INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for Teacher I-III

Name of Employee: CARRIE ANNE B. EMPRESE Name of Rater: ANA LOU R. RAZO
Position: Teacher II Position: Master Teacher I
Bureau/Center/Service/Division: CAMFLORA NATIONAL HIGH SCHOOL - QUEZON Date of Review:
Rating Period: SY 2021-2022

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

Performance Indicators
Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Actual Results Ave Score
QET
5 4 3 2 1 Q E T
Basic 1. Content 1. Applied Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 4 4.000 0.200
Education Knowledge knowledge of Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Level 6 in
Services and content within Objective 1 as Objective 1 as Objective 1 as Objective 1 as Objective 1 as Objective 1 as
Pedagogy shown in COT
and across shown in COT shown in COT shown in COT shown in COT shown in COT
5.0% rating sheets /
curriculum rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
inter-observer
teaching areas. inter-observer inter-observer inter-observer inter-observer agreement forms or inter-observer
agreement forms. agreement forms. agreement forms. agreement forms. No acceptable agreement forms.
evidence was
shown.
2. Used Quality Used research- Used research- Used research- Use of research- No acceptable Used research- 4 4.000 0.200
research-based based based knowledge based knowledge based evidence was based knowledge
knowledge knowledge and/or principles of and/or principles of knowledge shown and/or principles of
and/or principles teaching and teaching and and/or principle teaching and
and principles
of teaching and learning in two learning in one of teaching and learning in two
of teaching and 5.0% learning in all components of component of learning is components of
learning to the components of instruction in the instruction in the identified but was instruction in the
enhance instruction in the lesson plan to lesson plan to poorly used as lesson plan to
professional lesson plan to improve student improve student basis for planning improve student
practice. improve student learning. learning. /designing the learning.
learning. lesson.
3. Displayed Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 5 5.000 0.250
proficient use Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Level 7 in
of Mother Objective 3 as Objective 3 as Objective 3 as Objective 3 as Objective 3 as Objective 3 as
shown in COT
Tongue, Filipino shown in COT shown in COT shown in COT shown in COT shown in COT
rating sheets /
and English to rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
5.0% inter-observer
facilitate teaching inter-observer inter-observer inter-observer inter-observer agreement forms or inter-observer
and learning. agreement forms. agreement forms. agreement forms. agreement forms. No acceptable agreement forms.
evidence was
shown.
 4. Used effective Quality Demonstrated Demonstrated Demonstrated Demonstrated
Demonstrated Demonstrated 5 5.000 0.250
verbal and non- Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Level 7 in
verbal classroom Objective 4 as Objective 4 as Objective 4 as Objective 4 as
Objective 4 as Objective 4 as
communication shown in COT shown in COT shown in COT shown in COT
shown in COT shown in COT
strategies to rating sheets / rating sheets / rating sheets / rating sheets /
rating sheets / rating sheets /
support learner 5.0% inter-observer inter-observer inter-observer inter-observer
inter-observer inter-observer
understanding, agreement forms. agreement forms. agreement forms. agreement forms
agreement forms. agreement forms.
participation, or
engagement No acceptable
and achievement. evidence was
shown.
2. Learning 5. Established Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 5 5.000 0.250
Environment safe and secure Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Level 7 in
learning Objective 5 as Objective 5 as Objective 5 as Objective 5 as Objective 5 as Objective 5 as
environments to shown in COT shown in COT shown in COT shown in COT shown in COT shown in COT
enhance rating sheets / rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
learning through 5.0% inter-observer inter-observer inter-observer inter-observer inter-observer inter-observer
the consistent agreement forms. agreement forms. agreement forms. agreement forms. agreement forms agreement forms.
implementation or
of policies, No acceptable
guidelines and evidence was
procedures. shown.
6. Maintained Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 5 5.000 0.250
learning Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in Level 7 in
environments Objective 6 as Objective 6 as Objective 6 as Objective 6 as Objective 6 as Objective 6 as
that promote shown in COT shown in COT shown in COT shown in COT shown in COT shown in COT
fairness, respect rating sheets / rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
and care to 5.0% inter-observer inter-observer inter-observer inter-observer inter-observer inter-observer
encourage agreement forms. agreement forms. agreement forms. agreement forms. agreement forms agreement forms.
learning. or
No acceptable
evidence was
shown.
7. Maintained Quality SET A SET A SET A SET A SET A SET A 5 5.000 0.250
learning Provided effective Provided effective Provided an Provided learning No acceptable Provided effective
environments and varying learning learning effective opportunity/ies that evidence was and varying learning
opportunities that opportunities that learning opportunity is/are partially shown. opportunities that
that nurture and
are well aligned with are well aligned with that is well-aligned aligned with the SET B are well aligned with
inspire learners
the learning goals the learning goals with the learning learning goal/s and Demonstrated the learning goals
to participate, and feature all and engage goal/s and engage only somehow Level 3 in and feature all
cooperate and elements of learners to learners to engage/s Objective 7 as elements of
collaborate in collaborative participate, participate, learners to shown in COT collaborative
continued learning as shown cooperate, and/or cooperate, and/or participate, rating sheets / learning as shown
learning. in the submitted collaborate in collaborate in cooperate, and/or inter-observer in the submitted
learning material. continued learning continued learning collaborate in agreement forms learning material.
5.0%
SET B as shown in the as shown in the continued learning or SET B
Demonstrated submitted learning submitted learning as shown in the No acceptable Demonstrated
Level 7 in material. material. submitted learning evidence was Level 7 in
Objective 7 as SET B SET B material. shown. Objective 7 as
shown in COT Demonstrated Demonstrated SET B shown in COT
rating sheets / Level 6 in Level 5 in Demonstrated rating sheets /
inter-observer Objective 7 as Objective 7 as Level 4 in inter-observer
agreement forms. shown in COT shown in COT Objective 7 as agreement forms.
rating sheets / rating sheets / shown in COT
inter-observer inter-observer rating sheets /
agreement forms. agreement forms. inter-observer
agreement forms.
8. Applied a Quality SET A SET A SET A SET A SET A SET A 5 5.000 0.250
range of Applied effective Applied effective Applied an effective Applied teaching No acceptable Applied effective
successful teaching strategies teaching strategies teaching strategy strategy/ies that evidence was teaching strategies
that are well aligned that are well-aligned that is well-aligned is/are partially shown. that are well aligned
strategies that
with the learning with the learning and successfully aligned with the SET B with the learning
maintain learning
goals and goals and motivate learners to learning goal/s and Demonstrated goals and
environments successfully successfully work productively only somehow Level 3 in successfully
that motivate motivate learners to motivate learners to by motivate/s learners Objective 8 as motivate learners to
learners to work monitor and work productively assuming to work productively shown in COT monitor and
productively by evaluate their own by responsibility for by assuming rating sheets / evaluate their own
assuming learning as shown assuming their own learning responsibility for inter-observer learning as shown
5.0% in the submitted responsibility for as shown in the their own learning agreement forms in the submitted
responsibility for
their own learning material. their own learning submitted learning as shown in the or learning material.
SET B as shown in the material. submitted learning No acceptable SET B
learning.
Demonstrated Level submitted learning SET B material. evidence was Demonstrated Level
7 in Objective 8 as material. Demonstrated Level SET B shown. 7 in Objective 8 as
shown in COT SET B 5 in Objective 8 as Demonstrated Level shown in COT
rating sheets /inter- Demonstrated Level shown in COT 4 in Objective 8 as rating sheets /inter-
observer 6 in Objective 8 as rating sheets /inter- shown in COT observer
agreement forms. shown in COT observer rating sheets /inter- agreement forms.
rating sheets /inter- agreement forms. observer
observer agreement forms.
agreement forms.
3. Diversity 9. Designed, Quality SET A SET A SET A SET A SET A SET A 5 5.000 0.250
of Learners, adapted and Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Level Demonstrated
Curriculum Level 7 in Level 6 in Level 5 in Level 4 in 3 in Objective 9 as Level 7 in
implemented
shown in COT rating
and teaching Objective 9 as Objective 9 as Objective 9 as Objective 9 as Objective 9 as
sheets / inter-
Planning, & strategies shown in COT shown in COT shown in COT shown in COT shown in COT
observer
Assessment that are rating sheets / rating sheets / rating sheets / rating sheets / agreement forms. rating sheets /
and responsive to 5.0% inter-observer inter-observer inter-observer inter-observer inter-observer
SET B
Reporting learners with agreement forms. agreement forms. agreement forms. agreement forms. Demonstrated Level agreement forms.
disabilities, SET B SET B SET B SET B 1 as shown in the SET B
giftedness and Demonstrated Demonstrated Demonstrated Demonstrated TRFs. Demonstrated
Level 5 as shown Level 4 as shown Level 3 as shown Level 2 as shown or Level 5 as shown
talents.
in the TRFs. in the TRFs. in the TRFs. in the TRFs. No acceptable in the TRFs.
evidence was
10. Adapted and Quality SET A SET A SET A SET A shown.
SET A SET A 5 5.000 0.250
used culturally Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated Level Demonstrated
Level 7 in Level 6 in Level 5 in Level 4 in 3 in Objective 10 as Level 7 in
appropriate
shown in COT rating
teaching Objective 10 as Objective 10 as Objective 10 as Objective 10 as Objective 10 as
sheets / inter-
strategies to shown in COT shown in COT shown in COT shown in COT shown in COT
observer
address the rating sheets / rating sheets / rating sheets / rating sheets / agreement forms. rating sheets /
5.0%
needs of learners inter-observer inter-observer inter-observer inter-observer SET B inter-observer
from indigenous agreement forms. agreement forms. agreement forms. agreement forms. Demonstrated Level agreement forms.
groups. SET B SET B SET B SET B 1 as shown in the SET B
Demonstrated Demonstrated Demonstrated Demonstrated TRFs. Demonstrated
Level 5 as shown Level 4 as shown Level 3 as shown Level 2 as shown or Level 5 as shown
in the TRFs. in the TRFs. in the TRFs. in the TRFs. No acceptable in the TRFs.
evidence was
11. Adapted and Quality Evaluated the Monitored Completed the Planned for the No acceptable Evaluated the 5 5.000 0.250
implemented adapted / progress of the implementation implementation evidence was adapted /
learning contextualized adapted / of the adapted / of the adapted / shown. contextualized
programs that learning contextualized contextualized contextualized learning
ensure 5.0% program as learning program learning existing learning program as
relevance and evidenced by while being program as program evidenced by
responsiveness MOV No. 1. implemented as evidenced by as evidenced by MOV No. 1.
to the needs of evidenced by MOV No. 3. MOV No. 4.
all learners. MOV No. 2.
 12. Utilized Quality Implemented Developed Planned for a Analyzed No acceptable Developed 4 4.000 0.200
assessment data a teaching and materials based on teaching and learners’ evidence was materials based on
to inform the learning strategy/ learners’ learning strategy mastered skills shown. learners’
modification of program using assessment data and/or program based on the assessment data
teaching and materials based on as evidenced by a based on learners’ frequency of errors as evidenced by a
learning learners’ list of identified assessment data and correct list of identified
practices and 5.0% assessment data least / most as evidenced by a responses as least / most
programs. as evidenced by a mastered skills list of identified evidenced by a list mastered skills
list of identified with supporting least / most of identified with supporting
least / most MOV No. 2 mastered skills least / most MOV No. 2
mastered skills with supporting mastered skills.
with supporting MOV No. 3.
MOV No. 1 .
4. 13. Maintained Quality Collaborated Planned with Conducted a Communicated No acceptable Planned with 4 4.000 0.200
Community learning with the the community consultative with the evidence was the community
Linkages and environments community stakeholders a meeting with community shown. stakeholders a
Professional that are stakeholder in the program, project, the community stakeholders program, project,
Engagement responsive to implementation and/or activity that stakeholders on a about a program, and/or activity that
& Personal community / completion of a maintains a program, project, project, and/or maintains a
Growth and contexts. program, project, learning and/or activity that activity that learning
Professional 5.0% and/or activity that environment maintains a maintains a environment
Development maintains a responsive to learning learning responsive to
learning community environment environment community
environment contexts as responsive to responsive to contexts as
responsive to evidenced by community community evidenced by
community MOV No. 2. contexts as contexts as MOV No. 2.
contexts as evidenced by evidenced by
evidenced by MOV No. 3. MOV No. 4.
MOV No. 1.
14. Reviewed Quality Exhibited an Exhibited an Reviewed Participated in the No acceptable Exhibited an 4 4.000 0.200
regularly improved practice improved personal review of personal evidence was improved
personal through one’s practice through a teaching practices teaching practices shown. practice through a
teaching teaching as impact teaching material using laws and using laws and teaching material
practice using of regularly as impact of regulations that regulations that as impact of
existing laws and reviewing one’s regularly reviewing apply to the apply to the regularly reviewing
regulations that teaching practice/sone’s teaching profession and profession and one’s teaching
apply to the using laws and practice/s using the responsibilities the responsibilities practice/s using
teaching regulations that laws and in the Code of in the Code of laws and
5.0% apply to the regulations that Ethics for Ethics for regulations that
profession and
the profession and the apply to the Professional Professional apply to the
responsibilities responsibilities profession and the Teachers in 4 Teachers in 4 profession and the
specified in the in the Code of responsibilities quarters with quarters as responsibilities
Code of Ethics Ethics for in the Code of reflection outputs evidenced by in the Code of
for Professional Professional Ethics for as evidenced by MOV No. 4. Ethics for
Teachers. Teachers as Professional MOV No. 3. Professional
evidenced by Teachers as Teachers as
MOV No. 1. evidenced by evidenced by
MOV No. 2. MOV No. 2.
15. Complied Quality Sustained Discussed Communicated Implemented No acceptable Sustained 5 5.000 0.250
with and engagement with learners, with learners, school policies evidence was engagement
implemented with the learners, parents / parents / and procedures shown with the learners,
school policies parents / guardians, and guardians, and without parents /
and procedures guardians, and other other communicating guardians, and
consistently to other stakeholders stakeholders the stakeholders the and consulting other stakeholders
foster 5.0% regarding implemented implemented the learners, regarding
harmonious school policies school policies school policies parents / school policies
relationships and procedures and procedures and procedures guardians, and and procedures
with learners, through as evidenced as evidenced by other through
parents, and school community by MOV no. 2. MOV no. 3. stakeholders. school community
other partnership/s partnership/s
stakeholders. as evidenced as evidenced
16. Applied a Quality by MOVlearner-
Applied no. 1. Applied learner- Applied learner- Application of No acceptable by MOVlearner-
Applied no. 1. 4 4.000 0.200
personal centered teaching centered teaching centered teaching learner-centered evidence was centered teaching
philosophy of philosophy in philosophy in philosophy in teaching shown philosophy in
teaching that is the lesson plan the lesson plan the lesson plan philosophy is the lesson plan
learner-centered. in all the in two components in one component reflected but in two components
5.0%
components of of of was poorly used of
instruction in instruction in instruction in as basis for instruction in
the lesson plan to the lesson plan to the lesson plan to planning / the lesson plan to
improve student improve student improve student designing the improve student
learning. learning. learning. lesson. learning.
 17. Adopted Quality Exhibited dignity of Exhibited dignity of Adopted Adopted a practice No acceptable Exhibited dignity of 4 4.000 0.200
practices that teaching as a teaching as a practices that that evidence was teaching as a
uphold the dignity profession by profession by uphold the dignity uphold the dignity shown profession by
of teaching as a exhibiting exhibiting of teaching as a of teaching as a exhibiting
profession by qualities such as qualities such as profession by profession by qualities such as
exhibiting caring attitude, caring attitude, exhibiting qualities exhibiting caring attitude,
qualities such as 5.0% respect, and respect, and such as caring qualities such as respect, and
caring attitude, integrity with integrity with attitude, respect, caring attitude, integrity with
respect and affirmation from affirmation from and integrity as respect, and affirmation from
integrity. different school any school evidenced by integrity as any school
stakeholders stakeholder as at least two evidenced by stakeholder as
as evidenced by at evidenced by MOV No. 2. one MOV No. 2. evidenced by
least two MOV No one MOV No. 1 one MOV No. 1
1.
18. Set Quality Updated Discussed Set professional Accomplished No acceptable Updated 5 5.000 0.250
professional professional progress on development the e-SAT at the evidence was professional
development development professional goals based beginning of the shown development
goals based on goals during development on e-SAT results school year as goals during
the Philippine 5.0% Phase II of the goals with the as evidenced by evidenced by Phase II of the
Professional RPMS Cycle as rater during the MOV No. 3. MOV No. 4. RPMS Cycle as
Standards for evidenced by mid-year review evidenced by
Teachers. MOV No. 1. as evidenced MOV No. 1.
by MOV No. 2.
5. Plus 19. Performed Quality Performed at Performed at Performed at Performed at No acceptable Performed at 3 3.000 0.300
Factor various related least 1 related least 1 related least 1 related least 1 related evidence was least 1 related
works /activities work / activity work / activity work / activity work / activity shown work / activity
that contribute to that contributed that contributed that contributed that contributed that contributed
the teaching- to the teaching- to the teaching- to the teaching- to the teaching- to the teaching-
learning process. learning process learning process learning process learning process learning process
10% beyond the school within the school / within within the class within
/ Community Community the learning as evidenced the learning
Learning Learning area / by submitted area /
Center (CLC) as Center (CLC) department MOV. department
evidenced by as evidenced as evidenced as evidenced
submitted MOV. by submitted by submitted by submitted
MOV. MOV. MOV.
100.0% RATING FOR OVER-ALL
Very Satisfactory 4.450
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 CARRIE ANNE B. EMPRESE ANA LOU R. RAZO ALEGRE, FELIX M.
below 1.499 Poor Ratee Rater Approving Authority