EVALUATION SHEET

RECLASSIFICIATION TO HEAD TEACHER I (SCHOOL HEAD)

Name of applicant : NILO S. COSAL

District : Laak South
School : Tigasa Elementary School
Present Position : Teacher I
Date of Appointment : September 25, 2000

Submitted
Basic requirements: Yes No
1) Transcript of Records (TOR) with CAV (Bachelor's degree) ü
2) Transcript of Records (TOR) with CAV (Master's degree/units earned) ü
3) Copy of Designation/s as Teacher-In-Charge (TIC) ü
4) Certificates of relevant trainings attended X
5) Certification of Ratings for the last three (3) rating periods signed by the ü
PSDS/DCP
Qualifications:
Particulars DepEd Order No. 97, s. 2011 Applicant's Qualifications Remarks
Education At least 12 MA units in the fields 18 units in the Master of Arts in
of administration, supervision, in Educational Management OK
leadership or management
Experience 3 years teaching experience and 20 years teaching experience
OK
TIC or OIC for at least 1 year and TIC since 1/02/2015
Training 24 hours of relevant training ini- Several relevant trainings
tiated, sanctioned, approved/ attended
OK
recognized by DepEd not used in
the immediate previous promotion
Performance At least Very Satisfactory for the Latest: 2019-2020 (4.466/VS)
Rating last 3 consecutive years; or 2018-2019 (4.466/VS)
Outstanding for the last 2 2017-2018 (4.450/VS) OK
consecutive years from the effec-
tivity of the lastest appointment.
Other requirement/qualification of the position:
Particulars DO 97, s. 2011 Applicant Remarks
Six (6)
No. of teachers supervised as TIC At least six (6) teachers OK
teachers supervised

Remarks: QUALIFIED as to QS of the position.

If QUALIFIED, additional documents to be submitted:

(PLEASE SEE ATTACHED CHECKLIST)

Evaluated by:

NORBERTO S. MANLANGIT
Administrative Officer V
Date: April 29, 2021
Additional requirements if qualified:

1. Duly accomplished Evaluation Sheet for Head Teacher

ü 2. Duly accomplished CS Form 212 (PDS)
ü 3. Latest appointment
4. Authenticated PRC License
ü 5. Organizational Chart
6. School Form (SF) No. 7 (Enrollment Data)
7. Certificates/Proofs of Outstanding Accomplishment
8. NEAP Basic Training Course for School Heads
9. SBM Level Certification as to the rating obtained in the internal and external
stakeholder's assessment
10. Division PSB Certification on the points obtained in Psychological
Attributes and Personality Traits Assessment
11. Omnibus Certification
12. ePSIPOP printout
13. List of teachers under the supervision of the applicant
14. Certification of Non-availability of HT item for the school
15. Justification and recommendation from the PSDS
16. Updated Service Record
ü 17. Position Description Form (PDF)

Legend:
ü Submitted