Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON
SCHOOLS DIVISION OF ZAMBALES
BANCAL INTEGRATED SCHOOL
BANCAL, BOTOLAN, ZAMBALES

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

MID – YEAR REVIEW FORM
Name of Employee: MARY GRACE F. BALAORO Name of Rater: MARIE FLO M. AYSIP
Position: Teacher I Position: School Head
Division: Zambales Date of Review:
Rating Period:

Weight Mid-Year Review Rating Mid-Year

MFO’s KRA’s Objectives Time per MOV Performance Review
line KRA Target Results
Ratee (Teacher) Rater (Head Teacher)
Rating Remarks Rating Remarks
Basic Content 1. Applied Aug 22.5% Classroom Observation Tool (COT) rating Outstanding (5) 4 Demonstra
Education Knowledge knowledge ust sheet/s or inter-observer agreement form/s Demonstrated Level ted Level 6
Services and of content 2022 done through onsite / face-to-face / in- 7 in Objective 1 as in
Pedagogy within and to person classroom observation. shown in COT rating Objective 1
across July If onsite / face-to-face / in-person classes sheets / inter- as shown in
curriculum 2023 are not implemented, observer agreement COT rating
teaching • through observation of synchronous / forms sheets /
areas. (PPST asynchronous teaching in other modalities; inter-
1.1.2) or Objective was met observer
• through observation of a demonstration within the allotted agreement
teaching* via LAC session. time forms

2. Used a Classroom Observation Tool (COT) rating Outstanding (5) 4 Demonstra

range of sheet/s or inter-observer agreement form/s Demonstrated Level ted Level 6
teaching done through onsite / face-to-face / in- 7 in Objective 1 as in
strategies that person classroom observation. shown in COT rating Objective 2
enhance If onsite / face-to-face / in-person classes sheets / inter- as shown in
learner are not implemented, observer agreement COT rating
achievement • through observation of synchronous / forms sheets /
in literacy and asynchronous teaching in other modalities; inter-
numeracy or Objective was met observer
skills. • through observation of a demonstration within the allotted agreement
(PPST 1.4.2) teaching* via LAC session. time forms
 3. Applied a Classroom Observation Tool (COT) rating Outstanding (5) 5
range of sheet/s or inter-observer agreement form/s Demonstrated Level
teaching done through onsite / face-to-face / in- 7 in Objective 1 as
strategies to person classroom observation. shown in COT rating
develop If onsite / face-to-face / in-person classes sheets / inter-
critical and are not implemented, observer agreement
creative • through observation of synchronous / forms
thinking, as asynchronous teaching in other modalities;
well as other or Objective was met
higher-order • through observation of a demonstration within the allotted
thinking skills. teaching* via LAC session. time
(PPST 1.5.2)
Functional 2. Learning 4. Managed Classroom Observation Tool (COT) rating Outstanding (5) 5
classroom Environmen classroom sheet/s or inter-observer agreement form/s Demonstrated Level
t and structure to done through onsite / face-to-face / in- 7 in Objective 1 as
Diversity of engage person classroom observation. shown in COT rating
Learners learners, If onsite / face-to-face / in-person classes sheets / inter-
individually or are not implemented, observer agreement
in groups, in • through observation of synchronous / forms
meaningful asynchronous teaching in other modalities;
exploration, or Objective was met
discovery and • through observation of a demonstration within the allotted
hands-on teaching* via LAC session. time
activities
within a range
of physical
learning
environments.
(PPST 2.3.2)
5. Managed Classroom Observation Tool (COT) rating Outstanding (5) 4
learner sheet/s or inter-observer agreement form/s Demonstrated Level
behavior done through onsite / face-to-face / in- 7 in Objective 1 as
constructively person classroom observation. shown in COT rating
by applying If onsite / face-to-face / in-person classes sheets / inter-
positive and are not implemented, observer agreement
non-violent • through observation of synchronous / forms
discipline to asynchronous teaching in other modalities;
ensure or Objective was met
learning- • through observation of a demonstration within the allotted
focused teaching* via LAC sessio time
environments.
(PPST 2.6.2)
 6. Used Classroom Observation Tool (COT) rating Outstanding (5) 4
differentiated, sheet/s or inter-observer agreement form/s Demonstrated Level
developmenta done through onsite / face-to-face / in- 7 in Objective 1 as
lly appropriate person classroom observation. shown in COT rating
learning If onsite / face-to-face / in-person classes sheets / inter-
experiences to are not implemented, observer agreement
address • through observation of synchronous / forms
learners’ asynchronous teaching in other modalities;
gender, needs, or Objective was met
strengths, • through observation of a demonstration within the allotted
interests and teaching* via LAC session. time
experiences.
(PPST 3.1.2)
DLL/DLP 3. 7. Planned, Classroom Observation Tool (COT) rating Outstanding (5) 5
and IM’s Curriculum managed and sheet/s or inter-observer agreement form/s Demonstrated Level
and implemented done through onsite / face-to-face / in- 7 in Objective 1 as
Planning developmenta person classroom observation. shown in COT rating
lly sequenced If onsite / face-to-face / in-person classes sheets / inter-
teaching and are not implemented, observer agreement
learning • through observation of synchronous / forms
processes to asynchronous teaching in other modalities;
meet or Objective was met
curriculum • through observation of a demonstration within the allotted
requirements teaching* via LAC session. time
and varied
teaching
contexts.
(PPST 4.1.2)
8. Participated 1. Proof/s of attendance in LAC sessions / Outstanding (5) 5
in collegial FGDs / meetings / other collegial discussions Planned for
discussions 2. Minutes of LAC sessions / FGDs / enriched teaching
that use meetings / other collegial discussions on use practice based on
teacher and of teacher and learner feedback to enrich LAC sessions /
learner teaching practice FGDs / meetings /
feedback to 3. Reflection notes of teachers on their other collegial
enrich demonstration of teaching practices discussions
teaching following participation from LAC sessions / attended, as shown
practice. FGDs / meetings / other collegial discussions in MOV 3
(PPST 4.4.2 that use teacher and learner feedback to
enrich teaching practice, with proof/s of Participated in
attendance collegial discussions
4. Any equivalent ALS form/document that that discuss teacher
 highlights the objective and learner
feedback across 4
quarters
9. Selected, Classroom Observation Tool (COT) rating Outstanding (5) 5
developed, sheet/s or inter-observer agreement form/s Demonstrated Level
organized and done through onsite / face-to-face / in- 7 in Objective 1 as
used person classroom observation. shown in COT rating
appropriate If onsite / face-to-face / in-person classes sheets / inter-
teaching and are not implemented, observer agreement
learning • through observation of synchronous / forms
resources, asynchronous teaching in other modalities;
including ICT, or Objective was met
to address • through observation of a demonstration within the allotted
learning goals. teaching* via LAC session. time
(PPST 4.5.2)
Classroom 4. 10. Designed, Classroom Observation Tool (COT) rating Outstanding (5) 5
assessment Assessment selected, sheet/s or inter-observer agreement form/s Demonstrated Level
tool with and organized and done through onsite / face-to-face / in- 7 in Objective 1 as
rubrics reporting used person classroom observation. shown in COT rating
diagnostic, If onsite / face-to-face / in-person classes sheets / inter-
formative and are not implemented, observer agreement
summative • through observation of synchronous / forms
assessment asynchronous teaching in other modalities;
strategies or Objective was met
consistent • through observation of a demonstration within the allotted
with teaching* via LAC session. time
curriculum
requirements.
(PPST 5.1.2)
11. Monitored Any one (1) of the following: Outstanding (5) 5
and evaluated ● Individual Learning Monitoring Plan (ILMP) Involved learner/s
learner ● Peer assessment data in monitoring and
progress and ● Sample of learners’ output with evaluation of their
achievement reflection / self-assessment own progress and
using learner ● Progress charts/anecdotal records achievement
attainment ● Class/e-class record/grading sheets
data. ● Lesson plans showing index of mastery Submitted MOV/s
(PPST 5.2.2 ● Frequency of errors with identified show/s monitoring
least/most mastered skills and evaluation done
● Any equivalent ALS form/document that across 4 quarters
highlights the objective (e.g., Individual
Learning Agreement (ILA), ALS Assessment
 Form 2)
● Others (Please specify and provide
annotations)
12. Any one (1) of the following: Outstanding (5) 5
Communicate ● A sample of corrected test paper of a Sustained
d promptly learner in a learning area with parent’s or engagement
and clearly the guardian’s signature and date of receipt through regular
learners’ ● Minutes of meetings with key communication of
needs, stakeholders (e.g., PTA, SGC, SPT, CPC) with learners’ needs,
progress and proof of attendance progress and
achievement ● Report card with parent’s or guardian’s achievement to key
to key signature in all quarters supported by stakeholders,
stakeholders, minutes of meeting including
including ● Communication with key stakeholders parents/guardians ,
parents/guardi (e.g., parents/guardians, co-teachers, LGU) as shown in the
ans. using various modalities MOV submitted
(PPST 5.4.2) ● Anecdotal record showing entries per
quarter Showed prompt
● Any equivalent ALS form/document that communication of
highlights the objective learners’ needs,
● Others (Please specify and provide progress and
annotations) achievement across
4 quarters
13. Applied a A reflection/journal entry that highlights Outstanding (5) 5
personal the application of a learner centered Submitted MOV
philosophy of teaching philosophy in the lesson plan or that details the
teaching that community. consistent
is learner- involvement of
centered. learners in the
(PPST 7.1.2) teaching-learning
process resulting
from the application
of a personal
philosophy of
teaching that is
learner-centered

Applied a personal
philosophy of
teaching that is
learner-centered
across 4 quarters
 14. Set 1.Certification from the ICT Coordinator / Outstanding (5) 4
professional School Head / Focal Person in charge of e- Updated
development SAT professional
goals based on 2.IPCRF-DP development goals
the Philippine 3. Mid-year Review Form (MRF) during Phase II of
Professional 4. Updated IPCRF-DP from Phase II the RPMS Cycle as
Standards for evidenced by MOV
Teachers. 4
(PPST 7.5.2)
Submitted 4
acceptable MOVs
All four (4)

submitted MOVs
were accomplished
within the
prescribed RPMS
Phase
Certificates 5. Plus 15. Any one (1) proof of: Outstanding (5) 5 Performed
and Factor Performed ● committee involvement; Performed at least at least
Accomplish various ● involvement as module/learning material one (1) related work one (1)
ments related writer/validator; / activity that related
works/activiti ● involvement as a resource contributed to the work /
es that person/speaker/learning facilitator in in the teaching-learning activity
contribute to RO/SDO/school-initiated TV/radio-based process beyond the that
the teaching-
instruction; school / Community contributed
learning
● book or journal authorship/ co- Learning Center to the
process
authorship/contributorship; (CLC) as evidenced teaching-
● advisorship/coordinatorship/ by the submitted learning
chairpersonship; MOV. process
● participation in demonstration teaching; beyond the
● participation as research presenter in a Submitted MOV school /
forum/conference; that details the Communit
● mentoring of pre-service/in-service achieved positive y Learning
teachers; contribution to the Center
● conducted research within the rating teaching-learning (CLC) as
period; process, as evidenced
● others (please specify) evidenced by the by the
annotation submitted
with annotation on how it contributed to provided. MOV.
the teaching-learning process.
Submitted MOVs
 were distributed
across 4 quarters

Ratee: Rater: Approved:

CLAUDINE JOIE DAYAP MARIE FLO M. AYSIP JESSIE D. FERRER

Teacher I Principal II Schools District Superintendent