INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM (IPCRF)

Name of Employee:

EFFIE MAY G. BALABA

Position:
Review Period:
Office:

Teacher I

School Year: 2016-2017

Name of
Rater
Position:
Date of
REVIEW

TO BE FILLED IN DURING PLANNING

MFO
s

KRAs

OBJECTIVES

JONNA M. FUGOSO
Master Teacher I
MARCH, 2017
TO BE FILLED DURING EVALUATION

TIMELINE

PERFORMANCE
INDICATORS
(Quality, Efficiency,
Timeliness)

Weight
per KRA

PERFORMANCE
INDICATORS
ACTUAL
RESULTS
Q

1. Teaching
Learning
Process
(25%)

1. Prepared well-constructed
plans (LP)/Daily Lesson Log
(DLL) reflecting the
following characteristics:
a. Five parts of the LP
b. Objective is SMART
based on desired
learning competencies
c. It has an adequate and
appropriate instructional
materials
d. Develop Higher Order
Thinking Skills (HOTS)
e. Developing 21st Century
Skills
2. Facilitated learning in the
school as shown by:
a. Teaching methods and
interactive methods and

June
2016March
2017

June
2016March
2017

10%

15%

5-OUTSTANDING. Has met the

five (5) characteristics of an
LP/DLL
4-Very Satisfactory. Has met
the four (4) characteristics of an
LP/DLL
3-Satisfactory. Has met the
three (3) characteristics of an
LP/DLL
2-Unsatisfactory. Has met the
two (2) characteristics of an
LP/DLL
1-Poor. Has met the one (1)
characteristics of an LP/DLL
5-OUTSTANDING.Has met the
five(5)
characteristics of Facilitated
Learning

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RATING

SCOR
E

b.
c.
d.

e.
3. Learners
Outcomes
(30%)

4-Very Satisfactory. Has met

the four(4)
characteristics of a Facilitated
Learning
3- Satisfactory. Has met the
three(3) characteristics of
Facilitated Learning
2- Unsatisfactory. Has met the
two(2) characteristics of
Facilitated Learning
1-Poor.Has met one(1)
characteristics of Facilitated
Learning

strategies elicit
interaction from a class
Participative learningproject-based
Cooperative learning
strategies
Information and
communication
technology (ICT)
integration (i.e.
Multimedia etc.)
Provision of
individualized interaction

1. Monitored evaluated and

maintained pupils progress
Required Evidences:
a. Class record/E-class
record
b. Learners portfolio
c. Table of specifications
(TOS) of test questions
(TQ)
d. Assessment tools and
analysis reports
e. Test bank
2. Monitored attendance
diversity appreciation, safe,
positive and motivating
environment, overall
physical atmosphere,
cleanliness and orderliness
of classrooms including
proper waste disposal.
Required evidences:

June
2016March
2017

June
2016March
2017

6%

6%

5-OUTSTANDING. Presence of
all five(5) evidences
4-Very Satisfactory. Presence
of four(4)
evidences
3- Satisfactory. Presence of
three (3)
evidences
2- Unsatisfactory. Presence of
two (2)
evidences
1-Poor. Presence of
one( 1)evidence
5-OUTSTANDING.Presence of
all five(5)
evidences
4-Very Satisfactory. Presence
of four(4)
evidences
3- Satisfactory. Presence of
three (3)
evidences

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a. Inclusive / multicultural / accepting

environment: stress free
classroom setting
b. Well-structured, wellkept, orderly and well
ventilated classroom
c. Presence of bins for
waste segregation
d. Updated attendance
chart
e. Updated school forms
(SF-2, SF-3, etc.)
3. Analyzed/test learners
performance
Required evidences
a. Class schedule
b. Individual case
description
c. Program and schedule
of remedial instruction
d. Attendance duly signed
by pupils and SH
e. List of intervention
activities and materials
f. Evaluation report (see
D.O. no. 8, s. 2015}
4. Increased NAT / LAP-G
Performance Across
Curriculum

2- Unsatisfactory. Presence of
two (2)
evidences
1-Poor. Presence of
one( 1)evidence

June
2016March
2017

June
2016March
2017

6%

6%

5-OUTSTANDING.Presence of
all five(5) evidences
4-Very Satisfactory. Presence
of four(4) evidences
3- Satisfactory. Presence of
three (3) evidences
2- UnSatisfactory. Presence of
two (2) evidences
1-Poor. Presence of one
(1)evidence

5-Outstanding. Attained 90100% MPS in the overall

NAT/LAPG Result.
4- Very Satisfactory. Attained
81-89.99% MPS in the overall
NAT/LAPG Result.
3-Satisfactory. Attained 7580.99% MPS in the overall
NAT/LAPG Result.
2- Unsatisfactory. Attained 51-

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74.99% MPS in the overall

NAT/LAPG Result.
1-Poor. . Attained 50% and
below MPS in the overall
NAT/LAPG Result.

5. Improved learning outcome

through the provision of
varied quality, updated and
indigenized learning
resources.

6. Parents and
Community
Involvement
(10%)

June
2016March
2017

1. Conducted regular/periodic
PTA meetings and
conferences:
a. Notice / letter to
parents / guardians
b. Agenda / schedule
c. Minutes of the meeting
d. Attendance record duly
signed by attendees
e. Documentation

June
2016March
2017

2. Visited parents of students

needing academic

June
2016-

6%

5%

5%

5-Outstanding. Produce at
least 5 varied quality, updated
and indigenized LR.
4-Very Satisfactory. Produce
at least 4 varied quality,
updated and indigenized LR.
3-Satisfactory. Produce at
least 3 varied quality, updated
and indigenized LR.
2-Unsatisfactory. Produce at
least 2 varied quality, updated
and indigenized LR.
1-Poor. Produce at least 1
varied quality, updated and
indigenized LR.
5-Outstanding. Presence of all
five(5)
evidences
4-Very Satisfactory. Presence
of all four(4) evidences
3- Satisfactory. Presence of
three (3)
evidences
2-Unsatisfactory Presence of
two (2) evidences
1-Poor. Presence of
one( 1)evidence
5-OUTSTANDING.Presence of
all five(5)

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monitoring / follow-up
Required evidences:
a. Letter to parents /
guardians & principals
permission for home
visitation
b. Anecdotal records
c. Home visitation form
d. Attendance record
e. Feedback / progress
report with
documentation

evidences
4-Very Satisfactory. Presence
of four(4)
evidences
3- Satisfactory. Presence of
three (3)
evidences
2- Unsatisfactory. Presence of
two (2)
evidences
1-Poor. Presence of
one( 1)evidence

March
2017

8. Professional
growth and
development
(20%)
1. Conducted Action
Research classroom-based
focusing:
- Negative learning
environment
- Learning behaviour

2. Earned relevant
professional trainings,
earned units or graduated
from a higher relevant
degree.

June
2016March
2017

June
2016March
2017

5%

5%

5-Outstanding. Conducted
one ( 1) duly approved and
adopted action research by the
whole Division/District/Cluster
4-Very Satisfactory.
Conducted one (1) duly
approved action research by
the whole school.
3-Satisfactory. Conducted
two(2) duly approved action
researches by the classroom.
2.-Unsafisfactory. Conducted
one(1) duly approved action
research by the classroom.
1-Poor. Never conducted any
action
5-Outstanding. Earned at least
30 units in MA degree
4-Very Satisfactory. Earned at
least 27 units in MA degree
3-Satisfactory. Earned at least
18 units in MA degree
2-Unsatisfactory. Earned at

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least 9 units in MA degree

1-Poor. Earned at least 6 units
in MA degree
3. Attended trainings,
seminars, workshops, or
conferences
Required evidences:
a. Certificate of
Appearance /
Participation
b. Official receipt
c. Memorandum
d. Travel order / authority
to travel
e. Pictures / official
documentation
f. Narrative report
g. Echo seminar

4. Intensified the punctuality

for the entire school year

June
2016March
2017

June
2016March
2017

June
2016March

5%

5%

5%

5-Oustanding.At least one(1)

training / seminar abroad
4-Very Satisfactory. At least
one(1) National and Regional
seminar / training / conference
3-Satisfactory. At least one (1)
division seminar / training /
conference
2-Unsatisfactory. At least one
(1) school/division
seminar/training/conference
1-Poor. No Seminar / training /
conference attended
5 - Outstanding 100%
reported on time for the entire
school year.
4 - Very Satisfactory. 95-99%
reported on time for the entire
school year.
3 -Satisfactory. 90 94%
reported on time for the entire
school year.
2 - Unsatisfactory. 85 - 89%%
reported on time for the entire
school year.
1 - Poor. 80 - 84 % reported on
time for the entire school year.
5 - Outstanding. Liquidated
Cash Advances 10 days before
the deadline.

Page 6 of 8

4- Very Satisfactory.
Liquidated Cash Advances
within 7-9 days before the
deadline.
3- Satisfactory. Liquidated
Cash Advances within 4-6 days
before the deadline.
2- Unsatisfactory. Liquidated
Cash Advances within 1-3 days
before the deadline.
1-Poor.
Liquidated
Cash
Advances on due date.

1. Improved delivery of quality

Basic Education through
effective and efficient Fiscal 2017
Management as designated
as SECRETARY of the
SBAC.

5. Other
Tasks
(15%)

2. Strengthened the
implementation of ENGLISH
CLUB being designated as
English Coordinator.
a. Crafted and improved
action plan
b. Successfully
implemented the plan
c. Narrative report with
pictures
d. Received awards
(District, Division,
Region)
3. Strengthened the
implementation of
JOURNALISM being
designated as
JOURNALISM Coordinator.
a. Crafted and improved
action plan
b. Successfully
implemented the plan
c. Narrative report with
pictures

June
2016March
2017

June
2016March
2017

3%

4%

5-Outstanding. All of the

indicators are met.
4-Very Satisfactory. Only 3 of
the indicators were met
3- Satisfactory. Only 2 of the
indicators were met
2- Unsatisfactory. Only 1
indicator was met
1-Poor. Did not meet any of the
indicators.
5-Outstanding. All of the
indicators below are met.
a. Crafted and approved action
plan
b. Successfully implemented
the plan
c. Narrative Report with
pictures
d. receive awards (District,
Division , Region)
4-Very Satisfactory. Only 3 of

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the indicators were met

3- Satisfactory. Only 2 of the
indicators were met
2- Unsatisfactory. Only 1
indicator was met
1-Poor. Did not meet any of the
indicators.

d. Received awards
(District, Division,
Region)

4. Involved in the
Civic and Cultural
Activities

Ratee:

June
2016March
2017

3%

5-Outstanding. Participated in
at least 5 LGU / Civic Activities.
4-Very Satisfactory.
Participated in at least 4 LGU /
Civic Activities
3- Satisfactory. Participated in
at least 3 LGU / Civic Activities
2- Unsatisfactory. Participated
in at least 2 LGU / Civic
Activities
1-Poor. Participated in at least
1 LGU / Civic Activities

EFFIE MAY G. BALABA

Teacher I

Rater:
JONNA M. FUGOSO
Master Teacher I
Approved:
JENITH Q. BALSICAS, ESHT-III
School Head

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