INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee: SHIELLA MAE B. BULAUITAN Name of Rater:

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

Content 1. Applied
Knowledge knowledge of
and content within Showed knowledge of Showed knowledge of Showed knowledge of Showed knowledge of
Pedagogy and across content and its content and its content and its content and its No
curriculum integration within and integration within and integration within and integration within and acceptable
Quality 5
teaching areas across subject areas as across subject areas as across subject areas as across subject areas as evidence
shown in MOV 1 with shown in MOV 1 with shown in MOV 1 with shown in MOV 1 with was shown
the rating of 7 the rating of 6 the rating of 5 the rating of 4

Submitted at least 4
lessons using MOV 1 Submitted 3 lessons Submitted 2 lessons No
using MOV 1 and using MOV 1 and Submitted any 1 of the acceptable
Efficiency and supported by any supported 5
by any 1 of supported by any 1 of given MOV evidence
1 of the other given the other given MOV the other given MOV was shown
MOV

No
Submitted MOV were Submitted MOV were Submitted MOV were Submitted MOV was acceptable
Timeliness distributed across 4 distributed across 3 distributed across 2 completed in only 1 5 5 0.375
evidence
quarters quarters quarters quarter was shown

2. Used a
range of Facilitated using Facilitated using Facilitated using Facilitated using
teaching different teaching different teaching different teaching different teaching
strategies that strategies that strategies that strategies that strategies that No
enhance promote reading, promote reading, promote reading, promote reading, acceptable
learner Quality 5
writing, and/or writing, and/or writing, and/or writing, and/or evidence
achievement numeracy skilss as numeracy skilss as numeracy skilss as numeracy skilss as was shown
in literacy and shown in MOV 1 with a shown in MOV 1 with a shown in MOV 1 with a shown in MOV 1 with a
numeracy 22.5% rating of 7 rating of 6 rating of 5 rating of 4
skills

Submitted atleast 4 Submitted 3 learner- Submitted 2 learner- Submitted 1 learner-

learner-centered centered lessons as centered lessons as centered lessons as No
lessons as evidently evidently shown in evidently shown in evidently shown in acceptable
Efficiency 5 5 0.375
shown in MOV 1 and MOV 1 and supported MOV 1 and supported MOV 1 and supported evidence
supported by any 1 of by any 1 of the other by any 1 of the other by any 1 of the other was shown
the other MOV given MOV given MOV given MOV given

Timeliness
 3. Applied a
range of
teaching Used different Used different Used different Used different
strategies to teachhing strategies teachhing strategies teachhing strategies teachhing strategies No
develop that develop critical that develop critical that develop critical that develop critical
critical and Quality and creative thinking and creative thinking and creative thinking and creative thinking acceptable 5
creative and/or other HOTS as and/or other HOTS as and/or other HOTS as and/or other HOTS as evidence
thinking, as MOV 1 with a rating of MOV 1 with a rating of MOV 1 with a rating of MOV 1 with a rating of was shown
well as other 7 6 5 4
higher-order
thinking skills.

Submitted atleast 4 Submitted 3 lessons as Submitted 2 lessons as Submitted 1 lesson as No

lessons as evidenced evidenced by MOV 1 evidenced by MOV 1 evidenced by MOV 1 acceptable
Efficiency by MOV 1 and and supported by any and supported by any and supported by any evidence 5 5 0.375
supported by any 1 of 1 of the other given 1 of the other given 1 of the other given was shown
the other given MOV MOV MOV MOV

Timeliness
Learning 4. Manage
Environmen classroom Used classroom Used classroom Used classroom Used classroom
t and structure to management management management management
Diversity of engage No
strategies that engage strategies that engage strategies that engage strategies that engage acceptable
Learners learners, Quality learners in learners in learners in learners in 5
individually or evidence
activities/tasks as activities/tasks as activities/tasks as activities/tasks as
in groups, in shown in MOV 1 with a shown in MOV 1 with a shown in MOV 1 with a shown in MOV 1 with a was shown
meaningful rating of 7 rating of 6 rating of 5 rating of 4
exploration,
discovery and
hands-on
activities Submitted atleast 4
within a range Submitted 3 lessons Submitted 2 lessons Submitted 1 lesson No
lessons supported by supported
of any physical by MOV 1 supported by MOV 1 supported by MOV 1 acceptable
Efficiency MOV 1 and any 1 of 5 5 0.375
the other acceptable andacceptable
learning any 1 of the other and any 1 of the other and any 1 of the other evidence
environments MOV acceptable MOV acceptable MOV was shown
MOV

Timeliness
5. Manage
learner
behavior Applied teacher Applied teacher Applied teacher Applied teacher
constructively management management management management
by applying strategies of learner strategies of learner strategies of learner strategies of learner No
positive and behavior that promote behavior that promote behavior that promote behavior that promote acceptable
non-violent Quality positive and non- positive and non- positive and non- positive and non- 5
evidence
deiscipline to violent discipline as violent discipline as violent discipline as violent discipline as was shown
ensure shown in MOV shown in MOV shown in MOV shown in MOV
learning- wubmitted with a wubmitted with a wubmitted with a wubmitted with a
focused rating of 7 rating of 6 rating of 5 rating of 4
environments
22.5%

Submitted atleast 4 of Submitted atleast 4 of Submitted atleast 4 of Submitted atleast 4 of No

Efficiency the given strategies as the given strategies as the given strategies as the given strategies as acceptable 5 5 0.375
observed in at least 4 observed in at least 3 observed in at least 2 observed in at least 1 evidence
lessons lessons lessons lesson was shown

Timeliness
 6. Used
differentiated,
developmenta Applied differentiated Applied differentiated Applied differentiated Applied differentiated
lly appropriate teaching strategies to teaching strategies to teaching strategies to teaching strategies to No
learning address learner address learner address learner address learner acceptable
Quality 5
experiences to diversity as shown in diversity as shown in diversity as shown in diversity as shown in evidence
address MOV 1 with a rating of MOV 1 with a rating of MOV 1 with a rating of MOV 1 with a rating of was shown
learner's 7 6 5 4
gender, needs,
strenghts,
interests and
experiences.
Submitted at least 4 Submitted at least 3 Submitted at least 2
differentiated teaching differentiated teaching differentiated teaching Submitted at least 1
strategies in at least 2 strategies in at least 2 strategies in at least 2 differentiated teaching No
lessons as evidenced lessons as evidenced lessons as evidenced strategy only 1 lesson acceptable
Efficiency 5 5 0.375
by MOV 1 and by MOV 1 and by MOV 1 and as evidently shown in evidence
supported by any 1 of supported by any 1 of supported by any 1 of any 1 of the other was shown
the other acceptable the other acceptable the other acceptable acceptable MOV
MOV MOV MOV

Timeliness
Curriculum 7. Planned,
and managed and
Planning implemented Planned and Planned and Planned and Planned and
developmenta implemented implemented implemented implemented No
lly sequenced developmentally developmentally developmentally developmentally acceptable
teaching and Quality sequenced teaching sequenced teaching sequenced teaching sequenced teaching 5
evidence
learning and learning process and learning process and learning process and learning process was shown
as shown in MOV 1 as shown in MOV 1 as shown in MOV 1 as shown in MOV 1
with a rating of 7 with a rating of 6 with a rating of 5 with a rating of 4

Submitted at least 4 Submitted 3 Submitted 2 Submitted 1

developmentally developmentally developmentally developmentally
sequenced teaching sequenced teaching sequenced teaching sequenced teaching No
nad learning process nad learning process nad learning process nad learning process acceptable
Efficiency as 5 5 0.375
evidently shown in as evidently shown in as evidently shown in as evidently shown in evidence
MOV 1 and supported MOV 1 and supported MOV 1 and supported MOV 1 and supported was shown
by any 1 of the other by any 1 of the other by any 1 of the other by any 1 of the other
given MOV given MOV given MOV given MOV

Timeliness
8. Participated
in collegial
discussions Consistently Frequently Occasionally Rarely participated in
that use participated in participated in participated in
LACs/FGDs/ meetings
teacher and LACs/FGDs/ meetings LACs/FGDs/ meetings LACs/FGDs/ meetings No
to discuss
learner to discuss to discuss to discuss acceptable
Quality teacher/learner 5
feedback to teacher/learner teacher/learner teacher/learner evidence
feedback to enrich
enrich feedback to enrich feedback to enrich feedback to enrich was shown
instruction as shown in instruction as shown in instruction as shown in instruction as shown in
teaching the MOV submitted.
practice. the MOV submitted. the MOV submitted. the MOV submitted.
22.5%
 22.5%

Participated in at least Participated in 3 Participated in 2

Participated in 1 No
4 LACs/FGDs/ LACs/FGDs/ meetings LACs/FGDs/ meetings LAC/FGD/ meeting as acceptable
Efficiency meetings as evidently as evidently shown in as evidently shown in evidently shown 5 5 0.375
in any evidence
shown in any 1 of the any 1 of the given any 1 of the given 1 of the given MOV was shown
given MOV MOV MOV

Timeliness
9. Selected,
developed,
organized and
used
appropriate No
teaching and Developed and used Developed and used Developed and used Developed and used acceptable
learning Quality 5
varied teaching and varied teaching and varied teaching and varied teaching and evidence
resources, learning resources, learning resources, learning resources, learning resources, was shown
including ICT, including ICT, to including ICT, to including ICT, to including ICT, to
to address address learning goals address learning goals address learning goals address learning goals
learning goals. as shown in MOV 1 as shown in MOV 1 as shown in MOV 1 as shown in MOV 1
with a rating of 7 with a rating of 6 with a rating of 5 with a rating of 4

Submitted at least 4 Submitted 3 varied Submitted 2 varied Submitted any

varied teaching and teaching and learning teaching and learning teaching and learning
learning resources, No
resources, including resources, including resource, including
including ICT , as acceptable
Efficiency ICT , as evidently ICT , as evidently ICT , as evidently 5 5 0.375
evidently shown in evidence
shown in MOV 1 and shown in MOV 1 and shown in MOV 1 and was
MOV 1 and supported supported shown
by any 1 of supported by any 1 of supported by any 1 of
by any 1 of the the acceptable MOV the acceptable MOV the acceptable MOV
acceptable MOV

Timeliness
Assessment 10. Designed,
and selected,
Reporting organized and
used
diagnostic, Designed, selected, Designed, selected, Designed, selected, Designed, selected,
formative and organized and used organized and used organized and used organized and used
summative diagnostic, formative diagnostic, formative diagnostic, formative diagnostic, formative
assessment and summative and summative and summative and summative No
strategies assessment strategies assessment strategies assessment strategies assessment strategies acceptable
Quality 5
consistent consistent with consistent with consistent with consistent with evidence
with curriculum curriculum curriculum curriculum was shown
curriculum requirements as requirements as requirements as requirements as
requirements shown in MOV 1 with a shown in MOV 1 with a shown in MOV 1 with a shown in MOV 1 with a
rating of 7 rating of 6 rating of 5 rating of 4

No
Submitted at leaast 4 acceptable
Efficiency 5 5 0.375
varied assessment Submitted 3 varied Submitted 2 varied Submitted 1 evidence
toolas as evidently assessment toolas as assessment toolas as assessment toolas as was shown
shown in any of the evidently shown in any evidently shown in any evidently show nin any
acceptable MOV of the acceptable MOV of the acceptable MOV of the acceptable MOV
Timeliness
11. Monitored
and evaluated Consistently Occasionally
learner Frequently monitored Rarely monitored and
monitored and monitored and
progress and and evaluated learnere evaluated learnere
evaluated learnere evaluated learnere No
achievemnet progress and progress and
progress and progress and acceptable
using learner Quality achievement using achievement using 5
achievement using achievement using evidence
attainment learner attainment learner attainment
learner attainment learner attainment data as shown in the was shown
data data as shown in the data as shown in the data as shown in the
MOV submitted. MOV submitted.
MOV submitted. MOV submitted.

22.5%
 22.5% Submitted a No
Submitted a Submitted a
Efficiency combination of at least combination acceptable
of 3 of combination of 2 ofSubmitted 1 acceptable MOV 5
4 of the acceptable evidence
the acceptable MOV the acceptable MOV
MOV was shown

Consistently showed Frequently showed Occasionally showed Rarely showed prompt

prompt and clear prompt and clear prompt and clear and clear
communication of the communication of the communication of the communication of the
learners needs, learners needs, learners needs, learners needs, No
progress and progress and progress and progress and acceptable
Timeliness achievement 5 5 0.375
to key achievement to key achievement to key achievement to key evidence
stakeholders, including stakeholders, including stakeholders, including stakeholders, including was shown
parents/guardians parents/guardians parents/guardians parents/guardians
asshown in the MOV asshown in the MOV asshown in the MOV asshown in the MOV
submitted submitted submitted submitted

12.
Communicate
d promptly Submitted a No
Submitted a Submitted a
combination of at least combination combination of 2 of Submitted
and clearly any 1 of the acceptable
Quality of 3 of 5
the learners 4 of the acceptable given MOV evidence
the acceptable MOV the acceptable MOV
need, progress MOV was shown
and
achievemnet
to key
stakeholders, Submitted a No
Submitted a Submitted a
Efficiency combination of at least combination combination of 2 of Submitted
including any 1 of the acceptable
of 3 of 5
parents/guard 4 of the acceptable given MOV evidence
the acceptable MOV the acceptable MOV
ians MOV was shown

No
Submitted were Submitted were Submitted were Submitted MOV was acceptable
Timeliness distributed across 4 distributed across 3 distributed across 2 completed in only 1 5 5 0.375
evidence
quarters quarters quarters quarter was shown
Plus Factor 13. Performed
various
related Consistently Frrequently performed Occasionally Rarely performed
works/activiti performed various various related performed various various related
es that No
related work/activities work/activities that related work/activities work/activities that
contribute to acceptable
Quality that contribute to the contribute to the that contribute to the contribute to the 5
the teaching- evidence
teachinglearning teachinglearning teachinglearning teachinglearning
learning was shown
process as shown in process as shown in process as shown in process as shown in
process MOV submitted MOV submitted MOV submitted MOV submitted
10%

No
Submitted atleast 4 Submitted 3 different Submitted 2 different Submitted any 1 of the acceptable
Efficiency different kinds of kinds of acceptable kinds of acceptable 5 5 0.5
ascceptable MOV evidence
acceptable MOV MOV MOV was shown

Timeliness

OVERALL
RATINGS FOR 5 Outstanding
ACCOMPLISHME
NTS
Rater Ratee Approving Authority
 PART IV: DEVELOPMENT PLANS

Action Plan (Recommended Developmental Resources

Strenghts Development Needs Timeline
Intervention) Needed

A. Functional Competencies

B. Core Behavioral Competencies

Feedback:

_____________________________
RATEE RATER APPROVING AUTHORITY
 SUGGESTED MID-YEAR REVIEW FORM (MRF)
Name of Employee: Name of Rater:
Position: Position:
Bureau/Center/Service/Division: Date of Review:
Rating Period:
Mid-year Review/Rating
Mid-Year
Weight per Perfomance
MFOs KRAs Objectives Timeline MOV Ratee (Teacher) Rater (Principal) Review
KRA Target Results
Rating Remarks Rating Remarks

Quality

Efficiency

Timeliness

Rater Ratee Approving Authority

 PERFORMANCE MONITORING AND COACHING FORM
CRITICAL IMPACT ON JOB ACTION SIGNATURE
DATE INCIDENCE OUTPUT
PLAN (RATER/RATEE)
DESCRIPTION