INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)-Proficient Teacher

Name of Employee: Name of Rater: LUZVI P. CONCEPCION

Position: Position: Head Teacher III
Bureau/ Center/ Service/ Division: BUROT INTEGRATED SCHOOL Date of Review:
Rating Period: S. Y. 2018 - 2019
TO BE FILLED IN DURING PLANNING TO BE FILLED DURIN
Performance Indicators RATIN
Weight Means of Verification Very
MFO KRAs Objectives Timeline per KRA (MOV) QET Satisfactory
Outstanding Satisfactory Unsatisfactory Poor ACTUAL Q
(5) (4) (3) (2) (1) RESULTS
Basic Content 1. Applied June 1. Classroom Quality Showed Showed Showed Showed No
Education Knowledge knowledge of 2018- observation tool (COT) knowledge of knowledge of knowledge of knowledge of acceptable
Services and content within March rating sheet and/or content and its content and its content and content and its evidence
Pedagogy and across 2019 inter-observer integration within integration its integration integration was shown
curriculum agreement form about and across within and within and within and across
teaching areas. knowledge of content subject areas as across subject across subject subject areas as
within and across shown in MOV 1 areas as areas as shown in MOV 1
curriculum teaching with a rating of 7 shown in MOV shown in with a rating of 4
areas 1 with a rating MOV 1 with a
of 6 rating of 5

2. Lesson
plans/modified DLLs
developed highlighting
integration of content of
knowledge within and
across subject areas

3. Instructional Efficiency Submitted at least Submitted 3 Submitted 2 Submitted any 1 No

materials highlighting 4 lessons using lessons using lessons using of the given MOV acceptable
mastery of content and MOV 1 and MOV 1 and MOV 1 and evidence
its integration in other supported by any supported by supported by was shown
subject areas 1 of the other any 1 of the any 1 of the
given MOV other given other given
MOV MOV
 supported by any supported by supported by was shown
1 of the other any 1 of the any 1 of the
given MOV other given other given
MOV MOV

4. Performance
tasks/test material(s)
highlighting integration
of content knowledge
within and across
subject areas

5. Others (Please specify TimelinessSubmitted MOV Submitted Submitted Submitted MOV No

and provide were distributed MOV were MOV were was completed acceptable
annotations) across 4 quarters distributed distributed in only 1 quarter evidence
across 3 across 2 was shown
quarters quarters

2. Used a range 1. Classroom Quality Facilitated using Facilitated Facilitated Facilitated using No
of teaching observation tool (COT) different teaching using different using different different acceptable
strategies that rating sheet and/or strategies that teaching teaching teaching evidence
enhance inter-observer promote reading, strategies that strategies that strategies that was shown
learner agreement form about writing and/or promote promote promote reading,
achievement in teaching strategies that numeracy skills as reading, reading, writing and/or
literacy and enhance learner shown in MOV 1 writing and/or writing and/or numeracy skills
numeracy skills. achievement in literacy with a rating of 7 numeracy numeracy as shown in MOV
and numeracy skills skills as shown skills as shown 1 with a rating of
in MOV 1 with in MOV 1 with 4
a rating of 6 a rating of 5

2. Lesson
plans/modified DLLs
used in teaching
highlighting learner-
centered strategies that
promote literacy and/or
numeracy skills
 3. Instructional Efficiency Submitted at least Submitted 3 Submitted 2 Submitted 1 No
materials highlighting 4 learner- learner- learner- learner-centered acceptable
learner-centered centered lessons centered centered lesson as evidence
strategies that promote as evidently lessons as lessons as evidently shown was shown
literacy and/or shown in MOV 1 evidently evidently in any of the
numeracy skills and supported by shown in MOV shown in given MOV
any 1 of the other 1 and MOV 1 and
MOV given supported by supported by
any 1 of the any 1 of the
other MOV other MOV
4. Performance given given
tasks/test material(s)
used in teaching

5. Results of assessment
used in teaching

6. Others (Please specify Timeliness

and provide
annotations)

3. Applied a 1. Classroom Quality Used different Used different Used different Used different No
range of observation tool (COT) teaching teaching teaching teaching acceptable
teaching rating sheet and/or strategies that strategies that strategies that strategies that evidence
strategies to inter-observer develop critical develop develop develop critical was shown
develop critical agreement form about and creative critical and critical and and creative
and creative teaching strategies to thinking and/or creative creative thinking and/or
thinking, as develop critical and other HOTS as thinking thinking other HOTS as
well as other creative thinking, as shown in MOV 1 and/or other and/or other shown in MOV 1
higher-order well as other higher- with a rating of 7 HOTS as HOTS as with a rating of 4
thinking skills. oreder thingking skills shown in MOV shown in
1 with a rating MOV 1 with a
of 6 rating of 5

2. Lesson
plans/modified DLLs
used in teaching
highlighting different
teaching strategies that
develop critical and
creative thinking and/or
other HOTS
 3. Instructional Efficiency Submitted at least Submitted 3 Submitted 2 Submitted 1 No
materials highlighting 4 lessons as lessons as lessons as lesson as acceptable
different teaching evidenced by evidenced by evidenced by evidenced by any evidence
strategies that develop MOV 1 and MOV 1 and MOV 1 and 1 of the given was shown
critical and creative supported by any supported by supported by MOV
thinking and/or other 1 of the other any 1 of the any 1 of the
HOTS given MOV other given other given
MOV MOV

4. Performance
tasks/test material(s)
used in demonstration
teaching

5. Results of assessment
used in teaching

6. Others (Please specify Timeliness

and provide
annotations)

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

3. Others (Please specify Timeliness

and provide
annotations)

5. Managed Classroom observation Quality Applied teacher Applied Applied Applied teacher No
learner tool (COT) rating sheet management teacher teacher management acceptable
behavior and/or inter-observer strategies of management management strategies of evidence
constructively agreement form about learner behavior strategies of strategies of learner behavior was shown
by applying teacher management of that promote learner learner that promote
positive and learner behavior using positive and non- behavior that behavior that positive and non-
non-violent the following strategies: violent discipline promote promote violent discipline
discipline to as shown in MOV positive and positive and as shown in MOV
ensure submitted with a non-violent non-violent submitted with a
learning- rating of 7 discipline as discipline as rating of 4
focused shown in MOV shown in
environments. submitted MOV
with a rating submitted
of 6 with a rating
1. Providing motivation of 5

2. Praising the
learners/Giving positive
feedback

3. setting house
rules/guidelines
4. Ensuring learners'
active participation
 5. Allowing learners to Efficiency Submitted at least Submitted at Submitted at Submitted any 1 No
express their 4 of the given least 4 of the least 4 of the of the given acceptable
ideas/opinions strategies as given given strategies as evidence
observed in at strategies as strategies as observed in only was shown
6. Giving least 4 lessons observed in 3 observed in 2 1 lesson
equalopportunities to lessons lessons
learners

7. Encouraging learners
to ask questions

8. Others (Please specify Timeliness

and provide
annotations)

6. Used 1. Classroom Quality Applied Applied Applied Applied No

differentiated, observation tool (COT) diffrentiated diffrentiated diffrentiated diffrentiated acceptable
developmentall rating sheet and/or teaching teaching teaching teaching evidence
y appropriate inter-observer strategies to strategies to strategies to strategies to was shown
learning agreement form about address learner address address address learner
experiences to using differentiated, diversity as shown learner learner diversity as
address developmentally in MOV 1 with a diversity as diversity as shown in MOV 1
learners' appropriate learning rating of 7 shown in MOV shown in with a rating of 4
gender, needs, experiences 1 with a rating MOV 1 with a
strengths, of 6 rating of 5
interests and
experiences.

2. Lesson Efficiency Submitted at least Submitted 3 Submitted 2 Submitted any 1 No

plans/modified DLLs 4 differentiated differentiated differentiated differentiated acceptable
developed highlighting teaching teaching teaching teaching strategy evidence
differentiation in strategies in at strategies in at strategies in at in only 1 lesson was shown
content, product, least 2 lessons as least 2 lessons least 2 lessons as evidently
process, learning evidenced by as evidenced as evidenced shown in any 1
environment or others MOV 1 and by MOV 1 and by MOV 1 and of the acceptable
according to learners' supported by any supported by supported by MOV
gender, needs, 1 of the other any 1 of the any 1 of the
strengths, interests and acceptable MOV other other
experiences acceptable acceptable
MOV MOV
 3. Instructional
materials developed
highlighting
differentiation in
content, product,
process, learning
environment or others
according to learners'
gender, needs, stengths,
interests and
experiences

4. Others (Please specify Timeliness

and provide
annotations)

Curriculum 7. Planned, June 1. Classroom Quality Planned and Planned and Planned and Planned and No
and Planning managed and 2018- observation tool (COT) implemented implemented implemented implemented acceptable
implemented March rating sheet and/or developmentally developmental developmenta developmentally evidence
developmentall 2019 inter-observer sequenced ly sequenced lly sequenced sequenced was shown
y saquenced agreement form about teaching and teaching and teaching and teaching and
teaching and using learning process learning learning learning process
learning developmentallysequen as shown in MOV process as process as as shown in MOV
processes to ced teaching and 1 with a rating of shown in MOV shown in 1 with a rating of
meet learning process 7 1 with a rating MOV 1 with a 4
curriculum of 6 rating of 5
requirements
and varied
teaching 2. Lesson
contexts. plans/modified DLLs
highlighting
developmentally
sequenced instruction
that meet curriculum
goals and varied
teaching contexts
 3. Instructional Efficiency Submitted at least Submitted 3 Submitted 2 Submitted 1 No
materials used to 4 developmental developmenta developmentally acceptable
implement developmentally ly sequenced lly sequenced sequenced evidence
developmentally sequenced teaching and teaching and teaching and was shown
sequenced teaching and teaching and learning learning learning process
learning process to learning process process as process as as evidently
meet curriculum as evidently evidently evidently shown in any 1
requirements and shown in MOV 1 shown in MOV shown in of the given MOV
varied teaching and supported by 1 and MOV 1 and
contexts. any 1 of the other supported by supported by
given MOV any 1 of the any 1 of the
other given other given
MOV MOV

4. Others (Please specify

and provide Timeliness
annotations)

8. Participated 1. Personal notes of Quality Consistently Frequenttly Occasionally Raretly No

in collegial teachers on participated in participated in participated in participated in acceptable
discussions that LACs/FGDs/meetings LACs/FGDs/ LACs/FGDs/ LACs/FGDs/ LACs/FGDs/ evidence
use teacher with proof of meetings to meetings to meetings to meetings to was shown
and learner attendance discuss discuss discuss discuss
feedback to teacher/learner teacher/learne teacher/learn teacher/learner
enrich teaching feedback to r feedback to er feedback to feedback to
practice. 2. Minutes of LAC/FGD enrich instruction enrich enrich enrich
sessions on use of as shown in the instruction as instruction as instruction as
teacher and learner MOV submitted shown in the shown in the shown in the
feedback to enrich MOV MOV MOV submitted
teaching practice with submitted submitted
proof of attendance

3. Others (Please specify Efficiency Participated in at Participated in Participated in Participated in 1 No

and provide least 4 3 LACs/FGDs/ 2 LACs/FGDs/ LAC/FGD/ acceptable
annotations) LACs/FGDs/ meetings as meetings as meeting as evidence
meetings as evidently evidently evidently shown was shown
evidently shown shown in any 1 shown in any in any 1 of the
in any 1 of the of the given 1 of the given given MOV
given MOV MOV MOV

Timeliness
9. Selected, 1. Classroom Quality Developed and Developed Developed Developed and No
developed, observation tool (COT) used varied and used and used used varied acceptable
organized and rating sheet and/or teaching and varied varied teaching and evidence
used inter-observer learning teaching and teaching and learning was shown
appropriate agreement form about resources, learning learning resources,
teaching and using appropriate including ICT, to resources, resources, including ICT, to
learning teaching and learning address learning including ICT, including ICT, address learning
resources, resources, including ICT goals as shown in to address to address goals as shown in
including ICT, to MOV 1 with a learning goals learning goals MOV 1 with a
address Examples: rating of 7 as shown in as shown in rating of 4
learning goals. MOV 1 with a MOV 1 with a
rating of 6 rating of 5

Activity sheets/task
sheets/work sheets

PowerPoint
presentations
Video clips
Module Efficiency Submitted at least Submitted 3 Submitted 2 Submitted any No
SIMs-Strategic 4 varied teaching varied varied teaching and acceptable
Intervention Materials and learning teaching and teaching and learning evidence
resources, learning learning resources, was shown
including ICT, as resources, resources, including ICT, as
Others evidently shown including ICT, including ICT, evidently shown
in MOV 1 and as evidently as evidently in any of the
2. Lesson supported by any shown in MOV shown in acceptable MOV
plans/modified DLLs 1 of the 1 and MOV 1 and
with appropriate acceptable MOV supported by supported by
instructional materials any 1 of the any 1 of the
appended acceptable acceptable
MOV MOV
3. Others (Please specify Timeliness
and provide
annotations)
Assessment 10. Designed, June 1. Classroom Quality Designed, Designed, Designed, Designed, No
and selected, 2018- observation tool (COT) selected, selected, selected, selected, acceptable
Reporting organized and March rating sheet and/or organized and organized and organized and organized and evidence
used 2019 inter-observer used diagnostic, used used used diagnostic, was shown
diagnostic, agreement form about formative and diagnostic, diagnostic, formative and
formative and using diagnostic, summative formative and formative and summative
summative formative and assessment summative summative assessment
assessment summative assessment strategies assessment assessment strategies
strategies strategies consistent with strategies strategies consistent with
consistent with curriculum consistent consistent curriculum
curriculum requirements as with with requirements as
requirements. shown in MOV 1 curriculum curriculum shown in MOV 1
with a rating of 7 requirements requirements with a rating of 4
as shown in as shown in
2. Prepared lesson MOV 1 with a MOV 1 with a
plans/modified DLLs rating of 6 rating of 5
highlighting appropriate
use of formative
assessment strategies

3. Developed diagnostic
tests: (a) with TOS
reviewed by superior;
(b) with sample
accomplished
questionnaire/answer
sheets

4. Developed Efficiency Submitted at least Submitted 3 Submitted 2 Submitted 1 No

summative tests: (a) 4 varied varied varied assessment tool acceptable
with TOS reviewed by assessment tools assessment assessment as evidently evidence
superior; (b) with as evidently tools as tools as shown in any of was shown
sample accomplished shown in any 1 of evidently evidently the acceptable
questionnaire/answer the acceptable shown in any 1 shown in any MOV
sheets MOV of the 1 of the
acceptable acceptable
MOV MOV
 shown in any 1 of evidently evidently the acceptable
the acceptable shown in any 1 shown in any MOV
MOV of the 1 of the
acceptable acceptable
MOV MOV
5. Developed
performance tasks: (a)
with rubrics reviewed
by superior; (b) with
sample accomplished
rubrics

6. Others (Please specify Timeliness

and provide
annotations)

11. Monitored 1. Compilation of a Quality Consistently Frequently Occasionally Rarely monitored No

and evaluated learner's written work monitored and monitored and monitored and evaluated acceptable
learner with summary of results evaluated learner evaluated and evaluated learner progress evidence
progress and and with signature of progress and learner learner and achievement was shown
achievement parents achievement progress and progress and using learner
using learner using learner achievement achievement attainment data
attainment attainment data using learner using learner as shown in the
data. 2. Formative/summative as shown in the attainment attainment MOV submitted
assessment tools with MOV submitted data as shown data as shown
TOS and frequency of in the MOV in the MOV
errors with identified submitted submitted
least mastered skills

3. Class records/grading Efficiency Submitted a Submitted a Submitted a Submitted 1 No

sheets combination of at combination combination acceptable MOV acceptable
least 4 of the of 3 of the of 2 of the evidence
acceptable MOV acceptable acceptable was shown
4. Lesson MOV MOV
plans/modified DLLs
showing index of
mastery

5. Others (Please specify TimelinessSubmitted MOV Submitted Submitted Submitted MOV No

and provide were distributed MOV were MOV were was completed acceptable
annotations) across 4 quarters distributed distributed in only 1 quarter evidence
across 3 across 2 was shown
quarters quarters
12. 1. At least 3 samples of Quality Consistently Frequently Occasionally Rarely showed No
Communicated corrected test papers of showed prompt showed showed prompt and clear acceptable
promptly and the same 3 learners in and clear prompt and prompt and communication evidence
clearly the the same learning area communication of clear clear of the learners' was shown
learners' needs, with parents' or the learners' communicatio communicatio needs, progress
progress and guardians' signature and needs, progress n of the n of the and achievement
achievement to date of receipt and achievement learners' learners' to key
key to key needs, needs, stakeholders,
stakeholders, stakeholders, progress and progress and including
including including achievement achievement parents/guardian
parents/guardia parents/guardians to key to key s as shown in the
ns. 2. Minutes of PTA as shown in the stakeholders, stakeholders, MOV submitted
meetings or Parent- MOV submitted including including
Teacher conferences in parents/guardi parents/guard
all quarters with proof ans as shown ians as shown
of parents'/guardians' in the MOV in the MOV
attendance submitted submitted

3. Report cards with

parent's or guardian's
signature in all quarters
supported by minutes of
meeting

4. Communication with Efficiency Submitted a Submitted a Submitted a Submitted any 1 No

parents/guardians using combination of at combination combination of the given MOV acceptable
various modalities least 4 of the of 3 of the of 2 of the evidence
acceptable MOV acceptable acceptable was shown
MOV MOV

5. Anecdotal record
showing entries per
quarter

6. Other documents TimelinessSubmitted MOV Submitted Submitted Submitted MOV No

showing learners' were distributed MOV were MOV were was completed acceptable
needs, progress and across 4 quarters distributed distributed in only 1 quarter evidence
achievement submitted across 3 across 2 was shown
to other stakeholders quarters quarters
 13. Performed June 1. Certificate of Quality Consistently Frequently Occasionally Rarely No
various related 2018- Recognition or performed performed performed performed acceptable
works/activities March Participation various related various related various various related evidence
that contribute 2019 work/activities work/activities related work/activities was shown
to the teaching- 2. Certificate of Training that contribute to that work/activitie that contribute
learning the teaching contribute to s that to the teaching
process learning process the teaching contribute to learning process
3. Certificate of as shown in the learning the teaching as shown in the
Speakership MOV submitted process as learning MOV submitted
shown in the process as
4. Committee MOV shown in the
involvement submitted MOV
5. Advisorship of Co- submitted
curricular activities
6. Book of Journal
Authorship/Co-
authorship/Contributors
hip

7. Efficiency Submitted at least Submitted 3 Submitted 2 Submitted any 1 No

Coordinatorship/Chairp 4 different kinds different kinds different kinds of the acceptable acceptable
ersonship of acceptable of acceptable of acceptable MOV evidence
MOV MOV MOV was shown
8. Coaching and
mentoring learners in
competitions

9. Mentoring pre-
service/in-service
teachers

10. Others (Please Timeliness

specify and provide
annotations)

Over-All Rating for

Accomplishments

RATEE: RATER: Approved:

LUZVI P. CONCEPCION NEPTUNE C. MANAL
Teacher I Head Teacher III Principal I
TO BE FILLED DURING EVALUATION
RATING

E T AVE SCORE
NEPTUNE C. MANALESE
Principal I