EVALUATION CHECKLIST
MASTER TEACHER APPLICANTS
Name of Applicant: ___________________________ School: ________________________
Date of MT I Appointment: _____________________ Class Adviser: ___________________
Educational Qualification: ______________________ Teaching Load: __________________
NO. BASIC REQUIREMENT DOCUMENTS/SUPPORTING Check (/) if Wrong (X) REMARKS
PAPERS complied if not
complied
BASIC REQUIREMENTS
1 Permanent Teacher 1.1 One Certified Xerox copy
of CSC/PBET of PRC/LET
Rating/RA 4670
1.2 One Certified Xerox Copy
of Appt Paper
2 Bachelor’s Degree or its 2.1 One Certified Xerox Copy
equivalent as provided for: of TOR with statement of
-Magna Carta graduation and/or SO for
MT 1 .. MA Units graduation if graduate of a
MT 2 .. CAR Private School.
MT 3 .. MA/20 Years
Experience + 20 MA Units
MT 4 .. MA, MAT, MAED 2.2 Certification from the
Dean of the Graduate
School/TOR
3 Very Satisfactory Rating for 3.1 One Certified Xerox Copy
at least Two Years (with at of the Perf. Rating Sheets for
least 3.5 IPCRF Perf. Rating) Two Years duly signed by the
Rater, Ratee and the District
Head/Supervisor
4 Experience Requirements 4.1 One copy of the
certification by the
Principal/District Head
4.2 One Certified Xerox Copy
of Service Record
5 Relevant Training 5.1 One Certified Xerox Copy
Requirements of Certificate of Participation
MT 1 --- 8hrs
MT 2 --- 16 hrs
MT 3 --- 24 hrs
MT 4 --- 32 hrs
6 Teaching Load Requirements 6.1 One Copy of the Teacher
(Class Adviser with 270 Program duly signed by the
Minutes Teaching Load) Principal/District Head
MT 1 . . . . at least 25 points
MT 2 . . . . at least 30 points
MT 3 . . . . at least 45 points
MT 4 . . . . at least 60 points
LEADERSHIP POTENTIALS/ ACCOMPLISHMENTS
A. Introduced the following for use in the school or District (20 points for any one of the items)
1 Curriculum or Instructional 1.1 One copy of the
Materials Certification by the District
Supervisor that CIM was
originally developed by the
applicant
1.2 One Copy of the Division
Bulletin/ Circular enjoining
that said materials be used
1.3 One Copy of the
Curriculum Instructional
Materials or a picture of the
Instructional Materials with
a write-up, if it is a hardware
item
1.4 One Copy of the
Certificate of
Awards/Recognition duly
signed by the Schools
Division Superintendent
2 Effective Teaching 2.1 One Copy of the Division
Techniques/Strategies Memorandum/Letter stating
that the Teaching
Techniques/Strategies
developed be used in the
field
2.2 One Copy of the
Certification by the
Principal/District Supervisor
that the teaching
technique/strategy was
originally developed by the
applicant
2.3 One copy of the
Certificate
award/recognition duly
signed by the Schools
Division Superintendent
2.4 Literature/Write-up of
the technique/strategy
originally developed by the
teacher
3 Simplification of work that 3.1 Brief Project Proposal
results in cost reduction
3.2 One copy of the
certification by the District
Supervisor that the work
plan by the applicant
originally developed has
been tried out and found
effective and it resulted to
cost reduction
3.3 One copy of Division
Memorandum indorsing the
work
3.4 One copy of the
Certificate
Award/Recognition duly
signed by the Schools
Division Superintendent
4 Worthwhile Income 4.1 Brief Project Proposal
Generating Project for
pupils given recognition by
higher officials in the
Division
4.2 One certified xerox copy
of Certificate of Award/
Recognition duly signed by
the Schools Division
Superintendent
4.3 One copy of certification
by the District Supervisor
that the project was
originally developed by the
teacher
B. Served as . . . . 12 points
1 Subject Coordinator/Grade 1.1 Certification from the
Chairman for at least one Principal/ District Supervisor
year
2 Adviser of School 2.1 One copy of the School
Publication, Dramatic Club Paper with the name of the
and all other pupil- related adviser
clubs as well as Teacher-
related activities
2.2 One Copy of the Special
Order/Letter Designating the
teacher as the adviser of the
club
2.3 Certification signed by
the Principal/District
Supervisor
C. Served as Chairman of Special Committee such as … 12 points
1 Curriculum Study 1.1 One copy of the
Committee Certification signed by the
Principal/District Supervisor
2 Committee to Prepare 2.1 Special Order signed by
Instructional Materials the Principal/District
Supervisor designating the
3 Testing Committee teacher as Chairman of the
Special Committee
4 Committee to Prepare 4.1 Original Copy of the
School Program (schedule of sample of activity done
classes, teacher assignment, prepared by the teacher and
and other concurred by the school
job-related/DEPED Activities head
D. Initiated or headed educational research duly approved by the Regional Supervisor or Division
Superintendent either for Community Development or Teachers’ Welfare … 12 points
1 If member only of the 1.1 A copy of the Research
Research Team …. 7 points Proposal duly approved by
the Division
Superintendent/Regional
Subject Supervisor
1.2 Abstract of the Research
conducted
1.3 Certification of the
Principal/District
Supervisor/Division
Superintendent that the
teacher conducted research.
E. Coordinator of a Community Project/Activity of another agency for at least two consecutive years …
12 points
1 If only an ordinary 1.1 Special Order signed by
participant/member …. 7 the Principal/District
points Supervisor assigning the
teacher as coordinator
1.2 Certification of
Community Official and
School Head that the
teacher participated in the
project/activity either as
member/participant for two
consecutive years
1.3 A copy of the activities
undertaken for the two-year
period
F. Organized/Managed an In-Service Training/Activity or similar activities at least in the school level
….12 points
1 Organized/Managed an In- 1.1 Certification of the
Service Training/Activity Principal/District
Supervisor/Schools Division
Superintendent
1.2 Program of Activities
where the name of the
teacher-organizer is
indicated,
approved/attested by the
school authorities
G. Credit with Meritorious Achievements…. 10 points maximum
1 Trainer or Coach of 1.1 Certificate of
Contestants who received Awards/Commendation
first place/commendations given to the
or any form of recognition teacher-coach/teacher
National Champion 10 pts awardee
Regional Champion 5 pts
Division Champion 3 pts
District Champion 1 pt
1.2 Certified xerox copy of
the Certificate Award (1
copy)
2 Athletic coach of athletes or 2.1 Original copy of
teams who won/received Certification of School
first place authorities concerned
National Champion 10 pts
Regional Champion 5 pts
Division Champion 3 pts
District Champion 1 pt
2,2 Xerox copy of the
Certificate of Award (1 copy)
3 Coordinator of Boy/Girl 3.1 Original copy of
Scout Activities Certification of School
National Champion 10 pts authorities concerned
Regional Champion 5 pts
Division Champion 3 pts
District Champion 1 pt
3.2 Original copy of the
Special Order designating
the applicant or coordinator
(1 copy)
H. Authorship
1 For a Book . . 10 points 1.1 Copy of the book,
For an Article . . 1 pt magazine or publication
where article is written with
Provided they are on: name of the author
-Solo Authorship . . 10 pts indicated
-Co-authorship . . 1pt 1.2 Original Copy of the
(each author/writer 1pt) Certification of the school
Article . . . . . . 1pt authorities
TOTAL
All Certificate of Award/Recognition and other important documents like Civil Service Eligibility/PRC/LET
Ratings/Service Record/Transcript of Records and GURO Certification should be photocopied/xeroxed and
authenticated/certified by duly authorized personnel
Validating/Screening Committee:
____________________________ __________________________________
Chairman Member
____________________________ ___________________________________
Member Member
