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

Name of Employee: RUILEN S. GEPOLANI Name of Rater: ELMER F. CALCABEN

Position: Teacher 1 Position: Principal 1
Bureau/Center/Service/Division: SARANGANI Date of Review: February 7, 2023
Rating Period: SY 2022-2023 (August 2022- July 2023)

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

PERFORMANCE INDICATORS
WEIGHT ACTUAL Rating
MFO KRAS OBJECTIVES TIMELINE QET Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor SCORE
PER KRA RESULTS
5 4 3 2 1 Q E T Ave.
Basic 1. 1. Applied SY 2022- 7% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0.000
Educatio Content knowledge of 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
n Knowledg content within and Objective 1 as Objective 1 as Objective 1 as Objective 1 Objective 1 as
Services e and across curriculum shown in the shown in the shown in the as shown in shown in the
Pedagogy teaching areas. COT rating COT rating COT rating the COT COT rating
(PPST 1.1.2) sheets/inter- sheets/inter- sheets/inter- rating sheets/inter-
observer observer observer sheets/inter- observer
agreement agreement agreement observer agreement
forms. forms. forms. agreement forms OR No
forms. acceptable
evidence was
shown.

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time
2. Used a range SY 2022- 7% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 0 0.000
of teaching 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
strategies that Objective 1 as Objective 1 as Objective 1 as Objective 1 Objective 1 as
enhance learner shown in the shown in the shown in the as shown in shown in the
achievement in COT rating COT rating COT rating the COT COT rating
literacy and sheets/inter- sheets/inter- sheets/inter- rating sheets/inter-
numeracy skills. observer observer observer sheets/inter- observer
(PPST 1.4.2) agreement agreement agreement observer agreement
forms. forms. forms. agreement forms OR No
forms. acceptable
evidence was
shown.

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time

3. Applied a SY 2022- 7% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demonstrated 3 3 3 0.210

range of teaching 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
strategies to Objective 3 as Objective 3 as Objective 3 as Objective 3 Objective 3 as
develop critical shown in COT shown in COT shown in COT as shown in shown in COT
and creative rating rating rating COT rating rating
thinking, as well sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
as other higher- observer observer observer observer observer
order thinking agreement agreement agreement agreement agreement
skills. (PPST forms forms forms forms forms OR No
1.5.2) acceptable
evidence was
shown.
 Efficency Objective was
Objective was met but No acceptable
met within the instruction evbidence was
allotted time exceeded the shown
allotted time
2. 4. Managed SY 2022- 7% Quality Demostrated Demostrated Demostrated Demostrated Demostrated 0 0.000
Learning classroom 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
Environme structure to Objective 4 as Objective 4 as Objective 4 as Objective 4 Objective 4 as
nt and engage learners, shown in COT shown in COT shown in COT as shown in shown in COT
Diversity individually or in rating rating rating COT rating rating
groups, in sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
of
meaningful agreement agreement agreement agreement agreement
Learners exploration, forms forms forms forms forms OR No
discovery and acceptable
hands-on evidence was
activities within a shown.
range of physical
learning
environments.
(PPST 2.3.2)

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time

5. Managed SY 2022- 7% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demostrated 0 0.000

learner behavior 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
constructively by Objective 5 as Objective 5 as Objective 5 as Objective 5 Objective 5 as
applying positive shown in COT shown in COT shown in COT as shown in shown in COT
and non-violent rating rating rating COT rating rating
discipline to sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
ensure learning- observer observer observer observer agreement
focused agreement agreement agreement agreement forms OR No
environments. forms forms forms forms acceptable
(PPST 2.6.2) evidence was
shown.
 Efficency Objective was Objective was No acceptable
met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time

6. Used SY 2022- 7% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demostrated 0 0.000

differentiated, 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
developmentally Objective 6 as Objective 6 as Objective 6 as Objective 6 Objective 6 as
appropriate shown in COT shown in COT shown in COT as shown in shown in COT
learning rating rating rating COT rating rating
experiences to sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
address learners' observer observer observer observer agreement
gender, needs, agreement agreement agreement agreement forms OR No
strengths, forms forms forms forms acceptable
interests and evidence was
experiences. shown.
(PPST 3.1.2)

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time

3. 7. Planned, SY 2022- 7% Quality Demonstrated Demonstrated Demonstrated Demonstrated Demostrated 0 0.000

Curriculum managed and 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
and implemented Objective 6 as Objective 6 as Objective 6 as Objective 6 Objective 6 as
Planning developmentally shown in COT shown in COT shown in COT as shown in shown in COT
sequemced rating rating rating COT rating rating
teaching and sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
learning observer observer observer observer agreement
processes to agreement agreement agreement agreement forms OR No
meet curriculum forms forms forms forms acceptable
requirements and evidence was
varied teaching shown.
contexts. (PPST
4.1.2)
contexts. (PPST
4.1.2)

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time

8. Participated in SY 2022- 7% Quality Planned for Reflected for Shared Attended LAC No acceptable 0 0.000
collegial 2023 enriched enriched practices, sessions/ evidence was
discussions that teaching teaching teacher and FGDs/ other shown
use teacher and practice based practice based learner collegial
learner feedback on LAC on LAC feedback during discussions
to enrich teaching sessions/ sessions/ LAC sessions/ that discuss
practice. (PPST FGD's/ FGD's/ FGD's/ teacher/
4.4.2) meetings/ other meetings/ other meetings/ other learner
collegial collegial collegial feedback to
discussions discussions discussions to enrich
attended, as attended, as plan, facilitate, instruction, as
shown in MOV shown in MOV and enrich shown in
3 3 teaching MOV 1
practice as
shown in MOV 2

Timelines Participated in Participated in Participated in Participated No acceptable

s collegial collegial collegial in collegial evidence was
discussions discussions that discussions that discussions shown
that discuss discuss teacher discuss teacher that discuss
teacher and and learner and learner teacher and
learner feedback feedback across learner
feedback across 3 2 quarters feedback
across 4 quarters across 1
quarters quarter
 9. Selected, SY 2022- 7% Quality Demostrated Demostrated Demostrated Demostrated Demostrated 0 0.000
developed, 2023 (SET A) Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
organized and Objective 9 as Objective 9 as Objective 9 as Objective 9 Objective 9 as
used appropriate shown in COT shown in COT shown in COT as shown in shown in COT
teaching and rating rating rating COT rating rating
learning sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
resources, observer observer observer observer observer
including ICT, to agreement agreement agreement agreement agreement
address learning forms forms forms forms forms OR No
goals. (PPST acceptable
4.5.2) evidence was
shown

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time

4. 10. Designed, SY 2022- 7% Quality Demostrated Demostrated Demostrated Demostrated Demostrated 0 0.000
Assessmen selected, 2023 Level 7 in Level 6 in Level 5 in Level 4 in Level 3 in
t and organized and Objective 10 as Objective 10 as Objective 10 as Objective 10 Objective 10 as
Reporting used diagnostic shown in COT shown in COT shown in COT as shown in shown in COT
formative and rating rating rating COT rating rating
summative sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter-
assessment observer observer observer observer observer
strategies agreement agreement agreement agreement agreement
consistent with forms forms forms forms forms OR No
curriculum acceptable
requirements. evidence was
(PPST 5.1.2) shown

Efficency Objective was Objective was No acceptable

met within the met but evbidence was
allotted time instruction shown
exceeded the
allotted time
 11. Monitored SY 2022- 7% Quality Involved Monitored and Monitored and Monitored No acceptable 0 0.000
and evaluated 2023 learner/s in evaluated evaluated and evaluated evidence was
learner progress monitoring and learner learner progress learner shown
and achievement evaluation of progress and and progress and
using learner their own achievement achievement achievement
attainment data progress and based on the based on the based on the
(PPST 5.2.2) achievement attainment data class attainment existing grade
from an data level/departm
individual ent/ learning
learner area report

Timelines Submitted Submitted Submitted Submitted No acceptable

s MOV/s show/s MOV/s show/s MOV/s show/s MOV/s evidence was
monitoring and monitoring and monitoring and show/s shown
evaluation evaluation done evaluation done monitoring
done across 4 across 3 across 2 and
quarters quarters quarters evaluation
done across 1
quarter
 12. SY 2022- 7% Quality Sustained Communicated Communicated Communicate No acceptable 0 0.000
Communicated 2023 engagement promptly and promptly and d learners' evidence was
promptly and through regular clearly using clearly using needs, shown
clearly the communication various tools only one (1) progress and
learners' needs, of learner's and strategies strategy achievement
progress and needs, learners' needs, learners' needs, to key
achievement to progress and progress and progress and stakeholders,
key stakeholders, achievement to achievement to achievement to including
including parents/ key key key parents/
guardians. (PPST stakeholders, stakeholders stakeholders, guardians but
5.4.2) including including including not regularly
parents/ parents/ parents/ as shown in
guardians, as guardians, as guardians, as the MOV
shown in the shown ini the shown ini the submitted
MOV submitted MOV submitted MOV submitted

Timelines Showed Showed prompt Showed prompt Showed No acceptable

s prompt communication communication prompt evidence was
communication of learners' of learners' communicatio shown
of learners' needs, progress needs, progress n of learners'
needs, and and needs,
progress and achievement achievement progress and
achievement across 3 across 2 achievement
across 4 quarters quarters across 1
quarters quarter
 5. 13. Applied a SY 2022- 7% Quality Submitted Submitted MOV Submitted MOV Submitted No acceptable 0 0.000
Personal personal 2023 MOV that that reflects that application MOV that evidence was
Growth philosophy of details the invovement of of a personal indicates a shown
and teaching that is consistent learners in the philosophy of personal
Profession learner-centered. invovement of teaching- teaching that is philosophy of
(PPST 7.1.2) learners in the learning learner- teaching that
al
teaching- process centered. is not learner-
Developm learning resulting from centered.
ent process the application
resulting from of a personal
the application philosophy of
of a personal teaching that is
philosophy of learner-
teaching that is centered.
learner-
centered.

Timelines Applied a Applied a Applied a Applied a No acceptable

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

14. Set SY 2022- 7% Quality Update Discussed Set professional Accomplished No acceptable 0 0.000
professional 2023 professional progress on development the e-SAT at evidence was
development development professional goals based on the beginning shown
goals based on goals during development e-SAT results of the school
the Philippine Phase II of the goals with the as evidenced by year as
Professional RPMS Cycle rater during the MOV 2 evidenced by
Standards for as evidenced mid-year review MOV 1
Teachers (PPST by MOV 4 as evidenced
7.5.2) by MOV 3
 Efficency Submitted 4 Submitted 3 Submitted 2 Submitted 1 No acceptable
acceptable acceptable acceptable acceptable evidence was
MOV's MOV's MOV's MOV's shown

Timeliness All four (4) All three (3) All two (2) Only one (1) No acceptable
submitted submitted submitted submitted evidence was
MOV's were MOV's were MOV's were MOV's were shown
accomplished accomplished accomplished accomplished
within the within the within the within the
prescribed prescribed prescribed prescribed
RPMS Phase RPMS Phase RPMS Phase RPMS Phase

Plus Factor 15. Performed SY 2022- 2% Quality Performed at Performed at Performed at Performed at No acceptable 0 0.000
various related 2023 Efficency least one (1)
Submitted least one (1)
Submitted MOV least one (1)
Submitted MOV least one (1)
Submitted evidence was
No acceptable
works/ activities related
MOV that work/ related work/ related
that details the that showswork/ related
MOV that work/ shown
evidence was
that contribute to activity that
details the activity
perceivedthat activity that
reasonable activity
shows that shown
the teaching- contributed to
achieved contributed to interlap
positive contributed
withtothe considerable
contributed to
learning process. the teaching-
positive the
contribution to actual teaching- the
teaching- the teaching- teaching-
overlap with,
learning
contribution to learning learning
the teaching- learning process learning
hence
process
the teaching- process
learning within within
process,theas process
significantly
beyond
learningthe the school/
process, as learning
evidenced by within thethe
affecting
school/
process, as Community area/department class
evidenced by the annotation performance as
Communityby
evidenced Learning
the Center provided.
annotation as evidenced by of evidenced
the actualby
Learning
the annotation (CLC) as
provided. the submitted teaching-
the submitted
Center
provided.(CLC) evidenced by MOV MOV
learning
as evidenced the submitted process.
by the MOV
submitted MOV

Timeliness Submitted Submitted Submitted Submitted No acceptable

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

RATING FOR OVERALL ACCOMPLISHMENTS Outstanding 0.21

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

RUBILEN S. GEPOLANI ELMER F. CALCABEN GILDO G. MOSQUEDA, CEO VI

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 2. Promotes collaboration and removes barrier to teamwork and goal accomplishment across the
personal goals and values congruent to that of the organization. organization.
3. Displays emotional maturity and enthusiasm for and is challenged by higher goals. 5 3. Applies negotiation principles in arriving at win-win agreements. 5
4. Prioritizes work tasks and schedules (through Gantt chants, checklists, etc.) to achieve goals. 4. Drives consensus and team ownership of decisions.
5. Works constructively and collaboratively with others and across organizations to accomplish organization
5. Sets high quality, challenging, realistic goals for self and others.
goals and objectives.
Professionalism and Ethics Service Orientation
1. Demonstrates the values and behavior enshrined in the Norms and Conduct and Ethical Standards
1. Can explain and articulate organizational directions, issues and problems.
for Public Officials and Employees (RA 6713).
2. Practices ethical and professional behavior and conduct taking into account the impact of his/her
2. Takes personal responsibility for dealing with and/or correcting customer service issues and concerns.
actions and decisions.
3. Maintains a professional image: being trustworthy, regularity of attendance and punctuality, good 5 3. Initiates activities that promote advocacy for men and women empowerment.
4
grooming and communication.
4. Participates in updating office vision, mission, mandates and strategies based on DepEd strategies and
4. Makes personal sacrifices to meet the organization’s needs.
directions.
5. Acts with a sense of urgency and responsibility to meet the organization’s needs, improve system 5. Develops and adopts service improvement program through simplified procedures that will further
and help others improve their effectiveness. enhance service delivery.
Results Focus Innovation
1. Examines the root cause of problems and suggests effective solutions. Foster new ideas, processes and
1. Achieves results with optimal use of time and resources most of the time.
suggests better ways to do things (cost and/or operational efficiency).
2. Avoids rework, mistakes and wastage through effective work methods by placing organizational 2. Demonstrates an ability to think “beyond the box”. Continuously focuses on improving personal
needs before personal needs. 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 completeness with no supervision required. 4 3. Promotes a creative climate and inspires co-workers to develop original ideas or solutions.
5
4. Expresses a desire to do better and may express frustration at waste or inefficiency. May focus on 4. Translates creative thinking into tangible changes and solutions that improve the work unit and
new or more precise ways of meeting goals set. organization.

5. Makes specific changes in the system or in own work methods to improve performance. Examples
5. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness and the ability to
may include doing something better, faster, at a lower cost, more efficiently, or improving quality,
succeed with minimal resources.
customer 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: RUBILEN S. GEPOLANI Name of Rater: ELMER F. CALCABEN
Position: TEACHER - 1 Position: Principal-1
Bureau/Center/Service/Division: SARANGANI Date of Review: February 7, 2023
Rating Period: SY 2022-2023 (August 2022 - July 2023)

Weight per Numerical Ratings

KRA Weight per KRA Objectives Score
Objective Q E T Ave
Objective 1 7% 5 5 5.00 0.350
KRA 1 21% Objective 2 7% 5 5 5.00 0.350
Objective 3 7% 5 5 5.00 0.350
Objective 4 7% 5 5 5.00 0.350
KRA 2 21% Objective 5 7% 5 5 5.00 0.350
Objective 6 7% 5 5 5.00 0.350
Objective 7 7% 5 5 5.00 0.350
KRA 3 21% Objective 8 7% 5 5 5.00 0.350
Objective 9 7% 5 5 5.00 0.350
Objective 10 7% 5 5 5.00 0.350
KRA 4 21% Objective 11 7% 5 5 5.00 0.350
Objective 12 7% 5 5 5.00 0.350
Objective 13 7% 5 5 5.00 0.350
KRA 5 14%
Objective 14 7% 5 5 5 5.00 0.350
Plus Factor 2% Objective 15 2% 5 5 5 5.000 0.100
Final Rating 5.000

Adjectival Rating Outstanding

RUBILEN S. GEPOLANI ELMER F. CALCABEN GILDO G. MOSQUEDA, CEO VI

Ratee Rater Approving Authority
 PART IV: DEVELOPMENT PLANS
I, RUBILEN S. GEPOLANI, Teacher 1, commit to deliver and agree on the attainment of the following action plan to address my development needs in accordance
with the inidcated measures for the period of August 2022 to July 2023.
Action Plan
(Recommended Developmental Intervention)
Strength Development Needs Timeline Resources Needed
Learning Objectives Intervention
A. Functional Competencies
Maintained learning Utilized assessment data To enhance assessment Utilized reading March 2023 - July Worksheets
environments that are to inform the data to provide modified programs, updated 2023 Laptop
responsive to community modification of teaching teaching and learning learner's assessment Printers
contexts and learning practices practices and programs data per quarter
and programs

B. Core Behavioral Competencies

Maintains a professional
image: being trustworthy,
regularly of attendance and
punctuality, good grooming
and communication
Translates creative thinking
into tangible changes and
solutions that improve the
work unit and organization
To be creative thinker that
creates solution to improve
the work unit and
organization
Trainers
Laptop
Internet Connectivity
Attend seminars and
workshop that gather ideas to March 2023 - July
be creative thinker become 2023
more innovative

Feedback:
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RUBILEN S. GEPOLANI ELMER F. CALCABEN GILDO G. MOSQUEDA, CEO VI

RATEE RATER APPROVING AUTHORITY