Name of Employees: CHIRADEE G.

ABUG Rater:
Position: Teacher I Position:
Employee ID No: Date of Review:
Employment Status: Permanent Rating Period:
Age:
Sex: Number of Years in Teaching:
Level Taught: Highest Degree Obtained:
Grade level Taught:
Subject Taught: Area of Specialization

COT 1 COT 2
Weight per COT
Weight per Indicator
KRA Objectives
KRA Objective Number RPMS
Rating Rating
5-pt Scale
Objective 1 8.0% 1
KRA 1 Objective 2 8.0%
Objective 3 8.0%
Objective 4 8.0%
KRA 2 Objective 5 8.0% 2
Objective 6 8.0%
Objective 7 8.0% 3
KRA 3
Objective 8 8.0%
Objective 9 8.0%
KRA 4 Objective 10 8.0%
Objective 11 8.0%
Plus Factor Objective 12 12.0%
Date Observed
 CHRISTY ANN G. BANGUANGA Region:
Master Teacher I Division:
District/Municipality:
SY 2020-2021 School Name:Mansilingan Agro-Industrial High School
School ID:
School Type:
School Small:
Curr. Classification:

COT 2
IPCRF Numerical Ratings
Ave Score Adjectival Rating
RPMS Q E T Average
5-pt Scale
0
0
0
0
0
0
0
0
0
0
0
0
Final Rating 0
Adjectival Rating Poor
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for Teacher I-III
Name of Employee: CHIRADEE G. ABUG Name of Rater: CHRISTY ANN G. BANGUANGA
Position: Teacher I Position: Master Teacher I
Bureau/Center/Service/Division: Mansilingan Agro-Industrial High School Date of Review: 0
Rating Period: SY 2020-2021

TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVALUATION

Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 1. Content 1. Applied Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated
Services Knowledge and knowledge of Level 7 in Objective Level 6 in Objective Level 5 in Objective Level 5 in Objective Level 3 in Objective 1
Pedagogy content within and 1 as shown in COT 1 as shown in COT 1 as shown in COT 1 as shown in COT as shown in COT
rating sheets
across curriculum rating rating rating rating
/interobserver
teaching areas. sheets/interobserve sheets/interobserve sheets/interobserve sheets/interobserve agreement forms
r agreement forms r agreement forms r agreement forms r agreement forms or No acceptable
8.0% evidence was
shown

Efficiency
Timeliness
Basic Education 2. Ensured Quality Ensured that the Ensured that the Ensured that the Ensured that ICT No acceptable 0 0.000 0.000
Services the positive ICT used redefine ICT used augment ICT used modify are used but do not evidence was
use of ICT to and transform and enrich learning processes and create a new shown
facilitate the learning experiences and improve learning learning experience
teaching and experiences and are documented experiences and and/or are
learning are documented properly and are documented documented
process properly and consistently using properly and but not consistent
consistently using any referencing consistently with one
8.0% any referencing style as shown in using any referencing style as
style as shown in the submitted referencing shown in the
the submitted learning material style as shown submitted learning
learning material in the submitted material
learning material

Efficiency
Timeliness
 Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 1. Content 3. Applied a Quality Applied teaching Applied Applied Applied No acceptable 0 0.000 0.000
Services Knowledge and range of strategies that teaching teaching teaching evidence was
Pedagogy teaching challenge strategies that strategies that strategies that shown
strategies to learners to require require lead learners
develop draw learners to learners to along a single
critical and conclusions make describe and path of inquiry
creative and justify their connections explain ideas and/or to
thinking, as thinking or put using ideas learned as simple recall
well as other parts together learned as shown in the and rote
higher-order to promote shown in the submitted memorization
thinking 8.0% deeper submitted learning of concepts as
skills understanding of learning material shown in the
ideas learned as material submitted
shown in the learning
submitted material
learning material

Efficiency
Timeliness
Basic Education 2. Diversity of 4. Established Quality Utilized effective Utilized effective Utilized an Utilized a No acceptable 0 0.000 0.000
Services Learners & a learnercentered teaching teaching effective teaching evidence was
Assessment culture by strategies that strategies that teaching strategy or shown
and Reporting using teaching are appropriate are appropriate strategy that is strategies that
strategies that in responding to in responding to appropriate in partially
respond to learners’ learners’ responding to respond to
their linguistic, linguistic, cultural, linguistic, learners’ learners’
cultural, socioeconomic, cultural, linguistic, linguistic,
socioeconomic or religious socioeconomic, cultural, cultural,
and religious backgrounds at or religious socioeconomic, socioeconomic,
backgrounds 8.0% an individual backgrounds at a or religious or religious
level* as shown group level* as backgrounds backgrounds as
in the submitted shown in the as shown in shown in the
learning material submitted the submitted submitted
learning material learning learning
material material
 Efficiency
Timeliness
Basic Education 5. Planned and Quality Demonstrated Demonstrated Demonstrated Demonstrated No acceptable
Services delivered teaching Level 7 in Level 6 in Level 5 in Level 4 in evidence was
strategies that are Objective 5 as Objective 5 as Objective 5 as Objective 5 as shown
responsive to the shown in COT shown in COT shown in COT shown in COT
special rating rating rating rating
educational needs sheets/interobserve sheets/interobserve sheets/interobserve sheets/interobserve
of learners in r r r r
difficult agreement forms agreement forms agreement forms agreement forms
circumstances*,
including:
geographic
isolation; chronic 8.0%
illness;
displacement due
to armed conflict,
urban
resettlement or
disasters; child
abuse and child
labor practices

Efficiency
Timeliness
Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 2. Diversity of 6. Used Quality Provided learners Provided Provided Provided No evidence was 0 0 0.000 0
Services Learners & strategies for with accurate, learners with learners with learners with shown
Assessment providing and specific and accurate, and accurate, and inaccurate
and Reporting timely, accurate directed specific general
MOV and/or
and constructive constructive
MOV constructive
submitted destructive
constructive feedback* as feedback
submittedas feedback
shows feedback
MOV submitted
8.0% shown in the
feedback to shownsubmitted
MOV in the shows as shown in
feedback as shown in the
shows
improve learner evidence
shows feedback evidence
feedback the evidence
given within evidence given
feedback
performance submitted
given within 5 submitted
given within submitted
11-20 submitted
beyond 20
working days 6-10 working working days working days
Efficiency from days from from from
Timeliness submission** submission** submission** submission** No evidence was
Basic Education 3. Curriculum 7. Selected, Quality Demonstrated Demonstrated Demonstrated Demonstrated shown
Demonstrated
Services and Planning developed, Level 7 in Objective Level 6 in Objective Level 5 in Objective Level 4 in Objective Level 3 in Objective
organized 7 as shown in COT 7 as shown in COT 7 as shown in COT 7 as shown in COT 7 as shown in COT
and used rating sheets rating sheets rating sheets rating sheets rating sheets
appropriate /interobserver /interobserver /interobserver /interobserver /interobserver
teaching and agreement forms agreement forms agreement agreement forms agreement forms
learning 8.0% forms or No acceptable
resources, evidence was
including ICT, shown
Basic Education 3. Curriculum 7. Selected, Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated
Services and Planning developed, Level 7 in Objective Level 6 in Objective Level 5 in Objective Level 4 in Objective Level 3 in Objective
organized 7 as shown in COT 7 as shown in COT 7 as shown in COT 7 as shown in COT 7 as shown in COT
and used rating sheets rating sheets rating sheets rating sheets rating sheets
appropriate /interobserver /interobserver /interobserver /interobserver /interobserver
teaching and agreement forms agreement forms agreement agreement forms agreement forms
learning 8.0% forms or No acceptable
resources, evidence was
including ICT, shown
to address
learning
goals
Efficiency
Timeliness

Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 3. Curriculum 8. Set Quality All of the Majority of Half of the Less than half No acceptable 0 0.000 0
Services and Planning achievable and learning the learning learning of the learning evidence was
appropriate outcomes set outcomes set outcomes set outcomes set shown
learning are aligned are aligned are aligned are aligned with
outcomes that with the with the with the the learning
are aligned learning learning learning competencies
with learning 8.0% competencies competencies competencies as shown in the
competencies as shown in as shown in as shown in MOV submitted
the MOV the MOV the MOV
submitted submitted submitted
Efficiency
Timeliness
Basic Education 4. Community 9. Built Quality Sustained Secured Communicated Communicated No acceptable 0 0 0.000 0
Services Linkages and relationships engagement collaboration with and with parents/ evidence was
Professional with parents/ with parents/ with parents/ obtained guardians and/or shown
Engagement & guardians guardians guardians response from wider school
Personal and the wider and/or wider and/or wider parents/ community to
Growth and school school school guardians and/or facilitate
Professional community to community to community to wider school involvement in
Development facilitate 8.0% facilitate facilitate community to the educative
involvement involvement in involvement in facilitate process but
in the the educative the educative involvement in received no
educative process as process as the educative response/reply
process evidenced by 2 evidenced by process as as evidenced by
or more of MOV one MOV no. 1 evidenced by MOV No. 3
no. 1 or 2 or 2 MOV No. 3
 Growth and school
Professional community to
Development facilitate 8.0%
involvement
in the
educative Efficiency Submitted any Submitted any Submitted any 2 Submitted any 1 No acceptable
process 4 of the 3 of the of the of the evidence was
acceptable acceptable acceptable acceptable shown
MOV* MOV* MOV* MOV
Timeliness

Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Community 10. Participated Quality Participated in Participated in Participated in Participated in No acceptable 0 0 0 0
Services Linkages and in professional any professional any professional any professional any evidence was
Professional networks to network/activity network/activity network/activity professional shown
Engagement & share that requires that requires that requires network/activity
Personal knowledge and output* and output* and output* to share that does not
Growth and to enhance proof of proof of knowledge and require output
Professional practice implementation implementation to enhance to share
Development ** within the ** within the practice as knowledge and
school to share department/ evidenced by to enhance
knowledge and grade level to the submitted practice as
to enhance share MOV evidenced by
practice as knowledge and the submitted
8.0% evidenced by to enhance MOV
the submitted practice as
MOV evidenced by
the submitted
MOV

Efficiency Submitted 4 Submitted 3 Submitted 2 Submitted any No acceptable

different kinds different kinds different kinds 1 of the evidence was
of acceptable of acceptable of acceptable acceptable shown
MOV*** MOV*** MOV*** MOV
Timeliness
Basic Education 11. Developed a Quality Updated the Discussed Accomplishe Accomplished No acceptable 0 0 0.000 0.000
Services personal Development progress on d the the Strengths evidence was
improvement Plan and the Development and shown
plan based on approved by Development Plan from Development
reflection of the rater during Plan with the learning Needs portion of
one’s practice Phase II of the rater to check objectives up the Development
and ongoing RPMS cycle whether to resources Plan after
professional Development needed to selfassessment at
learning Needs were address the beginning of
addressed Development the school year
8.0%
Needs during
Phase I of the
RPMS cycle
Submitted the
IPCRF-DP with
Efficiency Submitted the any 3 of the Submitted the Submitted the No acceptable
IPCRF-DP with acceptable IPCRF-DP with IPCRF-DP with evidence was
any 4 of the Supporting any 2 of the any 1 of the shown
acceptable MOV* acceptable acceptable
Supporting Supporting Supporting
Timeliness
MOV* MOV* MOV

Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic Education 4. Assessment 12.Performed Quality Performed at Performed at Performed at Performed at No acceptable 0 0 0 0
Services and Reporting various related least 1 related least 1 related least 1 related least 1 related evidence was
works/activities work/activity work/activity work/activity work/activity that shown
that contribute that contributed that contributed that contributed to
to the to the to the contributed to the
teachinglearning teachinglearning teachinglearning the teachinglearning
process process process within teachinglearning process
beyond the the school/ process within within the class
school/ Community the learning as evidenced by
12.0% Community Learning area/ submitted MOV
Learning Center (CLC) department as
Center (CLC) as evidenced evidenced by
as evidenced by submitted submitted
by submitted MOV MOV
MOV
 teachinglearning teachinglearning teachinglearning the teachinglearning
process process process within teachinglearning process
beyond the the school/ process within within the class
school/ Community the learning as evidenced by
12.0% Community Learning area/ submitted MOV
Learning Center (CLC) department as
Center (CLC) as evidenced evidenced by
as evidenced by submitted submitted
by submitted MOV MOV
Efficiency Submitted any Submitted any Submitted any Submitted any 1 No acceptable
MOV
4 of the 3 of the 2 of the of the evidence was
acceptable acceptable acceptable acceptable shown
MOV* MOV* MOV* MOV
Timeliness
RATING FOR OVER-ALL
Poor 0.000
ACCOMPLISHMENTS

ADJECTIVAL RATING EQUIVALENCIES

RANGE ADJECTIVAL RATING
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory CHIRADEE G. ABUG CHRISTY ANN G. BANGUANGA MICHAEL G. DIVINAGRACIA PhD
below 1.499 Poor Ratee Rater Approving Authority

Rater-Ratee Agreement

The signatures below confirm that the Ratee and Rater have agreed on the contents of this appraisal form, it has been discussed and understood in the
Planning Phase of the RPMS cycle.

Name of Ratee Name of Rater

Signature Signature

Date Date
 PART II: COMPETENCIES
CORE BEHAVIORAL COMPETENCIES CORE SKILLS
Self-Management Teamwork Oral Communication

1 Sets personal goals and direction, needs and development. 1 Willingly does his/her share of responsibility. 1 Follows instruction accurately.

2 Undertakes personal actions and behaviors that are clear and purposive and Promotes collaboration and removes barriers to teamwork and goal
takes into account personal goals and values congruent to that of the 2 accomplishment across the organization. 2 Expresses self clearly, fluently and accurately.
organization.
3 Applies negotiation principles in arriving at win-win agreements. 3 Uses appropriate medium for the message
3 Displays emotional maturity and enthusiasm for and is challenged by higher
goals.
4 Drives consensus and team ownership of decisions. 4 Adjust communication styles to others.
4 Prioritizes work tasks and schedules (through Gantt charts, checklists, etc.) to
achieve goals. 5 Works constructively and collaboratively with others and across organizations to
accomplish organizational goals and objectives. 5 Guides discussions between and among peers to meet an objective.
5
Sets high quality, challenging, realistic goals for self and others.
Service Orientation Written Communication
Professionalism and Ethics 1
1 Can explain and articulate organizational directions, issues and problems. Knows the different written business communication formats used in DepEd.
1 Demonstrates the values and behavior enshrined in the Norms of Conduct and
Ethical Standards for public officials and employees (RA 6713). 2 Takes personal responsibility for dealing with and/or correcting customer 2 Writes routine correspondence/communications, narrative and descriptive report
2 Practices ethical and professional behavior and conduct taking into account the service issues and concerns. based on readily available information data with minimal spelling or grammatical
impact of his/her actions and decisions. 3 Initiates activities that promotes advocacy for men and women empowerment. errors (e.g. memos, minutes, etc.)
3 Maintains a professional image: being trustworthy, regularity of attendance and 3 Secures information from required references (i.e., Directories, schedules,
punctuality, good grooming and communication. 4 Participates in updating of office vision, mission, mandates and strategies based notices, instructions) for specific purposes.
on DepEd strategies and directions. 4
4 Makes personal sacrifices to meet organization’s needs. Self-edits words, numbers, phonethic notation and content, if necessary.
5 Develops and adopts service improvement programs through simplified
5 Acts with a sense of urgency and responsibility to meet organization’s needs, procedures that will further enhance service delivery. 5 Demonstrates clarity, fluency, impact, conciseness and effectiveness in his/her
improve systems and help others improve their effectiveness. Innovation written communications.
Result Focus 1 Computer/ICT Skills
Examines the root cause of problems and suggests effective solutions. Fosters 1 Prepares basic compositions (e.g., letters, reports, spreadsheets and graphics
1 Achieves results with optimal use of time and resources most of the time. new ideas, processes, and suggests better ways to do things (cost and/or
presentation using Word Processing and Excel).
operational efficiency).
2 Avoids rework, mistakes and wastage through effective work methods by 2 Identifies different computer parts, turns the computer on/off, and work on a
placing organizational needs before personal needs. 2 given task with acceptable speed and accuracy and connects computer
Demonstrates an ability to think “beyond the box”. Continuously focuses on peripherals (e.g. printers, modems, multimedia projectors, etc.)
3 Delivers error-free outputs most of the time by conforming to standard operating
improving personal productivity to create higher value and results.
procedures correctly and consistently. Able to produce very satisfactory quality
of work in terms of usefulness/acceptability and completeness with no 3 Prepares simple presentation using Powerpoint.
supervision required. 3
Promotes a creative climate and inspires co-workers to develop original ideas or
4
solutions.
4 Expresses a desire to do better and may express frustration at waste or Utilizes technologies to: access information to enhance professional
inefficiency. May focus on new or more precise ways of meeting goals set. productivity, assists in conducting research and communicate through local and
4 Translates creative thinking into tangible changes and solutions that improve global professional networks.
5 Makes specific changes in the system or in own work methods to improve the work unit and organization.
performance. Examples may include doing something better, faster, at a lower 5 5
cost, more efficiently, or improving quality, customer satisfaction, morale, Uses ingenious methods to accomplish responsibilities. Demonstrates Recommends appropriate and updated technology to enhance productivity and
without setting any specific goal. resourcefulness and the ability to succeed with minimal resources. professional practice.

OVERALL COMPETENCY RATINGS

CORE BEHAVIORAL COMPETENCIES 0.00

CORE SKILLS 0.00

OVERALL RATING 0.00

 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results Rating Adjectival Rating

Accomplishment of KRAs and Objectives 0.000 Poor

Rater-Ratee Agreement

The signatures below confirm that the employee and his/her superior have agreed on the contents of this appraisal form and the performance rating.

Name of Employee Name of Superior

CHIRADEE G. ABUG CHRISTY ANN G. BANGUANGA
Teacher I Master Teacher I
Signature Signature

Date Date
 PERFORMANCE MONITORING AND COACHING FORM
Critical Incidence Description Output Impact on Job Action Plan Signature of
Date
(Situation, Task & Action) (Result) (Outcome) (Reinforce/ Redirect) Ratee Rater
 EMPLOYEE FEEDBACK FORM
Action Plan
Strengths Development Needs (Recommended Developmental Timeline Resources Needed
Intervention)

Feedback:

Rater: Ratee: Approving Authority:

CHRISTY ANN G. BANGUANGA CHIRADEE G. ABUG Name

Master Teacher I Teacher I Position
 PART IV: DEVELOPMENT PLANS

Action Plan
Strengths Development Needs Timeline Resources Needed
(Recommended Developmental Intervention)

Rater: Ratee: Approving Authority

CHRISTY ANN G. BANGUANGA CHIRADEE G. ABUG Name

Master Teacher I Teacher I Position