CHECKLIST-BASIC-QUALIFICATION-FOR-SHHTMTTCHR1-3

ngilutli[ ut toe P"IiFTilles

ZBapartm¢t`t of ®butat(I]n

N^l-loN^l. C^ItlT^l. Rl:.GloN
SCHOOIS DIVISION Ol:FICE 0[. I.AI PIN^S Cl.lY

cHECKLlsT oF REQulRErmNTs FOR pRINclpAI,

Name
School

Position
Item Number
Position applied for

PSDS(plc-chec[conpletenes.) I-Vaar8mattaemd

Documentary requirements (plece checkcompletenesl

Remarks

Justification for the rcclassirication
of position

Duly accomplished Form 212

(Personal Data Sheetl
Certified , Authenticated and
Verified (CAVI Transcript of Records

Service Records
Performance Rating Sheet for the
last three (3} consecutive Years
Certificate/ Proof of Outstanding
Accomplishment
Equivalent Records fomi for HT

positions; Position Description
Form for Principal Positions
NEAP Certification as to the result
of NQEP taken and Basic Training
Course for School Heads Attended
SBM Task Force's Certification as to
the rating obtained in the
international and external
stakeholder's assessment
Division Selection and Promotion
Board's Certification on the points
obtained in the Psychological
Attributes and Personality Traits
assessment

Enrollment DataL (Fomi 3) in the

present school assignment,
including cluster schools handled, if
anv
List of teachers under supervision,
with the identification of their
respective plantilla item number per
later-post audited PSIPOP certified
bv PSDS concerned
Copy of latest post-audited PSIPOP
wherein the manes of the teachers
under supervision is reflected

Signature:

® Gabaldon Bldg., Brgy. Elias Aldana,
Padre Diego Cera Avenue, las Pijias City

® (02) 8-835-9030 I (02) 8-822-3840
a '[email protected] ® www.depedlaspinas.ph

SDOLPAOHR-cROoi , R8vO, 03/1 on020

Copy of the latest post-audited
Personal Services ltemization and

Plantilla of Personnel (PSIPOP)
where the item is reflected

Certification of non-availability of
item

Sis-tune

tpsDsl (Aorv-HRMoi

Reviewed: Certffied:

dARED .AY P. ROBEA UUAN c. OBmENA

Administrative Officer V Chief CID , Officer-in-Charge
Office of the Assistant Schools Division Superintendent

Recommending Approval:

•OEI, T. TORRECAMPO, CBSO VI

Assistant Schools Division Superintendent
Officer-in-Charge

Office of the Schools Division Superintendent

® Gabaldon Bldg., Bngy. Elias Aldana, @EE @= -{ CiPT1Z.^Y|OT|
Padre Diego Cera Avenue, La5 Pii`as City

® (02) 8-835-9030 I (02) 8-822-3840

® [email protected] ® www.depedlaspinas.ph

Rqutllt ot t®c Pgivlfroind

ZBapartment ot ®Dutatton

N^.I-loN^l. C^l'll`^l. RE(`,loN
SC[-lools DIVISION OFIL.lcF. 01: LAS l'lN^S Cl.lY

CHECKLIST OF REQUIREMENTS FOR MASTER TEACHERS

Name

School

Poedtlon

Item Hunber
Position applied for

Documentary requirements School Valldat.a
HREFse(pleeecheclcODoleteDes9l
Recommendation of the SDS flrmo stan
(School Head|
(2 copies) Certified: |ple- checkcoDpl®teneaBl Remarha
Plantilla Allocation List (3 copies|
|AOIV-HRHO|
List of Teachers by subject area - 8
(for Secondarvl
Lis of Teachers by school in a
District (for Elementarvl
With corresponding item number
each page duly signed by the School
Head/ PSDS for Elem & the SDS (2

copiesl indicate SY (
Service Records f2 copiesl
Ranklist (duly signed by the

chalmian & members of the School/
Division Selection Board, approved

bv the SDS| (2 copies`, indicate SY
Official Transcript of Records

(Authenticated by the School
Reristrarl & Permit to study
Certificate of Relevant Training- not
used in the last 5 years and in line
with subject area taught (at least 24
hoursl

F`orm 212 (latestt

Performance ratings (3 consecutive
rating period prior to ranking|
SF7 (certified true copy, indicate SY,
Sub_iect area taught`
PSIPOP, indicate SY
Photocopv of PRC License

Signature

Reviewed:

UARED JAY P. ROBEA utJAN C. OBERNA

Adrinistrative Officer V Chief CID, Officer-in-Charge
Office of the Assistant Schools Division Superintendent

Recommending Approval:

•OEL T. TORRECArmo, cEsO vl

Assistant Schools Division Superintendent
Officer-in-Charge

Office of the Schools Division Superintendent

® Gabaldon Bldg., Brgy. Elias Aldana, @
Padre Diego Cera Avenue, Las Pijias City
¢ ` cE3rl€+Ticti
® (02) 8-835.9030 I (02) 8-822-3840
a [email protected] a www.depedlaspinas.ph

Bg|iutli. ol I0e PHlipplneg

Bapartmeiit of ®butatton

N^TION^I. C^PIT^l. REGION
Sc[ioois DlvisioN OFFicE. or I.as PiN^s CITY

CHECKLIST OF REQUIREMENTS FOR HEAD TEACHERS I TO VI

Name

School
Position
Item Number
Position applied for

School Validated

Documentary requirements -8(plo-checLcompleteness) lHREO 8tam

Indorsement form SDO (3 copies| (plefLse checkcompleteneasl RetBarha
Duly accomplished Equivalent
Record Forms- (5 cooiesl
Transcript of Records in the
Masteral course- authenticated
copv sinned bv school reedstrar
Service Records
Certificated of Relevant Training for
the last rive years (at least 24
hoursl
Sworn Statement with documentary
stamp
Permit to study or accreditation of
units in the Masteral course
Rank list of all personnel who are

qualified for the desired position,
duly signed by the Chalmian and
members of the Ranking
Committee, and attested by the
Schools Division Superintendent or
Certification that the applicant is a
lone candidate
Waiver from concem€d personnel(s)
in the event that the candidate is
not the most ranking
Certification of the Principal that
the candidate has Very Satisfactory
Ratings for the last three (3) rating

periods
Certification of the Principal and
attested by the Schools Division
Superintendent that the Candidate
has at least 1 year experience as
Acting Chairman of the Department
Candidate has at least 1 year
experience as Acting Chairman of
the Department
List of teachers in each of the eight

(8) major subject areas, duly
identified by their respective item
number per Plantilla of Personnel
each page duly signed/ certiried
correct by the head of the school
and attested by the Schools
Division Superintendent

® Gabaldon Bldg., Brgy. EliasAldana, .... EE ®
Padre Die8o Cera Avenue, Las Pij`as City * , C`ia, .X=AT"

® (02) 8-835-9030 I (02) 8-822-3840
a [email protected],ph ® www.depedlaspinas.ph

Updated copy of the school's
Plantilla of Personnel for the
current Fiscal YeaLr- pls. highlight
the names of the teachers in the
sut)ject area assignment of existing
Head Teacher (s) in the school, if

any
Name, position title and subject
area of assignment of existing Head

Teacher (sl in the school, if any

Plantilla Allocation List (5 copies)

Ample justification (s) for the need
of the position

SF7 for current SY
Photocopy of PRO License

Skyatu`e

(School Hend| |Aorv-HREo|

Reviewed: Certified:

JARED .AY P. ROBBA TUAn c. OBDRTA

Administrative Officer V Chief CID, Officer-in-Charge
Office of the Assistant Schools Division Superintendent

Recommending Approval:

•OEL T. TORRECAMPO, CESO VI

Assistant Schools Division Superintendent
Officer-in-Charge

Office of the Schools Division Superintendent

SDOLPAOHR-CR003, Revo, 03/10#020

Beputli[ ol [be P"l"ines

Bapartmettt of ®butat{on

N^TION^L C^l.ll.^l. RF.C,loN
ScLio(7Ls L)IvisloN Oi:rict:. oF LAs PiN^s Cliv

CHECKLtsT OF REQUIREMENTS POB SPED TEACHERS I, 11 AND Ill

Name School Validated
School (HRHo Stan
Position I-B(pleeecheckcoDf}leteoees)
Item Number
Po8ltion applied for (please checkcopt)leteDeasl Remarha

Doounentary requirements

Indorsement from SDO (3 copiesl
Duly accomplished Equivalent
Record Forms (5 copies|
Transcript of Records in the
masteral course- authenticated
copv sigried bv the school's reedstrar
Service records
Certificated of Relevant Training for
the last rive Years (at least 4 hours|
Sworn Statement
Permit to study or accreditation of
units in the masteral course
Rank list of all personnel who are

qualified for the desired position,
duly signed by the Chairman and
Members of the Ranking
Committee, and attested by the
Schools Division Superintendent or
Certification that the applicant is
lone candidate
Waiver from concerned personnel

(s) in the vent that the Candidate is
not the most ranking
Certification of the Principal that
the Candidate has Very Satisfactory
Ratings for the last three (3) rating
Periods
Plantilla Allocation list (5 coDiesl
Ample justification(s) for the need of
the position
Certification that the candidate has
earned the required number of the
units in SPED issued by any of the
duly authorized training
institutions
Certification that the school where
the candidate is assigned is an
existing authorized SPED school/
center
Certification of the Principal that
the candidate has at least three (3)

years' experience in teaching
children in any categories of
children with special needs

® Gabaldon Bldg., Brgy. Eljas Aldana, SDOLPAOHR-CR004, Revoo, 03/10#020
Padre Diego Cera Avenue, Las Piiias City
®
® (02) 8-835-9030 I (02) 8-822-3840
® [email protected] ® www.depedlaspinas.ph i i Cf iT i k»YEN

Enrollment by exceptionality and by

year/ grade for the present school
year
Data on the number of pupils/
students enrolled in the category of
children with special needs handled
bv the candidate

Photocopv of PRC License

gig-tune

|ScbooL Elead| |Aorv-HREo|

Reviewed: Certified:

OARED JAY P. ROBEA OUAH C. OBDREA

Administrative Officer V Chief CID , Officer-in-Charge
Office of the Assistant Schools Division Superintendent

Recommending Approval:

JOEL T. TORRECAMPO, CE80 VI

Assistant Schools Division Superintendent
officer-in-Charge

Office of the Schools Division Superintendent

® Gabaldon Bldg., Brgy. Elias Aldana, @
Padre Diego Cera Avenue, Las Pifias City
" CLQ-, €|T"{
a (02) 8-835-9030 I (02} 8-822-3840
a [email protected] ® www.depedlaspinas.ph

CHECKI,IST OF REQulREMENTs F`OR BRF TEACHER 11 AIrD Ill

Name
School
Position
Item Number
Position applied

Dociimentary requirements School Validated
-SB|pleeecheckcompleteneas|
Indorsement from SDO (3 copies) IHREO Stan
Duly Accomplished ERF` Forms (5
copiesl tpleee checlEcodpletenesol Remarb
Sworn Statement in accordance
with DepEd Order No. 12, s. 1962
with Documentarv Stamp
Service Records
Transcript of records in the
masteral cou rse (authenticated
copy signed by the schools
rcgistrar|
Certified true copy of transcript of
records in the undergraduate level
Certified true copy of Permit to
study
Certiried true copy of approved
curriculum for masteral course
PhotocoDv of PRC License

Stsnature

(School Herd) |AOIV-HREol

Certified Conect: Recommending Approval:

OARED .AY P. ROBEA dngAN c. OBDREA

Administrative Officer V Chief CID, Officer-in-Charge
Office of the Assistant Schools Division Superintendent

Noted:

•OEL T. TORRECArmo, cEsO vl

Assistant Schools Division Superintendent
Officer-in-Charge

Office of the Schools Division Superintendent

® Gabaldon Bldg„ Brgy. Elias Aldana,
Padre Diego Cera Avenue, Las Pihas City

0 (02) 8-835-9030 I (02) 8-822-3840
a [email protected] ® www.depedlaspinas.ph

JCO-LJR/ Memo Reclass-I / 15/2020

BAslc QUALIHCATloH FOR TEAclnR 11

0FTION 1:
Bachelor Degree in Education or its equivalent with a major and minor, or
Bachelor's degree in Arts and Sciences with at least eighteen (18) units in
professional education Plius 20 UNITS IN MASTER'S DEGREE EQUIVALENT
as stipulated under 1995 Qualification Standard Manual for Unique Positions in
the Department of Education, Culture and Sports(DECS)

OPTION 2:
Bachelor's Degree for Teacher or equivalent plus 20 years of service in teaching

in the pubuc schools qF Nor GRANmD FOR STEP mcRERENT) (as provided

under LJoint CSC-DBM Circular No. 1, series of 1990 and DECS Order No. 52, s.

1999)

BAslc QUALIHCIATloN FOR TEAclmR in

OPTIOH 1:

GRADUATE OF HAseR oF ARTs in EDUCATloN oR ARTs in SCENCE as
stipulated under 1995 Qualification Standard for Unique Positions in the
Department of Education, Culture and Sports(DECS) Master's Degree Equivalent

OPTION 2:

Bachelor Degree in Education or its equivalent with a major and minor, or
Bachelor's degree in Arts and Sciences with at least eighteen (18) units in
professional education plus 20 UNITS IN MASThR'S DEGREE EQUIVALENT as
stipulated under 1995 Qualification Standard for Unique Positions in the
Department of Education, Culture and Sports(DECS) PLUS 20 YEARS IN
SERVICE

OFTION 3:
Bachelor Degree in Education or its equivalent with a major and minor, or
Bachelor's degree in Arts and Sciences with at least eighteen (18) units in
professional education plus MASTER'S DBGREB EARED (under 1995
Qualification Standard for Unique Positions in DECS) PLUS EQUIVAI;EHT
TEACHING ERERIENCB which shall be computed as follows:

• Public School -1 unit for every 3 years of continuous/aggregate service
• Private School -1 unit for every 5 years of continuous/aggregate service

BASIC QtJAI+IFICATION FOR SPED TEACHER

roslTloN QUALIHCATlon sTAroARD

SPED Teacher I |AS PER DECS ORDER 5 S. 1998|

Education

Bachelor Degree in Education or its
equivalent with a major and minor, or
Bachelor's degree in Arts and Sciences
with at least eighteen (18) units of Special
Education at the Graduate level
One (1) month summer training in SPED

conducted at PNU, UP, YMCA Open
College, Manila and other recognized
institutions through the DepED or other
NGO funding agencies shall be given a
credit of 9 units.

Eligibility

Appropriate civil service efigibility (PBET,

LET, Teacher, RA 1080)

Experience

Three (3) years' experience in providing
educational services to children with
special needs

SPED Teacher 11 Performance Rating

Very Satisfactory Performance for the last
three Years
Bachelor Degree in Education or its
equivalent with a major and minor, or
Bachelor's degree in Arts and Sciences

plus thrty-eight (38) units of Special
Education at the Graduate level

SPED Teacher Ill Performance Rating

Very Satisfactory Performance for the last
three Years
Graduate of Master in Special Education
or its Equivalent

Performance Rating

Very Satisfactory Performance for the last
three years

BAslc QUALIHCATloIT FOR scHooL rmAD poslTloNs

(AS PER DEPED ORDER 97, 2011)

I Positlon Title ' Edlic.tlon +-Exp9J±pe. p_jri'iaFiii-nci

Tninin

Heard Teacher I Al least 12 MA units 3 yea,s 24 hours Of relevant At least Very
iii the fiends of teach'ng i Satisfactory for
experfence : traming lnitiated.
administraton, the last 3
supervis/on. aiid TIC of sanctoned,
leadership or
management Olc for at approved/reeognLzed conseeutiye
ieasl 1 year
by DepEd not used years, or
' in the irnmediate ; Outsfanding tor

prevmus promotm i the rasl 2

conseeutive

years

liead Teacherll t-Ai-ieairi-iTA--uiiir3T+iif|f6-ri ZTh-oil-is--ofretevant AI least Very

, At least24MA

'I iandmthienifsetriadtsroonf. year training I nltrated. Satisfaciory f or

sanctoned. the !as' 3

supervls.on approveeyrecognLzed consoutive
• leadersnip or
by DepEd not used ' yOeuatrsso.uoirng fcw.
management in the irrimediate

pTevrous promotion the fast 2

consJeoutrre

; yea,S

iE=Tdtel=EFE7li`i--T'Atl6-al€ii6-in-A-JnTis HT 11 for 2 32 hours of relevant Al least very I
:
in trie fiends of . years training inilrated Satsfactorytw

edministraton. sarretxmed 'it rcfoenlsaescto3t]ve
supervlsron\
leadersliip or approved/recognLzed
management
oy DepEd not used years or
ln the imnediate
Outstanding for

orevia us promotieri ; the fast 2
I conseeutwe

; years

/

Head Teacher lv i c-Gin-oieted"A-ed-emie-+iii:Th -for`2 - + 32 hours ot relevant At Least Very

i Requirements inlhe years trairiing mitiated. Satisfactry for
the last 3
I teids o' sanctioned. consecut!ve

aoproved/recognexed

li:fgs:h:::rn by DepEcl not used \ yOeuatrsstanad,ing to
rnanagemeil{ in the inmedlate i the bat 2

prey Ious promoton conseciitwe

years

; -He-id-tea€h6r V Ti56FFTpieied Academre HT Ivfor2 a6 h6urs`6f relevant A' least vdy
Requirements in the years
riekts o' tTaintng inltiated , Satisfactory to.
the last 3 years
adminrstratien\ sanct®ned,
supervisron, cN. outsfandino
leedership or approved/recognized
by DepEd not used for tte bst 2
management in the immed®te coflsoutive

prevx"s promobon years

Head Teacher vI Master's degree in HT V to, 2 40 hous of re6vant ; At learst Very
yea,S
the nelds of tratn I rig inrtlated Satisfactory for

; administratroii. sanctrmed. the fast 3
superv!sion.
approved/recognized i consoutwe
leadership or
I management by DepEd riot used iri years. or

the immedcte Outstanding foi

prevrous promoton i the krst 2

I conscative

years

Educatfro i_'`iiii6iiitaail
"fry-._"
the tekis Of RT V tr 2
achinistrstfro, 40 hoes ol rekwant Al kst Vtry
supowi§ron, yeae Satistry for
ieadeTshap er tomng mrmed4
management sam-' the trffi 3
cons-approvedfrecagf`ced
utaster`s deoee in DepEd
the tekis Of
administrafro, r¥d¥whiir#ftyI-8reinnMxife
8upervisha,
leadership or i certiiecutte

rmagement ! yeas

i )3HTtryl

Pf,nelpal I yen a3

I"harmT:gT:tr+ant!#=J#tw
Ill fo, ; sarNaned,§trytryEdwhued!EL¥ork
ekmve

Tee (2) years in the ifnntedee OutsBndng tr
as HT Vl tr prevfus p~ de ca 2
strsorty

Masters ctegrce Ou {1) year 48 hours of givamt Al
as pTincgiv I
tte "s Of bainng initiated, satsfrory
sanctioned.
adminrmron. be tact 3
amroved/recognnd consecuhe
supervisient try DepEd not ed
ysas; Or
k}adership or pro-pr-in the imndae Custimdrty for
management plus 6
con-be bet 2
doctoed un Its
yEus

the fens Of Tp#givffi 56 h- Of nstevaet A! Eeaut Vtry

edministratxm~ -ed.btwno initou. sas€rty for

8upervisron approveanecoquized be tact 3
ty DepEd not used conaecube
leadership oi
in de imr"xrm year; Or
managenm Pus prewhs promofro
oucandng tr
doctout unts the ca 2

consecube

yens

fros degree Tvro 7Zr-ff 56 hoiirty Of roto`ant AI krm Very
trainng inRiated.
the rreds Of as Pinced 111 sanctioned. Saesfty for

edminrsstrafro, apprgivrecognBed the fast 3
supervisun.
faderfu{p or p-pr-dy OapEd not uged ccosecube

manag-nt Ffu$ 24 in be immedde years; or

doctoral u nts outanng dy

cO-de krsi 2

SCORE sHRE'r FOR EVALUATION OF DOcuRErms FOR
SCHOOL IEAD (PRIHICPAL AND IDAD TBACRER)

Nzme of Applicant: Teaching Experience:
School: Date Of last Appointment:

Basic QualiflcatioD. / Requlr®meDt Supporting DooutBento
1. Educational Qualification
Ofificial Transertyit Of Records (OTR), Baceala:area:te
Course takenuatest) :
and TOR> Ciradhaate ShaLckes
Number of units earned: Certified, Authenticated and Verified (CAN)
D ate Graduated:
Transcript of Records
Perrnd to S"dly

2. Eligibility: RA 1080 (PERT / LET) Pholocopg Of I,ieenee ID
NQESH Ifor Sc.hoal Princfoal)

3. Relevant Experience: • Approved class / Teachers program
• List of Teachers under supervision, with

the identification of their respective

planitlla item number per later-post
audited PSIPOP certified by PSDSconcerned

• Photocopy of zatest appofn;irneut
• Designa:fionorder app:rouedbg the SDS
• Service Record

Credit. Points for Leader8hlp. AcooDpli8hment8 fLnd Potential

Credit Point. for Leaderehip, Potential. andAccomt)Llahment/Achievemet.ts Documentary Requlrement8 Polnt3Emed

A. PEREOR]tANCE RATING Perf®rDatLce Rating Sheet for the lalt three (3)
SY20 -20 : cooarecutlve year
SY20 -20 : mi:1y signed / approued by the Priwipal certiifeed by
SY20 -20 : the Pubttc Schools rtstrict ffuDeTvisor

8. ExpENENCB • List of Teachers under supervision, with the
(Must be relevant to the duties and responsibhities identification Of their respective planitlla
and functions including mentormg and coaching item number per later-post audited PSIPOP
experiences of the position to be reclassified) certified by PSDS concerned attested by
SDS
c. OuTSTANDinG AccOHPLlsHieEHT
c.1 0utstaiidlnz BDtiloyee Award • Copy of latest post-audited pspop wherein
the names of the teachers under
• SchoolAwardee (1 pt.) supervision is reflected certified by Division
I Nomination in the division/awardee in the HRMO attested by SDS

district (2 pts.) • Photocopg of latest appoin±men:i
• Nomination in the region/awardee in the • Desigra:fion order c.pprouedby the SDS
• Service Record
division (3 pts.)
• Memorandum or any issuance showing the
• Nomination in the department/awardee in Criteria for the Search
the region (4 pts.)
• Certificate of Recognition/ Ment
• National awardee (5pts.)
> esp/GSP
> Brigada B.ktrela
> And other DepEd sanctloacd avaed3

• Certificate of commendation

c. 2 Innovation

• Conceptualized (1 pt.) • Copy of proposal duly approved by the Head of

• Started the inplementation (2 pts.) Office

• Fully inplenented in the school (3 pts.) • Accomplishment/ Narrative Report verified by

• Adopted inthe district (4pts.) the Heal of Office and certified by PSDS

• Adooted in the division (5 Dts.I concerned

c.3 Roaiearch and D®velopm®nt • Certification Report on the utilization of the

• Action research conducted in the school level innovation certified by the Head of Office and

• (5 pts.) • certified by PSDS concerned
Certification of adoption by another
Fun-blown reseal-ch conducted in the district
school/office duly signed by the Head of Office
level (7 pts.)
• Proofofcitation by other researchers of the
• Fun-blown research conducted in the
concept/s developed of the research.
division level (10 ots.I

c.4 Publicatioa/ Authorchip related to Education • Certificate of writer/ mustrator
or School Imf)f'oveDent • ISBN certificate/ Certificate of copyricht

• Written works (modules/work sheets) (1 pt.) registration
• Articles published in ajoumal/newapaper/ • Copy of Bock/Journal/Newspaper/Article/

magazine of nationwide circulation - (2 pts.) Module and other related documents
®er article but nat to exceed 4 points)
• Co-authorship of book (4 pts.) • Issuance/Memorandum/Invitation
(she:ll be divided by the number Of authors) • Authorization from SDS
• Sole authorship of an educational or school • Certificate/plaque of appreciation/
inprovement-related book (5 1.ts.\
c.5 Consultant/ Rcoouf.oe SpealEer in Tralningi/ recognition

Seminars/ Worhhop./ Svmposla • Official Transcript of Records (OTR) -
Authenticated by School/ University
• Distnctlevel (1 pt.) Registrar Baccalaureate and OTR, Post
• Division level-(2 pts.) Ciraduate Studies
• Regional level-(3 pts.)
• Nationallevel-(4 pts.) • Certified, Authenticated and verified (CAV)
• International level -(5 Dts.\ Transcript of Records

D. Education and Training Related to SDI(/Leader8hlpandHana&etnezLt115tite) • Approved course curriculum
• Perm:ittostudu
a. 1 Education
• Re-Entry action plan approved by the head
• Completed the Acedemic Reqiinements for the
Master's negree - (6 pts.) of agency (office)
• Accomplishment Report verifiied by the head
• Master'sdegree-(7 pts.)
of agency (office)
• Completed the Academic Requirements for the • Certification of the utilization/adoption
Doctoral Degree -(9 pts.)
signed by the authority concerned
• Doctoral Degree-(10 pts.)
• Issuance/Memorandum showing the
a. 2 TraininfEB participation
• Participant in the speciaJized training
e.g. Scholarship, short courses, Study • Certificate ofparticipation sigried by the
Grants shall be given one(1) point for every head of office
month but not to exceed ten(10) points
• Authorization from SDS•Issuance/Memorandum/ Invitation/Training
• Participant in the three(3) or more training
activities in each level conducted for at least
three(3) days not credited in the during the
last promotions:

District level -(1 pt.)
Divsion level - (2 pts.)
Regional level - (3 pts.)•Participantinone(1)training conducted for

at least three(3) days not credited in the Matrix/ Notice of Meetings;
during the last promotions: • Certificate of

National level - (4 pts.) Participation/ Merit/ Commendation signed
International level - (5 pts.) by the head of office

• Chair/Co-Chair in teaching/planning • Is§uance/Memorandum
committee • Certifroate of

District level (1 pt.) Participation/ Merit/ Commendation signed
Division level - (2 pts,) by the head of office
Regional level - (3 pts.)
National level - (4 pts.)
International level - (5 pts.)

E. Potential

• Communication skills (2 pts,)

Interviewer 1. Interviewer 4.

Interviewer 2. Interviewer 5.

Interviewer 3. Interviewer 6.

• Abilrty to present ideas (2 pts.)

Interviewer 1. Interviewer 4. _

Interviewer 2. Interviewer 5.

Interviewer 3. Interviewer 6.

• Alertness (2 pts.) Interviewer 4. _

Interviewer 1. Interviewer 5.
Interviewer 6.
Interviewer 2.
Interviewer 3.

• Judgement (2 pts.) Interviewer 4.
Interviewer 5.
Interviewer 1 , Interviewer 6.
Interviewer 2.
Interviewer 3.

• Transformational Leadership -(2 pts.)

Interviewer 1. Interviewer 4.

Interviewer 2. Interviewer 5.

Interviewer 3. Interviewer 6.

P. P3ychosocial attributes aiid tiersondity traits

• Human relatrons(5 pts)

Interviewer 1. Interviewer 4.

Interviewer 2. Interviewer 5.

Interviewer 3. Interviewer 6.

• Decisiveness (5pts)

Interviewer 1. Interviewer 4.

Interviewer 2. Interviewer 5.

Interviewer 3. Interviewer 6.

• Stress Management (5 pts)

Interviewer 1. Interviewer 4.

Interviewer 2. Interviewer 5.

Interviewer 3. Interviewer 6.

PROCESSED BY:
DIVISION PERSONNEL SELECTION BOARD

TUAN C. OBIERNA
OIC-ASDS / Chairman

ALDRIN a. CORPIN Principal Aasociatlon President
Member
Member

NOEL V. POTENCIANO JARED JAY P. ROBEA
Member Member

SCORE SHEET FOR EVALUATION OF DOCUMENTS FOR
MASTER TEACHER I & n

NameofApplicant: Teaching Experience:
Date of Last Appointment:
School:

Basic Qualiflcations / Requirement Supporti"! Documents
I. Eligibility: RA 1080 0BET / LET)
Of f icial Transcl'ipt Of Records (OTR:) , Baccahaeate
1.a With at Least 240 actual teaching Loads as per and OTR, Post Graduate Studies
DECS Order No. 39. s, 1990 PERMIT TO STUI)Y
2. Educational Qualification Service Record
2.a Bachelor' s Degree for Teachers or its equivalent Phatocapy Of latest appointment
2.b Plus: MT I : At least 18 MA units A:pproved Class / Teachers Program

MT 11: At least one (1) year as MT I Jitly signed / approved by the Principal
3. Expenence : MT I: At least three (3) years teaching
experience and one (1) year as MT I T - Ill IPCRF approved by the Principal
MT I IPCRF approved by the SDS or designated ASDS
4. Very Satisfactory Performance or better for the last
three years

(at lcast 33 points for MT-I; 35 points for MT-II)
SY 2017 -2018 :

SY 2018 -2019 :

SY 2019 ~ 2020 : / 5 x 40 =
Average of last 3 SY:

5. For MT I Applicants: • Memo on the conduct of Demo teaching

• At least one (1) Division or region or national • Duly approved / signed Lesson plal.

or international Demo Teaching within the Last • Observation sheets

five (5) years, or • pictures
• At leasttwo (2) district demo tcachingwithin

the last five (5) years

• Three (3) school -based demo teachings

within the last five (5) Years.

Notes:

a. Master teacher I: At least 25 points in lcadership and potential; or has been a demonstration teacher on the

district Level plus 15 points in leadership and potential.

b. Master Teacher ll: At least 30 points in leadersh]p, potential and achievement; or demonstration teacher

on the division level plus 20 points in leadership and potential providedthe activities or accomplishments

listed for this purpose had not been credited or used for earlier promotion.

Credits Points for Leadershii), Accomplishments and Potential

Credit Points for Leadership, Potentials and Accomplishment Documentary Requirements Points
Earned
/ Acl) ievements For Curriculum / Innovation
• Certified copy of approved
I. Leadership (Max. of 20 points)
product anstructiomL materials,
1. Introduced / Implemented any of the following which has been modules, exemplars, etc.)
• Certification / Recognition by
adopted School head or by Division
Supervisor (for Division Level)
by the school / Division • Copy of concept paperofInnovationandsampleoutputs

a. Curriculum / Instructional materials; For Demo Lessons / Teaching
• Certifications on thedemonstrationteaching..
Division Level 10 pts.
stipulating the grade level,
School Level 5 pts. subject, date, venue, title of the
program / training signed by
b Innovation / Simplification of work concerned official.
• Memo on the conduct of the
Division Level lo pts. Demo indicating the name Of the
teacher
School Level 5 pts.

c, Effective Teaching techniques / strategies

Demonstration Teaching Q4ax lo pts.)

For MT-I For MT-II

Applieant Aiiplicont

a. National 10 pts. 8 points

b. Regional 8 pts. 6 pts

c. Division 6 pts. 0

d. School(3 demo) 4pts. 0

• ScholHeadforschol-Based•SDsforDivisionLevelandson•Dulysigned/aprovedlesonPlan•Observationshetsatleasthre.•Picturesoftheactualdemonstration•Aprovedworkprogram•AcomplishmentReport•Pictures

2. Evidence of lnstructional Leadership (for MT 11 Applicants) • Designation order as Grade chair
a Conducted Mentoring of Teachers (5 pts.) / special curriculum specifying the
b. Initiated / facilitated LAC / QLC professional meetings (5 duties and functions of the office
rJts.) Mentored at least three teachers in a semester
• Certification from school Head
H. Served efricient]y in any Of the following: avIar. of 12 (or Division) indicating the grade
points) level or subject area being chaired
or coordinated and inclusiveschoolyear/s•Actionplan/AccomplishmentReportwithVSrating•Consolidatedclas programindicatingthenameofcandidate
a. Subject Coordinator or Grade Chairman for at least 2 years
b. Adviser of any recognized school organization such as: as Grade Chairman•Designationorder as Adviser ofSchoolPaper,SPG/SSG,ctc.

School Publication (Journalism); Supreme Pupil
Government, DRRA4 Brigada Eskwela, GAD, Madrash,
SpEd, ALS etc. for at least two (2) years.

PrQiri!de_d_such as assif{I'Lrrient or services is in addition to.
and not c(in,sidered a\s T)art of the regriilar teaching load.

Chairman: Three or more years -12 points

Two years -6 points

Ill. Chairmanship of Special Committees Such as: • Designation as chairman/ member
a. Cuniculum Study Committee of the committee signed by the
b. Committee to prepare instructional materials (not less concerned officials
than 15 sets)
c. Committee on School Programs (Testing, remedial • Accomplishment report (activities
Instruction, Preparation of SIP / AIP, Brigada Eskwela, and inclusive dates)
Feeding Program, other committees, President of the
Teachers Club • Outputs (for development /
Chairman: 9 points preparation of instructionalmaterials)
Co-Chair: 7 points
• MemocreatingtheResearchTeam/commitee•ApprovedResearchproposal•Copyofcompletedresearch
Provided such as as f{mineut or services is in addition to.
and nat considered as cart of the reiltllar teachim! load.

IV. Initiated / Headed Educational ResearchOrax.of12points)

Group / Team Research If Graded Research

a. Chair - 12 Sole Authorship: Gradexo.12 approved by School / Division
Co-Authorship: Gradexo.08 Research Committee or rated by
b. Co-Chair - 7 the principal / concerned EPS•Copyofmanual/bookwhereresearchwaspublished

c. Member -5

V. Organized / Managed In - Service Training

(Max. of 12 points) Member • Memo or program of activities
Chairman indicating the name of candidate
as chairman / organizel'/ overall
National 12 10 working committee; or designated
as member
Regional 11 9
• Training Matrix•Trainingaccomplishment Report,Photos
Division 10 8
• Certification by principal /DivisionSuperintendent/ASD S
School 8 7

Webinars Chairman Member
10 8
National 8 6
Regional 6 4
Division 4 2
School

Served as Trainer / Resource Speaker (Certif icale Of Appreciaton /
Recognition)
Trainer/Speaker Facil itator

National 8 6

Regional 7 5

Division 6 4

School 5 3

Webinars

Trainer/Speaker Facilitator

National 8 6

Regional 7 5

Division 6 4

School 5 3 For Community Service
• Project Description and status of
VI. Coordinated Community Project / Activity/ Program
the Project
(Max. of 12 points) • Certification from concerned
Coordinator of a Community Service Improvement Activity
community / agency/ organization
(such as feeding, agro-industrial fair etc.) for at least two signed
Photos
(2) years.
a. Chair For Income Generating Project
• Project proposal
b. Co~Chair • Accomplishment Report
c. Member • Financial statement of the Income

Worthwhile Income Generated Project for pupils given Generating Project
• Photos
recognition by Division officials.

a. Php 5,000andbelow 5 pts.

b. php 5,00l ~ 10,000 7.5 pts.

c. php10,00landabove lopts.

Note : Including denation / scholarship resourclng from sponsors

VH. Accomplishments (Mar. of 12 points) For Teacher / Government Award

Credit for Meritorious Achievement (whichever is the • Memo onthe winners of the

highest) Search for Outstanding Teacher

• Certificate of Recognitionindicatingtheromeofthe

a. Teacher of the Year / Government service Award

National - 10 Division -8 nominee
Regional - 9 School
- 7 • Awarding prog. Invite / Photos

(Note: Not exceeding 10 points) For Trainer of Winning Contestant
• Program/Memoannouncingtheresultsofcontest;or•CertificateofRecognition/commendation/Meritstipulatingthenameofthenomineeas
b. Trainer/ Athletic coach (Winner of any top 5 awards)
wlnner or coach / trainer ofwinningcontestantForCooperatingTeachers•CertificationfromtheTeacher
I st 2nd 3rd 4th 5th

National - 10 9 8 7 6

Regional -5 4 3 2 I

Division -3 2 I 0.75 0.5

District -2 1.5 0.75 0.50 0.25

(Note : Non-Cumulative points)

c. Served as cooperating Teacher

Two or more school years 5 Education InstitutionFol.BSP/GSPAsCoordinator•Designationascoordinator or

Less than two school years 2

d. Coordinatorof/ Awards BSP/GSP
(Max of 1.5 pts. Per Dept. Order No. 10, s. 1990)

d.1 Camp Mgt. Scheme / Tralner's Scheme I.50 pts. member•Program/Planofactivities/ActionPlan•AccomplishmentReport•Certificationthatheactivity/programwasimplementedforatleastwo(2)years
AP Training pool Member 1,25 pts.
GSP Training pool Member I.0 pt. BSI' / GSP Achievement Award
Camper's License or Trainer Diploma 0.75 pt. a)uly signed by authorized Bsp /GSPcouncil/officials)•Celtificate/PlaqueofAwards•Camper'sLicense/Permit
Camper's permit or Trainer credentials
Star Holiday Permit / Quartermaster 0.50 pts. • Memo / Program/ Invitation
Cert. or specialist Trainer's cert 0.25 pt indicating the name of the
Campcraft cert. candidate
Pictures
d. 2 Outstanding Accomplishment 1.50 pts.
Outstanding Troop Leader 1.25 pts
Asia pacific Leader Qualification

d.3 Nat'l Award: Troop Leader / Comm. Mem.

Gold I.25 pts.

Silver 0. 75

Bronze 0. 50

Jade Ruby / Other Gem 0.25

d.4 Special Awards / Plaques of Recognition

National 1.25 pts.

Regional 0`75

Council 0. 5 0

d`5 National /Regional coordinator 1`00 pt
Division coordinator 0. 75
School coordinator 0. 50

Vm. Authorship / I'ub]ication • CopyofBook
a. Books (with ISBN) • Plus photocopy of cover with titleandnameofauthor•Copyofmagazine,periodical,

Singleauthorship - 10 gazette where the article was
Co -authorship - 5 published
Groupauthorship - 2 • Certificate of writer/ Illustrator•ISBNcertificate/Certificate

b. Professional / Educational Articles of Copyright redstration•CopyofBook/Journal/Newspaper/Article/Moduleandotherrelateddocuments

National / International - I lhivision -0.50

Regional - 0.75 School -0.25

q=or articles: Accumulated points but not exceeding five

(5) poinls)

LJ

IX. I.otcntial / Psychosocial Attributes

potential 5
Interviewer 1. _ Interviewer 4. _
Interviewer 2. Interviewer 5. _

Interviewer 3. Interviewer 6, _PsychosocialAttributes5

Interviewer 1. Interviewer 4. _
Interviewer 2. Interviewer 5. _
Interviewer 3. Interviewer 6. _

TOTAL 100

Notes: Cutsof f Score to be qualif iedf or appointment: For MT-I -- 60 points; Fo: ¥T 11 -- 6_5 points
Whe;Initial result;Of s-egf:insessment / as schcol reviewed by the School Selection C?T.mittee is lower
C'. than 50 poirts, the applicant documents may no longer be submitted to the Division Cffice.

b.

PROCESSED BY:
DIVISION PERSONNEL SBLBCTION BOARD

uuAnl c. OBIENA

OIC-ASDS / Chairman

ALDRIN a. CORPIN Principal Association President
Member
Member

RTOEL V. POTENCIANO JARED JAY P. ROBBA
Member Member