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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Teacher I-III
SY. 2021-2022
Name of Employee: Name of Rater:
Position: Position:
School/Division: City Central Schoo/ Division of Cagayan de Oro City Date of Review:
Rating Period: 2021-2022

PLANNING EVALUATION
PERFORMANCE INDICATORS
Weight RATING
MFQs KRAs OBJECTIVES TIMELINE QET OUTSTANDING VERY SATISFACTORY SATISFACTORY UNSATISFACTORY POOR Means of Verification ACTUAL RESULTS
per KRA
5 4 3 2 1 Q AVE SCORE
Basic 1. Content 1. Applied knowledge of 5% QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 Classroom Observation Tool (COT) rating sheet
Education Knowledge and content within and across in Objective 1 as shown Objective 1 as shown in in Objective 1 as shown Objective 1 as shown in COT in Objective 1 as or inter-observer agreement form from:
Services Pedagogy curriculum teaching areas in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating 1. an observation of
inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer synchronous teaching (limited face-to-face
agreement forms forms agreement forms agreement forms teaching, online teaching, or two-way radio
instruction)
or 2. if option 1 is
not possible, an observation of a recorded video
No acceptable lesson or audio lesson that is SLM-based or
evidence was shown MELC-aligned
3. if options 1 and 2 are
not possible, an observation of a demonstration
teaching via LAC

2. Used research-based 5% QUALITY Used research - based Used research - based Used research - based Use research - based No acceptable One(1) lesson plan with annotations identifying
knowledge and principles knowledge and /or knowledge and /or knowledge and /or knowledge and /or principles evidence was shown the research-based knowledge and/or principles
of teaching and learning to principles of teaching principles of teaching principles of teaching of teaching and learning is of teaching and learning used as basis for
enhance professional and learning in all the and learning in two the and learning in one the identified but was poorly planning/designing the lesson
practice components of components of component of used as basis for
instruction in the lesson instruction in the lesson instruction in the lesson planning/designing the
plan to improve student plan to improve student plan to improve student lesson
learning learning learning

3. Displayed proficient use 5% QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 Classroom Observation Tool (COT) rating sheet
of Mother Tongue, Filipino in Objective 3 as shown Objective 3 as shown in in Objective 3 as shown Objective 3 as shown in COT in Objective 3 as or inter-observer agreement form from:
and English to facilitate in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating 1. an
teaching and learning inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer observation of synchronous teaching (limited
agreement forms forms agreement forms agreement forms face-to-face teaching, online teaching, or two-way
radio instruction)
or 2. if option 1 is not
possible, an observation of a recorded video
No acceptable lesson or audio lesson that is SLM-based or
evidence was shown MELC-aligned

3. if options 1 and 2 are not possible,


an observation of a demonstration teaching via
LAC

4. Used effective verbal 5% QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 Classroom Observation Tool (COT) rating sheet
and non-verbal classroom in Objective 4 as shown Objective 4 as shown in in Objective 4 as shown Objective 4 as shown in COT in Objective 4 as or inter-observer agreement form from 1. an
communication strategies in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating observation of synchronous teaching (limited
to support learner inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer faceto-face teaching, online teaching, or two-way
understanding, agreement forms forms agreement forms agreement forms radio instruction) 2. if option 1 is not possible, an
participation, engagement observation of a recorded video lesson or audio
and achievement or lesson that is SLM-based or MELC-aligned 3. if
options 1 and 2 are not possible, an observation
No acceptable of a demonstration teaching* via LAC
evidence was shown

2. Learning 5. Established safe and 5% QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 Classroom Observation Tool (COT) rating sheet
Environment secure learning in Objective 5 as shown Objective 5 as shown in in Objective 5 as shown Objective 5 as shown in COT in Objective 5 as or inter-observer agreement form from
environements to enhance in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating 1. an
learning through the inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer observation of synchronous teaching (limited
consistent implementation agreement forms forms agreement forms agreement forms faceto-face teaching, online teaching, or two-way
of policies, guidelines and radio instruction)
procedures or 2. if option 1 is
not possible, an observation of a recorded video
No acceptable lesson or audio lesson that is SLM-based or
evidence was shown MELC-aligned
3. if
options 1 and 2 are not possible, an observation
of a demonstration teaching* via LAC

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6. Maintained learning 5% QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 Classroom Observation Tool (COT) rating sheet
environments that promote in Objective 6 as shown Objective 5 as shown in in Objective 6 as shown Objective 6 as shown in COT in Objective 6 as or inter-observer agreement form from
fairness, respect and care in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating
to encourage learning inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer 1. an observation of synchronous teaching
agreement forms forms agreement forms agreement forms (limited faceto-face teaching, online teaching, or
two-way radio instruction)
or
2. if option 1 is not possible, an observation of a
No evidence was recorded video lesson or audio lesson that is
shown SLM-based or MELC-aligned

3. if options 1 and 2 are not possible, an


observation of a demonstration teaching* via LAC

7. Maintained learning 5% A. QUALITY Provided effective and Provided effective Provided an effective Provided learning No acceptable SET A: Any supplementary material (in
environments that nurture varying learning learning opportunities learning opportunity opportunity/ies that is/are evidence was shown print/digital format) made by the ratee* and used
and inspire learners to opportunities that are that are well-aligned with that is well-aligned with partially aligned with the in the lesson delivery that highlights maintaining
participate, cooperate and well -aligned with the the learning goals and the learning goals and learning goal/s and only learning environments that nurture and inspire
collaborate in continued learning goals and engage learners to engage learners to somehow engage/s learners learners to participate, cooperate and
learning features all elements of participate, cooperate, participate, cooperate, to participate, cooperate, collaborate in continued learning
collaborative learning and/or collaborate in and/or collaborate in and/or collaborate in ● activity sheet/s
as shown in the continued learning as continued learning as continued learning as shown ● one lesson from a self-learning module
submitted learning shown in the submitted shown in the submitted in the submitted learning (SLM)
materials learning materials. learning materials. materials. ● lesson plan (e.g., DLP, DLL, WHLP,
WLP, WLL, lesson exemplars, and the likes)

● video lesson
● audio
lesson
● other
learning materials in print/digital format (please
specify and provide annotations)

with client/ learner feedback on how the material


encouraged the learners to participate, cooperate
and collaborate

B. QUALITY Demonstrated Level 7 Demonstratef level 6 in Demonstrated level 5 Demonstrated Level 4 in Demonstrated level 3 SET B: Classroom Observation Tool (COT) rating
in objective 7 as shown objective 7 as shown in in objective 7 as shown objective 7 as shown in COT in Objective 7 as sheet or inter-observer agreement form from:
in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating 1. an
inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer observation of synchronous teaching (limited
agreement forms forms agreement forms agreement forms face-to-face teaching, online teaching, or two-way
radio instruction)
or 2. if option 1 is not
possible, an observation of a recorded video
No acceptable lesson or audio lesson that is SLM-based or
evidence was shown MELC-aligned
3. if options 1 and
2 are not possible, an observation of a
demonstration teaching via LAC

8. Applied a range of 5% A. QUALITY Applied effective Applied effective Applied an effective Applied teaching No acceptable SET A
successful strategies that teaching strategies that teaching strategies that teaching strategy that is strategy/ies that is/are evidence was shown Any supplementary material (in print/digital
maintain learning are well - aligned with are well - aligned with well - aligned with the partially aligned with the format) made by the ratee* and used in the
environments that motivate the learning goals and the learning goals and learning goals and learning goal/s and only lesson delivery that highlights a range of
learners to work successfully motivate successfully motivate successfully motivate somehow motivate/s learners strategies that maintain learning environments
productively by assuming learners to monitor and learners to work learners to work to work productively by that motivate learners to work productively by
responsibility for their own evaluate their own productively by productively by assuming responsibility for assuming responsibility for their own learning
learning learning as shown in assuming responsibility assuming responsibility their own learning as shown ● activity sheet/s
the submitted learning for their own learning as for their own learning in the submitted learning ● one lesson from a self-learning module (SLM)
material. shown in the submitted as shown in the material. ● lesson plan (e.g., DLP, DLL, WHLP, WLP, WLL,
learning material. submitted learning lesson exemplars, and the likes)
material. ● video lesson
● audio lesson
● other learning materials in print/digital format
(please specify and provide annotations)

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B. QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated level 3 SET B
in Objective 8 as shown Objective 8 as shown in in Objective 8 as shown Objective 8 as shown in COT in Objective 8 as Classroom Observation Tool (COT) rating sheet
in COT rating sheets/ COT rating sheets/ inter- in COT rating sheets/ rating sheets/inter-observer shown in COT rating or inter-observer agreement form from
inter-observer observer agreement inter-observer agreement forms sheets/ inter-observer 1. an observation of synchronous teaching
agreement forms forms agreement forms agreement forms (limited face-to-face teaching, online teaching, or
two-way radio instruction)
or 2. if option 1 is not possible, an observation of a
recorded video lesson or audio lesson that is
No acceptable SLM-based or MELC-aligned
evidence was shown 3. if options 1 and 2 are not possible, an
observation of a demonstration teaching** via
LAC

3. Diversity of 9. Designed, adapted and 5% A. QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 SET A Classroom Observation Tool (COT) rating
Learners, implemented teaching in Objective 9 as shown Objective 9 as shown in in Objective 9 as shown Objective 9 as shown in COT in Objective 9 as sheet or interobserver agreement form from
Curriculum and strategies that are in COT rating sheets / COT rating sheets / in COT rating sheets / rating sheets / inter-observer shown in COT rating
Planning, & responsive to learners with inter-observer inter-observer inter-observer agreement forms sheets / inter-observer 1. an observation of synchronous
Assessment and disabilities, giftedness and agreement forms agreement forms agreement forms agreement forms teaching (limited face-to-face teaching, online
Reporting talents teaching, or two-way radio instruction)
or 2. if option 1 is
not possible, an observation of a recorded video
No acceptable lesson or audio lesson that is SLM-based or
evidence was shown MELC-aligned
3. if options 1 and 2 are not possible, an
observation of a demonstration teaching* via LAC

5% B. QUALITY Demonstrated Level 5 Demonstrated Level 4 as Demonstrated Level 3 Demonstrated Level 2 as Demonstrated Level 1 SET B Teacher Reflection Form (TRF) on
as shown in the TRFs shown in the TRFs as shown in the TRFs shown in the TRFs as shown in the TRFs designing, adapting, and/or implementing
teaching strategies that are responsive to
learners with disabilities, giftedness and talents
or and a certification from the school head that the
ratee’s classes have no identified learner/s with
No acceptable disabilities, giftedness and/or talents
evidence was shown

10. Adapted and used 5% A. QUALITY Demonstrated Level 7 Demonstrated Level 6 in Demonstrated Level 5 Demonstrated Level 4 in Demonstrated Level 3 SET A
culturally appropriate in Objective 10 as Objective 10 as shown in in Objective 10 as Objective 10 as shown in in Objective 10 as Classroom Observation Tool (COT) rating sheet
teaching strategies to shown in COT rating COT rating sheets / shown in COT rating COT rating sheets / inter- shown in COT rating or inter-observer agreement form from
address the needs of sheets / inter-observer inter-observer sheets / inter-observer observer agreement forms sheets / inter-observer 1. an observation of synchronous
learners from indigenous agreement forms agreement forms agreement forms agreement forms teaching (limited face-to- face teaching, online
groups teaching, or two-way radio instruction)
or 2. if option 1 is not possible, an observation of a
recorded video lesson or audio lesson that is
No acceptable SLM- based or MELC-aligned
evidence was shown 3. if options 1 and 2 are not possible, an
observation of a demonstration teaching* via LAC

5% B. QUALITY Demonstrated Level 5 Demonstrated Level 4 as Demonstrated Level 3 Demonstrated Level 2 as Demonstrated Level 1 SET B
as shown in the TRFs shown in the TRFs as shown in the TRFs shown in the TRFs as shown in the TRFs Teacher Reflection Form (TRF) on adapting and
using culturally appropriate teaching strategies to
or address the needs of learners from indigenous
groups and a certification from the school head
No acceptable that the ratee’s classes have no identified
evidence was shown learner/s from indigenous groups

11. Adapted and 5% QUALITY Evaluated the adapted / Monitored progress of Completed the Planned for the No acceptable 1.Proof of evaluation* on the implementation of
implemented learning contextualized learning the adapted / implementation of the implementation of the evidence was shown the adapted / contextualized learning program
programs that ensure program as evidenced contextualized learning adapted / adapted / contextualized 2.Progress report on the implementation of the
relevance and by MOV No. 1 program while being contextualized learning existing learning program adapted / contextualized learning program
responsiveness to the implemented as program as evidenced as evidenced by MOV No. 4 3. Accomplishment/ completion / technical report
needs of all learners evidenced by MOV No. 2 by MOV No. 3 on the implementation of an adapted /
contextualized learning program
4 Action plan / activity proposal / activity matrix
that shows an adapted / contextualized learning
program

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12. Utilized assessment 5% QUALITY Implemented a Developed materials Planned for a teaching Analyzed learners’ mastered No acceptable A list of identified least / most mastered skills
data to inform the teaching and learning based on learners’ and learning strategy skills based on the frequency evidence was shown based on the frequency of errors / correct
modification of teaching strategy / program assessment data as and/or program based of errors and correct responses with any of the following supporting
and learning practices and using materials based evidenced by a list of on learners’ responses as evidenced by a MOV 1. accomplishment
programs on learners’ identified least / most assessment data as list of identified least / most report for remedial / enhancement activities (e.g.,
assessment data as mastered skills with evidenced by a list of mastered skills remedial sessions, Summer Reading Camp, Phil-
evidenced by a list of supporting MOV No. 2 identified least / most IRI- based reading program)
identified least / most mastered skills with 2. intervention material used for remediation /
mastered skills with supporting MOV No. 3 reinforcement / enhancement
supporting MOV No. 1 3. lesson plan/activity log for remediation /
enhancement utilizing of assessment data to
modify teaching and learning practices or
programs

4. Community 13. Maintained learning 5% QUALITY Collaborated with the Planned with the Conducted a Communicated with the No acceptable 1. Accomplishment report of a program /
Linkages and environments that are community stakeholder community stakeholders consultative meeting community stakeholders evidence was shown project / activity that maintains a learning
Professional responsive to community in the implementation a program, project, with the community about a program, project, environment
Engagement & contexts / completion of a and/or activity that stakeholders on a and/or activity that maintains 2. Program / Project / Activity plan on
Personal Growth program, project, maintains a learning program, project, and/or the learning environment maintaining a learning environment
and Professional and/or activity that environment responsive activity that maintains a responsive to community 3. Minutes of a consultative meeting /
Development maintains a learning to community contexts learning environment contexts as evidenced by community stakeholders meeting about a
environment as evidenced by MOV responsive to MOV No. 4 program / project / activity that maintains a
responsive to No. 2 community contexts as learning environment with proof of attendance
community contexts as evidenced by MOV No. 4. Communication letter about a program /
evidenced by MOV No. 3 project / activity that maintains a learning
1 environment

14. Reviewed regularly 5% QUALITY Exhibited an improved Exhibited an Reviewed personal Participated in the review of No acceptable 1. Annotated video / audio recording of one’s
personal teaching practice improved practice teaching practices personal evidence was shown teaching that shows impact of regularly reviewing
practice using existing through one’s through a teaching using laws and teaching practices using laws one’s teaching practice/s
laws and regulations teaching as impact of material as impact of regulations that and 2. Annotated teaching material that shows
that apply to the teaching regularly regularly apply to the regulations that apply to the impact of regularly reviewing one’s teaching
profession and the reviewing one’s reviewing one’s teaching profession and the profession and practice/s
responsibilities specified in teaching practice/s responsibilities in the the responsibilities ● lesson plan
the Code of Ethics for practice/s using using laws and Code of Ethics for in the Code of Ethics for ● activity sheet
Professional Teachers laws and regulations regulations that apply to Professional Professional ● assessment materials
that the profession and the Teachers in 4 Teachers in 4 quarters as ● others (please specify)
apply to the responsibilities in the quarters with evidenced by MOV No. 4 3. Personal reflection notes as outputs from
profession and the Code of Ethics for reflection outputs as participation in review of personal teaching
responsibilities in the Professional evidenced by practices in four (4) quarters
Code of Ethics for Teachers as MOV No. 3 4. Proof of attendance (with date) in LAC or
Professional evidenced by MOV No. 2 coaching and mentoring sessions for
Teachers as review of personal teaching practices
evidenced by MOV No.
1

15. Complied with and 5% QUALITY Sustained engagement Discussed with learners, Communicated with Implemented school policies No acceptable 1. Proof of participation / involvement in a
implemented school with the learners, parents / guardians, and learners, parents / and procedures without evidence was shown school-community partnership for the
policies and procedures parents / guardians, other stakeholders the guardians, and other communicating and implementation of a school policy / procedure
consistently to foster and other stakeholders implemented school stakeholders the consulting the learners, (e.g., certificate as committee member, narrative
harmonious relationships regarding school policies and procedures implemented school parents / guardians and report)
with learners, parents, and policies and procedures as evidenced by MOV policies and procedures other stakeholders. 2. Minutes of parent- teacher conference /
other stakeholders through school- no. 2 as evidenced by MOV stakeholders’ meeting about an implemented
community no. 3 school policy / procedure with proof of attendance
partnership/s as 3. Communication letter about an implemented
evidenced by MOV no. school policy / procedure sent to parent /
1 guardian

16. Applied a personal 5% QUALITY Applied learner- Applied learner- Applied learner- Application of No acceptable One (1) lesson plan with annotations explaining
philosophy of teaching that centered teaching centered teaching centered teaching learner-centered evidence was shown the application of a learner-centered teaching
is learner-centered philosophy in the philosophy in the lesson philosophy in the lesson teaching philosophy is philosophy (e.g., constructivism, existentialism)
lesson plan in all the plan in two plan in one reflected but was poorly used used
components of components of component of as basis as basis for planning / designing the lesson
instruction in the lesson instruction in the lesson instruction in the lesson for planning /
plan to plan to plan to designing the lesson.
improve student improve student improve student
learning learning learning

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17. Adopted practices that 5% QUALITY Exhibited dignity of Exhibited dignity of Adopted practices that Adopted practices that No acceptable 1. Documented feedback from superiors,
uphold the dignity of teaching as a teaching as a uphold the uphold the evidence was colleagues, learners, parents / guardian, or other
teaching as a profession profession by profession by dignity of teaching as a dignity of teaching as a shown stakeholders directly reflecting the ratee’s good
by exhibiting qualities such exhibiting qualities such exhibiting qualities such profession by profession by practices that uphold the dignity of teaching as a
as caring attitude, as caring as caring exhibiting qualities such exhibiting qualities such as profession
respect and integrity attitude, respect, and attitude, respect, and as caring attitude, caring attitude, respect, and 2. Annotated evidence of practice indirectly
integrity with integrity with respect, and integrity as evidenced by one linking to the upholding of the dignity of teaching
affirmation from affirmation from any integrity as evidenced MOV No. 2 as a profession by exhibiting qualities such as
different school school stakeholder as by at least two MOV caring attitude, respect and integrity
stakeholders evidenced by No. 2 ● Screenshot of text message / chat / email /
as evidenced one MOV No. 1 any form of communication with parents /
by at least two guardian or learners (name or any identifier
MOV No. 1 removed)
● Remarks from mentor / master teacher /
school head about one’s qualities (e.g., entries in
Performance Monitoring and Coaching Form
[PMCF] or in Mid-Year Review Form)
● Recognition from the school / school
community about one’s qualities
● Others (please specify)

18. Set professional 5% QUALITY Updated professional Discussed progress on Set professional Accomplished the e-SAT at No acceptable 1. Updated IPCRF-DP from Phase II
development goals based development goals professional development goals the beginning of the school evidence 2. Mid-year Review Form (MRF)
on the Philippine during Phase II of the development goals with based on e-SAT results year as evidenced by MOV 3. IPCRF-DP
Professional Standards for RPMS Cycle as the rater during the mid- as evidenced by MOV No. 4 4. Certification from the ICT Coordinator /
Teachers evidenced by MOV No. year review as No. 3 School Head / Focal Person in charge of e- SAT
1 evidenced by MOV No. 2

5. Plus Factor 19. Performed various 10% QUALITY Performed at least 1 Performed at least 1 Performed at least 1 Performed at least 1 related No acceptable Any proof of:
related works/activities that related work / activity related work / activity related work / activity work / activity that evidence was shown ● committee involvement
contribute to the that contributed to the that contributed to the that contributed to the contributed to the teaching- ● advisorship of co- curricular activities
teachinglearning process teaching- learning teaching- learning teaching- learning learning process within the ● book or journal authorship / contributorship
process beyond the process within the process within the class as evidenced by ● coordinatorship / chairpersonship
school / Community school / Community learning area / submitted MOV ● coaching and mentoring learners in
Learning Center (CLC) Learning Center (CLC) department as competitions
as evidenced by as evidenced by evidenced by submitted ● serving as reliever of classes in the absence
submitted MOV submitted MOV MOV of teachers
● mentoring pre-service teachers
● participation in demonstration teaching
● participation as technical working group
member
● others (please specify and provide
annotations)

OVER ALL RATING FOR


ACCOMPLISHMENT

Ratee: Rater: Approving Authority:

TEACHER

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