INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF) FOR TEACHERS I-III

Name of Employee: RENMARK JOHN P. REBAY Name of Rater: MARY JEAN L. UY

Position: Teacher III Position: Master Teacher I
Bureau/Center/Service/Division: Ramon T. Diaz National High School - Western Samar Date of Review: July 14, 2022
Rating Period: SY 2021-2022 (August 2021-July 2022)

TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING EVALUATION

PERFORMANCE INDICATORS
WEIGHT Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor ACTUAL Rating
MFO KRAS OBJECTIVES TIMELINE QET SCORE
PER KRA RESULTS (Quality)
5 4 3 2 1
1. Content 1. Applied SY 2021- 20% Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level 0.000
Knowledge and 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
Pedagogy content within and shown in the COT shown in the COT shown in the COT shown in the COT shown in the COT
across curriculum rating sheets/inter- rating sheets/inter- rating sheets/inter- rating sheets/inter- rating 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.
Basic Education Services

2. Used SY 2021- Quality Used research- Used research- Used research- Use of research- No acceptable 0.000
research-based 2022 based knowledge based knowledge based knowledge based knowledge evidence was
knowledge and and/or principles of and/or principles of and/or principles of and/or principle of shown
principles of teaching in all the teaching in two teaching in one teaching and
teaching and components of components of components of learning is identified
learning to instruction in the instruction in the instruction in the but was poorly used
enhance lesson plan to lesson plan to lesson plan to as basis for
professional improve student improve student improve student planning/designing
practice. learning learning learning the lesson
 3. Displayed SY 2021- Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level 0.000
proficient use of 2022 7 in Objective 3 as 6 in Objective 3 as 5 in Objective 3 as 4 in Objective 3 as 3 in Objective 3 as
Mother Tongue, shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
Filipino and sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
English to observer agreement observer agreement observer agreement observer agreement observer agreement
facilitate teaching forms forms forms forms forms OR No
and learning. acceptable evidence
was shown.

4. Used effective SY 2021- Quality Demostrated Level Demostrated Level Demostrated Level Demostrated Level Demostrated Level 0.000
verbal and non- 2022 7 in Objective 4 as 6 in Objective 4 as 5 in Objective 4 as 4 in Objective 4 as 3 in Objective 4 as
verbal classroom shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
strategies to sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
support learner agreement forms agreement forms agreement forms agreement forms agreement forms
understanding, OR No acceptable
participation, evidence was
engagement and shown.
achievement.

2. Learning 5. Established SY 2021- 20% Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demostrated Level 0.000
Environment safe and secure 2022 7 in Objective 5 as 6 in Objective 5 as 5 in Objective 5 as 4 in Objective 5 as 3 in Objective 5 as
learning shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
environments to sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
enhance learning observer agreement observer agreement observer agreement observer agreement agreement forms
through the forms forms forms forms OR No acceptable
consistent evidence was
implementation of shown.
policies,
guidelines and
procedures.
6. Maintained SY 2021- Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demostrated Level 0.000
learning 2022 7 in Objective 6 as 6 in Objective 6 as 5 in Objective 6 as 4 in Objective 6 as 3 in Objective 6 as
environments that shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
promote fairness, sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
respect and care observer agreement observer agreement observer agreement observer agreement agreement forms
to encourage forms forms forms forms OR No acceptable
learning. evidence was
shown.

7. Maintained SY 2021- Quality Provided effective Provided effective Provided an Provided learning No acceptable 0.000
learning 2022 (SET A) and varying learning learning effective learning opportunity/ies that evidence was
environments that opportunities that opportunities that opportunity that is is/are partially shown
nurture and are well-aligned with are well-aligned with well-aligned with the aligned with the
inspire learners to the learning goals the learning goals learning goals and learning goals and
participate, and feature all and engage engage learners to only somehow
cooperate and elements of learners to participate, engage/s learners to
collaborate in collaborative participate, cooperate, and/or participate,
continued learning as shown in cooperate, and/or collaborate in cooperate and/or
learning. the submitted collaborate in continued learning collaborate in
learning material. continued learning as shown in the continued learning
as shown in the submitted learning as shown in the
submitted learning material. submitted learning
material. material.
 Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demostrated Level 0.000
(SET B) 7 in Objective 7 as 6 in Objective 7 as 5 in Objective 7 as 4 in Objective 7 as 3 in Objective 7 as
shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
observer agreement observer agreement observer agreement observer agreement agreement forms
forms forms forms forms OR No acceptable
evidence was
shown.

8. Applied a SY 2021- Quality Applied effective Applied effective Applied an effective Applied teaching No acceptable 0.000
range of 2022 (SET A) teaching strategies teaching strategies teaching strategy strategy/ies that evidence was
successful that are well-aligned that are well-aligned that is well-aligned is/are partially shown
strategies that with the learning with the learning with the learning aligned with the
maintain learning goals and goals and goal/s and learning goal/s and
environments to successfully successfully successfully only somehow
motivate learners motivate learners to motivate learners to motivates learners motivate/s learners
to work monitor and work productively by to work productively to work productively
productively by evaluate their own assuming by assuming by assuming
assuming learning as shown in responsibility for responsibility for responsibility for
responsibility for the submitted their own learning their own learning their own learning
their own learning material. as shown in the as shown in the as shown in the
learning. submitted learning submitted learning submitted learning
material. material. material.
 Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level 0.000
(SET B) 7 in Objective 8 as 6 in Objective 8 as 5 in Objective 8 as 4 in Objective 8 as 3 in Objective 8 as
shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
observer agreement observer agreement observer agreement observer agreement observer agreement
forms forms forms forms forms OR No
acceptable evidence
was shown

3. Diversity of 9. Designed, SY 2021- 20% Quality Demostrated Level Demostrated Level Demostrated Level Demostrated Level Demostrated Level 0.000
Learners, adapted and 2022 (SET A) 7 in Objective 9 as 6 in Objective 9 as 5 in Objective 9 as 4 in Objective 9 as 3 in Objective 9 as
Curriculum and implemented shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
Planning & teaching sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
Assessment and strategies that are observer agreement observer agreement observer agreement observer agreement observer agreement
Reporting responsive to forms forms forms forms forms OR No
learners with acceptable evidence
disabilities, was shown
giftednedness
and talents
Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level 0.000
(SET B) 5 as shown in the 4 as shown in the 3 as shown in the 2 as shown in the 1 as shown in the
TRFs TRFs TRFs TRFs TRFs OR No
acceptable evidence
was shown
10. Adapted and SY 2021- Quality Demostrated Level Demostrated Level Demostrated Level Demostrated Level Demostrated Level 0.000
used culturally- 2022 (SET A) 7 in Objective 10 as 6 in Objective 10 as 5 in Objective 10 as 4 in Objective 10 as 3 in Objective 10 as
appropriate shown in COT rating shown in COT rating shown in COT rating shown in COT rating shown in COT rating
teaching sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
strategies to observer agreement observer agreement observer agreement observer agreement observer agreement
address the forms forms forms forms forms OR No
needs of learners acceptable evidence
from indigenous was shown
groups

Quality Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level Demonstrated Level 0.000
(SET B) 5 as shown in the 4 as shown in the 3 as shown in the 2 as shown in the 1 as shown in the
TRFs TRFs TRFs TRFs TRFs OR No
acceptable evidence
was shown

11. Adapted and SY 2021- Quality Evaluated the Monitored progress Completed the Planned for the No acceptable 0.000
implemented 2022 adapted/contextuali of the adapted/ implementation of implementation of evidence was
learning programs zed learning contextualized the adapted/ the shown
that ensure program as learning program contextualized adapted/contextuali
relevance and evidenced by MOV while being learning program as zed existing learning
responsiveness to No.1 implemented as evidence by MOV program as
the needs of all evidence by MOV No. 3 evidenced by MOV
learners No. 2 No. 4
 12. Utilized SY 2021- Quality Implemented a Developed materials Planned for a Analyzed learners' No acceptable 0.000
assessment data 2022 teaching and based on learners' teaching and mastered skills evidence was
to inform the learning assessment data as learning strategy based on the shown
modification of strategy/program evidenced by a list and/or program frequency of errors
teaching and using materials of identified based on learners' and correct
learning practices based on learners' least/most mastered assessment data as responses as
and programs assessment data as skills with evidenced by a list evidenced by a list
evidenced by a list supporting MOV of identified of identified
of identified No.2 least/most mastered least/most mastered
least/most mastered skills with skills
skills with supporting MOV
supporting MOV No. No.3
1

4. Community 13. Maintained SY 2021- 30% Quality Collaborated with Planned with the Conducted a Communicated with No acceptable 0.000
Linkages and learning 2022 the community community consultative meeting the community evidence was
Professional environments that stakeholder in the stakeholders, a with the community stakeholders about shown
Engagement & are responsive to implementation/ program, project, stakeholders on a a program, project,
Personal Growth community completion of a and/or activity that program, project, and/or activity that
contexts program/project, maintains a learning and/or activity that maintains a learning
and Professional
and/or activity that environment maintains a learning environment
Development maintains a learning responsive to the environment responsive to the
environment community contexts responsive to the community contexts
responsive to the as evidenced y community contexts as evidenced by
community contexts MOV No.2 as evidenced by MOV No. 4
as evidenced by MOV 3
MOV No.1
14. Reviewed SY 2021- Quality Exhibited an Exhibited an Reviewed personal Prticipated in the No acceptable 0.000
regularly personal 2022 improved practice improved practice teaching practices review of personal evidence was
teaching practice through one's through a teaching using laws and teaching practices shown
using existing teaching as impact material as impact regulations that using laws and
laws and of regularly of regularly apply to the regulations that
regulations that reviewing one's reviewing one's profession and the apply to the
apply to the teaching practice/s teaching practice/s responsibilities in profession and the
teaching using laws and using laws and the Code of Ethics responsibilities in
profession and regulations that regulations that for Professional the Code of Ethics
the apply to the apply to the Teachers in 4 for Professional
responsibilities profession and the profession and the quarters with Teachers in 4
specified in the responsibilities in responsibilities in reflection outputs quarters as
Code of Ethics for the Code of Ethics the Code of Ethics as evidenced by evidenced by MOV
Professional for Professional for Professional MOV No.3 No.4
Teachers Teachers as Teachers as
evidenced by MOV evidenced by MOV
No.1 No.2
15. Complied SY 2021- Quality Sustained Discussed with Communicated with Implemented school No acceptable 0.000
with and 2022 engagement with learners, learners, policies and evidence was
implemented the learners, parents/guardians, parents/guardians, procedures without shown
school policies parents/guardians and other and other communicating and
and procedures and other stakeholders the stakeholders the consulting the
consistently to stakeholders implemented school implemented school learners,
foster harmonious regarding school policies and policies and parents/guardians
relationships with policies and procedures as procedures as and other
learners, parents procedures through evidenced by MOV evidenced by MOV stakeholders
and other school-community No.2 No.3
stakeholders partnership/s as
evidenced by MOV
No.1

16. Applied a SY 2021- Quality Applied learner- Applied learner- Applied learner- Application of No acceptable 0.000
personal 2022 centered teaching centered teaching centered teaching learner-centered evidence was
philosophy of philosophy in the philosophy in the philosophy in the teaching philosophy shown
teaching that is lesson plan in all the lesson plan in two lesson plan in one is reflected but was
learner-centered components of components of component of poorly used as basis
instruction in the instruction in the instruction in the for
lesson plan to lesson plan to lesson plan to planning/designing
improve student improve student improve student the lesson
learning learning learning
17. Adopted SY 2021- Quality Exhibited dignity of Exhibited dignity of Adopted practices Adopted a practice No acceptable 0.000
practices that 2022 teaching as a teaching as a that uphold the that uphold the evidence was
uphold the dignity profession by profession by dignity of teaching dignity of teaching shown
of teaching as a exhibiting qualities exhibiting qualities as a profession by as a profession by
profession by such as caring such as caring exhibiting qualities exhibiting qualities
exhibiting attitude, respect and attitude, respect and such as caring such as caring
qualities such as integrity with integrity with attitude, respect and attitude, respect and
caring attitude, affirmation from affirmation from any dignity as evidenced dignity as evidenced
respect and different school school stakeholder by at least 2 MOV by one MOV No.2
integrity. stakeholders as as evidenced by No.2
evidenced by at one MOV No.1
least two MOV No.1

18. Set SY 2021- Quality Updated Discussed progress Set professional Accomplished the e- No acceptable 0.000
professional 2022 professional on professional development goals SAT at the evidence was
devleopment development goals development goals based on e-SAT beginning of the shown
goals based on during Phase II of with the rater during results as evidenced school year as
the Philippine the RPMS Cycle as the Mid-year Review by MOV No.3 evidenced by MOV
Professional evidenced by MOV as evidenced by No.4
Standars for No.1 MOV No.2
Teachers
5. Plus Factor 19. Performed SY 2021- 10%
various related 2022
works/activities
that contribute to
the teaching-
learning process
Quality Performed at least 1 Performed at least 1 Performed at least 1 Performed at least 1 No acceptable 0.000
related work/activity related work/activity related work/activity related work/activity evidence was
that contribute to the that contribute to the that contribute to the that contributed to shown
teaching-lerning teaching-lerning teaching-lerning the teaching-
process beyond the process within the process within the learning process
school/Community school/Community learning within the class as
Learning Center Learning Center area/department as evidenced by
(CLC) as evidenced (CLC) as evidenced evidenced by submitted MOV
by submitted MOV by submitted MOV submitted MOV

RATING FOR OVERALL ACCOMPLISHMENTS Poor 0.000

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

RENMARK JOHN P. REBAY MARY JEAN L. UY JORGE N. PANICAN

Ratee Rater Approving Authority
 PART II: COMPETENCIES
Instructions: Please indicate the number of competency indicators that you demonstrated during the performance cycle.
CORE BEHAVIORAL COMPETENCIES
Self-Management Teamwork

1. Sets personal goals and directions, needs and development. 1. Willingly does his/her share of responsibility.

2. Undertakes personal actions and behavior that are clear and purposive and takes into account personal 2. Promotes collaboration and removes barrier to teamwork and goal accomplishment across the
goals and values congruent to that of the organization. organization.

3. Displays emotional maturity and enthusiasm for and is challenged by higher goals. 3. Applies negotiation principles in arriving at win-win agreements.

4. Prioritizes work tasks and schedules (through Gantt chants, checklists, etc.) to achieve goals.
5. Sets high quality, challenging, realistic goals for self and others.
Professionalism and Ethics
1. Demonstrates the values and behavior enshrined in the Norms and Conduct and Ethical Standards for
Public Officials and Employees (RA 6713).
2. Practices ethical and professional behavior and conduct taking into account the impact of his/her actions
and decisions.
3. Maintains a professional image: being trustworthy, regularity of attendance and punctuality, good
grooming and communication.
4. Makes personal sacrifices to meet the organization’s needs.
5. Acts with a sense of urgency and responsibility to meet the organization’s needs, improve system and
help others improve their effectiveness.
Results Focus
1. Achieves results with optimal use of time and resources most of the time.
2. Avoids rework, mistakes and wastage through effective work methods by placing organizational needs
before personal needs.
4. Drives consensus and team ownership of decisions.
5. Works constructively and collaboratively with others and across organizations to accomplish organization
goals and objectives.
Service Orientation
1. Can explain and articulate organizational directions, issues and problems.
2. Takes personal responsibility for dealing with and/or correcting customer service issues and concerns.
3. Initiates activities that promote advocacy for men and women empowerment.
4. Participates in updating office vision, mission, mandates and strategies based on DepEd strategies and
directions.
5. Develops and adopts service improvement program through simplified procedures that will further
enhance service delivery.
Innovation
1. Examines the root cause of problems and suggests effective solutions. Foster new ideas, processes and
suggests better ways to do things (cost and/or operational efficiency).
2. Demonstrates an ability to think “beyond the box”. Continuously focuses on improving personal
productivity to create higher value and results.

3. Delivers error-free outputs most of the time by conforming to standard operating procedures correctly and
consistently. Able to produce very satisfactory quality work in terms of usefulness/acceptability and 3. Promotes a creative climate and inspires co-workers to develop original ideas or solutions.
completeness with no supervision required.

4. Expresses a desire to do better and may express frustration at waste or inefficiency. May focus on new or 4. Translates creative thinking into tangible changes and solutions that improve the work unit and
more precise ways of meeting goals set. organization.

5. Makes specific changes in the system or in own work methods to improve performance. Examples may
5. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness and the ability to
include doing something better, faster, at a lower cost, more efficiently, or improving quality, customer
succeed with minimal resources.
satisfaction, morale, without setting any specific goal.

Note: The assessment in the demonstration of competencies shall not be reflected in the final rating. These competencies are monitored to inform professional development plans (DepEd Order No. 2, s. 2015, p. 9).
 INDIVIDUAL PERFORMANCE COMMITMENT REVIEW FORM (IPCRF) SUMMARY SHEET
Teacher I-III (Proficient Teacher)

Name of Employee: RENMARK JOHN P. REBAY Name of Rater: MARY JEAN L. UY

Position: Teacher III Position: Master Teacher I
Bureau/Center/Service/Division: Ramon T. Diaz National High School - Western SamarDate of Review: July 14, 2022
Rating Period: SY 2021-2022 (August 2021-July 2022)

Weight per Weight per Numerical Ratings

KRA Objectives Score
KRA Objective Q E T Ave
Objective 1 5% 0 0.000 0.000
Objective 2 5% 0 0.000 0.000
KRA 1 20%
Objective 3 5% 0 0.000 0.000
Objective 4 5% 0 0.000 0.000
Objective 5 5% 0 0.000 0.000
Objective 6 5% 0 0.000 0.000
KRA 2 20%
Objective 7 5% 0 0.000 0.000
Objective 8 5% 0 0.000 0.000
Objective 9 5% 0 0.000 0.000
Objective 10 5% 0 0.000 0.000
KRA 3 20%
Objective 11 5% 0 0.000 0.000
Objective 12 5% 0 0.000 0.000
Objective 13 5% 0 0.000 0.000
Objective 14 5% 0 0.000 0.000
Objective 15 5% 0 0.000 0.000
KRA 4 30%
Objective 16 5% 0 0.000 0.000
Objective 17 5% 0 0.000 0.000
Objective 18 5% 0 0.000 0.000
KRA 5 10% Objective 19 10% 0 0.000 0.000
Final Rating 0.000
Adjectival Rating Poor

RENMARK JOHN P. REBAY MARY JEAN L. UY JORGE N. PANICAN

Ratee Rater Approving Authority
 PART IV: DEVELOPMENT PLANS
Action Plan
Strengths Development Needs (Recommended Developmental Intervention) Timeline Resources Needed
Learning Objectives Intervention
A. Functional Competencies

B. Core Behavioral Competencies

Feedback:
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RENMARK JOHN P. REBAY MARY JEAN L. UY JORGE N. PANICAN

RATEE RATER APPROVING AUTHORITY