(DEPED-LCN-

Department of Education Doc Ref No.:

OSD-SCS)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

Office of the Schools Division Superintendent Revision No.: 0

PERSONNEL UNIT
Page No.: 1 of 6

SCORE SHEET FOR MASTER TEACHER I APPLICANTS

Applicant’s
School:
Name:
Present Position: Designation:
Position Applied
District:
For:

Required Qualification/Entry Requirements REMARKS

For Natural Vacancy Authenticated TOR:
 BEEd or Bachelor’s Degree Plus 18 Professional __________
Units in Education; and 18 units for a Master’s
degree in Education (Authenticated TOR) PRC License:
 Three years relevant experience ________________
 LET/PBET passers Service Record:
 Teacher III with at least 3 years’ experience ______________
(Service Record and Copy of Latest Latest Appointment:
Appointment) as per Rule IX of ORA-OHRA – _________
“The position occupied by the person is next-in- Date of Last Promotion:
rank to the vacant position as identified in the ___________
MSP and SRP of the agency. Performance Rating (3 VS):
 Very Satisfactory performance for the last Three ________
(3) rating period (on the current position)
 At least 25 points in leadership and potential ________
and has been a demonstration teacher in the
school/district/division level (see attached ________
Score Sheet)
No. of Demo Teaching:
For Reclassification ____________
 Teacher III with at least 3 years’ experience Lesson Plan:
Note: No additional documents will be accepted ____________________
after the scheduled date of submission to the Certification of Demo
Division Office. Teaching signed by the DS,
Demonstration teaching is not an entry SH and teachers: _______
requirement
LEADERSHIP, POTENTIAL AND ACCOMPLISHMENTS REMARKS / POINTS
(At least 25 points) COMMENTS EARNED
A. Introduced any of the following which has been (20 pts
adopted or used by the school or district/division maximum)
*20 points for any one of the items
1. Curriculum or instructional materials _______________
a. Approved Project Proposal
b. Copy of the Curriculum Material _______________
c. Summary of the Results of its Effectiveness
d. Certification coming from either the District
Supervisor or Education Program Supervisor in
charge of the learning area that it has been
adopted in the school and validated to be
effective Sub-total
2. Effective Teaching Techniques or Strategies
a. Concept paper _______________
b. Certification coming from either the District
Supervisor or Education Program Supervisor _______________
in charge of the learning area that it has been
effective _______________
c. Summary of the result of its effectiveness Sub-total
 (DEPED-LCN-
Department of Education Doc Ref No.:
OSD-SCS)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

Office of the Schools Division Superintendent Revision No.: 0

PERSONNEL UNIT
Page No.: 2 of 6

3. Simplification of work as in reporting system,

record keeping or procedures that resulted in
cost reduction
a. Certification for Simplification of Work that
_______________
resulted to cost reduction, corroborated by
five (5) teachers
_______________
b. Letter request to the SDS to adopt the
originally made material for the
_______________
Simplification of Work
c. Brief description of work/ reporting
_______________
system/record keeping or procedure that
resulted in cost reduction.
_______________
d. Work Plan for the implementation
e. School memorandum
f. Accomplishment Report (Narrative and Sub-total
Pictorial)
4. Worthwhile Income Generating Project (IGP) for
pupils given due recognition by the higher
_______________
officials of the division
a. Certification for being the proponent of an
_______________
IGP for two (2) consecutive schools’ years as
corroborated by five (5) Teachers
_______________
b. Letter request to the SDS conduct an IGP
c. IGP Proposal
_______________
d. Accomplishment Report (Pictorial and
Narrative)
_______________
e. Financial Statement
Note: No points will be given if supporting documents Sub-total
are incomplete.
B. Served as subject coordinator or grade chairman for
at least one (1) year or as adviser of school 12 points
publication or any special organization like dramatic
club, glee club, science club, etc. and discharged
such assignments satisfactory for at least (2) years
provided such assignments or services are in
addition to, and not considered part of the regular _______________
teaching load.
a. As subject coordinator/grade chairman _______________
1. Official Designation
2. Accomplishment for the past three (3) years _______________
3. Teachers program
4. Approved official teachers load
Note: No points will be given if supporting documents
are incomplete. Sub-total
C. Served as chairman of a special committee, such as
curriculum study committee to prepare 12 points
instructional materials; and or committee to prepare
school program, and discharged work with utmost
efficiency.
Supporting Documents:
1. Certification
2. Corroboration (at least 5, duly certified)
3. Appointment ____________
4. Accomplishment Report
5. Output of the Committee _______________
Sub-total
Note: No points will be given if supporting documents
are incomplete.
D. Initiated or headed or participated in an educational 12 points
research activity duly approved by educational
authorities either for improvement of instructions,
for community development, or for teacher welfare.
 (DEPED-LCN-
Department of Education Doc Ref No.:
OSD-SCS)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

Office of the Schools Division Superintendent Revision No.: 0

PERSONNEL UNIT
Page No.: 3 of 6

Supporting Documents:
1. Certifications as required in Unnumbered
RM on Intensifying Research in Schools
issued on March 2, 2015
2. Research itself
3. Output of the Research _______________
4. Research Report
_______________
Research Proponent: 12 pts Member/Participants: 7 pts
(For group claims, divided by no. of members) Sub-total
_______________
Note: No points will be given if supporting documents
are incomplete.
E. Coordinator for community project or activity or of a 12 points
program of another agency or coordinator of a rural
service improvement activity in a community such
as feeding, nutrition, Agri-industrial fairs, etc. for
the last two () years or projects not credited in the
last promotion.
1. Organizational/Barangay Resolution for the
Designation
2. Progress Report for 2 years (Before and After)
3. Approved Project Proposal
4. Impact Study (if Research-based) _______________

Coordinator: 12 pts Member/Participant: 7 pts _______________

Note: No points will be given if supporting documents
are incomplete. _______________ Sub-total
F. Organized / Managed an in-service activity or other 12 points
similar activities at least on the school level (at least
two days INSET)
1. Approved Training/LAC Design/Proposal by the
Division
2. Memorandum showing the designation as _______________
chairman or member
3. Completion Report/Attendance _______________
Credit points: 12 points
Note: No points will be given if supporting documents _______________
are incomplete. Sub-total
G. Credited with meritorious achievements such as: 10 points
For different event: Cumulative but not to exceed 10 points,
for the same event; the highest level
1. Trainer or coach of contestants who received
prizes, commendations, or any form of
recognition:
a. Certification as trainer/coach/coordinator
issued by authorities concerned
b. Certificate of Recognition awarded/received
signed by proper school officials.
c. Award/commendation/citation given to
winning pupil/ group contestants trained,
coached and signed by proper school
officials.
d. Program of Activities of the Contests/
Competition/ Quiz.

National 10 points
1st Prize 10
2nd Prize 8
3rd Prize 6
 (DEPED-LCN-
Department of Education Doc Ref No.:
OSD-SCS)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

Office of the Schools Division Superintendent Revision No.: 0

PERSONNEL UNIT
Page No.: 4 of 6

Regional 5 points
1st Prize 5
2nd Prize 4
3rd Prize 3

Division 3 points
1st Prize 3
2nd Prize 2
3rd Prize 1

District 1 point
1st Prize 1 _______________
2nd Prize .75
3rd Prize .5 _______________

Note: No points will be given if supporting documents _______________

are incomplete. Sub-total
2. Awards received as member/coordinator of Boy
Scout/Girl Scout/Red Cross activities:
a. Certificate of Recognition as coordinator of
Boy/Girl Scout/Red Cross activities signed
by proper authorities
National 10 points
1st Prize 10
2nd Prize 8
3rd Prize 6
Regional 5 points
1st Prize 5
2nd Prize 4
3rd Prize 3
Division 3 points
1st Prize 3
2nd Prize 2 _______________
3rd Prize 1

District 1 point _______________

1st Prize 1
2nd Prize .75 _______________
3rd Prize .5 Sub-total
3. Coordinator of BSP or GSP Activities:
National 10 points
Regional 5 points
Division 3 points
District 1 point
School .5 point
H. Authorship
*Highest points 10 points
Ten (10) points for a book and one (1) point each for
each article provided they are on education.
1. Copy of the articles published
2. Certification from the publisher _______________
3. Copy of the Certificate of Copyright Registration
for authorship of a book _______________
4. Copy of the published book/article/s
______________
Sub-total
 (DEPED-LCN-
Department of Education Doc Ref No.:
OSD-SCS)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

Office of the Schools Division Superintendent Revision No.: 0

PERSONNEL UNIT
Page No.: 5 of 6

Sole authorship 10 points

Co-authorship 5 points
Article 1 point per article
Note: No points will be given if supporting documents
are incomplete.
SUMMARY OF RATINGS
A. Introduced any of the following which has been
adopted or used by the school or district/division
- Curriculum or instructional materials
- Effective Teaching Techniques or Strategies
- Simplification of work as in reporting system,
record keeping or procedures that resulted in cost
reduction
- Worthwhile Income Generating Project (IGP) for
pupils given due recognition by the higher officials
of the division
B. Served as subject coordinator or grade chairman for
at least one (1) year or as adviser of school
publication or any special organization like dramatic
club, glee club, science club, etc. and discharged
such assignments satisfactory for at least (2) years
provided such assignments or services are in
addition to, and not considered part of the regular
teaching load.
C. Served as chairman of a special committee, such as
curriculum study committee to prepare instructional
materials; and or committee to prepare school
program, and discharged work with utmost efficiency.
D. Initiated or headed or participated in an educational
research activity duly approved by educational
authorities either for improvement of instructions,
for community development, or for teacher welfare.
E. Coordinator for community project or activity or of a
program of another agency or coordinator of a rural
service improvement activity in a community such
as feeding, nutrition, Agri-industrial fairs, etc. for
the last two (2) years or projects not credited in the
last promotion.
F. Organized / Managed an in-service activity or other
similar activities at least on the school level (at least
two days INSET)
G. Credited with meritorious achievements such as:
For different event: Cumulative but not to exceed 10 points,
for the same event; the highest level
H. Authorship
GRAND TOTAL
Note: No credit or points for any incomplete requirements.
____________________________
Signature of Applicant
COMMENTS/RECOMMENDATIONS:

EVALUATED BY:
SCHOOL SCREENING COMMITTEE

___________________________ ___________________________ ___________________________

___________________________ ___________________________ ___________________________
___________________________ ___________________________ ___________________________
 (DEPED-LCN-
Department of Education Doc Ref No.:
OSD-SCS)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

Office of the Schools Division Superintendent Revision No.: 0

PERSONNEL UNIT
Page No.: 6 of 6

POINTS VALIDATED
GIVEN SCORE
SUMMARY OF RATINGS (School REMARKS
Screening (HRMPSB)
Committee)
A. Leadership, Potential, and
Accomplishments (20 Points)
- Curriculum or Instructional Materials
-Effective Teaching Techniques or
Strategies
- Simplification of Work
- Income Generating Project (IGP)

B. Subject Coordinator (12 Points)

C. Chairman of a Special Committee (12 Points)

D. Research (12 Points)

E. Coordinator for Community (12 Points)

F. INSET (12 Points)

G. Meritorious Achievements (10 Points)

- Trainer/Coach
- Boy Scout/ Girl Scout/ Red Cross
- Coordinator of BSP/ GSP

H. Authorship (10 Points)

GRAND TOTAL

REVIEWED AND VALIDATED BY:

DIVISION SELECTION COMMITTEE

___________________________ ___________________________ ___________________________

___________________________ ___________________________ ___________________________
___________________________ ___________________________ ___________________________