Individual Summary Sheet

for KINDER AND ELEMENTARY

I. Personal Information

Surname Given Name Middle Initial

Address

Contact Number Birthday Age

II. Documents Evaluation (per Deped order 07, s.2015)

A. Education
Course Finished: Major:
*for SPED/Kindergarten Applicants only
SPED Units: ECE Units:
Highest Graduate Studies Finished (With Special Order, if applicable):
GWA (Attach hardcopy of Computation)

B. Teaching Experience
No. of Months w/ Certification from the Employer (Fill out appropriate data)
Kindergarten/Preschool SPED
Elementary ALS
Secondary TVET
Tertiary IPED
Higher Education LGU Funded Teacher

C. LET/PBET
Type of Exam Rating

D. Specialized Training
No. of Days Training **
Earned Demo Skills **

E. Interview **

F. Teaching Demo **

G. Communications Skills (EPT) ***

Conforme:
Applicant

Validated, Verified & Found Correct:

 SSC Chairperson
Noted:
Note:
** for Division Selection Committee Public Schools District Supervisor
*** to be administered by BEA through Division Testing Coordinator
 Individual Summary Sheet
for JUNIOR HIGH SCHOOL

I. Personal Information

Surname Given Name Middle Initial

Address

Contact Number Birthday Age

II. Documents Evaluation (per Deped order 07, s.2015)

A. Education
Course Finished: Major:
Highest Graduate Studies Finished (With Special Order, if applicable):
GWA (Attach hardcopy of Computation)

B. Teaching Experience
No. of Months w/ Certification from the Employer (Fill out appropriate data)
PSEF TEI
KVT TVET
MSEF In Public
Private Elementary LGU/Kindergarten

C. LET/PBET
Type of Exam Rating

D. Specialized Training
No. of Days Training
Earned Demo Skills **

E. Interview **

F. Demonstration Teaching **

G. Communications Skills (EPT) ***

Conforme:
Applicant

Validated, Verified & Found Correct:

SSC Chairperson
Note:
** for Division Selection Committee
*** to be administered by BEA through Division Testing Coordinator
 Individual Summary Sheet
for SENIOR HIGH SCHOOL

I. Personal Information

Surname Given Name Middle Initial

Address

Contact Number Birthday Age

Subject Groups DepEd or Non-DepEd Eligiblity (LET/PBET)

II. Documents Evaluation (per Deped order 03, s.2016)

A. Education
GWA (Attach hardcopy of Computation)
Advance Studies (Units of Specialized Subject, Masters Degree or Doctorate)

B. Experience
No. of Months in Service relevant to the track applying for w/ Certification from Employers
Performed duties and functions higher than the position? (Yes/No)
Years displaced from an HEI w/ Certification assigned by the Employer

C. Specialized Training **

D. Interview **

E. Demonstration **

F. Communications Skills (EPT) ***

G. Portfolio **

Conforme:
Applicant

Validated, Verified & Found Correct:

SSC Chairperson

Note:
** for Division Selection Committee
*** to be administered by BEA through Division Testing Coordinator