IPCRF TI TIII 2021 2022 Focus On COT Indicator 1 To 9 Only W KRA Weight

COT 1 COT 2
Weight per COT RPMS RPMS

KRA Objectives 5-pt 5-pt
Objective Indicator Rating Rating
Scale Scale
Rating Rating
Objective 1 5% 1 0 0
Objective 2 5%
KRA 1
KRA 2
KRA 3
Objective 11 5%
Objective 12 5%
Objective 13 5%
Objective 14 5%
Objective 15 5%
KRA 4
Objective 16 5%
Objective 17 5%
Objective 18 5%
KRA 5 Objective 19 10%
IPCRF Numerical Rating
Ave Score Adjectival Rating
Q E T Ave
0.000 0 0 0.000 0
0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0.000 0 0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
0 0.000 0
Final Rating 0.000
Adjectival Rating 0
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)
Name of Employee: ALLAN F. ROLOMA Name of Rater: MA. SALOME L. NIERE, Ph.D.
Position: Teacher I Position:
Bureau/Center/Service/Division: Damilag Integrated School Date of Review:
Rating Period: SY 2021 - 2022
TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVA
Performance Indicators Rating

Weight per
MFOs KRAs Objectives Timeline Actual Results
KRA
Poor
QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) Q E T
(1)
Basic 1. Content 1. Applied SY 2021- 5% Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level 0 0
Education Knowledge knowledge of 2022 7 in Objective 1 as 6 in Objective 1 as 5 in Objective 1 as 4 in Objective 1 as 3 in Objective 1 as
Services and content within and shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
Pedagogy across curriculum sheets / inter- sheets / inter- sheets / inter- sheets / inter- sheets / inter-
teaching areas. observer agreement observer agreement observer agreement observer agreement observer agreement
forms forms forms forms forms or No
acceptable evidence
was shown
Efficiency
Timeliiness
2. Used SY 2021- 5% Quality Used research Used research Used research Use of research No acceptable 0 0
research based 2022 based knowledge based knowledge based knowledge based knowledge evidence was
knowledge and/or principles and/or principles of and/or principles of and/or principle shown
and principles of teaching and teaching and teaching and of teaching and
of teaching learning in all the learning in two learning in one learning is
and learning to components of components of component of identified but
enhance instruction in the instruction in instruction in the was poorly used as
professional lesson plan to the lesson plan to lesson plan to basis for planning /
practice improve student improve student improve student designing the
learning learning learning lesson
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
3. Displayed SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
proficient use 2022 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
of Mother Objective 3 as Objective 3 as Objective 3 as Objective 3 as Objective 3 as
Tongue, shown in COT shown in COT shown in COT shown in COT shown in COT
Filipino and rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
English to inter-observer inter-observer inter-observer inter-observer inter-observer
facilitate agreement forms agreement agreement agreement forms agreement forms
teaching and forms forms or
learning No acceptable
evidence was
shown
Efficiency
Timeliiness
4. Used SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
effective verbal 2022 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
and non-verbal Objective 4 as Objective 4 as Objective 4 as Objective 4 as Objective 4 as
classroom shown in COT shown in COT shown in COT shown in COT shown in COT
communication rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
strategies to inter-observer inter-observer inter-observer inter-observer inter-observer
support learner agreement forms agreement agreement agreement agreement
understanding, forms forms forms forms
participation, or
engagement No acceptable
and evidence was
achievement shown
Efficiency
Timeliiness
2. Learning 5. Established SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
Environment safe and secure 2022 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
learning Objective 5 as Objective 5 as Objective 5 as Objective 5 as Objective 5 as
environments to shown in COT shown in COT shown in COT shown in COT shown in COT
enhance rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
learning through inter-observer inter-observer inter-observer inter-observer inter-observer
the consistent agreement agreement agreement agreement agreement
implementation forms forms forms forms forms
of policies, or
guidelines and No acceptable
procedures evidence was
shown
Efficiency
the consistent
implementation
of policies,
guidelines and
procedures Performance Indicators Rating
Weight per
KRA
Poor
(1)
Timeliiness
6. Maintained SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
learning 2022 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
environments Objective 6 as Objective 6 as Objective 6 as Objective 6 as Objective 6 as
that promote shown in COT shown in COT shown in COT shown in COT shown in COT
fairness, rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
respect and inter-observer inter-observer inter-observer inter-observer inter-observer
care to agreement forms agreement agreement agreement forms agreement forms
encourage forms forms or
learning No acceptable
evidence was
shown
Efficiency
Timeliiness
7. Maintained SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
learning 2022 (SET B) Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
environments Objective 7 as Objective 7 as Objective 7 as Objective 7 as Objective 7 as
that nurture shown in COT shown in COT shown in COT shown in COT shown in COT
and inspire rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
learners to inter-observer inter-observer inter-observer inter-observer inter-observer
participate, agreement agreement forms agreement forms agreement forms agreement
cooperate forms forms
and or
collaborate in No acceptable
continued evidence was
learning shown
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
8. Applied a SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
range of 2022 (SET B) Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
successful Objective 7 as Objective 7 as Objective 7 as Objective 7 as Objective 7 as
strategies shown in COT shown in COT shown in COT shown in COT shown in COT
that maintain rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
learning inter-observer inter-observer inter-observer inter-observer inter-observer
environments agreement agreement forms agreement forms agreement forms agreement
that motivate forms forms
learners to or
work No acceptable
productively evidence was
by assuming shown
responsibility
for their own
learning
Efficiency
Timeliiness
3: Diversity of 9. Designed, SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
Learners, adapted and 2022 (SET A) Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
Curriculum implemented Objective 7 as Objective 7 as Objective 7 as Objective 7 as Objective 7 as
and Planning, teaching shown in COT shown in COT shown in COT shown in COT shown in COT
& strategies rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
Assessment that are inter-observer inter-observer inter-observer inter-observer inter-observer
and responsive to agreement agreement forms agreement forms agreement forms agreement
Reporting learners with forms forms
disabilities, or
giftedness No acceptable
and talents evidence was
shown
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
3: Diversity of 10. Adapted SY 2021- 5% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0
Learners, and used 2022 (SET A) Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
Curriculum culturally Objective 7 as Objective 7 as Objective 7 as Objective 7 as Objective 7 as
and Planning, appropriate shown in COT shown in COT shown in COT shown in COT shown in COT
& teaching rating sheets / rating sheets / rating sheets / rating sheets / rating sheets /
Assessment strategies to inter-observer inter-observer inter-observer inter-observer inter-observer
and address the agreement agreement forms agreement forms agreement forms agreement
Reporting needs of forms forms
learners or
from No acceptable
indigenous evidence was
groups shown
Efficiency
Timeliiness
11. Adapted and SY 2021- 5% Quality Evaluated the Monitored Completed the Planned for the No acceptable 0 0
implemented 2022 adapted / progress of the implementation implementation evidence was
learning contextualized adapted / of the adapted / of the adapted / shown
programs that learning contextualized contextualized contextualized
ensure program as learning learning existing learning
relevance and evidenced by program while program as program
responsiveness MOV No. 1 being evidenced by as evidenced by
to the needs of implemented as MOV No. 3 MOV No. 4
all learners evidenced by
MOV No. 2
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
12. Utilized SY 2021- 5% Quality Implemented Developed Planned for a Analyzed No acceptable 0 0
assessment 2022 a teaching and materials teaching and learners’ evidence was
data to inform learning strategy / based on learning strategy mastered skills shown
the program using learners’ and/or program based on the
modification of materials based on assessment based on learners’ frequency of
teaching and learners’ data as assessment errors and
learning assessment evidenced by a data as correct
practices and data as evidenced list of identified evidenced by a responses as
programs by a list of identified least / most list of identified evidenced by a
least / most mastered skills least / most list of identified
mastered skills with supporting mastered skills least / most
with supporting MOV No. 2 with supporting mastered skills
MOV No. 1 MOV No. 3
Efficiency
Timeliiness
4: Community 13. Maintained SY 2021- 5% Quality Collaborated Planned with Conducted a Communicated No acceptable 0 0
Linkages and learning 2022 with the the community consultative with the evidence was
Professional environments community stakeholders a meeting with community shown
Engagement that are stakeholder in program, the community stakeholders
& Personal responsive to the project, and/or stakeholders about a
Growth and community implementation activity that on a program, program,
Professional contexts / completion of maintains a project, and/or project, and/or
Development a program, learning activity that activity that
project, and/or environment maintains a maintains the
activity that responsive to learning learning
maintains a community environment environment
learning contexts as responsive to responsive to
environment evidenced by community community
responsive to MOV No. 2 contexts as contexts as
community evidenced by evidenced by
contexts as MOV No. 3 MOV No. 4
evidenced by
MOV No. 1
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
14. Reviewed SY 2021- 5% Quality Exhibited an Exhibited an Reviewed Participated in No acceptable 0 0
regularly 2022 (SET B) improved practice improved practice personal teaching the review of evidence was
personal through one’s through a teaching practices using personal shown
teaching teaching as material as impact laws and regulations teaching
practice using impact of regularly of that apply to the practices using
existing laws reviewing one’s regularly reviewing profession and laws and
and regulations teaching practice/s one’s teaching the responsibilities regulations that
that apply to the using laws and practice/s using in the Code of apply to the
teaching regulations that laws and regulations Ethics for profession and
profession and apply to the that apply to the Professional the
the profession and profession and the Teachers in 4 responsibilities
responsibilities the responsibilities responsibilities quarters with in the Code of
specified in the in the Code of in the Code of reflection Ethics for
Code of Ethics Ethics for Ethics for outputs as Professional
for Professional Professional Professional evidenced by Teachers in 4
Teachers Teachers as Teachers as MOV No. 3 quarters as
evidenced by evidenced by evidenced by
MOV No. 1 MOV No. 2 MOV No. 4
Efficiency
Timeliiness
15. Complied SY 2021- 5% Sustained Discussed Communicated Implemented No 0 0
with and 2022 engagement with learners, with learners, school policies acceptable
implemented with the parents / parents / and procedures evidence
school policies learners, guardians, and guardians, and without was shown
and procedures parents / other other communicating
consistently to guardians, and stakeholders stakeholders the and consulting
foster other the implemented the learners,
harmonious stakeholders implemented school policies parents /
relationships regarding school policies and procedures guardians, and
with learners, school policies and procedures as evidenced by other
parents, and and procedures as evidenced MOV no. 3 stakeholders
other through by MOV no. 2
stakeholders school community
partnership/s
as evidenced
by MOV no. 1
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
16. Applied a SY 2021- 5% Applied learner Applied learner Applied Application of No acceptable 0 0
personal 2022 centered centered learner centered learner-centered evidence was
philosophy of teaching teaching teaching teaching shown
teaching that is philosophy in philosophy in philosophy in philosophy is
learner-centered the lesson plan the lesson plan the lesson plan reflected but
in all the in two in one was poorly
components of components of component of used as basis
instruction in instruction in instruction in for planning /
the lesson the lesson the lesson designing the
plan to plan to plan to lesson.
improve improve improve
student student student
learning learning learning
Efficiency
Timeliiness
17. Adopted SY 2021- 5% Exhibited Exhibited Adopted Adopted a No acceptable 0 0
practices that 2022 dignity of dignity of practices that practice that evidence was
uphold the teaching as a teaching as a uphold the uphold the shown
dignity of profession by profession by dignity of dignity of
teaching as a exhibiting exhibiting teaching as a teaching as a
profession by qualities such qualities such profession by profession by
exhibiting as caring as caring exhibiting exhibiting
qualities such attitude, attitude, qualities such qualities such as
as caring respect, and respect, and as caring caring attitude,
attitude, integrity with integrity with attitude, respect, and
respect and affirmation affirmation respect, and integrity as
integrity from different from any integrity as evidenced by
school school evidenced by one MOV No. 2
stakeholders stakeholder as at least two
as evidenced evidenced by MOV No. 2
by at least two one MOV No. 1
MOV No. 1
Efficiency
Timeliiness
Weight per
KRA
Poor
(1)
18. Set SY 2021- 5% Updated Discussed Set Accomplished No acceptable 0 0
professional 2022 professional progress on professional the e-SAT at the evidence
development development professional development beginning of the
goals based on goals during development goals based school year as
the Philippine Phase II of the goals with the on e-SAT evidenced by
Professional RPMS Cycle as rater during the results as MOV No. 4
Standards for evidenced by mid-year review evidenced by
Teachers MOV No. 1 as evidenced MOV No. 3
by MOV No. 2
Efficiency
Timeliiness
5. Plus Factor 19. Performed SY 2021- 10% Timeliness Performed at Performed at Performed at Performed at No acceptable 0 0
various related 2022 least 1 related least 1 related least 1 related least 1 related evidence was
works / work / activity work / activity work / activity work / activity shown
activities that that contributed that contributed that contributed to that contributed
contribute to to the teaching to the teaching the teaching to the teaching
the teaching learning process learning process learning learning process
learning beyond the school / within the school / process within within the class
process Community Community the learning as evidenced by
Learning Center Learning Center area / department submitted MOV
(CLC) as evidenced (CLC) as evidenced as
by submitted MOV by submitted MOV evidenced by
submitted
MOV
RATING FOR OVERALL ACCOMPLISHMENTS 0
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
ALLAN F. ROLOMA MA. SALOME L. NIERE, Ph.D.

Ratee Rater Approving Authority
OMMITMENT AND REVIEW FORM (IPCRF)
MA. SALOME L. NIERE, Ph.D.
TO BE FILLED OUT DURING EVALUATION
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
Rating
Score
Ave
0 0.000
0 0.000
0 0.000
Republic of the Philippines Appendix M
Department of Education
Region X
Division of Bukidnon
Damilag Integrated School
Damilag, Manolo Fortich, Bukidnon
ANNOTATION TEMPLATE
Description of the MOV
OBJECTIVES Means of Verification Annotations
Presented
1. Applied knowledge of Classroom Observation Tool (COT) rating sheet or
content within and across inter-observer agreement form from
curriculum teaching
areas. 1. an observation of synchronous
teaching (limited face-to face eaching, online
teaching, or two-way radio instruction)
2. if option 1 is not possible, an observation

of a recorded video
lesson or audio lesson that is SLM-based or
MELC-aligned
3. if options 1 and 2 are not possible, an

observation of a demonstration
teaching* via LAC
2. Used research based One (1) lesson plan with annotations

knowledge and principles identifying the research-based
of teaching and learning knowledge and/or principles of teaching and
to enhance professional learning used as
basis for planning / designing the lesson
practice
3. Displayed proficient Classroom ObservationTool (COT) rating sheet or

use of Mother Tongue, inter-observer agreement form from
Filipino and English to
facilitate teaching and 1. an observation of synchronous teaching
learning (limited face to-face eaching, online
2. if option 1 is not possible, an

observation of a recorded video lesson or
audio lesson that is SLM-based or MELC
aligned

observation of a demonstration teaching* via
LAC
4. Used effective verbal Classroom ObservationTool (COT) rating sheet or
and non-verbal classroom inter-observer agreement form from
communication strategies
to support learner 1. an observation of synchronous teaching
understanding, (limited face to-face teaching, online
participation, engagement
and achievement

of a recorded video
MELC-aligned

LAC
5. Established safe and Classroom ObservationTool (COT) rating sheet or

secure learning inter-observer agreement form from
environments to
enhance learning through
the consistent
implementation of
policies, guidelines and
procedures
5. Established safe and
secureOBJECTIVES
learning Description of the MOV
Means of Verification Annotations
environments to Presented
enhance learning through 1. an observation of synchronous teaching
the consistent (limited face to-face teaching, online
implementation of teaching, or two-way radio instruction)
policies, guidelines and
procedures
of a recorded video
MELC-aligned

LAC
6. Maintained Classroom ObservationTool (COT) rating sheet or

learning inter-observer agreement form from
environments
that promote 1. an observation of synchronous teaching
fairness, (limited face to-face teaching, online
respect and teaching, or two-way radio instruction)
care to
encourage 2. if option 1 is not possible, an observation
learning of a recorded video
MELC-aligned

LAC
7. Maintained learning SET A

environments that nurture
and inspire learners to Any supplementary material (in print/digital
participate, cooperate and format) made by the ratee* and used in the
collaborate in continued lesson delivery that highlights maintaining
learning learning environments that nurture and inspire
learners to participate, cooperate and
collaborate in continued learning
activity sheet/s
one lesson from a self-learning module (SLM)

lesson plan (e.g., DLP, DLL, WHLP,
✘
WLP, WLL, lesson exemplars, and the
likes)
video lesson
✘
audio lesson
✘
other learning materials in print/digital

format (please specify and provide
annotations)
with client/learner feedback on how the

material encouraged the learners to
participate, cooperate, and collaborate
SET B
Classroom ObservationTool (COT) rating sheet or
inter-observer agreement form from
1. an observation of synchronous teaching

(limited face to-face teaching, online
Presented
of a recorded video
MELC-aligned

LAC
8. Applied a range of SET A

successful strategies
that maintain learning Any supplementary material (in print/digital
environments that format) made by the ratee* and used in the
motivate learners to lesson delivery that highlights maintaining
work productively learning environments that nurture and inspire
learners to participate, cooperate and
by assuming responsibility collaborate in continued learning
for their own
learning
activity sheet/s
one lesson from a self-learning module (SLM)

lesson plan (e.g., DLP, DLL, WHLP,
✘
WLP, WLL, lesson exemplars, and the
likes)
video lesson
✘
audio lesson
✘
other learning materials in print/digital

format (please specify and provide
annotations)
with client/learner feedback on how the

material encouraged the learners to
participate, cooperate, and collaborate
SET B
Classroom ObservationTool (COT) rating sheet or
inter-observer agreement form from
1. an observation of synchronous teaching

(limited face to-face teaching, online

of a recorded video
MELC-aligned

LAC
9. Designed, ✘ SET A
adapted and
implemented Classroom ObservationTool (COT) rating sheet or
teaching inter-observer agreement form from
strategies
that are 1. an observation of synchronous teaching
responsive to (limited face to-face teaching, online
learners with
disabilities,
giftedness 2. if option 1 is not possible, an observation
and talents
✘
of a recorded video
MELC-aligned
learners with
disabilities,
giftedness
and talents

Presented
LAC
SET B
Teacher Reflection Form (TRF) on designing,

adapting, and/or implementing teaching
strategies that are responsive to learners
with disabilities, giftedness and talents and
a certification from the school head that the

ratee’s classes have no identified learner/s
with disabilities, giftedness and/or talents
10. Adapted ✘ SET A

and used
culturally Classroom ObservationTool (COT) rating sheet or
appropriate inter-observer agreement form from
teaching
strategies to 1. an observation of synchronous teaching
address the (limited face to-face teaching, online
needs of
learners
from
indigenous 2. if option 1 is not possible, an observation
groups ✘
of a recorded video
MELC-aligned

LAC
SET B
✘ Teacher Reflection Form (TRF) on designing,

adapting, and/or implementing teaching
strategies that are responsive to
learnersfrom indigenous groups and
a certification from the school head that the
ratee’s classes have no identified learner/s
from indigenous groups
11. Adapted and ✘ 1. Proof of evaluation* on the

implemented implementation of the adapted /
learning contextualized learning
programs that program
ensure
relevance and
responsiveness 2. Progress report on the implementation of
to the needs of the adapted / contextualized learning
all learners program
3. Accomplishment / completion / technical

report on the implementation of an
adapted / contextualized learning program
4. Action plan / activity proposal / activity
matrix that shows an adapted/
contextualized learning program
Presented
12. Utilized A list of identified least / most mastered skills based
assessment on the frequency of errors / correct responses with
data to inform any of the following supporting MOV
the
modification of
teaching and 1. accomplishment report for remedial /
learning enhancement activities (e.g., remedial
sessions, Summer Reading Camp, Phil-IRI
practices and
based reading program)
programs
2. intervention material used

for remediation / reinforcement /
enhancement
3. lesson plan/activity log for remediation /
enhancement utilizing of assessment data to
modify teaching and learning practices or
programs
13. Maintained leaming 1. Accomplishment report of a

environments that are program / project / activity
responsive that maintains a learning
to community contexts environment
2. Program / Project / Activity

plan on maintaining a
learning environment
3. Minutes of a consultative
meeting / community
stakeholders meeting
about a program / project /
activity that maintains a
learning environment with
proof of attendance
4. Communication letter about

a program / project /
activity that maintains a
learning environment
14. Reviewed 1. Annotated video / audio recording of
regularly one’s teaching that shows impact of
personal regularly reviewing one’s teaching practice/s
teaching
practice using
existing laws 2. Annotated teaching material that shows
and regulations impact of regularly reviewing one’s teaching
that apply to the practice/s
teaching
profession and
the lesson plan
responsibilities
specified in the activity sheet
Code of Ethics
for Professional assessment materials
Teachers
others (please specify)
3. Personal reflection notes as outputs from
participation in review of personal teaching
practices in four (4) quarters
4. Proof of attendance (with date) in LAC or

coaching and mentoring sessions for review
of personal
teaching practices
Presented
15. Complied 1. Proof of participation /
with and involvement in a school-community
implemented partnership for the implementation of a
school policies school policy /procedure (e.g.,
certificate as committee member, narrative
and procedures report)
consistently to
foster
harmonious
relationships
with learners, 2. Minutes of parent teacher conference /
parents, and stakeholders’ meeting
other about an implemented school policy /
stakeholders procedure with proof of attendance
3. Communication letter about an

implemented school policy /
procedure sent to parent / guardian
16. Applied a personal One (1) lesson plan with annotations
philosophy of teaching explaining the application of a learner-
that is learner-centered centered teaching philosophy
(e.g., constructivism, existentialism) used as
basis for planning / designing the lesson
17. Adopted 1. Documented feedback from superiors,

practices that colleagues, learners, parents / guardian, or
uphold the other
dignity of stakeholders directly reflecting the ratee’s
good practices that uphold the
teaching as a dignity of teaching as a profession
profession by
exhibiting
qualities such
as caring 2. Annotated evidence of practice indirectly
attitude, linking to the upholding of the dignity of
respect and teaching as a profession by exhibiting
qualities such as caring attitude, respect and
integrity integrity
Screenshot of text message / chat /

email / any form of communication
with parents / guardian or learners
(name or any
identifier removed)
Remarks from mentor / master

teacher / school head about one’s
qualities (e.g., entries in
Performance Monitoring
and Coaching Form [PMCF] or in
Mid-Year Review Form)
Recognition from the school /

school community about one’s
qualities
others (please specify)

18. Set
professional 1. Updated IPCRF-DP from Phase II
development
goals based on
the Philippine 2. Mid-year Review Form (MRF)
Professional
Standards for
Teachers 3. IPCRF-DP
4. Certification from the ICT Coordinator /

School Head / Focal
Person in charge of e SAT
19. Performed Any proof of:

various related
works /
activities that
contribute to
the teaching learning
process
OBJECTIVES
19. Performed Means of Verification Annotations
various related Presented
works / committee involvement
activities that
contribute to advisorship of co curricular activities
the teaching learning
process
book or journal authorship / contributorship
coordinatorship / chairpersonship
coaching and mentoring learners in

competitions
serving as reliever of classes in the

absence of teachers
mentoring pre-service teachers

participation in demonstration teaching
participation as technical working
group member
others (please specify and provide

annotations)
Republic of the Philippines
Region X
PART IV: DEVELOPMENT PLANS OF THE IPCRF (IPCRF-DP)

Action Plan (Recommended Developmental
Strengths Development Needs
Intervention)
A. Teaching Competencies (PPST)
B. Core Behavioral Competencies (DepEd)
Feedback:

RATEE RATER
public of the Philippines
epartment of Education
Region X
ilag Integrated School
g, Manolo Fortich, Bukidnon
MENT PLANS OF THE IPCRF (IPCRF-DP)

Timeline Resources Needed
0
APPROVING AUTHORITY
Region X
PERFORMANCE MONITORING AND COACHING FORM

DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT

RATEE RATER
Region X
amilag Integrated School
milag, Manolo Fortich, Bukidnon
E MONITORING AND COACHING FORM

IMPACT ON JOB/ACTION PLAN SIGNATURE (RATER/RATEE)
0
APPROVING AUTHORITY

IPCRF TI TIII 2021 2022 Focus On COT Indicator 1 To 9 Only W KRA Weight

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IPCRF TI TIII 2021 2022 Focus On COT Indicator 1 To 9 Only W KRA Weight

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COT 1 COT 2

Weight per COT RPMS RPMS

TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVA

Performance Indicators Rating

RATING FOR OVERALL ACCOMPLISHMENTS 0

ADJECTIVAL RATING EQUIVALENCES

ALLAN F. ROLOMA MA. SALOME L. NIERE, Ph.D.

TO BE FILLED OUT DURING EVALUATION

2. if option 1 is not possible, an observation

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

2. Used research based One (1) lesson plan with annotations

3. Displayed proficient Classroom ObservationTool (COT) rating sheet or

2. if option 1 is not possible, an

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

2. if option 1 is not possible, an observation

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

5. Established safe and Classroom ObservationTool (COT) rating sheet or

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

6. Maintained Classroom ObservationTool (COT) rating sheet or

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

7. Maintained learning SET A

one lesson from a self-learning module (SLM)

other learning materials in print/digital

with client/learner feedback on how the

1. an observation of synchronous teaching

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

8. Applied a range of SET A

one lesson from a self-learning module (SLM)

other learning materials in print/digital

with client/learner feedback on how the

1. an observation of synchronous teaching

2. if option 1 is not possible, an observation

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

Description of the MOV

Teacher Reflection Form (TRF) on designing,

a certification from the school head that the

10. Adapted ✘ SET A

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

✘ Teacher Reflection Form (TRF) on designing,

11. Adapted and ✘ 1. Proof of evaluation* on the

3. Accomplishment / completion / technical

2. intervention material used

13. Maintained leaming 1. Accomplishment report of a

2. Program / Project / Activity

4. Communication letter about

4. Proof of attendance (with date) in LAC or

3. Communication letter about an

17. Adopted 1. Documented feedback from superiors,

Screenshot of text message / chat /

Remarks from mentor / master

Recognition from the school /

others (please specify)

4. Certification from the ICT Coordinator /

19. Performed Any proof of:

coaching and mentoring learners in

serving as reliever of classes in the

mentoring pre-service teachers

others (please specify and provide

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

B. Core Behavioral Competencies (DepEd)

ALLAN F. ROLOMA MA. SALOME L. NIERE, Ph.D.

MENT PLANS OF THE IPCRF (IPCRF-DP)