Republic of the Philippines

Department of Education
Region X
Division of Cagayan de Oro City
Yacapin-Velez Sts., Cagayan de Oro City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: Name of Rater:
Position: Position:
Bureau/Center/Service/Division: Date of Review:
Rating Period:
TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING
EVALUATION
Performance Indicators Rating
Weight per Actual
MFOs KRAs Objectives Timeline Poor Score
KRA QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) MOV Results Q E T Ave
(1)

Basic 1. Content 1. Applied Classroom Observation

Education Knowledge knowledge of Tool (COT) rating sheet or
Services and content within Demonstrat inter-observer agreement
Demonstrated Demonstrated Demonstrated Demonstrated
Pedagogy and across ed Level 3 form from
Level 7 in Level 6 in Level 5 in Level 4 in
curriculum in
teaching areas
Objective 1 as Objective 1 as Objective 1 as Objective 1 as Objective 1 1.     an online observation
shown in COT shown in COT shown in COT shown in COT as shown in of online synchronous
January rating rating rating rating COT rating teaching
2021 -May Quality sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter 2. if option 1 is not
2021 observer observer observer observer - observer possible, an observation of
agreement agreement forms agreement agreement agreement a video lesson that is SLM-
forms forms forms forms or Based or MELC aligned
No 3.     if options 1
acceptable and 2 are not possible, an
evidence observation of a
was shown demonstration teaching via
LAC.

Page 1 of 12
 2. Ensured the Ensured that Ensured that the Ensured that the Ensured that No Any supplementary material
positive use of the ICT used ICT used ICT used ICT are used but acceptable (in print/digital format) made
ICT to facilitate redefine and augment and modify do not create a evidence by the ratee and used in the
the teaching and transform enrich learning processes and new learning was shown lesson delivery that
learning process learning experiences and improve experience highlights the positive use of
experiences are documented learning and/or are ICT to facilitate the teaching
and are properly and experiences and documented and learning process
documented consistently are but not •
properly and using any documented consistent with Activity sheet/s
consistently referencing properly and one • One lesson from a self-
using any style as shown consistently referencing learning module (SLM)
October referencing in the submitted using any style as shown • Lesson plan (e.g., DLP,
2020 -May Quality style as learning material referencing in the submitted DLL, WHLP, WLP, WLL,
2021 shown in the style as shown learning material Lesson Exemplars, and the
submitted in the submitted likes)
learning learning material • Video lesson
material • Audio lesson
• Other learning materials in
print/digital format (please
specify and
provide annotations)

Performance Indicators Rating

Weight per Actual
MFOs KRAs Objectives Timeline Poor Score
KRA QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) MOV Results Q E T Ave
(1)

Page 2 of 12
 3. Applied a Applied Applied teaching Applied teaching Applied teaching No Any supplementary
range of teaching teaching strategies that strategies that strategies that acceptable material (in print/digital
strategies to strategies that require learners require lead learners evidence format) made by the ratee
develop critical challenge to make learners to along a single was shown and used in the lesson
and creative learners to connections describe and path of inquiry delivery that highlights
thinking, as well draw using ideas explain ideas and/or to teaching strategies to
as other higher- conclusions learned as learned as simple recall develop critical and creative
order thinking and justify shown in the shown in the and rote thinking, as well as other
skills their thinking submitted submitted memorization higher-order thinking skills
or put parts learning material learning material of concepts as • Activity sheet/s
together to shown in the • One
promote submitted lesson from a self- learning
October deeper learning material module (SLM)
2020 -May Quality understanding • Lesson plan
2021 of ideas (e.g., DLP, DLL, WHLP,
learned as WLP, WLL, Lesson
shown in the Exemplars, and the likes)
submitted • Video lesson
learning • Audio lesson
material • Other learning materials in
print/digital format (please
specify and provide
annotations)

Basic 2. Diversity of 4. Established a Utilized Utilized effective Utilized an Utilized a No Any supplementary material
Education Learners & learner- centered effective teaching effective teaching acceptable (in print/digital format) made
Services Assessment culture by using teaching strategies that teaching strategy or evidence by the ratee and used in the
and teaching strategies are appropriate strategy that is strategies that was shown lesson delivery that
Reporting strategies that that are in responding to appropriate in partially highlights teaching
respond to their appropriate learners’ responding to respond to strategies that are
linguistic, in responding linguistic, learners’ learners’ responsive to learners’
cultural, to learners’ cultural, linguistic, linguistic, linguistic, cultural,
socioeconomic linguistic, socioeconomic, cultural, cultural, socioeconomic, or religious
and religious cultural, or religious socioeconomic, socioeconomic, backgrounds
backgrounds socioeconomi backgrounds at or religious or religious • Activity sheet/s
c, or religious a group level* backgrounds as backgrounds as • One lesson from a self-
backgrounds as shown in the shown in the shown in the learning module (SLM)
October at an submitted submitted submitted • Lesson plan (e.g., DLP,
2020 -May Quality individual learning material learning material learning material DLL, WHLP, WLP, WLL,
2021 level* as Lesson Exemplars, and the
shown in the likes)
submitted • Video lesson
learning • Audio lesson
material • Other learning materials in
print/digital format (please
specify and provide
annotations)

Performance Indicators Rating

Weight per Actual
MFOs KRAs Objectives Timeline Score
KRA Results
Page 3 of 12
 Weight per Actual
MFOs KRAs Objectives Timeline Poor Score
KRA QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) MOV Results Q E T Ave
(1)

Page 4 of 12
 5. Planned and Demonstrated Demonstrated Demonstrated Demonstrated Demonstrat Classroom Observation
delivered Level 7 in Level 6 in Level 5 in Level 4 in ed Tool (COT) rating sheet or
teaching Objective 5 as Objective 5 as Objective 5 as Objective 5 as Level 3 in inter-observer agreement
strategies that shown in COT shown in COT shown in COT shown in COT Objective 5 form from
are responsive to rating rating rating rating as shown in 1. an online observation of
the special sheets/inter- sheets/inter- sheets/inter- sheets/inter- COT rating online synchronous
educational observer observer observer observer sheets/inter teaching
needs of learners agreement agreement forms agreement agreement - observer 2. if option 1 is not possible,
in difficult forms forms forms agreement an observation of a video
circumstances*, forms lesson that is SLM- based
including: or MELC- aligned
January
geographic or 3. if options 1 and 2 are not
2021 -May Quality
isolation; chronic possible, an observation of
2021
illness; No a demonstration teaching
displacement due acceptable via LAC
to armed conflict, evidence
urban was shown
resettlement or
disasters; child
abuse and child
labor practices.

6. Used Provided Provided Provided Provided No Evidence that highlights

strategies for learners with learners with learners with learners with evidence providing accurate and
providing timely, accurate, and accurate, and accurate, and inaccurate was shown constructive feedback to
accurate and specific and specific general and/or improve learner
constructive directed constructive constructive destructive performance and that shows
feedback to Quaklityconstructive feedback as feedback as feedback as timeliness of feedback given
improve learner feedback* as shown in the shown in the shown in the to any of the following
performance shown in the evidence evidence evidence activity sheet performance
evidence submitted submitted submitted task,   quiz or test, self-
October
submitted learning module
2020 -May
2021 MOV MOV submitted MOV submitted MOV submitted No
submitted shows feedback shows feedback shows feedback evidence
shows given within 6- given within 11- given beyond was shown
feedback 10 working 20 working 20 working
Timelin given within 5 days from days from days from
working days submission submission submission
from
submission

Basic 3. Curriculum 7. Selected, Demonstrated Demonstrated Demonstrated Demonstrated Demonstrat Classroom Observation
Education and Planning developed, Level 7 in Level 6 in Level 5 in Level 4 in ed Level 3 Tool (COT) rating sheet or
Services organized and in inter-observer agreement
used appropriate form from
teaching and
learning
resources, January
including ICT, to 2021 -May Quality
address learning 2021
goals

Page 5 of 12
Basic 3. Curriculum 7. Selected,
Education and Planning developed,
Services organized and
used appropriate
teaching and Objective 7 as Objective 7 as Objective 7 as Objective 7 as Objective 7 1.     an online observation
learning shown in COT shown in COT shown in COT shown in COT as shown in of online synchronous
resources, rating rating rating rating COT rating teaching
January sheets/inter- sheets/inter- sheets/inter- sheets/inter- sheets/inter 2.     if option 1 is not
including ICT, to 2021 -May Quality observer
address learning observer observer observer - observer possible, an observation of
2021 agreement agreement forms agreement agreement agreement a video lesson that is SLM-
goals
forms forms forms forms or No based or MELC- aligned
acceptable 3.     if
evidence options 1 and 2 are not
was shown possible, an via LAC
observation of a
demonstration teaching
Performance Indicators Rating
Weight per Actual
MFOs KRAs Objectives Timeline Poor Score
KRA QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) MOV Results Q E T Ave
(1)

8. Set achievable All of the Majority of the Half of the Less than half No One lesson plan (e.g.,
and appropriate learning learning learning of the learning acceptable DLP, DLL, WHLP, WLP,
learning outcomes set outcomes set outcomes set outcomes set evidence WLL, Lesson Exemplars,
outcomes that are aligned are aligned with are aligned with are aligned with was shown and the likes) or one lesson
are aligned with with the the learning the learning the learning from a self-learning
learning learning competencies as competencies as competencies module prepared by the
competencies competencies shown in the shown in the as shown in the ratee with achievable and
as shown in MOV submitted MOV submitted MOV submitted appropriate learning
the MOV outcomes that are aligned
submitted with the learning
competencies as shown in
October any of the following:
2020 -May Quality Lecture/discussion   
2021 Activity/activity sheet,  
Performance task, Rubric
for assessing performance
using criteria that
appropriately describe the
target output

Page 6 of 12
Basic 4. Community 9. Built October Sustained Secured Communicated Communicated No
1. Proof of participation in
Education Linkages and relationships with 2020 -May engagement collaboration with and with parents/ acceptable
any activity for improved
Services Professional parents/ 2021 with parents/ with parents/ obtained guardians evidence
access to education such
Engagement guardians and guardians guardians and/or response from and/or wider was shown
as, but not limited to the ff.
& Personal the wider school and/or wider wider school parents/ school activities
Growth & community to school community to guardians and/or community to
• Distribution of learning
Professional facilitate community to facilitate wider school facilitate
materials to
Development involvement in facilitate involvement in community to involvement in
learners/parents (e.g.,
the educative involvement in the educative facilitate the educative
receipt form/monitoring form
process the educative process as involvement in process but
during distribution of
process as evidenced by the educative received no
learning materials, etc.)
Quality evidenced by one MOV no. 1 process as response/reply
• Brigada Eskwela (e.g.,
2 or more of or 2 evidenced by as evidenced by
commitment form to
MOV no. 1 or MOV No. 3 MOV No. 3
stakeholders, developed
2 advocacy materials,
certificate of participation
that involves
parents’/stakeholders’
engagement signed by the
school head, etc.)
• Home visitation (e.g.,
home visitation form, etc.)
• Others (please specify and
Submitted any Submitted any 3 Submitted any 2 Submitted any 1 No 2. Parent-teacher log or
provide annotations)
4 of the of the of the of the acceptable proof of other stakeholders
acceptable acceptable acceptable acceptable evidence meeting (e.g., one-on-one
MOV* MOV* MOV* MOV was shown parent-teacher- learner
conference log; attendance
sheet with minutes of online
or face-to-face meeting;
proof of involvement in the
learners’/parents’
orientation, etc.)
3. Any form of
communication to
parents/stakeholders (e.g.,
notice of meeting;
Effeciency screenshot of chat/text
message/communication
with parent/guardian [name
or any identifier removed];
digital/ printed copy of
Learner Enrollment Survey
Form signed by the ICT
Coordinator/Focal
person and School Head)

Performance Indicators Rating

Weight per Actual
MFOs KRAs Objectives Timeline Poor Score
KRA QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) MOV Results Q E T Ave
(1)

Page 7 of 12
10. Participated Participated in Participated in Participated in Participated in No ·     Certificate of completion
in professional any any professional any professional any professional acceptable in a course/training,
networks to professional network/activity network/activity network/activity evidence • Certificate of
share knowledge network/activit that requires that requires that does not was shown participation in a webinar,
and to enhance y that output* and output* to share require output retooling, upskilling, and
practice requires proof of knowledge and to share other training/ seminar/
output* and implementation to enhance knowledge and workshop with proof of
proof of ** within practice as to enhance implementation,
implementati thedepartment / evidenced by practice as • Certificate of
on ** within grade level to the submitted evidenced by recognition/ speakership in
the school to share knowledge MOV the submitted a webinar, retooling,
share and to enhance MOV upskilling, and other
knowledge practice as training/ seminar/ workshop,
Quality and to evidenced by the • Any proof of
enhance submitted MOV participation to a
practice as benchmarking activity
October
evidenced by • Any proof of
2020 -May
the submitted participation in school LAC
2021
MOV sessions (online/face-to-
face) certified by the LAC
Coordinator,
• Others (please specify
and provide annotations)

Submitted 4 Submitted 3 Submitted 2 Submitted any 1 No

different different kinds different kinds of the acceptable
kinds of of acceptable of acceptable acceptable evidence
Effecienacceptable MOV*** MOV*** MOV was shown
MOV***

11. Developed a Updated the Discussed Accomplished Accomplished No Main MOV: Individual
personal Development progress on the the the Strengths acceptable Performance and
improvement Plan and Development Development and evidence Commitment Review Form-
plan based on approved by Plan with the Plan from Development was shown Development Plan (IPCRF-
reflection of the rater rater to check learning Needs portion of DP)
one’s practice during Phase whether objectives up to the Supporting MOV:
and ongoing II of the RPMS Development resources Development Any document aligned with
professional cycle Needs were needed to Plan after self- the IPCRF-DP such as
learning Quality addressed address assessment at • Reflection of one’s practice
Development the beginning of during LAC session/s with
Needs during the school year proof of attendance
Phase I of the
October RPMS cycle • Reflection/Personal Notes
2020 -May on Coaching and Mentoring
2021 and/or Mid- year Review
•
Personal notes journal on
division/school-led INSET
with proof of attendance

Page 8 of 12
 2021

Submitted the Submitted the Submitted the Submitted the No · Certificate of enrolment/
IPCRF-DP IPCRF-DP with IPCRF-DP with IPCRF-DP with acceptable registration form/class card
with any 4 of any 3 of the any 2 of the any 1 of the evidence in graduate/post- graduate
the acceptable acceptable acceptable was shown school/online courses
Effecienacceptable Supporting Supporting Supporting • Any learning
Supporting MOV* MOV* MOV material highlighting the
MOV* improvement done based
on accomplished “reflection”
section •
Performance Indicators Others (Please specify Rating
Weight per and provide annotations) Actual
MFOs KRAs Objectives Timeline Poor Score
KRA QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) MOV Results Q E T Ave
(1)

Basic 5. Plus Factor 12. Performed Performed at Performed at Performed at Performed at No Proof of:
Education various related least 1 related least 1 related least 1 related least 1 related acceptable
• committee
Services works/activities work/activity work/activity that work/activity that work/activity that evidence
involvement •
that contribute to that contributed to contributed to contributed to was shown
advisorship of co- curricular
the teaching- contributed to the teaching- the teaching- the teaching-
activities •
learning process the teaching- learning process learning process learning process
involvement as
learning within the within the within the class
module/learning material
process school/ learning area/ as evidenced
writer     
beyond the Community department as by submitted • involvement as
school/ Learning Center evidenced by MOV module/learning material
Community (CLC) as submitted MOV validator,
Learning evidenced by • participation in the
Quality Center (CLC) submitted MOV RO/SDO/school- initiated
as evidenced TV-/radio- based instruction,
October by submitted • book or journal
2020 -May MOV authorship/ contributorship
2021 •
coordinatorship/
chairpersonship,
• coaching and
mentoring learners in
competitions,
• mentoring pre-
service teachers,
demonstration teaching
• participation as research
presenter in a forum/
EffecienSubmitted any Submitted any 2 No conference,
4 of the Submitted any 3 of the Submitted any 1 acceptable • others (please specify
acceptable of the acceptable acceptable of the evidence and provide annotations)
MOV* MOV* MOV* acceptable MOV was shown
RATING FOR OVERALL
ACCOMPLISHMENTS
ADJECTIVAL
ADJECTIVAL RATING EQUIVALENCES
ADJECTIVAL RATING
RANGE
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

Page 9 of 12
Rater Ratee Approving Authority

Page 10 of 12
 What's Inside?
LDM 2 FOR TEACHERS LIST OF EVIDENCE FORM
Activities Timeline Output/s Remarks
List of Evidences
COT rating sheets MOV captured in IPCRF Objective
1
Materials used in the COT (e.g. video
Documentation of Lesson Delivery lessons, recording of online classes,
photo/ video documentations of LAC
demonstrations)
Weekly home learning plan, individual MOV captured in IPCRF Objective
monitoring plan 2
Activity sheets
Researching and Incorporating Teaching Strategies Video lesson and audio lessons
in the Modalities created

Other offline and online means/

materials used to deliver the lessons
Participation in recognized PDs that are aligned Certificates, memo MOV captured in IPCRF Objective 10
with their professional goals anchored in PPST
Teacher's LDM Pre-implementation MOV captured in IPCRF Objective 1
Organizing the Professional Portfolio portfolio
Teacher's portfolio
Submission of Portfolio to coaches
Proof of LDM LAC membership (LAC MOV captured in IPCRF Objective
Co-learning with Peers and Coaches profile) 10, 11
LDM LAC documentations and photos
Other Evidences
Parent-teacher log MOV captured in IPCRF Objective 9
Proof of Communication (e.g. online,
letters)
Communicating with Paretns and Stakeholders
LESF
Module distribution and retrieval forms
Brigada Eskwela documentations
Weekly Home Learning plan, individual MOV captured in IPCRF Objective 9
monitoring plan
Assessment and Feedbacking
performance tasks, rubrics
 MOV captured in IPCRF Objective 9
Assessment and Feedbacking
learner's portfolio