Blank IPCRF For Midyear Review

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) for Teacher I-III (Proficient Teachers)
S.Y.: 2021-2022
(DM No. 004 s.2022)
Name of Employee: ANALYN E. MENDOLA Name of Rater: MA. RECHELL Y. ESPERANZA
Position: TEACHER I Position: MASTER TEACHER I
School/District/Division: SOOB ES/ALBUERA NORTH/LEYTE Date of Review: JULY 2022
Rating Period: AUGUST 2021 - JUNE 2022
TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVALUATION

Performance Indicators
Actual Rating
MFOs KRAs Objectives Timeline Weight Outstanding Very Satisfactory Unsatisfactory Poor Ave Score
QET Results
(5) Satisfactory (4) (3) (2) (1) Q E T
Basic 1. Content 1. Applied August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education Knowledge knowledge of 2021 - June Level 7 in 6 in Objective 1 as Level 5 in 4 in Objective 1 as Level 3 in
Services and content within and 2022 Objective 1 as shown in COT rating Objective 1 as shown in COT Objective 1 as
Pedagogy across curriculum shown in COT sheets / inter- shown in COT rating sheets / inter- shown in COT
teaching areas. rating sheets / observer agreement rating sheets / observer agreement rating sheets /
inter-observer forms inter-observer forms inter-observer
agreement forms agreement agreement forms
5% or 0
No acceptable
evidence was
shown
Efficiency
Timeliness
Basic 2. Used research- August Quality Used research- Used research-based Used research- Use of research- No acceptable
Education based knowledge 2021 - June based knowledge knowledge and/or based knowledge based knowledge evidence was
Services and principles of 2022 and/or principles principles of teaching and/or principles and/or principle of shown
teaching and of teaching and and learning in two of teaching and teaching and
learning to learning in all the components of learning in one learning is identified
enhance components of instruction in the component of but was poorly used
professional instruction in the lesson plan to instruction in the as basis for
practice lesson plan to improve student lesson plan to planning / designing
5%
improve student learning improve student the lesson
learning learning
Efficiency
Timeliness
Actual Rating
QET Results
Basic 1. Content 3. Displayed August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education Knowledge proficient use of 2021 - June Level 7 in 6 in Objective 3 as Level 5 in 4 in Objective 3 as Level 3 in
Services and Mother Tongue, 2022 Objective 3 as shown in COT rating Objective 3 as shown in COT Objective 3 as
Pedagogy Filipino and English shown in COT sheets / inter- shown in COT rating sheets / inter- shown in COT
to facilitate rating sheets / observer agreement rating sheets / observer agreement rating sheets /
teaching and inter-observer forms inter-observer forms inter-observer
learning agreement forms agreement forms agreement forms
5% or
No acceptable
evidence was
shown
Efficiency
Timeliness
Basic 4. Used effective August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education verbal and non- 2021 - June Level 7 in 6 in Objective 4 as Level 5 in 4 in Objective 4 as Level 3 in
Services verbal classroom 2022 Objective 4 as shown in COT rating Objective 4 as shown in COT Objective 4 as
communication shown in COT sheets / inter- shown in COT rating sheets / inter- shown in COT
strategies to rating sheets / observer agreement rating sheets / observer agreement rating sheets /
support learner inter-observer forms inter-observer forms inter-observer
understanding, agreement forms agreement forms agreement forms
participation, or
engagement and 5% No acceptable
achievement evidence was
shown
Efficiency
Timeliness
Basic 2. Learning 5. Established safe August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education Environment and secure 2021 - June Level 7 in 6 in Objective 5 as Level 5 in 4 in Objective 5 as Level 3 in
Services learning 2022 Objective 5 as shown in COT rating Objective 5 as shown in COT Objective 5 as
environments to shown in COT sheets / inter- shown in COT rating sheets / inter- shown in COT
enhance learning rating sheets / observer agreement rating sheets / observer agreement rating sheets /
through the inter-observer forms inter-observer forms inter-observer
consistent agreement forms agreement forms agreement forms
implementation of 5% or
policies, guidelines No acceptable
and procedures evidence was
shown
implementation of 5% or
policies, guidelines No acceptable
and procedures evidence was
shown
Efficiency
Timeliness
Actual Rating
QET Results
Basic 2. Learning 6. Maintained August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education Environment learning 2021 - June Level 7 in 6 in Objective 6 as Level 5 in 4 in Objective 6 as Level 3 in
Services environments that 2022 Objective 6 as shown in COT rating Objective 6 as shown in COT Objective 6 as
promote fairness, shown in COT sheets / inter- shown in COT rating sheets / inter- shown in COT
respect and care to rating sheets / observer agreement rating sheets / observer agreement rating sheets /
encourage learning inter-observer forms inter-observer forms inter-observer
agreement forms agreement forms agreement forms
or
5% No acceptable 0
evidence was
shown
Efficiency
Timeliness
Basic 7. Maintained August Quality Provided Provided effective Provided an Provided learning No acceptable
Education learning 2021 - June effective and learning opportunities effective learning opportunity/ies that evidence was
Services environments that 2022 varying learning that are well-aligned opportunity that is is/are partially shown
nurture and inspire opportunities that with the learning well-aligned with aligned with the
learners to are well-aligned goals and engage the learning goal/s learning goal/s and
participate, with the learning learners to and engage only somehow
cooperate and goals and feature participate, learners to engage/s learners
collaborate in all elements of cooperate, and/or participate, to participate,
continued learning collaborative collaborate in cooperate, and/or cooperate, and/or
learning as continued learning as collaborate in collaborate in
5% shown in the shown in the continued learning continued learning
submitted submitted learning as shown in the as shown in the
learning material material submitted learning submitted learning
material material
Efficiency
Timeliness
Actual Rating
QET Results
Basic 2. Learning 8. Applied a range August Quality Applied effective Applied effective Applied an Applied teaching No acceptable
Education Environment of successful 2021 - June teaching teaching strategies effective teaching strategy/ies that evidence was
Services strategies that 2022 strategies that that are well-aligned strategy that is is/are partially shown
maintain learning are well-aligned with the learning well-aligned with aligned with the
environments that with the learning goals and the learning goal/s learning goal/s and
motivate learners goals and successfully motivate and successfully only somehow
to work successfully learners to work motivates learners motivate/s learners
productively by motivate learners productively by to work to work productively
assuming to monitor and assuming productively by by assuming
responsibility for evaluate their responsibility for their assuming responsibility for
their own learning 5% own learning as own learning as responsibility for their own learning
shown in the shown in the their own learning as shown in the
submitted submitted learning as shown in the submitted learning
learning material material submitted learning material
material
Efficiency
Timeliness
Basic 3. Diversity 9. Designed, August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education of Learners, adapted and 2021 - June Level 5 as shown 4 as shown in the Level 3 as shown 2 as shown in the Level 1 as shown
Services Curriculum implemented 2022 in the TRFs TRFs in the TRFs TRFs in the TRFs
and teaching strategies or
Planning, & that are responsive No acceptable
Assessment to learners with 5% evidence was
and disabilities, shown
Reporting giftedness and
talents
Efficiency
Timeliness
Actual Rating
QET Results
Basic 3. Diversity 10. Adapted and August Quality Demonstrated Demonstrated Level Demonstrated Demonstrated Level Demonstrated
Education of Learners, used culturally 2021 - June Level 5 as shown 4 as shown in the Level 3 as shown 2 as shown in the Level 1 as shown
Services Curriculum appropriate 2022 in the TRFs TRFs in the TRFs TRFs in the TRFs
and teaching strategies or
Planning, & to address the No acceptable
Assessment needs of learners 5% evidence was
and from indigenous shown
Reporting groups
Efficiency
Timeliness
Basic 11. Adapted and August Quality Evaluated the Monitored progress Completed the Planned for the No acceptable
Education implemented 2021 - June adapted / of the adapted / implementation of implementation of evidence was
Services learning programs 2022 contextualized contextualized the adapted / the adapted / shown
that ensure learning program learning program contextualized contextualized
relevance and as evidenced by while being learning program existing learning
responsiveness to 5% MOV No. 1 implemented as as evidenced by program
the needs of all evidenced by MOV MOV No. 3 as evidenced by
learners No. 2 MOV No. 4
Efficiency
Timeliness
Basic 3. Diversity 12. Utilized August Quality Implemented a Developed materials Planned for a Analyzed learners’ No acceptable
Education of Learners, assessment data to 2021 - June teaching and based on learners’ teaching and mastered skills evidence was
Services Curriculum inform the 2022 learning assessment data as learning strategy based on the shown
and modification of strategy / evidenced by a list of and/or program frequency of errors
Planning, & teaching and program using identified least / most based on learners’ and correct
Assessment learning practices materials based mastered skills with assessment data responses as
and and programs on learners’ supporting MOV No. as evidenced by a evidenced by a list
Reporting assessment data 2 list of identified of identified least /
5% as evidenced by least / most most mastered
a list of identified mastered skills skills
least / most with supporting
mastered skills MOV No. 3
with supporting
MOV No. 1
5% as evidenced by least / most most mastered
a list of identified mastered skills skills
least / most with supporting
mastered skills MOV No. 3
with supporting
MOV No. 1
Efficiency
Timeliness
Actual Rating
QET Results
Basic 4. 13. Maintained August Quality Collaborated with Planned with the Conducted a Communicated with No acceptable
Education Community learning 2021 - June the community community consultative the community evidence was
Services Linkages environments that 2022 stakeholder in stakeholders a meeting with the stakeholders about shown
and are responsive to implementation / program, project, community a program, project,
Professional community completion of a and/or activity that stakeholders on a and/or activity that
Engagement contexts program, project, maintains a learning program, project, maintains the
& Personal and/or activity environment and/or activity that learning
Growth and that maintains a responsive to maintains a environment
Professional learning community contexts learning responsive to
Development environment as evidenced by environment community contexts
5%
responsive to MOV No. 2 responsive to as evidenced by
community community
contexts as contexts as
evidenced by evidenced by
MOV No. 1 MOV No. 3
Efficiency
Timeliness
Basic 14. Reviewed August Quality Exhibited an Exhibited an Reviewed Participated in the No acceptable
Education regularly personal 2021 - June improved practice improved practice personal teaching review of personal evidence was
Services teaching practice 2022 through one’s through a teaching practices using teaching practices shown
using existing laws teaching as material as impact of laws and using laws and
and regulations impact of regularly reviewing regulations that regulations that
that apply to the regularly one’s teaching apply to the apply to the
teaching profession reviewing one’s practice/s using laws profession and the profession and the
and the teaching and regulations that responsibilities in responsibilities in
responsibilities practice/s using apply to the the Code of Ethics the Code of Ethics
specified in the laws and profession and the for Professional for Professional
Code of Ethics for regulations that responsibilities in the Teachers in 4 Teachers in 4
Professional apply to the Code of Ethics for quarters with quarters as
Teachers 5% profession and Professional reflection outputs evidenced by MOV
the Teachers as as evidenced by No. 4
responsibilities in evidenced by MOV MOV No. 3
the Code of No. 2
that apply to the regularly one’s teaching apply to the apply to the
teaching profession reviewing one’s practice/s using laws profession and the profession and the
and the teaching and regulations that responsibilities in responsibilities in
responsibilities practice/s using apply to the the Code of Ethics the Code of Ethics
specified in the laws and profession and the for Professional for Professional
Code of Ethics for regulations that responsibilities in the Teachers in 4 Teachers in 4
Professional apply to the Code of Ethics for quarters with quarters as
Teachers 5% profession and Professional reflection outputs evidenced by MOV
the Teachers as as evidenced by No. 4
responsibilities in evidenced by MOV MOV No. 3
the Code of No. 2
Ethics for
Professional
Teachers as
evidenced by
MOV No. 1
Efficiency
Timeliness
Actual Rating
QET Results
Basic 4. 15. Complied with August Quality Sustained Discussed with Communicated Implemented school No acceptable
Education Community and implemented 2021 - June engagement with learners, parents / with learners, policies and evidence was
Services Linkages school policies and 2022 the learners, guardians, and other parents / procedures without shown
and procedures parents / stakeholders the guardians, and communicating and
Professional consistently to guardians, and implemented school other stakeholders consulting the
Engagement foster harmonious other policies and the implemented learners, parents /
& Personal relationships with stakeholders procedures as school policies guardians, and
Growth and learners, parents, regarding school evidenced by MOV and procedures as other stakeholders
Professional and other policies and no. 2 evidenced by
Development stakeholders 5% procedures MOV no. 3
through school-
community
partnership/s as
evidenced by
MOV no. 1
Efficiency
Timeliness
Basic 16. Applied a August Quality Applied learner- Applied learner- Applied learner- Application of No acceptable
Education personal 2021 - June centered centered teaching centered teaching learner-centered evidence was
Services philosophy of 2022 teaching philosophy in the philosophy in the teaching philosophy shown
teaching that is philosophy in the lesson plan in two lesson plan in one is reflected but was
learner-centered lesson plan in all components of component of poorly used as
Basic 16. Applied a August Quality Applied learner- Applied learner- Applied learner- Application of No acceptable
Education personal 2021 - June centered centered teaching centered teaching learner-centered evidence was
Services philosophy of 2022 teaching philosophy in the philosophy in the teaching philosophy shown
teaching that is philosophy in the lesson plan in two lesson plan in one is reflected but was
learner-centered lesson plan in all components of component of poorly used as
the components instruction in the instruction in the basis for planning /
of instruction in lesson plan to lesson plan to designing the
5%
the lesson plan to improve student improve student lesson.
improve student learning learning
learning
Efficiency
Timeliness
Actual Rating
QET Results
Basic 4. 17. Adopted August Quality Exhibited dignity Exhibited dignity of Adopted practices Adopted a practice No acceptable
Education Community practices that 2021 - June of teaching as a teaching as a that uphold the that uphold the evidence was
Services Linkages uphold the dignity 2022 profession by profession by dignity of teaching dignity of teaching shown
and of teaching as a exhibiting exhibiting qualities as a profession by as a profession by
Professional profession by qualities such as such as caring exhibiting qualities exhibiting qualities
Engagement exhibiting qualities caring attitude, attitude, respect, and such as caring such as caring
& Personal such as caring respect, and integrity with attitude, respect, attitude, respect,
Growth and attitude, respect integrity with affirmation from any and integrity as and integrity as
Professional and integrity affirmation from school stakeholder evidenced by at evidenced by one
Development 5% different school as evidenced by one least two MOV MOV No. 2
stakeholders as MOV No. 1 No. 2
evidenced by at
least two MOV
No. 1
Efficiency
Timeliness
Basic 18. Set August Quality Updated Discussed progress Set professional Accomplished the No acceptable
Education professional 2021 - June professional on professional development e-SAT at the evidence
Services development goals 2022 development development goals goals based on e- beginning of the
based on the goals during with the rater during SAT results as school year as
Philippine Phase II of the the mid-year review evidenced by evidenced by MOV
Professional RPMS Cycle as as evidenced by MOV No. 3 No. 4
Basic 18. Set August Quality Updated Discussed progress Set professional Accomplished the No acceptable
Education professional 2021 - June professional on professional development e-SAT at the evidence
Services development goals 2022 development development goals goals based on e- beginning of the
based on the goals during with the rater during SAT results as school year as
Philippine Phase II of the the mid-year review evidenced by evidenced by MOV
Professional RPMS Cycle as as evidenced by MOV No. 3 No. 4
Standards for 5% evidenced by MOV No. 2
Teachers MOV No. 1
Efficiency
Timeliness
Actual Rating
QET Results
Basic 4. 19. Performed August Quality Performed at Performed at least 1 Performed at least Performed at least No acceptable
Education Community various related 2021 - June least 1 related related work / activity 1 related work / 1 related work / evidence was
Services Linkages works / activities 2022 work / activity that that contributed to activity that activity that shown
and that contribute to contributed to the the teaching-learning contributed to the contributed to the
Professional the teaching- teaching-learning process within the teaching-learning teaching-learning
Engagement learning process process beyond school / Community process within the process within the
& Personal the school / Learning Center learning area / class as evidenced
Growth and Community (CLC) as evidenced department as by submitted MOV
Professional 10% Learning Center by submitted MOV evidenced by
Development (CLC) as submitted MOV
evidenced by
submitted MOV
Efficiency
Timeliness
RATING FOR OVER-ALL
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 ANALYN E. MENDOLA MA. RECHELL Y. ESPERANZA RHEA L. AMANTE
below 1.499 Poor Ratee Rater Approving Authority
PART II: COMPETENCIES
Instructions: Please indicate the number of competency indicators that you demonstrated during the performance cycle.
CORE BEHAVIORAL COMPETENCIES
Self-Management Teamwork
1. Sets personal goals and directions, needs and development. 1. Willingly does his/her share of responsibility.
2. Undertakes personal actions and behavior that are clear and purposive and takes into account personal 2. Promotes collaboration and removes barrier to teamwork and goal accomplishment across the
goals and values congruent to that of the organization. organization.
3. Displays emotional maturity and enthusiasm for and is challenged by higher goals. 3. Applies negotiation principles in arriving at win-win agreements.
4. Prioritizes work tasks and schedules (through Gantt chants, checklists, etc.) to achieve goals. 4. Drives consensus and team ownership of decisions.
5. Works constructively and collaboratively with others and across organizations to accomplish organization
5. Sets high quality, challenging, realistic goals for self and others.
goals and objectives.
Professionalism and Ethics Service Orientation
1. Demonstrates the values and behavior enshrined in the Norms and Conduct and Ethical Standards for
1. Can explain and articulate organizational directions, issues and problems.
Public Officials and Employees (RA 6713).
2. Practices ethical and professional behavior and conduct taking into account the impact of his/her actions
2. Takes personal responsibility for dealing with and/or correcting customer service issues and concerns.
and decisions.
3. Maintains a professional image: being trustworthy, regularity of attendance and punctuality, good
3. Initiates activities that promote advocacy for men and women empowerment.
grooming and communication.
4. Participates in updating office vision, mission, mandates and strategies based on DepEd strategies and
4. Makes personal sacrifices to meet the organization’s needs.
directions.
5. Acts with a sense of urgency and responsibility to meet the organization’s needs, improve system and 5. Develops and adopts service improvement program through simplified procedures that will further
help others improve their effectiveness. enhance service delivery.
Results Focus Innovation
1. Examines the root cause of problems and suggests effective solutions. Foster new ideas, processes and
1. Achieves results with optimal use of time and resources most of the time.
suggests better ways to do things (cost and/or operational efficiency).
2. Avoids rework, mistakes and wastage through effective work methods by placing organizational needs 2. Demonstrates an ability to think “beyond the box”. Continuously focuses on improving personal
before personal needs. productivity to create higher value and results.
3. Delivers error-free outputs most of the time by conforming to standard operating procedures correctly and
consistently. Able to produce very satisfactory quality work in terms of usefulness/acceptability and 3. Promotes a creative climate and inspires co-workers to develop original ideas or solutions.
completeness with no supervision required.
4. Expresses a desire to do better and may express frustration at waste or inefficiency. May focus on new or 4. Translates creative thinking into tangible changes and solutions that improve the work unit and
more precise ways of meeting goals set. organization.
5. Makes specific changes in the system or in own work methods to improve performance. Examples may
5. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness and the ability to
include doing something better, faster, at a lower cost, more efficiently, or improving quality, customer
succeed with minimal resources.
satisfaction, morale, without setting any specific goal.
Note: The assessment in the demonstration of competencies shall not be reflected in the final rating. These competencies are monitored to inform professional development plans (DepEd Order No. 2, s. 2015, p. 9).
INDIVIDUAL PERFORMANCE COMMITMENT REVIEW FORM (IPCRF) SUMMARY SHEET
Teacher I-III (Proficient Teacher)
Name of Employee: ANALYN E. MENDOLA Name of Rater: MA. RECHELL Y. ESPERANZA

Position: TEACHER I Position: MASTER TEACHER I
Bureau/Center/Service/Division: SOOB ES/ALBUERA NORTH/LEYTE Date of Review: JULY 2022
Rating Period: AUGUST 2021 - JUNE 2022
Numerical Ratings
Weight per Weight per
KRA Objectives Score
KRA Objective Q E T Ave
Objective 1 5% 0 0.000 0.000

Objective 2 5% 0 0.000 0.000
KRA 1 20%
Objective 3 5% 0 0.000 0.000
Objective 4 5% 0 0.000 0.000
Objective 5 5% 0 0.000 0.000
Objective 6 5% 0 0.000 0.000
KRA 2 20%
Objective 7 5% 0 0.000 0.000
Objective 8 5% 0 0.000 0.000
Objective 9 5% 0 0.000 0.000
Objective 10 5% 0 0.000 0.000
KRA 3 20%
Objective 11 5% 0 0.000 0.000
Objective 12 5% 0 0.000 0.000
Objective 13 5% 0 0.000 0.000
Objective 14 5% 0 0.000 0.000
Objective 15 5% 0 0.000 0.000
KRA 4 20%
Objective 16 5% 0 0.000 0.000
Objective 17 5% 0 0.000 0.000
Objective 18 5% 0 0.000 0.000
Plus Factor 10% Objective 19 10% 0 0.000 0.000
0.000
Adjectival Rating 0.000
ANALYN E. MENDOLA MA. RECHELL Y. ESPERANZA RHEA L. AMANTE
Ratee Rater Approving Authority
E
ority
PART IV: DEVELOPMENT PLANS
Action Plan
Strengths Development Needs (Recommended Developmental Intervention) Timeline Resources Needed
Learning Objectives Intervention
A. Functional Competencies
B. Core Behavioral Competencies
Feedback:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
ROSENDA C. LAZO MA. RECHELL Y. ESPERANZA RHEA L. AMANTE

RATEE RATER APPROVING AUTHORITY

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

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

Name of Employee: ANALYN E. MENDOLA Name of Rater: MA. RECHELL Y. ESPERANZA

Objective 1 5% 0 0.000 0.000

B. Core Behavioral Competencies

ROSENDA C. LAZO MA. RECHELL Y. ESPERANZA RHEA L. AMANTE

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