PART I.

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: MARBELLA M. DE GUZMAN Name of Rater: JOCELYN C. QUIAMBAO Ed.D
Position: TEACHER I Position: Head Teacher III
Bureau/Center/Service/Division:Deped-Dampol 1st national High School Review Period:
Rating Period:
TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION
Weight PERFORMANCE INDICATORS
MFOs KRAs OBJECTIVES TIMELINE per VERY
ACTUAL
Q E T AVERAGE SCORE*
OBJECTIV QET OUTSTANDIN SATISFACTOR SATISFACTOR UNSATISFACT POOR (1) RESULTS
G (5) Y (3) ORY (2)
E Y (4)

BASIC Content 1. Applies knowledge of January - 8.0% Demonstrated

Level 7 in
Demonstrated
Level 6 in
Demonstrated
Level 5 in
Demonstrated
Level 4 in
Demonstrated
Level 3 in
EDUCATION Knowledge and content within and across May Objective 1 as Objective 1 as Objective 1 as Objective 1 as Objective 1 as
shown in COT shown in COT shown in COT shown in COT shown in COT
SERVICES Pedagogy curriculum teaching areas 2021 rating rating rating rating rating
sheets/inter sheets/inter sheets/inter sheets/inter sheets/inter
observer observer observer observer observer
agreement agreement agreement agreement agreement
forms forms forms forms forms
or
QUALITY No acceptable
evidence was
shown

Submitted at Submitted 3 Submitted 2 Submitted any No

least 4 lessons lessons using lessons using 1 acceptable
using MOV 1 MOV 1 and MOV 1 and of the given evidence
and supported supported by supported by MOV was shown
by any 1 of the any 1 of the any 1 of the
other given other given other given
EFFICIENCY MOV MOV MOV

TIMELINESS
2. Ensured the positive October 8.0% Ensured that
the
Ensured that
the
Ensured that
the
Ensured that No acceptable
ICT are used evidence was
use of ICT to facilitate the 2020 - ICT used
redefine and
ICT used ICT used modify but do not
augment and processes and create a new
shown
teaching and learning May transform enrich learning improve learning
process 2021 learning
experiences
experiences
and
learning
experiences
experience
and/or are
and are and documented
are documented are but not
documented properly and documented consistent with
properly and consistently properly and one
consistently using any consistently referencing
using any referencing using any style as shown
QUALITY referencing
style as shown
style as shown
in the
referencing
style as shown
in the
submitted
in submitted in the learning
the submitted learning submitted material
learning material learning
material material

Submitted at Submitted 3 Submitted 2 Submitted 1 No

least 4 learner- learner- learner- learner- acceptable
centered centered centered centered evidence
lessons as lessons as lessons as lesson as was shown
evidently evidently evidently evidently
shown shown in MOV shown shown
in MOV 1 and 1 and in MOV 1 and in any of the
supported by supported by supported by given MOV
EFFICIENCY any 1 of the any 1 of the any 1 of the
other MOV other MOV other MOV
given given given

TIMELINESS
3. Applies a range of October 8.0% Applied
teaching
Applied
teaching
Applied
teaching
Applied
teaching
No acceptable
evidence was
teaching strategies to 2020 - strategies that strategies that
challenge require
strategies that strategies that
require lead learners
shown
develop critical and May learners to learners to learners to along a single
creative thinking, as well 2021 draw
conclusions
make
connections
describe and path of inquiry
explain ideas and/or to
as other higher-order and justify their using ideas
thinking or put learned as
learned as
shown in the
simple recall
and rote
thinking skills parts together shown in the submitted memorization
to promote submitted learning of concepts as
deeper learning material shown in the
understanding material submitted
of learning
ideas learned as material
QUALITY shown in the
submitted
learning
material
 Submitted at Submitted 3 Submitted 2 Submitted 1 No
least 4 lessons lessons as lessons as lesson as acceptable
as evidenced by evidenced by evidenced by evidenced by evidence
MOV 1 and MOV 1 and MOV 1 and any 1 of the was shown
supported by supported by supported by given MOV
any 1 of the any 1 of the any 1 of the
EFFICIENCY other given
MOV
other given
MOV
other given
MOV

TIMELINESS
BASIC Diversity of 4. Established a learner October 8.0% Utilized
effective
Utilized
effective
Utilized an
effective
Utilized a
teaching
No acceptable
evidence was
EDUCATION Learners & centered culture by using 2020 - teaching teaching teaching strategy or shown
strategies that strategies that strategy that is strategies that
SERVICES Assessment teaching strategies that May are appropriate are appropriate appropriate in partially
and Reporting respond to their 2021 in responding in responding responding to respond to
to to learners’ learners’
linguistic, cultural, learners’
linguistic,
learners’
linguistic,
linguistic,
cultural,
linguistic,
cultural,
socioeconomic and cultural, cultural, socioeconomic, socioeconomic,
religious backgrounds. socioeconomic,
or religious
socioeconomic,
or religious
or religious or religious
backgrounds backgrounds as
backgrounds at backgrounds at as shown in shown in the
an individual a the submitted submitted
QUALITY level* as shown
in the
group level* as
shown in the
learning
material
learning
material
submitted submitted
learning learning
material material

5. Planned and delivered January - 8.0% Demonstrated

Level 7 in
Demonstrated
Level 6 in
Demonstrated
Level 5 in
Demonstrated
Level 4 in
Demonstrated
Level 3 in
teaching strategies that May Objective 5 as
shown in COT
Objective 5 as
shown in COT
Objective 5 as
shown in COT
Objective 5 as
shown in COT
Objective 5 as
shown in COT
are responsive to the 2021 rating rating rating rating rating
special educational sheets/inter
observer
sheets/inter
observer
sheets/inter
observer
sheets/inter
observer
sheets/inter
observer
needs of learners in agreement
forms
agreement
forms
agreement
forms
agreement
forms
agreement
forms
difficult circumstances*, or
including: geographic No acceptable
evidence was
isolation; chronic illness; shown

displacement due to
armed conflict, urban
resettlement or QUALITY
disasters; child abuse
and child labor practices
 Submitted at Submitted at Submitted at Submitted any No
least 4 of the least 4 of the least 4 of the 1 acceptable
given strategies given strategies given strategies of the given evidence
as observed in as observed in as observed in strategies as was shown
at least 4 3 lessons 2 lessons observed in
EFFICIENCY lessons only
1 lesson

TIMELINESS
6.Used strategies for October 8.0% Provided
learners
Provided
learners with
Provided
learners with
Provided
learners with
No evidence
was shown
providing timely, 2020 - with accurate, accurate, and
and specific and specific
accurate, and
general
inaccurate
and/or
accurate and May directed constructive constructive destructive
constructive feedback to 2021 constructive feedback as feedback feedback

improve learner QUALITY feedback* as

shown in the
shown in the
evidence
as shown in as shown in the
the evidence evidence
evidence submitted submitted submitted
performance submitted

Submitted at Submitted 3 Submitted 2 Submitted any No

least 4 differentiated differentiated 1 acceptable
differentiated teaching teaching differentiated evidence
teaching strategies in at strategies in 2 teaching was shown
strategies in at least 2 lessons lessons as strategy in only
least 2 lessons as evidenced evidenced by 1
as evidenced by by MOV 1 and MOV 1 and lesson as
MOV 1 and supported by supported by evidently
supported by any 1 of the any 1 of the shown
any 1 of the other other in any 1 of the
EFFICIENCY other
acceptable
acceptable
MOV
acceptable
MOV
acceptable
MOV
MOV

MOV submitted MOV MOV MOV submitted No evidence

shows feedback submitted submitted shows was shown
given within 5 shows shows feedback given
working days feedback feedback beyond 20
from given within given within working days
TIMELINESS submission** 6-10 working
days from
11-20 from
working days submission**
submission** from
submission**

BASIC Curriculum 7. Selected, developed, January - 8.0% Demonstrated

Level 7 in
Demonstrated
Level 6 in
Demonstrated
Level 5 in
Demonstrated
Level 4 in
Demonstrated
Level 3 in
EDUCATION and Planning organized and used May Objective 7 as Objective 7 as Objective 7 as Objective 7 as Objective 7 as
shown in COT shown in COT shown in COT shown in COT shown in COT
SERVICES appropriate teaching and 2021 rating rating rating rating rating
learning resources, sheets/inter
observer
sheets/inter
observer
sheets/inter
observer
sheets/inter
observer
sheets/inter
observer
including ICT, to address agreement
forms
agreement
forms
agreement
forms
agreement
forms
agreement
forms
learning goals QUALITY or
No acceptable
evidence was
shown
 Submitted at Submitted 3 Submitted 2 Submitted 1 No
least 4 developmental- developmental- developmentall acceptable
developmental- ly sequenced ly sequenced y evidence
ly sequenced teaching and teaching and sequenced was shown
teaching and learning learning teaching and
learning process as process as learning
process evidently evidently process
as evidently shown in MOV shown as evidently
shown in MOV 1 and in MOV 1 and shown in any 1
EFFICIENCY 1
and supported
supported by
any 1 of the
supported by
any 1 of the
of the given
MOV
by any 1 of the other given other given
other given MOV MOV
MOV

TIMELINESS
8. Set achievable and October 8.0% All of the
learning
Majority of
the learning
Half of the
learning
Less than half No acceptable
of the learning evidence was
appropriate learning 2020 - outcomes set
are aligned
outcomes set
are aligned
outcomes set outcomes set
are aligned are aligned with
shown
outcomes that are May with the with the with the the learning
aligned 2021 learning
competencies
learning
competencies
learning competencies
competencies as shown in the
with learning QUALITY as shown in as shown in as shown in MOV submitted
the MOV the MOV the MOV
competencies submitted submitted submitted

Participated in Participated in Participated in Participated in No

at at at at acceptable
least 4 least 3 least 2 least 1 evidence
LACs/FGDs/ LACs/FGDs/ LACs/FGDs/ LAC/FGD/ was shown
meetings as meetings as meetings as meetings as
evidently evidently evidently evidently
EFFICIENCY shown shown shown shown
in any 1 of the in any 1 of the in any 1 of the in any 1 of the
given MOV given MOV given MOV given MOV

TIMELINESS
9. Selected, developed, June 7.5% Developed and
used varied
Developed and Developed and
used varied used varied
Developed and
used varied
No
acceptable
organized and 2018 - teaching and
learning
teaching and
learning
teaching and
learning
teaching and
learning
evidence
was shown
used appropriate March resources, resources, resources, resources,
teaching and learning 2019 including ICT, to
address
including ICT, including ICT, to
to address address
including ICT, to
address
resources, including ICT, learning
goals as shown
learning goals learning goals
as shown in as shown in
learning
goals as shown
to address QUALITY in MOV 1 with a MOV 1 with a MOV 1 with a in MOV 1 with a
learning goals. rating of 7 rating of 6 rating of 5 rating of 4

3 5
 learning goals.

Submitted at Submitted 3 Submitted 2 Submitted any No

3 5
least 4 varied varied teaching varied teaching teaching and acceptable
teaching and and learning and learning learning evidence
learning resources, resources, resource, was shown
resources, including ICT, including ICT, including ICT, as
including ICT, as as evidently as evidently evidently
evidently shown in MOV shown in MOV shown in any of
shown 1 and 1 and the
in MOV 1 and supported by supported acceptable
supported by any 1 of the by any 1 of the MOV
EFFICIENCY any 1 of the acceptable acceptable
acceptable MOV MOV
MOV

TIMELINESS
BASIC Community 9. Built relationships October 8.0% Sustained
engagement
Secured
collaboration
Communicated
with and
Communicated No acceptable
with parents/ evidence was
EDUCATION Linkages and with parents/guardians 2020 - with parents/ with parents/ obtained guardians shown
guardians guardians response from and/or
SERVICES Professional and the wider school May and/or wider and/or wider parents/ wider school
Engagement & community to facilitate 2021 school school
community to community to
guardians
and/or
community to
facilitate
Personal involvement in the facilitate facilitate wider school
involvement in involvement in community to
involvement in
the educative
Growth and educative process the educative the educative facilitate process but
Professional QUALITY
process as process as involvement in
evidenced by 2 evidenced by the educative
received no
response/reply
Development or more of
MOV
one MOV no. 1
or 2
process as
evidenced by
as evidenced by
MOV No. 3
no. 1 or 2 MOV No. 3

Submitted any Submitted any Submitted any Submitted any No acceptable

4 of the 3 of the 2 1 evidence was
acceptable acceptable of the of the shown
EFFICIENCY MOV* MOV* acceptable acceptable
MOV* MOV

TIMELINESS
10. Participated in October 8.0% Participated in
any
Participated in
any
Participated in
any
Participated in No acceptable
any evidence was
professional networks to 2020 - professional
network/
professional
network/
professional
network/
professional
network/
shown
share knowledge and May activity activity activity activity
to enhance practice. 2021 that requires
output* and
that requires
output* and
that requires
output* to
that does not
require output
proof of proof of share to share
implementation implementation knowledge and knowledge and
** within the ** within the to enhance to enhance
school to share department/ practice as practice as
knowledge and grade level to evidenced by evidenced by
to enhance share the submitted the submitted
QUALITY practice as
evidenced by
knowledge and
to enhance
MOV MOV

the submitted practice as

MOV evidenced by
the submitted
MOV
 Submitted 4 Submitted 3 Submitted 2 Submitted any No acceptable
different kinds different kinds different kinds 1 of the evidence was
of acceptable of acceptable of acceptable acceptable shown
EFFICIENCY MOV*** MOV*** MOV*** MOV

Submitted MOV Submitted MOV Submitted MOV Submitted MOV No

were were were were acceptable
distributed distributed distributed distributed evidence
across 4 across 3 across 2 across 1 was shown
TIMELINESS quarters quarters quarters quarter

11. Developed a personal October 8.0% Updated the

Development
Discussed
progress on
Accomplishe
d the
Accomplished No acceptable
the Strengths evidence was
improvement plan based 2020 - Plan and
approved by
the
Development
Development
Plan from
and
Development
shown
on reflection of one’s May the rater during Plan with the learning Needs portion
practice and ongoing 2021 Phase II of the rater to check
RPMS cycle whether
objectives up
to resources
of
the
professional learning Development
Needs were
needed to
address
Development
Plan after self
addressed Development assessment at
QUALITY Needs during
Phase I of the
the beginning
of
RPMS cycle the school year

Submitted the Submitted the Submitted the Submitted the No acceptable

IPCRF-DP with IPCRF-DP with IPCRF-DP with IPCRF-DP with evidence was
any 4 of the any 3 of the any 2 of the any 1 of the shown
acceptable acceptable acceptable acceptable
EFFICIENCY Supporting Supporting Supporting Supporting
MOV* MOV* MOV* MOV

Submitted MOV Submitted MOV Submitted MOV Submitted MOV No

were were were were acceptable
distributed distributed distributed distributed evidence
across 4 across 3 across 2 across 1 was shown
TIMELINESS quarters quarters quarters quarter

BASIC PLUS FACTOR 12. Performed October 12% Performed at Performed at

least 1 related least 1 related
Performed at
least 1 related
Performed at No acceptable
least 1 related evidence was
EDUCATION various related 2020 - work/activity work/activity work/activity work/activity shown
that that that that
SERVICES works/activities that May contributed contributed contributed to contributed to
contribute to the 2021 to the teaching to the teaching
learning learning
the teaching
learning
the teaching
learning
teaching-learning process
beyond the
process within
the school/
process within
the learning
process
within the class
process. school/ Community area/ as evidenced by
QUALITY Community
Learning
Learning
Center (CLC)
department as
evidenced by
submitted MOV

Center (CLC) as evidenced submitted

as evidenced by submitted MOV
by submitted MOV
MOV

Submitted any Submitted any Submitted any Submitted any No acceptable

4 of the 3 of the 2 of the 1 evidence was
acceptable acceptable acceptable of the shown
EFFICIENCY MOV* MOV* MOV* acceptable
MOV
 TIMELINESS
Overall
Rating for
*To get the score, the rating is multiplied by the weight assigned. Accomplis
hments
Ratee: Rater: Approving Authority:
DE GUZMAN, MARBELLA M. JOCELYN C. QUIAMBAO Ed.D
TEACHER I HEAD TEACHER III

ROWENA T. QUIAMBAO., CESE

School Principal I Assistant Schools Division Superintendent