUTAN
Teacher II