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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: GAY D. IBAÑEZ Name of Rater: CECILIA B. ACAIN


Position: SPED TEACHER I Position: MASTER TEACHER I
Bureau/Center/Service/Division: DEPED/DIVISION OF CITY SCHOOLS, QUEZON CITY Date of Review:
Rating Period: SY 2018 - 2019

TO BE FILLED OUT DURING PLANNING TO BE FILLED OUT DURING


EVALUATION
Performance Indicators Rating
Weight Actual
MFOs KRAs Objectives Timeline MEANS OF VERIFICATION (MOV)
per KRA Results
Poor
QET Outstanding (5) Very Satisfactory (4) Satisfactory (3) Unsatisfactory (2) Q E
(1)
1. Content 1. Applied knowledge of content June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or interobserver Quality Showed knowledge of content and its Showed knowledge of content and its Showed knowledge of content and its Showed knowledge of content and its No acceptable evidence
Knowledge and within and across curriculum to March agreement form about knowledge of content within and across integration within and across subject integration within and across subject integration within and across subject integration within and was shown
Pedagogy teaching areas. 2019 curriculum teaching areas. areas as shown in MOV 1 with a rating areas as shown in MOV 1 with a rating areas as shown in MOV 1 with a rating across subject
(25%) 2. Lesson plans/modified DLLs developed highlighting, integration of of 7 of 6 of 5 areas as shown in MOV 1 with a
content knowledge
3. Instructional withinhighlighting
materials and across mastery
subject areas.
of content and its rating of 4
integration in other subject areas.
4. Performance tasks/test materials highlighting integration of content Efficiency Submitted at least 4 lessons using Submitted 3 lessons using MOV 1 and Submitted 2 lessons using MOV 1 and Submitted any 1 No
knowledge
5. within and
Others (Please across
specify andsubject
provideareas.
annotations) MOV 1 and supported by any 1 of the supported by any 1 of the other given supported by any 1 of the other given of the given MOV acceptable evidence
other given MOV MOV MOV was shown

Timeliness
2. Used a range of teaching June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or interobserver Quality Showed knowledge of content and its Showed knowledge of content and its Showed knowledge of content and its Showed knowledge of content and its No acceptable evidence
strategies that enhance learner to March agreement form about teaching strategies that enhance learner integration within and across subject integration within and across subject integration within and across subject integration within and was shown
achievement in literacy and 2019 achievement in literacy and
2. Lesson plans/modified numeracy
DLLs skillshighlighting learner-centered
developed areas as shown in MOV 1 with a rating areas as shown inMOV1witha rating of areas as shown in MOV 1 with a rating across subject
numeracy skills. of 7 6 of 5 areas as shown in MOV 1 with a
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strategies
3. that promote
Instructional materialsliteracy and numracy
highlighting masteryskills
of content and its rating of 4
integration in other subject areas
4. Performance tasks/test materials used in teaching Efficiency Facilitated using different teaching Facilitated using different teaching Facilitated using different teaching Facilitated using different teaching No acceptable evidence
5. Results of assessment used in teaching strategies that promote reading, writing strategies that promote reading, writing strategies that promote reading, writing strategies that promote was shown
and/or numeracy skills as shown in and/or numeracy skills as shown in and/or numeracy skills as shown in reading, writing
6. Others (Please specify and provide annotations)
MOV 1 with a rating of 7 MOV 1 with a rating of 6 MOV 1 with a rating of 5 and/or numeracy skills as shown in
MOV 1 with a rating of 4

Timeliness
3. Applied a range of teaching June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or interobserver Quality Used different teaching strategies that Used different teaching strategies that Used different teaching strategies that Used different teaching strategies that No acceptable evidence
strategies to develop critical to March agreement form about teaching strategies to develop critical and creative develop critical and creative thinking develop critical and creative thinking develop critical and creative thinking develop critical and creative was shown
and creative thinking, as well as 2019 thinking,
2. Lessonasplans/modified
well as other higher order thinking
DLLs developed skill
highlighting different teaching and/or other HOTS as shown in MOV and/or other HOTS as shown in MOV and/or other HOTS as shown in MOV thinking and/or other HOTS as
other higher- order thinking strategies that develop critical and creative thinking and/or other HOTS 1 with a rating of 7 1 with a rating of 6 1 with a rating of 5 shown in MOV 1 with a rating of 4
skills.
3. Instructional materials highlighting different teaching strategies that Efficiency Submitted at least 4 lessons as Submitted 3 lessons as evidenced by Submitted 2 lessons as evidenced by Submitted 1 No acceptable evidence
develop and critical and creative thinking skills and/or other HOTS evidenced by MOV 1 and supported by MOV 1 and supported by any1 of the MOV 1 and supported by any 1of the lesson as evidenced by any 1of the was shown
4. Performance tasks/test materials used in teaching any1ofthe other given MOV other given MOV other given MOV given MOV

5. Results of assessment used in teaching


6. Others (Please specify and provide annotations)
Timeliness
2. Learning 4. Managed classroom June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or Quality Used classroom management Used classroom management Used classroom management Used classroom management No acceptable
Environment structure to engage to March interobserver agreement form about managing classroom strategies that engage learners in strategies that engage learners in strategies that engage learners in strategies that engage learners in evidence was shown
and Diversity learners, individually or in 2019 structure that engages learners in various activities activities/tasks as shown in MOV 1 activities/tasks as shown in MOV 1 activities/tasks as shown in MOV 1 activities/tasks
2. Lesson plans/modified DLLs developed highlighting various
of Learners groups, in meaningful with a rating of 7 with a rating of 6 with a rating of 5 as shown in
classroom management strategies that engage learners in
exploration, discovery and MOV 1 with a
activities/tasks in different physical learning environments
hands-on activities within a rating of 4
range of physical learning
environments. 3. Others ( Please specify and provide annotations) Efficiency Submitted at least 4 lessons Submitted 3 lessons supported by Submitted 2 lessons as evidenced Submitted 1 lesson supported by No acceptable
supported by MOV 1 and any 1 of MOV 1 and any 1 of the other by MOV 1 and supported by any any of the acceptable MOV evidence was shown
the other acceptable MOV acceptable MOV 1of the other given MOV

Timeliness
5. Managed learner June 2018 7.50% Classroom Observation Tool (COT) rating sheet and/or Quality Applied teacher management Used classroom management Applied teacher management Applied teacher management No acceptable
behavior constructively by to March interobserver agreement form about management of classroom strategies of learner behavior that strategies that engage learners in strategies of learner behavior that strategies of learner behavior that evidence was shown
applying positive and non- 2019 behavior using the following strategies: promote positive and non-violent activities/tasks as shown in promote positive and non-violent promote positive and non-violent
violent discipline to ensure 1. Providing motivation discipline as shown in MOV MOV1witha rating of 6 discipline as shown in MOV discipline as shown in MOV
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learning- focused 2. Praising the learners/giving positive feedback submitted with a rating of 7 submitted with a rating of 5 submitted with a rating of 4
environments.
5. Managed learner June 2018 7.50% Quality Applied teacher management Used classroom management Applied teacher management Applied teacher management
behavior constructively by to March strategies of learner behavior that strategies that engage learners in strategies of learner behavior that strategies of learner behavior that
applying positive and non- 2019 promote positive and non-violent activities/tasks as shown in promote positive and non-violent promote positive and non-violent
violent discipline to ensure discipline as shown in MOV MOV1witha rating of 6 discipline as shown in MOV discipline as shown in MOV

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learning- focused submitted with a rating of 7 submitted with a rating of 5 submitted with a rating of 4
environments.
3. Setting house rules/guidelines
4. Ensuring learners' active participation Efficiency Submitted at least 4 of the given Submitted at least 4 of the given Submitted at least 4 of the given Submitted any 1 of the given No acceptable
5. Allowing learners to express their ideas/opinions strategies as observed in at least 4 strategies as observed in 3 strategies as observed in 2 strategies as observed in only 1 evidence was shown
lessons lessons lessons lesson
6. Giving equal opportunities to learners
7. Encouraging learners to ask questions
8. Others ( Please specify and provide annotations) Timeliness
6. Used differentiated, June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or Quality Applied differentiated teaching Applied differentiated teaching Applied differentiated teaching Applied differentiated teaching No acceptable
developmentally appropriate to March interobserver agreement form about using developmentally strategies to address learner strategies to address learner strategies to address learner strategies to address learner evidence was shown
learning experiences to 2019 sequenced teaching and learning process diversity as shown in MOV 1 with a diversity as shown in MOV 1 with a diversity as shown in MOV 1 with a diversity as shown in MOV 1 with a
address learners’ gender, 2. Lesson plans/modified DLLs developed highlighting rating of 7 rating of 6 rating of 5 rating of 4
needs, strengths, interests differentiation in content, product, process, learning environment
and experiences. or others according to learners' gender, needs strengths,
3. Instructional materials highlighting differentiation in content, Efficiency Submitted at least 4 differentiated Submitted 3 differentiated teaching Submitted 2 differentiated teaching Submitted any 1 at least 4 lessons No acceptable
interests and experiences
product, process, learning environment or others according to teaching strategies in at least 2 strategies in at least 2 lessons as strategies in 2 lessons as as observed in 3 lessons as evidence was shown
learners' gender, needs, strengths, interests, and experiences lessons as evidenced by MOV 1 evidenced by MOV 1 and evidenced by MOV 1 and observed in 2 lessons observed in
and supported by any 1 of the supported by any1ofthe other supported by any1ofthe other only 1 lesson differentiated
4. Others (Please specify and provide annotations) other acceptable MOV acceptable MOV acceptable MOV teaching strategy in only 1 lesson
as evidently shown in any 1 of the
acceptable MOV

Timeliness
3. Curriculum 7. Planned, managed and June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or Quality Planned and implemented Planned and implemented Planned and implemented Planned and implemented No acceptable
and Planning implemented to March interobserver agreement form about using developmentally developmentally sequenced developmentally sequenced developmentally sequenced developmentally sequenced evidence was shown
developmentally sequenced 2019 sequenced teaching and learning
2. Lesson plans/modified process
DLLs developmentally sequenced teaching and learning process as teaching and learning process as teaching and learning process as teaching and learning process as
teaching and learning teaching and learning process varied teaching contexts shown in MOV 1 with a rating of 7 shown in MOV 1 with a rating of 6 shown in MOV 1 with a rating of 5 shown in MOV 1 with a rating of 4
processes to meet 3. Instructional materials used to implement developmentally
curriculum requirements and sequenced teaching
4. Others (Please and learning
specify process
and provide to meet curriculum
annotations) Efficiency Submitted at least 4 Submitted 3 developmentally Submitted 2 developmentally Submitted 1 developmentally No acceptable
varied teaching contexts. requiremnts and varied teaching context developmentally sequenced sequenced teaching and learning sequenced teaching and learning sequenced teaching and learning evidence was shown
teaching and learning process as process as evidently shown in process as evidently shown in process as evidently shown in any
evidently shown in MOV 1 and MOV 1 and supported by any 1 of MOV 1 and supported by any 1 of 1 of the given MOV
supported by any 1 of the other the other given MOV the other given MOV
given MOV

Timeliness
8. Participated in collegial June 2018 7.50% 1. Personal notes of teachers on LACs/FGDs/meetings with Quality Consistently participated in Frequently participated in Occasionally participated in Rarely participated in LAC/FGD/ No acceptable
discussions that use teacher to March proofs
2. of attendance
Minutes of LAC/FGD sessions on use of teacher and learner LACs/FGDs/ meetings to discuss LACs/FGDs/ meetings to discuss LACs/FGDs/ meetings to discuss meeting to discuss teacher/learner evidence was shown
and learner feedback to 2019 teacher/learner feedback to enrich teacher/learner feedback to enrich teacher/learner feedback to enrich feedback to enrich instruction as
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feedback
3. Others to enrich specify
( Please teachingand
practice
providewith proof of attendance
annotations)
enrich teaching practice. instruction as shown in the MOV instruction as shown in the MOV instruction as shown in the MOV shown in the MOV submitted
submitted submitted submitted

Efficiency Participated in at least 4 Participated in 3 LACs/FGDs/ Participated in 2 LACs/FGDs/ Participated in 1 LAC/FGD/ in any No acceptable
LACs/FGDs/ meetings as evidently meetings as evidently shown in meetings as evidently shown in 1 of the given MOV evidence was shown
shown in any 1 of the given MOV any 1 of the given MOV any 1 of the given MOV

Timeliness
9. Selected, developed, June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or Quality Developed and used varied Developed and used varied Developed and used varied Developed and used varied No acceptable
organized and used to March interobserver agreement form about using appropriate teaching teaching and learning resources, teaching and learning resources, teaching and learning resources, teaching and learning resources, evidence was shown
appropriate teaching and 2019 and learning resources, including ICT including ICT, to address learning including ICT, to address learning including ICT, to address learning including ICT, to address learning
learning resources, Examples: goals as shown in MOV1witha goals as shown in MOV1witha goals as shown in MOV 1 with a goals as shown in MOV 1 with a
including ICT, to address Activitysheets/task sheets/work sheets rating of 7 rating of 6 rating of 5 rating of 4
learning goals. PowerPoint presentations
Video clips Efficiency Submitted at least 4 varied Submitted 3 varied teaching and Submitted 2 varied teaching and Submitted any teaching and No acceptable
Modules teaching and learning resources, learning resources, including ICT, learning resources, including ICT, learning resource, including ICT, evidence was shown
including ICT, as evidently shown as evidently shown in MOV 1 and as evidently shown in MOV 1 and as evidently
SIMs-Strategic Intervention Materials in MOV 1 and supported by any 1 supported by any 1 of the supported by any 1 of the shown in any of the acceptable
Others of the acceptable MOV acceptable MOV acceptable MOV MOV

Timeliness
4. 10. Designed, selected, June 2018 7.50% 1. Classroom Observation Tool (COT) rating sheet and/or Quality Designed, selected, organized and Designed, selected, organized and Designed, selected, organized and Designed, selected, organized and No acceptable
Assessment organized and used to March interobserver agreement form about using diagnostic, formative used diagnostic, formative and used diagnostic, formative and used diagnostic, formative and used diagnostic, formative and evidence was shown
and Reporting diagnostic, formative and 2019 andPrepared
2. summative assessment
lesson strategies
plans/modified DLLs developed used in summative assessment strategies summative assessment strategies summative assessment strategies summative assessment strategies
summative assessment consistent with curriculum consistent with curriculum consistent with curriculum consistent with curriculum
teaching highlighting
3. Developed usetests:
diagnostic of formative assessment strategies
strategies consistent with requirements as shown in MOV 1 requirements as shown in MOV 1 requirements as shown in MOV 1 requirements as shown in MOV 1
curriculum requirements. with a rating of 7 with a rating of 6 with a rating of 5 with a rating of
4. 10. Designed, selected, June 2018 7.50% Quality Designed, selected, organized and Designed, selected, organized and Designed, selected, organized and Designed, selected, organized and No acceptable
Assessment organized and used to March used diagnostic, formative and used diagnostic, formative and used diagnostic, formative and used diagnostic, formative and evidence was shown
and Reporting diagnostic, formative and 2019 summative assessment strategies summative assessment strategies summative assessment strategies summative assessment strategies
summative assessment consistent with curriculum consistent with curriculum consistent with curriculum consistent with curriculum
strategies consistent with requirements as shown in MOV 1 requirements as shown in MOV 1 requirements as shown in MOV 1 requirements as shown in MOV 1
curriculum requirements. (a) with TOS reviewed by superior; with a rating of 7 with a rating of 6 with a rating of 5 with a rating of
(b) with sample accomplished questionnaire/answer sheets
4. Developed summative tests: Efficiency Submitted at least 4 varied Submitted 3 varied assessment Submitted 2 varied assessment Submitted 1 assessment tool as No acceptable
(a) with rubrics reviewed by superior; assessment tools as evidently tools as evidently shown tools as evidently shown in evidently shown in any of the evidence was shown
shown inany1ofthe acceptable inany1ofthe acceptable MOV any1ofthe acceptable MOV acceptable
(b) with sample accomplished questionnaire/answer sheets
MOV MOV
5. Developed performance tasks:
(a) with rubrics reviewed by superior;
(b) with sample accomplished questionnaire/answer sheets
6. Others (Please specify and provide annotations)
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Timeliness
11. Monitored and evaluated June 2018 7.50% 1. Compilation of a learner's written work with summary of results Quality Consistently monitored and Frequently monitored and Occasionally monitored and Rarely monitored and evaluated No acceptable
learner progress and to March and with signature of parents
2. Formative/Summative Assessment Tools with TOS and evaluated learner progress and evaluated learner progress and evaluated learner progress and learner progress and achievement evidence was shown
achievement using learner 2019 frequency of errors with identified achievement using learner achievement using learner achievement using learner using learner attainment data
attainment data. 3. Class Records/Grading Sheets least mastered skills attainment data as shown in the attainment data as shown in the attainment data as shown in the as shown in the MOV submitted
4. Lesson Plans/Modified DLLs showing index of mastery MOV submitted MOV submitted MOV submitted

Efficiency Submitted a combination of at Submitted a combination of 3 of Submitted a combination of 2 of Submitted 1 acceptable MOV No acceptable
least 4 of the acceptable MOV the acceptable MOV the acceptable MOV evidence was shown
Timeliness
12. Communicated promptly June 2018 7.50% 1. At least 3 samples of corrected test papers of the same Quality Consistently showed prompt and Frequently showed prompt and Occasionally showed prompt and Rarely showed prompt and clear No acceptable
and clearly the learners’ to March learners in the same learning area with parents' or guardians' clear communication of the clear communication of the clear communication of the communication of the learners’ evidence was shown
needs, progress and 2019 signature
2. Minutesand datemeetings
of PTA of receiptor Parent-Teacher Conferences in all learners’ needs, progress and learners’ needs, progress and learners’ needs, progress and needs, progress and achievement
achievement to key achievement to key stakeholders, achievement to key stakeholders, achievement to key stakeholders, to key stakeholders, including
quarters
3. Reportwith proof
cards withofparents'
parents'/guardians'
signature in attendance
all quarters supproted
stakeholders, including including parents/ guardians as including parents/ guardians as including parents/ guardians as parents/ guardians as shown in the
parents/guardians. by minutes of meeting
4. Communication with parents' or guardians using various shown in the MOV submitted shown in the MOV submitted shown in the MOV submitted MOV submitted
modalities
5. Anecdotal record showing entries per quarter
6. Other documents showing learners' needs, progress and Efficiency Submitted a combination of at Submitted a combination of 3 of Submitted a combination of 2 of Submitted any 1 of the given MOV No acceptable
achievement submitted to other stakeholders least 4 of the acceptable MOV the acceptable MOV the acceptable MOV evidence was shown
Timeliness
5. Plus Factor 13. Performed various June 2018 10.00% 1. Certificate of Recognition or Participation Quality Consistently performed various Frequently performed various Occasionally performed various Rarely performed various related No acceptable
related works/activities that to March 2. Certificate of Training related work/activities that related work/activities that related work/activities that work/activities that contribute evidence was shown
contribute to the teaching- 2019 contribute to the teaching learning contribute to the teaching learning contribute to the teaching learning to the teaching learning process as
3. Certificate of Speakership
learning process. process as shown in the MOV process as shown in the MOV process as shown in the MOV shown in the MOV submitted
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4. Committee Involvement submitted submitted submitted


5. Advisorship of Co-curricular Efficiency Submitted at least 4 different kinds Submitted 3 different kinds of Submitted 2 different kinds of Submitted any 1 of the acceptable No acceptable
of acceptable MOV acceptable MOV acceptable MOV MOV evidence was shown
6. Book or Journal Authorship/Co-Authorship/Contributorship
7. Coordinatorship/Chairpersonship
8. Coaching and mentoring learners in competition
9. Mentoring pre-service/In-service teachers
10. Others (Please specify and provide annotations)
Timeliness
RATING FOR OVERALL ACCOMPLISHMENTS

ADJECTIVAL RATING

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

GAY D. IBAÑEZ CECILIA B. ACAIN PAZ R. RAMIREZ


SPED TEACHER I MASTER TEACHER I PRINCIPAL IV
Ratee Rater Approving Authority
TO BE FILLED OUT DURING
EVALUATION
Rating
Score
T Ave
OR OVERALL ACCOMPLISHMENTS

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