You are on page 1of 30

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. East Capitol Complex, Lingayen, Pangasinan, 2401
Tel. No./Fax No. (075) 542-5965; Email: pangasinan1@deped.gov.ph
Reference No: _______________________
INDIVIDUAL EVALUATION SHEET
(MASTER TEACHER)
CREDIT POINTS FOR LEADERSHIP, POTENTIAL and ACCOMPLISHMENTS
MEC Order No. 29, series 1979 and DECS Order No. 57, series 1997
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
LATEST PERFORMANCE RATING
PRESENT POSITION
QUALIFICATIONS STANDARDS FOR MASTER TEACHER 1
EDUCATION: BACHELOR'S DEGREE FOR TEACHERS OR EQUIVALENT AS PROVIDED IN MAGNA CARTA FOR TEACHERS
EXPERIENCE: AT LEAST THREE(3) YEARS EXPERIENCE
ELIGIBILITY: PBET; LET
QUALIFICATION STANDARDS FOR MASTER TEACHER II
EDUCATION: BACHELOR'S DEGREE FOR TEACHERS OR EQUIVALENT AS PROVIDED IN MAGNA CARTA FOR TEACHERS PLUS COMPLETION
OF ACADEMIC REQUIREMENTS FOR M.A.
EXPERIENCE: MASTER TEACHER I (or ESP 1) FOR AT LEAST ONE YEAR
ELIGIBILITY: PBET; LET
FACTORS TOTAL POINTS
CRITERION A (20 points) with CERTIFICATE OF COMPLETION SCORE:
A Introduced any of the following which has been adopted or used by the school or district.
CURRICULUM or INSTRUCTIONAL Materials (Modules, Self-Learning kits, Task analysis of Objectives, Criterion - Reference TITLE:
A.1 Test) which are original , not merely compilation, and are used by teachers in the School or District.
With a certification issued by proper authorities (Principal up to the Division level) as to the actual usage therof in at least three
A.1.a (3) schools merits 20 points
With a Certification of Completion merits 15 ponts.
A.1.b
INCOME GENERATING PROJECT (IGP) must possess overall quality. The following steps must be observed: A project proposal/ TITLE:
feasibility study (for the IGP) must have been submittedmto the District Office 9ELEM0 / School Sec ) and indorsed to the Division
A.2 Office
An IGP with the documentary evidence/proof of its impact on the family and /or community where the pupil/student/s belongs
and has been conducted and completed for at least a year at the time of evaluation of documents (to substantiate its impact),
A.2.a merits 20 points
An IGP which proves to bear an impact but has been conducted and completed for at least 9 months merits 18 points, 6 months
A.2.b merits 16 points, 3 months merits 12 points,

An IGP still on-going merits 10 points


A.2.c
An IGP barely started (within a month) merits 6 points
A.2.d

A Feasibility Study duly submitted merits 4 points


A.2.e

A Feasibility Study barely commenced merits 2 points


A.2.f
CRITERION B (12 points)
DETAILS:
SUBJECT COORDINATORSHIP/s or GRADE CHAIRMANSHIP/s for at least one (1) year must be supported by;
B.1.

A Designation issued by proper authorities (Principal, noted by PSDS);


B.1.a

A Workplan / action plan duly approved by the respective schoolhead;


B.1.b
A Accomplishment Report as to the quality & quantity of achievements, and which report must be counter checked against the
B.1.c said workpian/action plan.
100% of workplan accomplished merits 12 points;
75% of accomplishment merits 9 points;
50% of accomplishment merits 6 points;
25% of accomplishment merits 3 points;
ADVISORSHIP/s of any SPECIAL ORGANIZATION/s, CLUBS as enumerated in the criterion, must be for a minimum of two (2) DETAILS:
B.2 years and must likewise be supported by:

a designation issued by proper authorities;


B.2.a
a workplan / action plan duly approved by the schoolhead;
B.2.b
Documentary evidence such as assignment was satisfactorily done which may include, but is not limited to, awards garnered by
B.2.c any such organization/club under his stewardship, commendations, pictures, etc.
DETAILS:
CRITERION C (12 points)
Served as CHAIRMAN OF SPECIAL COMMITTEE, such as curriculum study committee, committee to prepare instructional materials;
committee to prepare a school program, and discharged the work efficiently
With proper designation as chairman, duly approved school program, program completed and with certification by proper
C.1 authorities as to its completeness = 12 pts

C.2 With designation, program sans certificate of completion merits 10 points:

With the program still on-going merits 8 points:


C.3

C.4 With duly approved request/program (not commenced), to merit 4 points:

C.5 With merely the designation, to merit 2 points.


DETAILS:
CRITERION D (12 points) with CERTIFICATE OF COMPLETION

Initiated or headed an EDUCATIONAL RESEARCH activity duly approved by educational authorities, either for improvement or
instruction, for community development, or teaching welfare. Must be aimed at improvement at improving instruction, for community
development or teaching welfare.
A duly approved Research Proposal, with the tools of research to be used = 3 points;
D.1

D.2 A research commenced and with a Report on the Study Conducted merits 6 points:

D.3 A research defended orally merits 9 points;

D.4 A research with a Completion Certificate issued by proper authorities merits 12 points.
CRITERION E (12 points) with CERTIFICATE OF COMPLETION DETAILS:
Coordinator of COMMUNITY PROJECT or ACTIVITY or a PROGRAM ANOTHER AGENCY or COORDINATOR OF RURAL SERVICE
IMPROVEMENT activity in a community such feeding, nutrition, agro-industrial fairs, etc for at least two (2) years.
When the project/ program/ activity is supported by a documented plan of action for atleasttwo (2) years, a duly accomplished
E.1 attendance of participants, proof/s of such project/ activity/ program. 12 points
E.2 When the project/ program/ activity lacks any one (1) factor form the above- mentioned, 9 points:
E.3 When the project/ program/ activity lacks any two (2) factors, 6 points;
E.4 Lacks any three (3) factors, 3 points.
CRITERION F (12 points) DETAILS:
Organized / managed an IN-SERVICE ACTIVITY or other similar activities at least on the school level:
Designation from proper authorities (Principal);
F.1
An approved permit to conduct from proper authorities (Principal);
F.2
Participants to the In-set training must be Teachers, or Identified Clientele (for ALS);
F.3
The training matrix, and outputs with evaluation and feedback/s as proof.
F.4
In-set in the Division/Congressional level merits 12 points;
F.5
In-set in the District/School Level merits 9 ooints;
F.6
In-set in the Department (Secondary)/School merits 6 points.
F.7
CRITERION G ( 10 points] LEVEL:
TRAINORS OF/ COACH to contestants who received prizes, COMMENDATIONS or any form or RECOGNITION
G.1

G.2 ATHLETIC COACH of athletes who won prizes


G.3 COORDINATOR OF BOY SCOUT / GIRL SCOUTS
National Winners: 1st Place = 10 points
2nd Place = 9 points
3rd Place = 8 points
4th Place = 7 points
5th Place = 6 points
Regional Winners: 1st Place = 5 points
2nd Place = 4.5 points
3rd Place = 4 points
Division Winners: 1st Place = 3 points
2nd Place = 2.5 points
3rd Place = 2 points
Districtl Winners: 1st Place = 1 points
2nd Place = .75 points
3rd Place = .5 points
Service Merit Awards from BSP/GSP (of the candidate himself) will be credited:
Jade 1 point
Gold .75 point
Silver .50 point
Bronze .25 point
CRITERION H (10 points) TITLE:
AUTHORSHIP (10 Points for a BOOK and 1 point for each article provided;
PROVIDED they are on EDUCATION
Authorship = 10 points : Co-Authorship = 5 points; Article = 1 point each article
1
2
3
4
5
6
7
8
9
10
CRITERION I (10 points) TITLE:
DEMONSTRATION TEACHING: At least at the District Level (Elementary) and
School Level (Elem) 2 ponts
District/School level (Sec) 4 points
Division Level 6 points
Regional Level 8 points
National Level 10 points
TOTAL SCORE:

Document Code: SDO-SCC-QF-OSDS-ASDS-001 (MT)


Revision: 01
Effectivity Date: 08/15/2019
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. East Capitol Complex, Lingayen, Pangasinan, 2401
Tel. No./Fax No. (075) 542-5965; Email: pangasinan1@deped.gov.ph

Reference No: 20190823 -


DepEd Order No. 42 s. 2007
INDIVIDUAL EVALUATION SHEET
(SCHOOL HEAD /HEAD TEACHER-ELEM.)
POSITION APPLIED HEAD TEACHER II
DATE EVALUATED 14-Jan-20
NAME JAYSON C. FERRER
SCHOOL ANAMBONGAN ELEMENTARY SCHOOL
DISTRICT BASISTA
HIGHEST EDUC'L ATTAINMENT DOCTOR OF EDUCATION -FINISHED ACADEMIC REQUIREMENTS
DATE OF LAST PROMOTION 8-Jul-16
A. PERFORMANCE RATING (30) POINTS) TOTAL POINTS
School Year (last 3 rating period) Rating Numerical Rating Points EARNED POINTS
SY 2016-2017 4.88 9.4 - 10 30
SY 2017-2018 4.95 8.7 - 9.3 25
SY 2018-2019 4.924 8.0 - 8.6 20
7.3 - 7.9 15
6.6 -7.2 10
B. EXPERIENCE (10 POINTS)
Example: 1 yr. & 3 mos 15/12 - 1.4 points
Inclusive dates
from:
to:
No. of years Points No. of months Points Total EARNED POINTS

C. OUTSTANDING ACCOMPLISHMENTS (30 POINTS)


a. Outstanding Employee Award (5 points) POINTS EARNED POINTS
Awardee in the School
1
Nomination in the division/awardee in the district
2
Nomination in the Region/awardee in the division
3
Nomination in the Department/awardee in the region
4

National Awardee
5

b. Innovations (5 points)
Title of the Workplan/IM/ INNOVATION

Conceptualized 1
Started the implementation 2
Fully implemented in the school 3
Adopted in the district 4
Adopted in the division 5
c. Research and Development Projects (10 points)
Title of Action Research

Action research conducted in the school 6


Action research conducted in the district 8
Action research conducted in the division 10
d. Publication/Authorship (5 points)
Title/s of Article/s:

Articles published in a journal/newspaper/magazine of wide circulation


2
Co-Authorship of a book ( shall be divided by the number of authors)
4

Sole authorship of a book 5


e. Consultant/Resource Speaker in Trainings/
Seminars, Workshop/Symposia (5 points)
TRAININGs/ Seminar-workshops POINTS EARNED POINTS REMARKS
District Level
1
Division Level
2
Regional Level
3
National Level
4
International Level
5

D. EDUCATION AND TRAINING (20 POINTS)


a. Education (10 points)
Bachelor's Degree 5
Complete Academic Requirements for Master's Degree 6
Master's Degree 7
Complete Academic Requirements for Doctorial Degree 9
Doctoral Degree 10
b. Training (10 points)
b. 1 Participants in three (3) or more training activities in each level conducted for at least three (3) days

TRAININGS ATTENDED POINTS EARNED POINTS REMARKS


District/Cluster Level Trainings 2
1
2
3
Division Level Trainings 4
1
2
3
Regional Level Trainings 6
1
2
3
National Level Trainings 8
1
2
3
International Level Trainings 10
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
COMMITTEE POINTS EARNED POINTS REMARKS
District Level 2
1
2
3
Division Level 4
1
2
3
Regional Level 6
1
2
3
National Level 8
1
2
3
International Level 10
1
2
3

TOTAL A+B+C+D (Result of the Initial Evaluation)


E. POTENTIAL 5
F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS 5
TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:

Document Code: SDO-SCC-QF-OSDS-ASDS-001 (SH/HT-ELEM.)


Revision: 01
Effectivity Date: 08/15/2019
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. East Capitol Complex, Lingayen, Pangasinan, 2401
Tel. No./Fax No. (075) 542-5965; Email: pangasinan1@deped.gov.ph
Reference No: 2019
DepEd Order No. 66 s. 2007
INDIVIDUAL EVALUATION SHEET
(HEAD TEACHER/DEPARTMENT HEAD-SECONDARY)
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (35) POINTS)
School Year (last 3 rating period) Rating AVERAGE X 0.35 Points EARNED POINTS
SY
SY
SY
B. EXPERIENCE (5 POINTS)
Example: 1 yr. & 3 mos 15/12 - 1.4 points
Inclusive dates
from:
to:
No. of
No. of years Points months Points Total EARNED POINTS

C. OUTSTANDING ACCOMPLISHMENTS (20 POINTS)


a. Outstanding Employee Award (4 points) POINTS EARNED POINTS
Awardee in the School
0.75
Nomination in the division/awardee in the district /cluster
1
Nomination in the Region/awardee in the division
2
Nomination in the Department/awardee in the region
3
National Awardee
4
b. Innovations (4 points)
Title of the Workplan/IM/ INNOVATIONS

Conceptualized 0.75
Started the implementation 1
Fully implemented in the school 2
Adopted in the district 3
Adopted in the division 4
c. Research and Development Projects (4 points)
Title of Action Research

Action research conducted in the school 1


Action research conducted in the district 2
Action research conducted in the cluster 3
Action research conducted in the division 4
d. Publication/Authorship (4 points)
Title/s of Article/s:

Articles published in a journal/newspaper/magazine of wide circulation 1

Co-Authorship of a book ( shall be divided by the number of authors) 3


Sole authorship of a book 4
e. Consultants/Resource Speaker in Trainings/
Seminars, Workshop/Symposia (4 points)
POINTS EARNED POINTS REMARKS
TRAININGs/ Semi-Workshops
District Level
0.75
Division Level
1
Regional Level
2
National Level
3
National Level
3
International Level
4

D. EDUCATION AND TRAINING (30 POINTS)


a. Education (25 points)
Bachelor's Degree 5
Complete Academic Requirements for Master's Degree 10
Master's Degree 15
Complete Academic Requirements for Doctorial Degree 20
Doctoral Degree 25
b. Training (5 points)
b. 1 Participants in three (3) or more training activities in each level conducted for at least three (3) days

TRAININGS ATTENDED POINTS EARNED POINTS REMARKS


District / Cluster Level Trainings 1
1
2
3
Division Level Trainings 2
1
2
3
Regional Level Trainings 3
1
2
3
National Level Trainings 4
1
2
3
International Level 5
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
COMMITTEEs POINTS EARNED POINTS REMARKS
District Level 1
1
2
3
Division Level 2
1
2
3
Regional Level 3
1
2
3
National Level 4
1
2
3
International Level 5
1
2
3

TOTAL A+B+C+D (Result of the Initial Evaluation)


E. POTENTIAL 5

F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS 5

TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:

Document Code: SDO-SCC-QF-OSDS-ASDS-001 (HT/DH-SEC.)


Revision: 01
Effectivity Date: 08/15/2019
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. East Capitol Complex, Lingayen, Pangasinan, 2401
Tel. No./Fax No. (075) 542-5965; Email: pangasinan1@deped.gov.ph
Reference No: ________________________
DepEd Order No. 66 s. 2007
INDIVIDUAL EVALUATION SHEET
(EDUCATION PROGRAM SUPERVISOR/PSDS)
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (35) POINTS)
School Year (last 3 rating period) Rating AVERAGE X 0.35 Points EARNED POINTS
SY
SY
SY
B. EXPERIENCE (5 POINTS)
Example: 1 yr. & 3 mos 15/12 - 1.4 points
Inclusive dates
from:
to:
No. of
No. of years Points months Points Total EARNED POINTS

C. OUTSTANDING ACCOMPLISHMENTS (20 POINTS)


a. Outstanding Employee Award (4 points) POINTS EARNED POINTS
Awardee in the School
0.75

Nomination in the division/awardee in the district /cluster


1

Nomination in the Region/awardee in the division


2

Nomination in the Department/awardee in the region


3

National Awardee
4

b. Innovations (4 points)
Title of the Workplan/IM/ INNOVATIONS

Conceptualized 0.75
Started the implementation 1
Fully implemented in the school 2
Adopted in the district 3
Adopted in the division 4
c. Research and Development Projects (4 points)
Title of Action Research

Action research conducted in the school 1


Action research conducted in the district 2
Action research conducted in the cluster 3
Action research conducted in the division 4

d. Publication/Authorship (4 points)
Title/s of Article/s:

Articles published in a journal/newspaper/magazine of wide circulation 1

Co-Authorship of a book ( shall be divided by the number of authors) 3


Co-Authorship of a book ( shall be divided by the number of authors) 3

Sole authorship of a book 4


e. Consultants/Resource Speaker in Trainings/
Seminars, Workshop/Symposia (4 points)
TRAININGs/ Semi-Workshops POINTS EARNED POINTS REMARKS
District Level
0.75

Division Level
1

Regional Level
2

National Level
3

International Level
4

D. EDUCATION AND TRAINING (30 POINTS)


a. Education (25 points)
Bachelor's Degree 5
Complete Academic Requirements for Master's Degree 10
Master's Degree 15
Complete Academic Requirements for Doctorial Degree 20
Doctoral Degree 25
b. Training (5 points)
b. 1 Participants in three (3) or more training activities in each level conducted for at least three (3) days

TRAININGS ATTENDED POINTS EARNED POINTS REMARKS


District / Cluster Level Trainings 1
1
2
3
Division Level Trainings 2
1
2
3
Regional Level Trainings 3
1
2
3
National Level Trainings 4
1
2
3
International Level 5
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
COMMITTEEs POINTS EARNED POINTS REMARKS
District Level 1
1
2
3
Division Level 2
1
2
3
Regional Level 3
1
2
3
National Level 4
1
2
3
International Level 5
1
2
3

TOTAL A+B+C+D (Result of the Initial Evaluation)

E. POTENTIAL 5

F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS 5

TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:

Document Code: SDO-SCC-QF-OSDS-ASDS-001 (EPS/PSDS)


Revision: 01
Effectivity Date: 08/15/2019
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. East Capitol Complex, Lingayen, Pangasinan, 2401
Tel. No./Fax No. (075) 542-5965; Email: pangasinan1@deped.gov.ph
Reference No: 201909____ - _____
DepEd Order No. 66 s. 2007
INDIVIDUAL EVALUATION SHEET
(NON-TEACHING PERSONNEL - LEVEL 1)
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (35) POINTS)
School Year (last 3 rating period) Rating AVERAGE X 0.35 Points EARNED POINTS
SY
SY
SY
B. EXPERIENCE (5 POINTS)
Example: 1 yr. & 3 mos 15/12 - 1.4 points
Inclusive dates
from:
to:
No. of
No. of years Points months Points Total EARNED POINTS
2 3
C. OUTSTANDING ACCOMPLISHMENTS (5 POINTS)
a. Outstanding Employee Award (1 point) POINTS EARNED POINTS
Awardee in the School
0.1
Nomination in the division/awardee in the district / cluster
0.25
Nomination in the Region/awardee in the division
0.5
Nomination in the Department/awardee in the region
0.75
National Awardee
1
b. Innovations (1 point)
Title of the Workplan/IM/INNOVATION

Conceptualized 0.1
Started the implementation 0.25
Fully implemented in the school 0.5
Adopted in the district 0.75
Adopted in the division 1
c. Research and Development Projects (1 point)
Title of Action Research

Action research conducted in the school 0.5


Action research conducted in the district 0.75
Action research conducted in the division 1
d. Publication/Authorship (1 point)
Title/s of Article/s:

Articles published in a journal/newspaper/magazine of wide circulation (0.5pt. per article 0.5


but not to exceed 1 point)
Co-Authorship of a book ( shall be divided by the number of authors) 0.75
Sole authorship of a book 1
e. Consultants/Resource Speaker in Trainings/
Seminars, Workshop/Symposia (1 point)
TRAININGs /SEMINAR-WORKSHOPS POINTS EARNED POINTS REMARKS
District Level
0.1
Division Level
0.25
Regional Level
0.5
National Level
0.75
International Level
1

D. EDUCATION AND TRAINING (20 POINTS)


a. Education (10 points)
2 years College 4
Bachelor's Degree 5
Complete Academic Requirements for Master's Degree 6
Master's Degree 7
Complete Academic Requirements for Doctorial Degree 9
Doctoral Degree 10
b. Training (10 points)
b. 1 Participants in three (3) or more training activities in each level conducted for at least three (3) days

TRAININGS ATTENDED POINTS EARNED POINTS REMARKS


District/Cluster Level Trainings 2
1
2
3
Division Level Trainings 4
1
2
3
Regional Level Trainings 5
1
2
3
National Level Trainings 8
1
2
3
International Level 10
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
COMMITTEEs POINTS EARNED POINTS REMARKS
District Level 2
1
2
3
Division Level 4
1
2
3
Regional Level 6
1
2
3
National Level 8
1
2
3
International Level 10
1
2
3
TOTAL A+B+C+D (Result of the Initial Evaluation)
E. POTENTIAL 15
F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS 20

TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:

Document Code: SDO-SCC-QF-OSDS-ASDS-001 (NTP-L1)


Revision: 01
Effectivity Date: 08/15/2019
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Alvear St. East Capitol Complex, Lingayen, Pangasinan, 2401
Tel. No./Fax No. (075) 542-5965; Email: pangasinan1@deped.gov.ph
Reference No: ____________________
DepEd Order No. 66 s. 2007
INDIVIDUAL EVALUATION SHEET
(NON-TEACHING PERSONNEL - LEVEL 2)
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (30 POINTS)
School Year (last 3 rating period) Rating AVERAGE X 0.30 Points EARNED POINTS
SY
SY
SY
B. EXPERIENCE (10 POINTS)
Example: 1 yr. & 3 mos 15/12 - 1.4 points
Inclusive dates
from:
to:
No. of
No. of years Points months Points Total EARNED POINTS

C. OUTSTANDING ACCOMPLISHMENTS (20 POINTS)


a. Outstanding Employee Award (4 point) POINTS EARNED POINTS
Awardee in the School
0.75
Nomination in the division/awardee in the district /cluster
1
Nomination in the Region/awardee in the division
2
Nomination in the Department/awardee in the region
3
National Awardee
4
b. Innovations (4 point)
Title of the Workplan/IM/INNOVATION

Conceptualized 0.75
Started the implementation 1
Fully implemented in the school 2
Adopted in the district 3
Adopted in the division 4
c. Research and Development Projects (4 point)
Title of Action Research

Action research conducted in the school 1


Action research conducted in the district 2
Action research conducted in the division 4
d. Publication/Authorship (4 point)
Title/s of Article/s:

Articles published in a journal/newspaper/magazine of wide circulation (1 pt. per article but 1


not to exceed 4 points.
Co-Authorship of a book ( shall be divided by the number of authors) 3
Sole authorship of a book 4
e. Consultants/Resource Speaker in Trainings/
Seminars, Workshop/Symposia (4 point)
TRAININGs /SEMINAR-WORKSHOPS POINTS EARNED POINTS REMARKS
District Level
0.75
Division Level
1
Regional Level
2
National Level
3
National Level
3
International Level
4

D. EDUCATION AND TRAINING (25 POINTS)


a. Education (15 points) POINTS EARNED POINTS REMARKS
Bachelor's Degree 5
Complete Academic Requirements for Master's Degree 7
Master's Degree 10
Complete Academic Requirements for Doctorial Degree 13
Doctoral Degree 15
b. Training (10 points)
b. 1 Participants in three (3) or more training activities in each level conducted for at least three (3) days
TRAININGS ATTENDED POINTS EARNED POINTS REMARKS
District/Cluster Level Trainings 2
1
2
3
Division Level Trainings 4
1
2
3
Regional Level Trainings 5
1
2
3
National Level Trainings 8
1
2
3
International Level Trainings 10
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
COMMITTEEs POINTS EARNED POINTS REMARKS
District Level 2
1
2
3
Division Level 4
1
2
3
Regional Level 6
1
2
3
National Level 8
1
2
3
International Level 10
1
2
3
TOTAL A+B+C+D (Result of the Initial Evaluation)
E. POTENTIAL 5
F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS 10
TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:

Document Code: SDO-SCC-QF-OSDS-ASDS-001 (NTP-L2)


Revision: 01
Effectivity Date: 08/15/2019
p
DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93
DepEd Order No. 66 s. 2007
RANKING EVALUATION SHEET NON-TEACHING LEVEL I
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (35 POINTS)
School Year Rating
SY
SY
SY
AVERAGE
Note: Average of the numerical ratings multiplied by 35%
B. EXPERIENCE (5 POINTS)
Example: 1 yr. & 5 mos 15/12 - 1.4 months
Inclusive dates
from:
to:
No. of years No. of months

C. OUTSTANDING ACCOMPLISHMENTS (5 POINTS)


a. Outstanding Employee Award (1 pt.)

b. Innovations (1 pt.)
Title of the Workplan/IM

c. Research and Development Projects (1 pt.)


Title of Research

d. Publication/Authorship (1 pt.)
Title/s of Article/s:
Title/s of Article/s:

e. Consultants/Resource Speaker in Trainings & Seminars( 1pt.)


TRAININGs CONDUCTED

D. EDUCATION AND TRAINING (20 POINTS)


a. Education (10 points)
Complete Academic Requirements for Master's Degree (6pts.)
Master's Degree (7pts)
Complete Academic Requirements for Doctorial Degree (9pts.)
Doctoral Degree (10pts.)
b. Training (10 points)
(not to exceed 10 points)
b. 1 Participants in three (3) or more training activities in each level conducted
for at least three (3) days
TRAININGS ATTENDED POINTS
District Level Trainings (2pts.)
1
2
3
Division Level Trainings (4pts)
1
2
3

Regional Level Trainings (6pts)


1
2
3

National Level Trainings (8pts)


1
2
3
International Level (10pts)
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
TRAININGs ATTENDED POINTS
District Level Trainings (2pts.)
1
2
3
Division Level Trainings (4pts)
1
2
3
Regional Level Trainings (6pts)
1
2
3
National Level Trainings (8pts)
1
2

3
International Level (10pts)
1
2
3
E. POTENTIAL (20 POINTS)
Member Member Member Member Chairman
1. Communication skills (4pts.)
2. Ability to present ideas (4pts.)
3. Alertness (4pts)
4. Judgement (4pts.)
5. Leadership Ability (4pts.)
Total Points
Average
F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS (15 POINTS)
Member Member Member Member Chairman
1.Human Relations (6pts.)
2. Decisiveness (5pts.)
3. Stress Tolerance(4pts)
Total Points
Average
TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:
p
DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93
DepEd Order No. 66 s. 2007
RANKING EVALUATION SHEET NON-TEACHING LEVEL II
POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (30 POINTS)
School Year Rating
SY
SY
SY
AVERAGE
Note: Average of the numerical ratings multiplied by 35%
B. EXPERIENCE (10 POINTS)
Example: 1 yr. & 5 mos 15/12 - 1.4 months
Inclusive dates
from:
to:
No. of years No. of months

C. OUTSTANDING ACCOMPLISHMENTS (20 POINTS)


a. Outstanding Employee Award (4 pts)

b. Innovations (4 pts.)
Title of the Workplan/IM

c. Research and Development Projects (4 pts.)


Title of Research

d. Publication/Authorship (4 pts.)
Title/s of Article/s:

e. Consultants/Resource Speaker in Trainings & Seminars(


TRAININGs CONDUCTED

D. EDUCATION AND TRAINING (20 POINTS)


a. Education (10 points)
Complete Academic Requirements for Master's Degree (7pts.)
Master's Degree (10pts)
Complete Academic Requirements for Doctorial Degree (13pts.)
Doctoral Degree (15pts.)
b. Training (10 points)
(not to exceed 10 points)
b. 1 Participants in three (3) or more training activities in each level co
for at least three (3) days
TRAININGS ATTENDED POINTS
District Level Trainings (2pts.)
1
2
3
Division Level Trainings (4pts)
1
2
3
Regional Level Trainings (6pts)
1
2
3

National Level Trainings (8pts)


1
2
3
International Level (10pts)
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
TRAININGs ATTENDED POINTS
District Level Trainings (2pts.)
1
2
3
Division Level Trainings (4pts)
1
2
3
Regional Level Trainings (6pts)
1
2
3
National Level Trainings (8pts)
1
2
3
International Level (10pts)
1
2
3
E. POTENTIAL (10 POINTS)
Member Member Member Member Chairman
1. Communication skills (2pts.)
2. Ability to present ideas (2pts.)
3. Alertness (2pts)
4. Judgement (2pts.)
5. Leadership Ability (2pts.)
Total Points
Average
F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS (15 POI
Member Member Member Member Chairman
1.Human Relations (2pts.)
2. Decisiveness (2pts.)
3. Stress Tolerance(1pts)
Total Points
Average
TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93
DepEd Order No. 66 s. 2007
RANKING EVALUATION SHEET TEACHING & RELATED TEACHING

POSITION APPLIED
DATE EVALUATED
NAME
SCHOOL
DISTRICT
HIGHEST EDUC'L ATTAINMENT
DATE OF LAST PROMOTION
A. PERFORMANCE RATING (35 POINTS)
School Year Rating
SY
SY
SY
AVERAGE
Note: Average of the numerical ratings multiplied by 35%
B. EXPERIENCE (5 POINTS)
Example: 1 yr. & 5 mos 15/12 - 1.4 months
Inclusive dates
from:
to:
No. of years No. of months

C. OUTSTANDING ACCOMPLISHMENTS (20 POINTS)


a. Outstanding Employee Award (4 pts)

b. Innovations (4 pts.)
Title of the Workplan/IM

c. Research and Development Projects (4 pts.)


Title of Research

d. Publication/Authorship (4 pts.)
Title/s of Article/s:

e. Consultants/Resource Speaker in Trainings & Seminars(


TRAININGs CONDUCTED

D. EDUCATION AND TRAINING (25 POINTS)


a. Education (10 points)
Complete Academic Requirements for Master's Degree (10pts.)
Master's Degree (15pts)
Complete Academic Requirements for Doctorial Degree (20pts.)
Doctoral Degree (25pts.)
b. Training (5 points)
(not to exceed 5 points)
b. 1 Participants in three (3) or more training activities in each level co
for at least three (3) days
TRAININGS ATTENDED POINTS
District Level Trainings (1pt.)
1
2
3
Division Level Trainings (2pts)
1
2
3
Regional Level Trainings (3pts)
1
2
3

National Level Trainings (4pts)


1
2
3
International Level (5pts)
1
2
3
b.2 Chair/Co-chair in a technical/planning committee
TRAININGs ATTENDED POINTS
District Level Trainings (1pt.)
1
2
3
Division Level Trainings (2pts)
1
2
3
Regional Level Trainings (3pts)
1
2
3
National Level Trainings (4pts)
1
2
3
International Level (5pts)
1
2
3
E. POTENTIAL (10 POINTS)
Member Member Member Member Chairman
1. Communication skills (1 pt.)
2. Ability to present ideas (1pt.)
3. Alertness (1pt)
4. Judgement (1pt.)
5. Leadership Ability (1pt.)
Total Points
Average
F. PSYCHOLOGICAL ATTRIBUTES AND PERSONALITY TRAITS (15 POI
Member Member Member Member Chairman
1.Human Relations (2pts.)
2. Decisiveness (2pts.)
3. Stress Tolerance(1pts)
Total Points
Average
TOTAL POINTS
PSB MEMBERS Signature:
Member:
Member:
Member:
Member:
Chairman:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SAN CARLOS CITY DIVISION
Roxas Boulevard, San Carlos City, Pangasinan
Tel. No./Fax No. (075) 632-3293 (OSDS) Trunckline Nos. (075) 633-5691 to 93
DepEd 42 s. 2007 and Deped Order 66 s. 2007
ATTACHMENTS
A. PERFORMANCE RATING
a. Performance Rating for three (3) consecutive years (latest)
SY
SY
SY
B. EXPERIENCE
Appointment (last promotion)
Designation
Updated Service Record
C. OUTSTANDING ACCOMPLISHMENTS
a. Outstanding Employee Award
Certificate of Recognition
Criteria for Search
Pictorials
b. Innovations
Permit
Training Matrix
Testimony of eachers attested by school head/s
school level, district level (all schools), division level (all district)
Pictorials
Workplan/Instructional Material (Module, SIM)
Certification of completion by the Division Evaluation Committee
c. Research and Development Project
Permit
Research Proposal
Complete write-up of Action Research
Certification of completion by the Division Reading Committee
d. Publication/Authorship
Request for evaluation
Edited write-up signed by EPS
Newspaper/Magazine
Permit to publish
e. Consultant/Resource Speaker in Trainings/Seminars/Workshops
Certificate of Recognition
Training Matrix
Copy of the Topic
Pictorials
D. EDUCATION AND TRAINING
a. Education
Trainings Attended
Authority to Travel
Certificate of Participation
Certifiacte of Appearance
Memorandum of the Training
Chairmanship in Planning and Technical Committee
Certificate of Recognition
Training Matrix
Training Proposal

You might also like