Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
DIPOLOG CITY SCHOOLS DIVISION Registration No. 90Q19807

📫 Purok Farmers, Olingan, Dipolog City 🕿(65) 908-2662; 212-5818, 212-3824;  (65) 212-6986

Score Sheet for Outstanding Supervisor

Name:___________________________________________ Overall
Score:_______________
Office/ Unit:____________________________________

Criteria Assigned Points

Points Earned
A. Professional Development.
Maximum Points =15 pts.

A1. Educational Attainment

1. Doctorate Degree –Full Fledge 15
2. Master’s Degree –Full Fledge 10
3. Master’s Degree-CAR 5
A2. Trainings Attended (24 hours
minimum /training)
1. International (3 points per training) 9
2. National ( 2 pts/training) 6
3. Local (1 pt./training) 3
B. Principal’s Evaluation.
Maximum = 15 pts.
1. 4.5 – above very satisfactory 15
2. 3.50-4.49 –very satisfactory 10
3. 2.50-3.49 - disqualified Disqualified
C.IPCRF. Maximum = 20 pts.
1. Outstanding (4.5-5.00) 16-20
2. Very Satisfactory (3.50-4.49) 10-15
3. Satisfactory (2.50 -3.49 ) Disqualified
D.Scholarly Work: Maximum =20 pts.
1. Research Completed
National Level 20
Regional Level 15
Division Level 10
2. Innovation Initiated and Implemented
National Level 15
Division Level 10
3. Publication
National Level 10
Local Level 5

Form 40C, CID, Rev. 0, Effective 8/30/2019

Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
DIPOLOG CITY SCHOOLS DIVISION Registration No. 90Q19807

📫 Purok Farmers, Olingan, Dipolog City 🕿(65) 908-2662; 212-5818, 212-3824;  (65) 212-6986

E.Contribution to Community or the

institution.10
Officer in any professional/community
organization
1. National 10
2. Regional 8
3. Local 5
Member in any professional/community
organization
1. National
2. Regional
3. Local
F. Number of QA Modules/WHLP/DAT/LAS 10
10 pts.
National Quality-assured SMILE Modules (3pts per 10
module created), (1pt for WHLP/LAS/Mapped out LR)
Regional Quality-assured SMILE Modules (2pts per 8
module created), (1pt for WHLP/LAS/Mapped out LR)
Division Quality-assured SMILE Modules (1pt per 5
module created), (1pt for WHLP/LAS/Mapped out LR)
G. Interview: Maximum 10 pts.
Positive attitude
Work performance attuned with the DepEd
VMGO
Ability to multi- task/ adaptability
Ability to work in teams
Contribution to the Department
Does the “Extra mile”
GRAND TOTAL

Form 40C, CID, Rev. 0, Effective 8/30/2019

Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
DIPOLOG CITY SCHOOLS DIVISION Registration No. 90Q19807

📫 Purok Farmers, Olingan, Dipolog City 🕿(65) 908-2662; 212-5818, 212-3824;  (65) 212-6986

The Division PRAISE Committee:

IVY J. ESTADILLA LEA B. CABILIN, CPA

Administrative Officer V Accountant III

JOSELITO S. TIZON, EdD

President Secondary School Principals Federation

REMEGIO D. GABONADA
President Elementary Schools Principal Federation

MONINA R. ANTIQUINA ROEL V. CARPIO

Supervisors’ Representative President Teachers’ Federation

NUR N. HUSSIEN, DM AMELINDA D. MONTERO, DM

Chairman/SGOD Chief Vice-Chairperson / CID Chief

Form 40C, CID, Rev. 0, Effective 8/30/2019