INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

FOR PROFICIENT TEACHERS (TEACHER I-III)

SY: 2022 – 2023

Name of Ratee: _________________________________________ Name of Rater: _______________________________

Position: ______________________________________________ Position: ____________________________________
Review Period: _________________________________________ Date of Review: ______________________________
Bureau/ Center/ Service/ Division: _________________________

PERFORMANCE INDICATOR
MEANS OF Outstanding Very Satisfactory Unsatisfactory Poor RPMS
KRAs OBJECTIVES QET RATING
VERIFICATION (5) Satisfactory (3) (2) (1) RATING
(4)

Content, 1. Applied Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

Knowledge knowledge of Observation level 7 in level 6 in level 5 in level 4 in level 3 in
and content within Tool (COT) objective 1 as objective 1 as objective 1 as objective 1 as objective 1 as
Pedagogy and across rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
curriculum or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
teaching areas. observer inter-observer inter-observer inter-observer inter-observer inter-observer
agreement agreement agreement agreement agreement agreement
form/s done forms. forms. forms. forms. forms.
through onsite/
face to face/ in- or
person
classroom No acceptable
observation. evidence was
shown
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
 LAC session
2. Used a range
of teaching Classroom Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated
strategies that Observation Quality level 7 in level 6 in level 5 in level 4 in level 3 in
enhance learner Tool (COT) objective 2 as objective 2 as objective 2 as objective 2 as objective 2 as
achievement in rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
literacy and or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
numeracy skills. observer inter-observer inter-observer inter-observer inter-observer inter-observer
agreement agreement agreement agreement agreement agreement
form/s done forms. forms. forms. forms. forms.
through onsite/
face to face/ in- or
person
classroom No acceptable
observation. evidence was
shown
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

3. Applied a range Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

of teaching Observation level 7 in level 6 in level 5 in level 4 in level 3 in
strategies to Tool (COT) objective 3 as objective 3 as objective 3 as objective 3 as objective 3 as
develop critical rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
and creative or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
thinking, as well observer inter-observer inter-observer inter-observer inter-observer inter-observer
as higher-order agreement agreement agreement agreement agreement agreement
thinking skills. form/s done forms. forms. forms. forms. forms.
through onsite/
face to face/ in- or
person
 classroom No acceptable
observation. evidence was
shown.
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

Learning 4. Managed Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

Environment classroom Observation level 7 in level 6 in level 5 in level 4 in level 3 in
and Diversity structure to Tool (COT) objective 4 as objective 4 as objective 4 as objective 4 as objective 4 as
of Learners engage learners rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
individuality or in or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
groups, in observer inter-observer inter-observer inter-observer inter-observer inter-observer
meaningful agreement agreement agreement agreement agreement agreement
exploration, form/s done forms. forms. forms. forms. forms.
discovery and through onsite/
hands-on face to face/ in- or
activities within a person
range of physical classroom No acceptable
learning observation. evidence was
environments. shown.
If onsite/ face to
face/ in-person Efficiency Objective was Objective was No acceptable
classes are not met within the met but evidence was
implemented, allotted time. instruction shown.
exceeded the
1. through allotted time.
observation of
synchronous/
asynchronous
teaching in
 other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

5. Managed Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

learner behavior Observation level 7 in level 6 in level 5 in level 4 in level 3 in
constructively by Tool (COT) objective 5 as objective 5 as objective 3 as objective 2 as objective 1 as
applying positive rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
and non-violent or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
discipline to observer inter-observer inter-observer inter-observer inter-observer inter-observer
ensure learning agreement agreement agreement agreement agreement agreement
focus form/s done forms. forms. forms. forms. forms.
environments. through onsite/
face to face/ in- or
person
classroom No acceptable
observation. evidence was
shown.
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

6. Used Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

differentiated Observation level 7 in level 6 in level 5 in level 4 in level 3 in
developmentally Tool (COT) objective 6 as objective 6 as objective 6 as objective 6 as objective 6 as
appropriate rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
 learning or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
experiences to observer inter-observer inter-observer inter-observer inter-observer inter-observer
address learners’ agreement agreement agreement agreement agreement agreement
gender, needs, form/s done forms. forms. forms. forms. forms.
strengths, through onsite/
interest and face to face/ in- or
experiences. person
classroom No acceptable
observation. evidence was
If onsite/ face to shown.
face/ in-person
classes are not
implemented,
Efficiency Objective was Objective was No acceptable
met within the met but evidence was
1. through allotted time. instruction shown.
observation of exceeded the
synchronous/ allotted time.
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

Curriculum 7. Planned, Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

and Planning manage and Observation level 7 in level 6 in level 5 in level 4 in level 3 in
implemented Tool (COT) objective 7 as objective 7 as objective 7 as objective 7 as objective 7 as
developmentally rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
sequenced or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
teaching and observer inter-observer inter-observer inter-observer inter-observer inter-observer
learning agreement agreement agreement agreement agreement agreement
processes to form/s done forms. forms. forms. forms. forms.
meet curriculum through onsite/
requirements and face to face/ in- or
varied teaching person
contexts. classroom No acceptable
observation. evidence was
shown.
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
 allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

8. Participated in 1. Proof of Planned for Planned on Shared Attended LAC No acceptable

collegial attendance in Quality enriched practices during practices, sessions/ MOVs was
discussions that LAC Sessions/ teaching LAC sessions/ teacher and FGDs/ shown.
use teacher and FGDs/ practice based FGDs/ learner meetings/
learner feedback meetings/ other on LAC meetings/ other feedback during other collegial
to enrich teaching collegial sessions/ collegial LAC sessions/ discussions
practice. discussions. FGDs/ discussions to FGDs/ that discuss
meetings/ other plan, facilitate meetings/ other teacher/ learner
2. Minutes of collegial and enrich collegial feedback to
LAC sessions/ discussions teaching discussions to enrich
FGDs/ attended as practice as plan, facilitate instructions as
meetings/ other shown in MOV shown in MOV and enrich shown in MOV
collegial 3. 3. teaching 1.
discussions on practice as
use of teacher shown in MOV
and learner 2.
feedback to
enrich teaching
practice. Timeliness Participated in Participated in Participated in Participated in No acceptable
collegial collegial collegial collegial MOVs was
3. Reflection discussions that discussions that discussions that discussions that shown.
notes of discuss teacher discuss teacher discuss teacher discuss teacher
teachers on and learner and learner and learner and learner
their feedback feedback feedback feedback in
demonstration across 4 across 3 across 2 only 1 quarter.
of teaching quarters. quarters. quarters.
practices
following
participation
from LAC
sessions/
 FGDs/
meetings/ other
collegial
discussions that
use teacher and
learner
feedback to
enrich teaching
practice with
proof of
attendance.

4. Any
equivalent ALS
form/ document
that highlights
the objective

9. Selected, Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated

developed, Observation level 7 in level 6 in level 5 in level 4 in level 3 in
organize and Tool (COT) objective 9 as objective 9 as objective 9 as objective 9 as objective 9 as
used appropriate rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
teaching and or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
learning observer inter observer inter observer inter observer inter observer inter observer
resources agreement agreement agreement agreement agreement agreement
including ICT to form/s done forms. forms. forms. forms. forms.
address learning through onsite/
goals. face to face/ in- or
person
classroom No acceptable
observation. evidence was
shown.
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
 observation of a
demonstration
teaching via
LAC session

Assessment 10. Design, Classroom Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated
and selected, Observation level 7 in level 6 in level 5 in level 4 in level 3 in
Reporting organized and Tool (COT) objective 10 as objective 10 as objective 10 as objective 10 as objective 10 as
used diagnostics, rating sheet/s shown in COT shown in COT shown in COT shown in COT shown in COT
formative and or inter- rating sheets/ rating sheets/ rating sheets/ rating sheets/ rating sheets/
summative observer inter observer inter observer inter observer inter observer inter observer
assessment agreement agreement agreement agreement agreement agreement
strategies form/s done forms. forms. forms. forms. forms.
consistent with through onsite/
curriculum face to face/ in- or
requirements. person
classroom No acceptable
observation. evidence was
shown.
If onsite/ face to
face/ in-person
classes are not Efficiency Objective was Objective was No acceptable
implemented, met within the met but evidence was
allotted time. instruction shown.
1. through exceeded the
observation of allotted time.
synchronous/
asynchronous
teaching in
other
modalities; or

2. through
observation of a
demonstration
teaching via
LAC session

11. Monitored and Any one (1) of Quality Involved Monitored and Monitored and Monitored and No acceptable
evaluated learner the following: learner/s in evaluated evaluated evaluated evidence was
progress and -Individual monitoring and learner progress learner progress learner progress shown.
achievement Learning evaluation of and and and
using learner Monitoring Plan their own achievement achievement achievement
attainment data. (ILMP) progress and based on based on the based on an
-Peer achievement. attainment data class existing grade
 assessment from an attainment level/
data individual data. department/
learner. learning area
-Sample of report.
learner’s output
with reflection /
self-assessment Timeliness Submitted Submitted Submitted Submitted No acceptable
MOVs show/s MOVs show/s MOVs show/s MOVs show/s evidence was
-Progress chart monitoring and monitoring and monitoring and monitoring and shown.
or anecdotal evaluation done evaluation done evaluation done evaluation in
records across 4 across 3 across 2 only 1 quarter.
quarters. quarters. quarters.
-Class/ e-class
record/ grading
sheets

-Lesson plans
showing index
of mastery

-Frequency of
errors with
identified least/
most mastered
skills

-Any equivalent
ALS form/
document that
highlights the
objective (e.g.
Individual
Learning
Agreement
(ILA), ALS
Assessment
Form 2)

-Others (Please
specify and
provide
annotations)

12.Communicate Any one (1) of Quality Sustained Communicated Communicated Communicated No acceptable
d promptly and the following: engagement promptly and promptly and learners’ needs, evidence was
clearly the - Sample of through regular clearly using clearly using progress and shown.
learners’ needs, corrected test communication various tools only one (1) achievement to
progress and paper of a of learners’ and strategies strategy key
achievement to learner in a needs, learners’ needs, learners’ needs, stakeholders
key stakeholders learning area progress and progress and progress and including
including parents/ with parent’s or achievement to achievement to achievement to parents/
guardians. guardian’s key key key guardians, but
signature and stakeholders stakeholders stakeholders not regularly
date of receipt. including including including as shown in the
parents/ parents/ parents/ MOV submitted.
-Minutes of guardians, as guardians, as guardians, as
meetings with shown in the shown in the shown in the
key MOV MOV submitted. MOV submitted.
stakeholders submitted.
(e.g. PTA, SGC,
SPT, CPC) with
proof ,of Timeliness Showed prompt Showed prompt Showed prompt Showed prompt No acceptable
attendance. communication communication communication communication evidence was
of learners’ of learners’ of learners’ of learners’ shown.
-Report card needs progress needs progress needs progress needs progress
with parent’s or and and and and
guardian’s achievement achievement achievement achievement in
signature in all across 4 across 3 across 2 only one (1)
quarters quarters. quarters. quarters. quarter.
supported by
minutes of
meeting.

-Communication
with key
stakeholders
(e.g. parents/
guardians, co-
teachers, LGU)
using various
modalities.

-Anecdotal
record showing
entries per
quarter

-Any equivalent
ALS form/
document that
 highlights the
objective

-Others (Please
specify and
provide
annotations).

Personal 13. Applied a A reflection/ Quality Submitted MOV Submitted MOV Submitted MOV Submitted MOV No acceptable
Growth and personal journal entry that details the that reflects that shows the that indicates a evidence was
Professional philosophy of that highlights consistent involvement of application of a personal shown.
Development teaching that is the application involvement of learners in the personal philosophy of
learner-centered. of a learner- learners in the teaching- philosophy of teaching hat is
centered teaching- learning process teaching that is not learner-
teaching learning resulting from learner- centered.
philosophy in process the application centered.
the lesson plan resulting from of a personal
or community the application philosophy of
work. of a personal teaching that is
philosophy of learner-
teaching that is centered.
learner-
centered.

Timeliness Applied a Applied a Applied a Applied a No acceptable

personal personal personal personal evidence was
philosophy of philosophy of philosophy of philosophy of shown
teaching that is teaching that is teaching that is teaching that is
learner- learner-centered learner-centered learner-centered
centered across 3 across 2 in only 1
across 4 quarters. quarters. quarter.
quarters.

14. Set 1. Certification Quality Updated Discussed Set Accomplished No acceptable

professional from the ICT professional progress on professional the e-SAT at evidence was
development Coordinator/ development professional development the beginning of shown
goals based on School Head/ goals during development goals based on the school year
Philippine Focal Person in- Phase II of the goals with the e-SAT results as evidenced by
Professional charge of e- RPMS Cycle as rater during the as evidenced by MOV 1.
Standards for SAT. evidenced by mid-year review MOV 2.
Teachers. MOV 4. as evidenced by
MOV 3.
 2. IPCRF-DP

3. Mid-year Efficiency Submitted 4 Submitted 3 Submitted 2 Submitted 1 No acceptable

Review Form acceptable acceptable acceptable acceptable evidence was
(MRF) MOVs MOVs MOVs MOV shown

4. Updated
IPCRF-DP from Timeliness All four (4) Three (3) of the Two (2) of the Only one (1) of No acceptable
Phase II submitted submitted submitted the submitted evidence was
MOVs were MOVs were MOVs were MOV was shown
accomplished accomplished accomplished accomplished
within the within the within the within the
prescribed prescribed prescribed prescribed
RPMS Phase. RPMS Phase. RPMS Phase. RPMS Phase.

Plus Factor 15. Performed Any one (1) Quality Performed at Performed at Performed at Performed at No acceptable
various related proof of: least one (1) least one (1) least one (1) least one (1) evidence was
works/ activities -committee related work/ related work/ related work/ related work/ shown
that contribute to involvement activity that activity that activity that activity that
the teaching contributed to contributed to contributed to contributed to
learning process. -involvement as the teaching- the teaching- the teaching- the teaching-
module/ learning learning process learning process learning process
learning process within the within the within the
material writer/ beyond the school/ learning area/ class as
validator school/ Community department as evidenced by
Community Learning evidenced by the submitted
-involvement as Learning Center (CLC) the submitted MOV.
resource Center (CLC) as evidenced by MOV.
person/ as evidenced the submitted
speaker/ by the MOV.
learning submitted
facilitator in the MOV.
RO/
SDO/school-
initiated TV/ Efficiency Submitted MOV Submitted MOV Submitted MOV Submitted MOV No acceptable
radio based that details the that details the that shows that shows evidence was
instruction achieve perceived reasonable considerable shown
positive positive interlap with overlap with,
-book or journal contribution to contribution to the actual hence
authorship/ co- the teaching- the teaching- teaching- significantly
authorship/ learning learning learning affecting the
contributorship process as process as process as performance of
-advisorship/ evidenced by evidenced by evidenced by the actual
coordinatorship/ the annotation the annotation the annotation teaching-
provided. provided. provided. learning
 chairmanship process.

-participation in
demonstration Timeliness Submitted Submitted Submitted Submitted No acceptable
teaching MOVs were MOVs were MOVs were MOVs was/ evidence was
distributed distributed distributed were completed shown
-participation as across 4 across 3 across 2 in only 1
research quarters. quarters. quarters. quarter.
presenter in a
forum/
conference

-mentoring of
pre-service/ in-
service teachers

-conducted
research within
the rating period

-others (please
specify)
With annotation
in how it
contributed to
the teaching-
learning
process.

OVERALL RATING
ADJECTIVAL RATING

_________________ Salve Regina O. Piezas DR. LORNA C. RODRIGUEZ

Teacher I Head Teacher III Principal IV
Ratee Rater Approving Authority