CHECKLIST FOR MASTER TEACHER 5.
Certificate of Performance Rating for the last 3
Name: _________________________________
School/ District: _________________________
Position/Step:___________________________
Item No:_______________________________
Date of Latest Appointment:_______________
Nature:________________________________
No. of Years in Service (as permanent only):___
No. of Units (Graduate/Masteral Studies):____
Qualification for:
Master Teacher I
 Permanent teacher;
 Bachelor’s degree for teachers or
equivalent as provided in the Magna Carta
for Public School Teachers;
 Very satisfactory performance rating for
the last two years (at least 33 points)
 At least 3 years teaching experience;
 At least 25 points in leadership and
potential, or has been a demonstration
teacher in the district level plus 15 points
in leadership and potential.
Master Teacher II
 Master Teacher I for at least one year;
 Very satisfactory rating (at least 33 points)
as Master Teacher I
 Bachelor’s degree for teachers or
equivalent as provided in the Magna Carta
for Teachers, plus completion of academic
requirements for Master of Arts;
 At least 30 points in leadership, potential
and achievement; or has been a
demonstration teacher in the division level
plus 20 points in leadership and potential,
provided the activities or accomplishments
listed for this purpose had not been
credited or used for similar promotions.
Requirements (Please file according to the sequence below)
1. Basic Letter Request from the SDS- Address to
DBM Regional Director thru the DepEd RO IX
Regional Director for the issuance of NOSCA
(3copies)
2. Approved PAL signed by SDS – Soft Copy and
Hard (1copy) sent to RO
3. TOR reflecting Bachelor’s Degree, MA Degree,
units earned or completion of academic
requirements (CAR) with special order number
for private schools duly authenticated by the
issuing school. In the absence of this, a
machine copy shall be duly authenticated by
the Record Officer or Administrative Officer V
of the Division Office. (1copy)
4. Updated Service Record (3 original copies)
school years. (Signed by the administrative
Officer/ SDS/School Principal- 2 copies) also
attached received transmittal.
6. List of Teachers in 8 subject areas w/
corresponding item nos. (prepared by HT per
department and approved by the principal)
(2 copies)
7. School Rank List (by subject area) must be
signed by the ranking committee and principal
noted by the SDS (1 copy)
8. Master Class Program signed by the Principal
attested by the Division Planning Officer
(1 copy)
9. Evaluation Sheet (3 original copies) – duly
signed by the signatories.
10. Existing/Actual Duties and Responsibilities –
Position Description Form (3copies), properly
signed by the applicant and immediate
superior/school head.
11. Sworn Statement (Omnibus) that all documents
submitted are true and correct with
documentary Stamp (2 original copies)
12. Proper Tabbing of the Documents as listed in
the requirements shall be followed and long, off
white folder shall be used.
Remarks:
_______________________________________
_______________________________________
_______________________________________
CHECKLIST FROM DO
1. Endorsement from the SDS
2. Evaluation Sheet – 3 copies
3. Endorsement from the School Head – 2
copies
4. Certification from School Registrar for CAR
or MA, Ed.D., Ph.D. – 1 orig 1 photocopy
5. TOR - 1 authenticated, 1 photocopy
6. Updated Service Record – 3 orig copies
7. Certification of IPCRF – 2 copies, attached
photocopy of IPCRF – 1 copy
8. School Rank List by subject signed by SRC
noted by SDS
9. List of teachers under his/her supervision
(incorporated in the evaluation sheet)
(department only – min. of 5 teachers being
supervised)
10. List of teachers by subject area/department
w/ item numbers (all teachers) – 2 original 1
photocopy
11. SWORN STATEMENT w/ doc stamp. – 2
copies
12. PDF – 3 copies
13. CS FORM 212 (PDS) – 1 orig w/ photo
14. *** Certificate/Certification as
demonstration teacher supported by lesson
plan.
a. MT I – School Demo
b. MT II – Division Demo or Resource
Speaker (Division Level
c. MT III – Regional Demo or Resource
Speaker (Regional Level)
15. Latest Approved Appointment - 1 CTC
16. Certification that the applicant for
reclassification is qualified to occupy the
new position – 1 copy
17. Certification that applicant is actually
teaching with regular teaching load
supported by a class program
18. Certification that the teacher is the only
applicant in (the department) – when
applicable
19. Certificate of trainings, seminars,
workshops, awards not previously credited
– CTC
20. Other pertinent documents that have
points – Per R.M. 47 s. 2014 and Div. Memo
16 s. 2015 – Do not attach irrelevant
documents