Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Quezon
Name of School

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: Name of Rater:

Position: TEACHER III Position: PRINCIPAL I

Bureau/Center/Service/Division: Date of Review:
Rating Period: SY 2018 - 2019
TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING
EVALUATION

Performance Indicators Rating

Weight Actual
MFOs KRAs Objectives Timeline Score
per KRA Very Results
Outstanding Satisfactory Unsatisfactor Poor
QET Satisfactory Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 1. Content 1. Applied June 7.50% Quality Showed Showed Showed Showed No acceptable
Education Knowledge knowledge of 2018 to knowledge of knowledge of knowledge of knowledge of evidence was
4 5 4.5 0.3375
Services and content within and March content and its content and its content and its content and its shown
Pedagogy across 2019 integration integration integration integration
curriculum within and within and within and within and
4
teaching areas. across subject across subject across subject across subject
areas as areas as areas as areas as
shown shown shown in MOV shown in MOV
inMOV1witha inMOV1witha 1 with a rating 1 with a
rating of 7 rating of 6 of 5 rating of 4
Efficiency 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 was
and supported supported by supported by MOV shown
by any 1 of the any 1 of the any 1 of the
5
other given other given other given
MOV MOV MOV

Timeliness
Performance Indicators Rating
Weight Actual
 Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 2. Used a range June 7.50% Quality Showed Showed Showed Showed No acceptable
Education of teaching 2018 to knowledge of knowledge of knowledge of knowledge of evidence was
4 4 4 0.3
Services strategies that March content and its content and its content and its content and its shown
enhance learner 2019 integration integration integration integration
achievement in within and within and within and within and
4
literacy and across subject across subject across subject across subject
numeracy skills. areas as areas as areas as areas as
shown shown shown in MOV shown in MOV
inMOV1witha inMOV1witha 1 with a rating 1 with a
rating of 7 rating of 6 of 5 rating of 4
Efficiency Facilitated Facilitated Facilitated Facilitated No acceptable
using different using different using different using different evidence was
teaching teaching teaching teaching shown
strategies that strategies that strategies that strategies that
promote promote promote promote
reading, writing reading, writing reading, writing reading, writing
4
and/or and/or and/or and/or
numeracy numeracy numeracy numeracy
skills as skills as skills as skills as
shown in MOV shown in MOV shown in MOV shown in MOV
1 with a rating 1 with a rating 1 with a rating 1 with a rating
of 7 of 6 of 5 of 4
Timeliness

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 3. Applied a range June 7.50% Quality Used different Used different Used different Used different No acceptable
Education of teaching 2018 to teaching teaching teaching teaching evidence was
4 3 3.5 0.2625
Services strategies to March strategies that strategies that strategies that strategies that shown
develop critical 2019 develop critical develop critical develop critical develop critical
and creative and creative and creative and creative and creative
thinking, as well thinking and/or thinking and/or thinking and/or thinking and/or 4
as other higher- other HOTS other HOTS other HOTS other HOTS
order thinking as shown in as shown in as shown in as
skills. MOV 1 with a MOV 1 with a MOV 1 with a shown in MOV
rating of 7 rating of 6 rating of 5 1 with a rating
of 4
 Efficiency Submitted at Submitted 3 Submitted 2 Submitted 1 No acceptable
least 4 lessons lessons as lessons as lesson as evidence was
as evidenced evidenced by evidenced by evidenced by shown
by MOV 1 and MOV 1 and MOV 1 and any 1of the
3
supported by supported by supported by given MOV
any1ofthe any1 of the any 1of the
other given other given other given
MOV MOV MOV
Timeliness

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 2. 4. Managed June 7.50% Quality Used Used Used
Used No 4 4 4 0.3
Educatio Learning classroom 2018 to classroom classroom classroom
classroom acceptable
n Environme structure to March managemen managemen managemen
managemen evidence
Services nt and engage 2019 t strategies t strategies t strategies
t strategies was shown
Diversity learners, that engage that engage that engage
that engage
of individually or learners in learners in learners in
learners in
4
Learners in groups, in activities/ activities/ activities/
activities/
meaningful tasks as tasks as tasks as
tasks
exploration, shown in shown in shown in
as shown in
discovery and MOV 1 with MOV1witha MOV 1 with
MOV 1with
hands-on a rating of 7 rating of 6 a rating of 5
a
activities rating of 4
within a range Efficiency Submitted Submitted 3 Submitted 2 Submitted 1 No
of physical at least 4 lessons lessons as lesson acceptable
learning lessons supported evidenced supported evidence
environments. supported by MOV 1 by MOV 1 by any of was shown
by MOV 1 and any 1 of and the 4
and any 1 of the other supported acceptable
the other acceptable by any 1of MOV
acceptable MOV the other
MOV given MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 5. Managed June 7.50% Quality Applied Used Applied Applied No 4 4 4 0.3
Educatio learner 2018 to teacher classroom teacher teacher acceptable
n behavior March managemen managemen managemen managemen evidence
Services constructively 2019 t strategies t strategies t strategies t strategies was shown
by applying of learner that engage of learner of learner
positive and behavior learners in behavior behavior
non-violent that promote activities/ that promote that promote
discipline to positive and tasks as positive and positive and 4
ensure non-violent shown in non-violent non-violent
learning- discipline as MOV1witha discipline as discipline as
focused shown in rating of 6 shown in shown in
environments. MOV MOV MOV
submitted submitted submitted
with a rating with a rating with a
of 7 of 5 rating of 4
Efficiency Submitted Submitted Submitted Submitted No
at least 4 of at least 4 of at least 4 of any 1 acceptable
the given the given the given of the given evidence
strategies strategies strategies strategies was shown 4
as observed as observed as observed as observed
in at least 4 in 3 lessons in 2 lessons in only 1
lessons lesson
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 6. Used June 7.50% Quality Applied Applied Applied Applied No 3 3 3 0.225
Educatio differentiated, 2018 to differentiate differentiate differentiate differentiate acceptable
n developmentall March d teaching d teaching d teaching d teaching evidence
Services y appropriate 2019 strategies to strategies to strategies to strategies to was shown
learning address address address address
experiences to learner learner learner learner
3
address diversity as diversity as diversity as diversity as
learners’ shown in shown in shown in shown in
gender, needs, MOV 1 with MOV 1 with MOV 1 with MOV
strengths, a rating of 7 a rating of 6 a rating of 5 1 with a
interests and rating
experiences. of 4
 experiences.
Efficiency Submitted Submitted 3 Submitted 2 Submitted No
at least 4 differentiate differentiate any 1 at acceptable
differentiate d teaching d teaching least 4 evidence
d teaching strategies in strategies in lessons as was shown
strategies in at least 2 2 lessons observed in
at least 2 lessons as as 3 lessons
lessons as evidenced evidenced as observed
evidenced by MOV 1 by MOV 1 in 2 lessons
by MOV 1 and and observed in
and supported supported only 1
supported by by lesson 3
by any 1 of any1ofthe any1ofthe differentiate
the other other other d teaching
acceptable acceptable acceptable strategy in
MOV MOV MOV only 1
lesson as
evidently
shown in
any 1 of the
acceptable
MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 3. 7. Planned, June 7.50% Quality Planned and Planned and Planned and Planned and No 4 4 4 0.3
Educatio Curriculum managed and 2018 to implemente implemente implemente implemente acceptable
n and implemented March d d d d evidence
Services Planning developmentall 2019 developmen developmen developmen developmen was shown
y sequenced tally tally tally tally
teaching and sequenced sequenced sequenced sequenced
learning teaching teaching teaching teaching 4
processes to and learning and learning and learning and
meet process as process as process as learning
curriculum shown in shown in shown in process as
requirements MOV 1 with MOV 1 with MOV 1 with shown in
and varied a rating of 7 a rating of 6 a rating of 5 MOV 1 with
teaching a rating of 4
contexts.
 teaching
contexts. Efficiency Submitted Submitted 3 Submitted 2 Submitted 1 No
at least 4 developmen developmen developmen acceptable
developmen tally tally tally evidence
tally sequenced sequenced sequenced was shown
sequenced teaching teaching teaching
teaching and learning and learning and learning
and learning process as process as process as
process as evidently evidently evidently 4
evidently shown in shown in shown
shown in MOV 1 and MOV 1 and in any 1 of
MOV 1 and supported supported the
supported by any 1 of by any 1 of given MOV
by any 1 of the other the other
the other given MOV given MOV
given MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 8. Participated June 7.50% Quality Consistently Frequently Occasionall Rarely No 4 4 4 0.3
Educatio in collegial 2018 to participated participated y participated acceptable
n discussions March in LACs/ in LACs/ participated in LAC/ evidence
Services that use 2019 FGDs/ FGDs/ in LACs/ FGD/ was shown
teacher and meetings to meetings to FGDs/ meeting to
learner discuss discuss meetings to discuss
feedback to teacher/ teacher/ discuss teacher/
enrich learner learner teacher/ learner 4
teaching feedback to feedback to learner feedback to
practice. enrich enrich feedback to enrich
instruction instruction enrich instruction
as shown in as shown in instruction as
the MOV the MOV as shown in shown in the
submitted submitted the MOV MOV
submitted submitted
 Efficiency Participated Participated Participated Participated No
in at least 4 in 3 LACs/ in 2 LACs/ in 1 LAC/ acceptable
LACs/ FGDs/ FGDs/ FGD/ in any evidence
FGDs/ meetings as meetings as 1 of the was shown
meetings as evidently evidently given MOV 4
evidently shown in shown in
shown in any 1 of the any 1 of the
any 1 of the given MOV given MOV
given MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 9. Selected, June 7.50% Quality Developed Developed Developed Developed No 5 5 5 0.375
Educatio developed, 2018 to and used and used and used and acceptable
n organized and March varied varied varied used varied evidence
Services used 2019 teaching teaching teaching teaching was shown
appropriate and learning and learning and learning and learning
teaching and resources, resources, resources, resources,
learning including including including including
resources, ICT, to ICT, to ICT, to ICT, to 5
including ICT, address address address address
to address learning learning learning learning
learning goals. goals as goals as goals as goals
shown in shown in shown in as shown in
MOV1witha MOV1witha MOV 1 with MOV 1 with
rating of 7 rating of 6 a rating of 5 a
rating of 4
 Efficiency Submitted Submitted 3 Submitted 2 Submitted No
at least 4 varied varied any acceptable
varied teaching teaching teaching evidence
teaching and learning and learning and learning was shown
and learning resources, resources, resource,
resources, including including including
including ICT, as ICT, as ICT,
ICT, as evidently evidently as evidently
5
evidently shown in shown in shown in
shown in MOV 1 and MOV 1 and any of
MOV 1 and supported supported the
supported by any 1 of by any 1 of acceptable
by any 1 of the the MOV
the acceptable acceptable
acceptable MOV MOV
MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 4. 10. Designed, June 7.50% Quality Designed, Designed, Designed, Designed, No 4 3 3.5 0.2625
Educatio Assessme selected, 2018 to selected, selected, selected, selected, acceptable
n nt and organized and March organized organized organized organized evidence
Services Reporting used 2019 and used and used and used and used was shown
diagnostic, diagnostic, diagnostic, diagnostic, diagnostic,
formative and formative formative formative formative
summative and and and and
assessment summative summative summative summative
strategies assessment assessment assessment assessment
4
consistent with strategies strategies strategies strategies
curriculum consistent consistent consistent consistent
requirements. with with with with
curriculum curriculum curriculum curriculum
requirement requirement requirement requirement
s as shown s as shown s as shown s as shown
in MOV 1 in MOV 1 in MOV 1 in MOV 1
with a rating with a rating with a rating with a rating
of 7 of 6 of 5 of
 Efficiency Submitted Submitted 3 Submitted 2 Submitted 1 No
at least 4 varied varied assessment acceptable
varied assessment assessment tool as evidence
assessment tools as tools as evidently was shown
tools as evidently evidently shown in
3
evidently shown shown in any of the
shown inany1ofthe any1ofthe acceptable
inany1ofthe acceptable acceptable MOV
acceptable MOV MOV
MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 11. Monitored June 7.50% Quality Consistently Frequently Occasionall
Rarely No 4 4 4 4 0.3
Educatio and evaluated 2018 to monitored monitored y monitored
monitored acceptable
n learner March and and and and evidence
Services progress and 2019 evaluated evaluated evaluatedevaluated was shown
achievement learner learner learner learner
using learner progress progress progress progress
attainment and and and and
data. achievemen achievemen achievemen
achievemen
t using t using t using t 4
learner learner learner using
attainment attainment attainment
learner
data as data as data as attainment
shown in the shown in the shown in the
data
MOV MOV MOV as shown in
submitted submitted submittedthe
MOV
submitted
Efficiency Submitted a Submitted a Submitted a Submitted 1 No
combination combination combination acceptable acceptable
of at least 4 of 3 of the of 2 of the MOV evidence
4
of the acceptable acceptable was shown
acceptable MOV MOV
MOV
Timelines Submitted Submitted Submitted Submitted No
s MOV were MOV were MOV were any 1 of the acceptable
distributed distributed distributed given MOV evidence 4
across 4 across 3 across 2 was shown
quarters quarters quarters
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 12. June 7.50% Quality Consistently Frequently Occasionall
Rarely No 4 4 4 4 0.3
Educatio Communicated 2018 to showed showed y showed showed acceptable
n promptly and March prompt and prompt and prompt and
prompt and evidence
Services clearly the 2019 clear clear clear clear was shown
learners’ communicat communicat communicat
communicat
needs, ion of the ion of the ion of the
ion of the
progress and learners’ learners’ learners’learners’
achievement needs, needs, needs, needs,
to key progress progress progress progress
stakeholders, and and and and
including achievemen achievemen achievemen
achievemen
4
parents/ t to key t to key t to key t to
guardians. stakeholder stakeholder stakeholder
key
s, including s, including s, including
stakeholder
parents/ parents/ parents/ s,
guardians guardians guardiansincluding
as shown in as shown in as shown in
parents/
the MOV the MOV the MOV guardians
submitted submitted submittedas
shown in the
MOV
submitted
Efficiency Submitted a Submitted a Submitted a Submitted No
combination combination combination any 1 acceptable
of at least 4 of 3 of the of 2 of the of the given evidence
4
of the acceptable acceptable MOV was shown
acceptable MOV MOV
MOV
Timelines Submitted Submitted Submitted Submitted
s MOV were MOV were MOV were any 1
distributed distributed distributed of the given 4
across 4 across 3 across 2 MOV
quarters quarters quarters

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 5. Plus 13. Performed June 10.00% Quality Consistently Frequently Occasionall
Rarely No 5 5 5 0.5
Educatio Factor various related 2018 to performed performed y performed
performed acceptable
n works/ March various various various various evidence
Services activities that 2019 related related related related was shown
contribute to work/ work/ work/ work/
the activities activities activities
activities
teaching-learni that that that that
ng process. contribute to contribute to contribute to
contribute 5
the teaching the teaching the teaching
to the
learning learning learningteaching
process as process as process as
learning
shown in the shown in the shown in the
process as
MOV MOV MOV shown in the
submitted submitted submitted
MOV
submitted
Efficiency Submitted Submitted 3 Submitted 2 Submitted No
at least 4 different different any 1 of the acceptable
different kinds of kinds of acceptable evidence
5
kinds of acceptable acceptable MOV was shown
acceptable MOV MOV
MOV
Timelines
s
RATING FOR OVERALL ACCOMPLISHMENTS 4.0625
ADJECTIVAL RATING Very Satisfactory
ADJECTIVAL RATING EQUIVALENCES
RANGE ADJECTIVAL RATING

4.500 -5.000 Outstanding

3.500- 4.499 Very Satisfactory
2.500 - 3.499 Satisfactory
1.500 - 2.499 Unsatisfactory
Below 1.499 Poor

Rater Ratee Approving Authority

 Republic of the Philippines
Department of Education
Region XII
Division of Sultan Kudarat
Your School Here
Poblacion I, Lebak, Sultan Kudarat

ANNOTATION TEMPLATE
OBJECTIVES Means of Verification Description of the MOV Presented Annotations
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about knowledge of
content within and across curriculum
teaching areas
2. Lesson plans/modified DLLs
developed highlighting integration of
content knowledge within and across
subject areas
1. Applied knowledge of
content within and across 3. Instructional materials highlighting
curriculum teaching areas. mastery of content and its integration in
other subject areas
4. Performance tasks/test material(s)
highlighting integration of content
knowledge within and across subject
areas

5. Others (Please specify and provide

annotations)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about teaching
strategies that enhance learner
achievement in literacy and numeracy
skills

2. Used a range of teaching
strategies that enhance
learner achievement in
literacy and numeracy skills.
3. Applied a range of teaching
strategies to develop critical
and creative thinking, as well
as other higher- order thinking
skills.
2. Lesson plans/modified DLLs used in
teaching highlighting learner-centered
strategies that promote literacy and/or
numeracy skills
3. Instructional materials highlighting
learner-centered strategies that promote
literacy and/or numeracy skills
4. Performance tasks/test material(s)
used in teaching
5. Results of assessment used in
teaching
6. Others (Please specify and provide
annotations)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about teaching
strategies to develop critical and
creative thinking, as well as other
higher-order thinking skills
2. Lesson plans/modified DLLs used in
teaching highlighting different teaching
strategies that develop critical and
creative thinking and/or other HOTS
3. Instructional materials highlighting
different teaching strategies that develop
critical and creative thinking and/or other
HOTS
4. Performance tasks/test material(s)
used in demonstration teaching
5. Results of assessment used in
teaching
6. Others (Please specify and provide
annotations)

4. Managed classroom
structure to engage learners,
individually or in groups, in
meaningful exploration,
discovery and hands-on
activities within a range of
physical learning
environments.
5. Managed learner behavior
constructively by applying
positive and non-violent
discipline to ensure learning-
focused environments.
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about managing
classroom structure that engages
learners in various activities
2. Lesson plans/modified DLLs
highlighting various classroom
management strategies that engage
learners in activities/tasks in different
physical learning environments
3. Others (Please specify and provide
annotations)
Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about teacher
management of learner behavior using
the following strategies:
1. Providing motivation d
provide annotations)
2. Praising the learners/Giving
positive feedback
3. Setting house rules/
guidelines
4. Ensuring learners’ active
participation
5. Allowing learners to express
their ideas/opinions
6. Giving equal opportunities to
learners
7. Encouraging learners to ask
questions
8. Others (Please specify and
provide annotations)
 1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about using
differentiated, developmentally
appropriate learning experiences

2. Lesson plans/modified DLLs

developed highlighting differentiation in
6. Used differentiated,
content, product, process, learning
developmentally appropriate
environment or others according to
learning experiences to
learners’ gender, needs, strengths,
address learners’ gender,
interests and experiences
needs, strengths, interests
and experiences.
3. Instructional materials developed
highlighting differentiation in content,
product, process, learning environment
or others according to learners’ gender,
needs, strengths, interests and
experiences

4. Others (Please specify and provide annotations)

1. Classroom observation tool (COT)

rating sheet and/or inter-observer
agreement form about using
developmentally sequenced teaching
and learning process
7. Planned, managed and
2. Lesson plans/modified DLLs
implemented developmentally
highlighting developmentally sequenced
sequenced teaching and
instruction that meet curriculum goals
learning processes to meet
and varied teaching contexts
curriculum requirements and
3. Instructional materials used to
varied teaching contexts.
implement developmentally sequenced
teaching and learning process to meet
curriculum requirements and varied
teaching contexts.
4. Others (Please specify and provide
annotations)

8. Participated in collegial
discussions that use teacher
and learner feedback to
enrich teaching practice.
9. Selected, developed,
organized and used
appropriate teaching and
learning resources, including
ICT, to address learning
goals.
1. Personal notes of teachers on LACs/
FGDs/meetings with proof of attendance
2. Minutes of LAC/FGD sessions on
use of teacher and learner feedback to
enrich teaching practice with proof of
attendance
3. Others (Please specify and provide
annotations)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about using appropriate
teaching and learning resources,
including ICT Examples:
Activity sheets/task sheets/
work sheets
PowerPoint presentations
Video clips
Module
SIMs-Strategic Intervention
Materials
Others
2. Lesson plans/modified DLLs with
appropriate instructional materials
appended
3. Others (Please specify and provide
annotations)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about using diagnostic,
formative and summative assessment
strategies
 2. Prepared lesson plans/modified DLLs
highlighting appropriate use of formative
assessment strategies

3. Developed diagnostic tests:

10. Designed, selected,
organized and used
diagnostic, formative and
summative assessment
strategies consistent with
curriculum requirements.
5. Developed performance tasks:
(a) with TOS reviewed by
superior;
(b) with sample accomplished
questionnaire/answer sheets
4. Developed summative tests:
(a) with TOS reviewed by
superior;
(b) with sample accomplished
questionnaire/answer sheets
(a) with rubrics reviewed by
superior;
(b) with sample accomplished
rubrics

6. Others (Please specify and provide

annotations)

1. Compilation of a learner’s written

work with summary of results and with
signature of parents
2. Formative/summative assessment
11. Monitored and evaluated tools with TOS and frequency of errors
learner progress and with identified least mastered skills
achievement using learner
attainment data. 3. Class records/grading sheets
4. Lesson plans/modified DLLs showing
index of mastery
5. Others (Please specify and provide
annotations)

12. Communicated promptly
and clearly the learners’
needs, progress and
achievement to key
stakeholders, including
parents/guardians.
13. Performed various related
works/activities that
contribute to the
teaching-learning process.
1. At least 3 samples of corrected test
papers of the same 3 learners in the
same learning area with parents’ or
guardians’ signature and date of receipt
2. Minutes of PTA meetings or
Parent-Teacher conferences in all
quarters with proof of parents’/
guardians’ attendance
3. Report cards with parent’s or
guardian’s signature in all quarters
supported by minutes of meeting
4. Communication with parents/
guardians using various modalities
5. Anecdotal record showing entries per
quarter
6. Other documents showing learners’
needs, progress and achievement
submitted to other stakeholders
1. Certificate of Recognition or
Participation
2. Certificate of Training
3. Certificate of Speakership
4. Committee involvement
5. Advisorship of Co-curricular activities
6. Book or Journal Authorship/
Coauthorship/Contributorship
7. Coordinatorship/Chairpersons hip
8. Coaching and mentoring learners in
competitions
9. Mentoring pre-service/inservice
teachers

10. Others (Please specify and provide annotations)

 Republic of the Philippines

Department of Education
Region IV-A
Division of QUEZON
Your School Here
Your District Here

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: Name of Rater:

Position: Position:

Bureau/Center/Service/Division: Date of Review:

Rating Period: SY 2018 - 2019
TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING
EVALUATION

Performance Indicators Rating

Weight Actual
MFOs KRAs Objectives Timeline Score
per KRA Very Results
Outstanding Satisfactory Unsatisfactor Poor
QET Satisfactory Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 1. Content 1. Modeled June 7.50% Quality Modeled Modeled Modeled Modeled No acceptable
Education Knowledge effective 2018 to effective effective effective effective evidence was
4 4 4 0.3
Services and application of March application of application of application of application of shown
Pedagogy content 2019 content content content content
knowledge within knowledge knowledge knowledge knowledge
and across within and within and within and within and
curriculum across across across across
teaching areas. curriculum curriculum curriculum curriculum
teaching areas teaching areas teaching areas teaching areas
as shown in as shown in as shown in as shown in
MOV1 with a MOV1 with a MOV1 with a MOV1 with a
rating of 8 rating of 7 rating of 6 rating of 5
Efficiency Submitted at Submitted 3 Submitted 2 Submitted 1 No
least 4 lessons lessons as lessons as lessons as acceptable
as evidenced evidenced by evidenced by evidenced by evidence was
by MOV 1 and MOV 1 from MOV 1 from MOV 1 from shown
supported by colleagues and colleagues and colleagues and
any 1 of the supported by supported by supported by
other given any 1 of the any 1 of the any 1 of the
MOV other given other given other given
MOV MOV MOV
 MOV MOV MOV

Timeliness
Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 2. Collaborated June 7.50% Quality Conducted, Conducted Conducted Proposed-acti No acceptable
Education with colleagues in 2018 to completed and and completed action on research evidence was
4 4 4 4 0.3
Services the conduct and March disseminated action research with with shown
application of 2019 action research with colleagues. colleagues
research to research with colleagues.
enrich knowledge colleagues.
of content and Efficiency Submitted at Submitted any Submitted any Submitted any No acceptable
pedagogy. least 4 of the 3 of the 2 MOV 1 MOV evidence was
given MOV acceptable shown
MOV
Timeliness Presented the Completed the Conducted the Proposed the No acceptable
research research research research evidence was
report within report within report within report within shown
the rating the rating the rating the rating
period period period period
Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 3. Developed and June 7.50% Quality Demonstrated Demonstrated Demonstrated Demonstrated No acceptable
Education applied effective 2018 to effective effective effective effective evidence was
4 4 4 0.3
Services teaching March teaching teaching teaching teaching shown
strategies to 2019 strategies to strategies to strategies to strategies to
promote critical promote promote promote promote
and creative critical and critical and critical and critical and
thinking, as well creative creative creative creative
as other higher- thinking as well thinking as well thinking as well thinking as well
order thinking as other as other as other as other
skills. HOTS as HOTS as HOTS as HOTS as
shown in MOV shown in MOV shown in MOV shown in MOV
1 with a rating 1 with a rating 1 with a rating 1 with a rating
of 8 of 7 of 6 of 5
Efficiency Submitted 4 or Submitted 3 Submitted 2 Submitted 1 or No acceptable
more lessons lessons as lessons as more lessons evidence was
as evidenced evidenced by evidenced by as evidenced shown
by MOV 1 and MOV 1 and MOV 1 and by MOV 1 and
supported by supported by supported by supported by
any 1 of the any 1 of the any 1 of the any 1 of the
other given other given other given other given
MOV MOV MOV MOV
Timeliness
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 2. 4. Work with June 7.50% Quality Modeled Modeled Modeled Modeled No 4 4 4 0.3
Educatio Learning colleagues to 2018 to and shared and shared and shared and shared acceptable
n Environme model and March effective effective effective effective evidence
Services nt and share effective 2019 classroom classroom classroom classroom was shown
Diversity techniques in managemen managemen managemen managemen
of the t strategies t strategies t strategies t strategies
Learners management that engage that engage that engage that engage
of the learners in learners in learners in learners in
classroom activities/ activities/ activities/ activities/
structure to tasks done tasks done tasks done tasks done
engage in different in different in different in different
learners, physical physical physical physical
individually or learning learning learning learning
in groups, in environment environment environment environment
meaningful s as shown s as shown s as shown s as shown
exploration, in MOV 1 in MOV 1 in MOV 1 in MOV 1
discovery and with a rating with a rating with a rating with a rating
hands-on of 8 of 7 of 6 of 5
activities Efficiency Submitted Submitted 3 Submitted 2 Submitted 1 No
within a range at least 4 lessons lessons as lesson acceptable
of physical lessons supported evidenced supported evidence
learning supported by MOV 1 by MOV 1 by any of was shown
environments. by MOV 1 and any 1 of and the
and any 1 of the other supported acceptable
the other acceptable by any 1of MOV
acceptable MOV the other
MOV given MOV
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 5. Exibited June 7.50% Quality Exibited Exibited Exibited Exibited No 4 4 4 0.3
Educatio effective and 2018 to effective effective effective effective acceptable
n constructive March and and and and evidence
Services behavior 2019 constructive constructive constructive constructive was shown
management behavior behavior behavior behavior
skills by managemen managemen managemen managemen
applying t skills by t skills by t skills by t skills by
positive and applying applying applying applying
non-violent positive and positive and positive and positive and
discipline to non-violent non-violent non-violent non-violent
ensure discipline to discipline to discipline to discipline to
learning- ensure ensure ensure ensure
focused learning- learning- learning- learning-
environments. focused focused focused focused
environment environment environment environment
s. as s. as s. as s. as
shown in shown in shown in shown in
MOV MOV MOV MOV
submitted submitted submitted submitted
with a rating with a rating with a rating with a rating
of 8 of 7 of 6 of 5
Efficiency Applied Applied Applied Applied No
atleast 7 of atleast 7 of atleast 7 of atleast 7 of acceptable
the given the given the given the given evidence
strategies strategies strategies strategies was shown
as observed as observed as observed as observed
in at least 4 in 3 lessons in 2 lessons in 1 lesson
lessons
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 6. Worked with June 7.50% Quality Worked with Worked with Worked with Worked with No 3 3 3 0.225
Educatio colleagues to 2018 to colleagues colleagues colleagues colleagues acceptable
n share March atleast in atleast in atleast in but no evidence
Services differentiated, 2019 the district/ the school the evidence of was shown
developmentall cluster level level to department/ sharing with
y appropriate to share share grade level others
learning lesson lesson to share
experiences to lesson
address Efficiency Submitted Submitted Submitted Submitted No
learners’ at least 1 at least 1 at least 1 at least 1 acceptable
gender, needs, lesson as lesson as lesson as lesson as evidence
strengths, evidently evidently evidently evidenced was shown
interests and shown in shown in shown in by either
experiences. MOV 1 and MOV 1 and MOV 1 and MOV 2 or 3
supported supported supported but no
by any 1 of by any 1 of by any 1 of evidence of
the other the other the other sharing with
acceptable acceptable acceptable others
MOV MOV MOV
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 3. 7. Develop and June 7.50% Quality Develop and Develop and Develop and Develop and No 4 4 4 0.3
Educatio Curriculum applied 2018 to applied applied applied applied acceptable
n and effective March effective effective effective effective evidence
Services Planning strategies in 2019 strategies in strategies in strategies in strategies in was shown
the planning the planning the planning the planning the planning
and and and and and
management managemen managemen managemen managemen
of t t t t
developmentall developmen developmen developmen developmen
y sequenced tally tally tally tally
teaching and sequenced sequenced sequenced sequenced
learning teaching teaching teaching teaching
processes to and learning and learning and learning and learning
meet process as process as process as process as
curriculum shown in shown in shown in shown in
requirements MOV 1 with MOV 1 with MOV 1 with MOV 1 with
and varied a rating of 8 a rating of 7 a rating of 6 a rating of 5
teaching Efficiency Submitted Submitted Submitted 1 Submitted 1 No
contexts. at least 4 2-3 lessons lesson as lesson as acceptable
lessons as as evidence evidence by evidence by evidence
evidence by by MOV 1 MOV 1 and any 1 of the was shown
MOV 1 and and 2 and 2 and acceptable
2 and supported supported MOV
supported by any 1 of by any 1 of
by any 1 of the other the other
the acceptable acceptable
acceptable MOV MOV
MOV
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 8. Review with June 7.50% Quality Consistently Frequently Occasionall Rarely led No 3 3 3 0.225
Educatio colleagues, 2018 to led led y led collaborative acceptable
n teacher and March collaborative collaborative collaborative reviews of evidence
Services learner 2019 reviews of reviews of reviews of teacher/ was shown
feedback to teacher/ teacher/ teacher/ learner
plan, facilitate learner learner learner feedback as
and enrich feedback as feedback as feedback as evidenced
teaching evidenced evidenced evidenced by the MOV
practice. by the MOV by the MOV by the MOV submitted
submitted submitted submitted
Efficiency Submitted 4 Submitted 3 Submitted 2 Submitted 1 No
collaborative collaborative collaborative collaborative acceptable
reviews of reviews of reviews of review of evidence
teacher and teacher and teacher and teacher and was shown
learner learner learner learner
feedback as feedback as feedback as feedback as
evidently evidently evidently evidently
shown in shown in shown in shown in
MOV 1 and MOV 1 and MOV 1 and any of the
supported supported supported acceptable
by any 1 of by any 1 of by any 1 of MOV
the the the
acceptable acceptable acceptable
MOV MOV MOV
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 9. Advised and June 7.50% Quality Consistently Frequently Occasionall Rarely No 4 4 4 0.3
Educatio guided 2018 to advised advised y advised advised acceptable
n colleagues in March colleagues colleagues colleagues colleagues evidence
Services the selection, 2019 in the in the in the in the was shown
organization, selection, selection, selection, selection,
development organization organization organization organization
and use of , , , ,
appropriate developmen developmen developmen developmen
teaching and t and t and t and t and
learning appropriate appropriate appropriate appropriate
resources, use of use of use of use of
including ICT, teaching teaching teaching teaching
to address and learning and learning and learning and learning
specific resources resources resources resources
learning goals. as shown in as shown in as shown in as shown in
the MOV the MOV the MOV the MOV
submitted submitted submitted submitted
Efficiency Submitted Submitted 3 Submitted 2 Submitted 1 No
at least 4 teaching teaching teaching acceptable
teaching and learning and learning and learning evidence
and learning resources resources resource as was shown
resources as as evidenced
as evidenced evidenced by any of
evidenced by at least 1 by at least 1 the
by at least 1 of the of the acceptable
of the acceptable acceptable MOV
acceptable MOV MOV
MOV
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 4. 10. Worked June 7.50% Quality Consistently Frequently Occasionall Rarely No 3 3 3 0.225
Educatio Assessme collaboratively 2018 to reviewed reviewed y reviewed reviewed acceptable
n nt and with March collaborative collaborative collaborative collaborative evidence
Services Reporting colleagues to 2019 ly ly ly ly was shown
review the assessment assessment assessment assessment
design, tools with tools with tools with tools with
selection, colleagues colleagues colleagues colleagues
organization as shown in as shown in as shown in as shown in
and use of a the MOV the MOV the MOV the MOV
range of submitted submitted submitted submitted
effective Efficiency Submitted Submitted 3 Submitted 2 Submitted 1 No
diagnostic, at least 4 assessment assessment assessment acceptable
formative and assessment tools as tools as tool as evidence
summative tools as evidently evidently evidently was shown
assessment evidently shown in shown in shown in
strategies shown in any of the any of the any of the
consistent with any of the acceptable acceptable acceptable
curriculum acceptable MOV MOV MOV
requirements. MOV
Timelines
s
Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 11. Interpreted June 7.50% Quality Consistently Frequently Occasionall Rarely No 4 4 4 0.3
Educatio collaboratively 2018 to collaborated collaborated y collaborated acceptable
n monitoring and March with with collaborated with evidence
Services evaluation 2019 colleagues colleagues with colleagues was shown
strategies of in the in the colleagues in the
attainment interpretatio interpretatio in the interpretatio
data to support n of n of interpretatio n of
learner assessment assessment n of assessment
progress and data as data as assessment data as
achievement. shown in the shown in the data as shown in the
MOV MOV shown in the MOV
submitted submitted MOV submitted
submitted
Efficiency Submitted Submitted Submitted Submitted No
at least 2 at least 3 of at least 2 of any 1 of the acceptable
different the same the same MOV evidence
types of kind of MOV kind of MO was shown
MOV
Timelines
s

Performance Indicators Rating

Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 12. Applied June 7.50% Quality Consistently Frequently Occasionall Rarely No 3 3 3 0.225
Educatio skills in the 2018 to applied applied y applied applied acceptable
n effective March skills in the skills in the skills in the skills in the evidence
Services communicatio 2019 effective effective effective effective was shown
n of learner communicat communicat communicat communicat
needs, ion of io n of io n of io n of
progress and learner learner learner learner
achievement needs and needs and needs and needs and
to key progress to progress to progress to progress to
stakeholders, parents/ parents/ parents/ parents/
including guardians guardians guardians guardians
parents/ as shown in as shown in as shown in as shown in
guardians. the MOV the MOV the MOV the MOV
submitted submitted submitted submitted
Efficiency Submitted 4 Submitted Submitted Submitted No
of the any 3 MOV any 2 MOV any 1 MOV acceptable
acceptable evidence
MOV was shown
Timelines
s
 Performance Indicators Rating
Weight Very Actual
MFOs KRAs Objectives Timeline Outstanding Satisfactory Unsatisfactor Poor Score
per KRA QET Satisfactory Results Q E T Ave
(5) (3) y (2) (1)
(4)
Basic 5. Plus 13. Performed June 10.00% Quality Consistently Frequently Occasionall Rarely No 5 5 5 0.5
Educatio Factor various 2018 to performed performed y performed acceptable
n related works/ March special special performed special evidence
Services activities 2019 tasks tasks special tasks was shown
that contribute and/or and/or tasks and/or
to the assignment assignment and/or assignment
teaching-learni s s assignment s
ng as shown in as shown in s as shown in
process. the MOV the MOV as shown in the MOV
submitted submitted the MOV submitted
submitted
 Efficiency Submitted Submitted Submitted Submitted No
at only 3 only 2 any 1 of the acceptable
least 4 different different acceptable evidence
different kinds of kinds of MOV was shown
kinds acceptable acceptable
of MOV MOV
acceptable
MOV
Timelines
s
RATING FOR OVERALL ACCOMPLISHMENTS 3.8
ADJECTIVAL RATING VERY SATISFACTORY
ADJECTIVAL RATING EQUIVALENCES
RANGE ADJECTIVAL RATING

4.500 -5.000 Outstanding

3.500- 4.499 Very Satisfactory
2.500 - 3.499 Satisfactory
1.500 - 2.499 Unsatisfactory
Below 1.499 Poor

Rater Ratee Approving Authority

 Republic of the Philippines
Department of Education
Region XII
Division of Sultan Kudarat
Your School Here
Poblacion I, Lebak, Sultan Kudarat

ANNOTATION TEMPLATE
OBJECTIVES Means of Verification Description of the MOV Presented Annotations

1. Classroom observation tool (COT)

rating sheet and/or inter-observer
agreement form about effective
applications of content knowledge within
and across curriculum teaching areas
2. Lesson plans/modified DLLs used in
demonstration teaching highlighting
integration of content knowledge within
and across subject areas
3. Instructional materials developed
highlighting effective application of content
1. Modeled effective
knowledge within and across subject
application of content
areas
knowledge within and
across curriculum teaching 4. Performance tasks/test material(s)
areas. used in demonstration teaching
highlighting integration of content
knowledge within and across subject
areas

5. Results of assessment used in

demonstration teaching highlighting
mastery of lessons learned

6. Others (Please specify and provide

annotations)

2. Collaborated with
colleagues in the conduct
and application of research
to enrich knowledge of
content and pedagogy.
3. Developed and applied
effective teaching
strategies to promote
1. Copy of the research proposal focused
on enriching knowledge of content and
pedagogy
2. Proof of participation and/or contribution
to a collaborative research (e.g. e-mail,
actual output submitted, terms of
reference, etc.)
3. Certified completed collaborative
research focused on enriching knowledge
of content and pedagogy
4. Proof of dissemination of research
findings with colleagues
5. Proof of utilization of research findings
6. Others (Please specify and provide
annotations)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about using effective
teaching strategies to promote critical and
creative teaching, as well as other
higher-order thinking skills
2. Lesson plans/modified DLLs used in
demonstration teaching highlighting
different teaching strategies that develop
critical and creative thinking and/or other
HOTS
strategies to promote
critical and creative
thinking, as well as other
higher- order thinking
skills.
4. Work with colleagues to
model and share effective
techniques in the
management of the
classroom structure to
engage learners,
individually or in groups, in
meaningful exploration,
discovery and hands-on
activities within a range of
physical learning
environments.
3. Instructional materials highlighting
different teaching strategies that develop
critical and creative thinking, and/or other
HOTS
4. Performance tasks/test material(s)
used in demonstration teaching
5. Results of assessment used in the
demonstration teaching
6. Others (Please specify and provide
annotations)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about sharing effective
techniques in the management of
classroom structure
2. Lesson plans/modified DLLs used in
demonstration teaching highlighting
effective classroom management
strategies that engage learners in
activities/tasks in different physical
learning environments
3. Minutes of LAC highlighting the sharing
on effective classroom management
techniques
4. Instructional materials used in
demonstration teaching
5. Others (Please specify and provide
annotations)
 Classroom observation tool (COT) rating
sheet and/or inter-observer agreement
form about effective teacher management
of learner behavior using the following
strategies:

1. Providing motivation

2. Praising the learners/Giving

positive feedback
5. Exibited effective and
constructive behavior
management skills by 3. Setting house rules/guidelines
applying positive and
non-violent discipline to
ensure learning- focused 4. Ensuring learners’ active
environments. participation

5. Allowing learners to express

their ideas/opinions

6. Giving equal opportunities to

learners

7. Encouraging learners to ask

questions

8. Others (Please specify and

provide annotations)

1. Minutes of LAC session/s, highlighting

one’s sharing of strategies on
differentiated and developmentally
appropriate opportunities to address
learners’ differences
6. Worked with colleagues
to share differentiated,
developmentally
appropriate learning
experiences to address
learners’ gender, needs,
strengths, interests and
experiences.
7. Develop and applied
effective strategies in the
planning and management
of developmentally
sequenced teaching and
learning processes to meet
curriculum requirements
and varied teaching
contexts.
2. Lesson plans/modified DLLs highlighting
strategies on differentiated and
developmentally-appropriate opportunities
to address learners’ differences
3. Corresponding instructional materials
showing differentiated and
developmentally-appropriate opportunities
to address learners’ differences
4. Others (e.g. testimonial, write-up from
colleagues of the lessons/insights gained
from the Master Teacher's sharing)
1. Classroom observation tool (COT)
rating sheet and/or inter-observer
agreement form about using effective
strategies in implementing developmentally
sequenced teaching and learning process
2. Results of learners’ assessment during
the actual teaching
3. Lesson plans/modified DLLs used in
demonstration teaching highlighting
developmentally sequenced
teaching-learning process
4. Instructional materials showing
effective strategies in developmentally
sequenced teaching and learning process
5. Performance tasks/test material(s) used
in demonstration teaching

8. Review with colleagues,
teacher and learner
feedback to plan, facilitate
and enrich teaching
practice.
9. Advised and guided
colleagues in the selection,
organization, development
and use of appropriate
teaching and learning
resources, including ICT,
to address specific
learning goals.
10. Worked collaboratively
with colleagues to review
the design, selection,
organization and use of a
range of effective
diagnostic, formative and
summative assessment
6. Others (Please specify and provide
annotations)
1. Implemented LAC/FGD Plan
2. Minutes of LAC/FGD sessions on use
of teacher and learner feedback to enrich
teaching practice with proof of attendance
3. Others (Please specify and provide
annotations)
1. Teaching and learning resources
developed by colleagues and critiqued on
their alignment to learning goals
2. Lesson plans by colleagues critiqued in
terms of the alignment of the teaching and
learning resources to the indicated
learning goals and appropriateness to the
target learners
3. Others (Please specify and provide
annotations)
1. Any proof of collaborative review if the
test is designed based on its purpose (e.g.
diagnostic, formative and summative)
2. Any proof of collaborative review of the
alignment of the test with the curriculum
2.1. formative test attached to a
lesson plan
summative assessment
strategies consistent with
curriculum requirements.
11. Interpreted
collaboratively monitoring
and evaluation strategies
of attainment data to
support learner progress
and achievement.
12. Applied skills in the
2.2. summative assessment with
TOS
2.3. diagnostic test with its TOS
3. Others (Please specify and provide
annotations)
1. Collaborative interpretation of the index
of mastery obtained from 1 class
2. Collaborative interpretation of item
analysis of quarterly examinations
3. Collaborative interpretation of results of
performance assessment
4. Others (Please specify and provide
annotations)
1. Sample agreement for learners at risk
signed by parents and corresponding
evidence of improvement
2. Record of dialogue and/or
parent-teacher conferences and
corresponding evidence of improvement
3. Anecdotal record communicated to and
signed by the learners and/or parents with
corresponding evidence of improvement
4. Sample of learners' test results signed
by parents and corresponding evidence of
improvement
 12. Applied skills in the
effective communication of 5. Sample of accomplished rubrics given
learner needs, progress for performance task and corresponding
and achievement to key evidence of improvement
stakeholders, including
parents/guardians.
6. Attendance sheet/minutes of
parent-teacher conference

7. Signed report cards of students at risk

with corresponding evidence of
improvement

8. Correspondence notebook/letters/proof
of communication using other modalities
(e.g. email, SMS, etc.) and corresponding
evidence of improvement

9. Learners’ performance record

10. Others (Please specify and provide

annotations)

1. Served as reliever of classes in the

absence of teachers

2. Served as OIC in the absence of the

principal

3. Represented the principal in meetings

and conferences

4. Observed classes of Teachers I-III

5. Assisted the school selection committee

in the evaluation of credentials when hiring
or promoting teachers

6. Certificate of Recognition or
Participation
 7. Certificate of Training
13. Performed various
related works/activities
that contribute to the
8. Certificate of Speakership
teaching-learning
process.
9. Committee involvement

10. Advisorship of Co-curricular activities

11. Book or Journal Authorship/

Coauthorship/Contributorship

12. Coordinatorship/Chairpersonship

13. Coaching and mentoring learners in

competitions

14. Mentoring pre-service/in-service

teachers

15. Others (Please specify and provide

annotations)
 Republic of the Philippines
Department of Education
Region XII
Division of Sultan Kudarat
Salaman Central Elementary School
Poblacion I, Lebak, Sultan Kudarat

PART IV: DEVELOPMENT PLANS OF THE IPCRF (IPCRF-DP)

Action Plan (Recommended
Strengths Development Needs Timeline Resources Needed
Developmental Intervention)
A. Teaching Competencies (PPST)

B. Core Behavioral Competencies (DepEd)

Feedback:

RATEE RATER APPROVING AUTHORITY

 Republic of the Philippines
Department of Education
Region XII
Division of Sultan Kudarat

Salaman Central Elementary School

Poblacion I, Lebak, Sultan Kudarat

PERFORMANCE MONITORING AND COACHING FORM

IMPACT ON JOB/ACTION SIGNATURE (RATER/
DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT
PLAN RATEE)

RATEE RATER APPROVING AUTHORITY