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Republic of the Philippines
Department of Education
Region IV-A CALABARZON
CITY SCHOOLS DIVISION OFFICE OF ANTIPOLO
SCORE SHEET FOR MASTER TEACHER I APPLICANT

Name: ______________________ _ ______ Date: FEB. 21, 2020
School: _______________________________________________
Present Position: _____________________________
REMARKS
Required Qualification/Entry Requirements (Please put a check mark/remarks if
requirements are attached)
Authenticated TOR: __________________

 At least CAR/ARC
 Teacher III for 3 years/ Teacher II for 5 years/ Aggregate of 4 years as T3 PRC license: ________________________
and T2 Service Record: _____________________
Latest appointment: __________________
 VS Performance for the last 3 years Date of Last Promotion: _______________
 Summarized Performance Rating for 3 years
Performance Rating (3 VS): ____________
 At least 25 points in leadership and potential
No. of Demo Teaching: ________
Lesson Plan: ________________
Note:
Certification of Demo Teaching signed by
1. No additional documents will be accepted after the scheduled date the DS, SH and teachers: _____
of submission to the Division Office.
2. No credit or points for any incomplete requirements.
LEADERSHIP, POTENTIAL AND ACCOMPLISHMENTS REMARKS/ POINTS

(At least 25 points) COMMENTS EARNED
I. (25 points maximum)
A. Curriculum or Instructional Materials must be supported by the
following documents:
1. Approved Project Proposal
2. Copy of the Curriculum Material
3. Summary of the Results of its Effectiveness
4. Certification coming from either the District Supervisor or Education
Program Supervisor in charge of the learning area that has been
adopted in the school and validate to be effective
B. Effective teaching techniques and strategies – must be supported

with the following documents:
1. Concept Paper
2. Certification coming from either the District Supervisor or Education
Program Supervisor in charge of the leaning area that it has been
effective
3. Summary of the Results of its effectiveness
C. Simplification of work as in reporting system, record keeping etc. or

procedures that resulted in cost reduction. It shall be supported with
the following documents:
“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”
New Bldg - Sports Educational Hub, Sen. L. Sumulong Memorial Circle, Brgy. San Isidro, Antipolo City
Old Bldg. - C. Lawis Extension, Barangay San Isidro, Antipolo City
www.depedantipolo.comantipolo.city@deped.gov.ph
Certificate No. (02) 630-3110
44 100 19 93 0005
1. Cost benefit analysis

2. Concept Paper
3. Application of its effectiveness
4. Financial report of its cost effectiveness
5. Certification or evidence of corroboration from any of the
following:
a. District Supervisor
b. School Head
c. At least five (5) co-teacher
D. Worthwhile Income Generating Project (IGP) for pupils given due

recognition by the higher officials of the division. It shall be
supported with the following documents:
1. Project Proposal
2. Income Statement from the recipient’s of the project
3. Certificate of award or recognition
II. Served as subject coordinator or grade chairman for at least one (1) year 10 points maximum
or as adviser of school publication or any special organization like dramatic
club, glee club, science club, etc. and discharged such assignments
satisfactorily for at least (2) years provided such assignments or services
are in addition to, and not considered part of the regular teaching
assignment. It shall be supported with the following documents:
1. Official Designation
2. Accomplishment Report (based on the number of years served)
3. Teachers Program
4. Approved Official Teacher’s Load
No of Years Region Division School

1 – 2 years 4 3 2
3 – 4 years 7 6 5
5 years and above 10 9 8
III. Served as chairman of special committee such as curriculum study 9 points maximum
committee, committee to prepare instructional materials, committee to
prepare school program, and discharged the work efficiently. It shall be
1. Certification
2. Corroboration (at least 5, duly certified)
3. Appointment
4. Accomplishment Report
5. Output of the Committee s grade/year level chairman/leader
No of Years Region Division School

1 – 2 years 3 2 1
3 – 4 years 6 5 4
5 years and above 9 8 7
IV. Initiated or headed an educational research activity duly approved by 12 points maximum
educational authorities (an action research, should not be a Thesis for
the Masters Program). It shall be supported with the following
documents:
1. Certification as required in Unnumbered RM on Intensifying
Research in Schools issued on March 2, 2015
44 100 19 93 0005
2. Research itself
3. Output of the research
4. Research Report
Research Proponent = 12 points, Member = 7 points
V. Coordinator of community project or of a program of another agency or 12 points maximum

coordinator of a rural service improvement activity in a community for at
least two (2) years. It shall be supported with the following documents:
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 points, Member = 7 points
VI. Organized/Managed an in-service activity or other similar activities at 12 pts maximum

least on the school level (at least 3 days duration). LAC sessions
conducted for at least 24 hours (either continuous for 3 days or
cumulative within a semester) may also be credited. It shall be
1. Approved Training/LAC Design/Proposal by the Division
2. Memorandum showing the designation as chairman or member
3. Completion Report/Attendance
Chairman/Co-chair = 12 points, Member = 7 points
VII. Credited with meritorious achievements such as: 10 points maximum

1. Trainer or coach of contestants who received Top 3 prizes
For different events: cumulative but not to exceed 10 points
For same event: the highest level shall be given credit
It shall be supported with the following documents:

a. Certification a trainer/coach issued by proper authorities;
b. Certificate of Recognition awarded/received signed by
proper authorities;
c. Award/commendation/citation given to winning
pupil/student/group signed by proper authorities;
d. Program of Activities of the Contest/Competition
National – 10 points Regional – 5 Points

1st Prize – 10 1 st Prize – 5
2nd Prize – 8 2 nd Prize – 4
3rd Prize – 6 3 rd Prize – 3
Provincial – 3 points District – 1 Points

2nd Prize – 2 2 nd Prize – .75
3rd Prize – 1 3 rd Prize – .5
2. Coach of athletes or team who won Top 3 prizes

For different events: cumulative but not to exceed 10 points
44 100 19 93 0005
For same event: the highest level shall be given credit
National – 10 points Regional – 5 Points

2nd Prize – 8 2 nd Prize – 4
3rd Prize – 6 3 rd Prize – 3
Provincial – 3 points District – 1 Points

2nd Prize – 2 2 nd Prize – .75
3rd Prize – 1 3 rd Prize – .5
3. Coordinator of BSP or GSP Activities. It shall be supported with

the following documents:
1. Designation as Scout Coordinator
2. Approved Proposal of the Scouting Activity
3. Accomplishment Report
4. Commendation by authority
National – 10 points
Regional – 5 points
Provincial – 3 points
District – 1 point
School – .5 point
VIII. Authorship 10 points maximum
Ten (10) points for a book and one (1) point each for each article on
wide circulation (provincial level) provided they are on education. It
shall be supported with the following documents:
1. Copy of the published book/articles

2. Certification from the publisher/LR certification
3. Copy of the Certificate of Copyright Registration for authorship
of a book
Sole authorship - 10 points

Co-authorship - 5 points
Article - 1 point per article
(Journals or researches that are peer reviewed by international circulation

must be given 10 points for sole authorship and those done in collaboration
or group shall be given points dividing the points by the number of members
in the group)
GRAND TOTAL 100 points
44 100 19 93 0005
Reviewed and Evaluated By:
HUMAN REOURCE MERIT PROMOTION AND SELECTION BOARD
____________________________ ___________________________
____________________________ ___________________________
________________________________
44 100 19 93 0005
EVALUATION OF PAPERS FOR MASTER TEACHER 1 POSITION

District II-E
ATTENDANCE
February 21, 2020
NO NAME OF TEACHER SCHOOL SIGNATURE
44 100 19 93 0005
44 100 19 93 0005
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Republic of the Philippines

SCORE SHEET FOR MASTER TEACHER I APPLICANT

Authenticated TOR: __________________

LEADERSHIP, POTENTIAL AND ACCOMPLISHMENTS REMARKS/ POINTS

B. Effective teaching techniques and strategies – must be supported

C. Simplification of work as in reporting system, record keeping etc. or

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

1. Cost benefit analysis

D. Worthwhile Income Generating Project (IGP) for pupils given due

No of Years Region Division School

No of Years Region Division School

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

Research Proponent = 12 points, Member = 7 points

V. Coordinator of community project or of a program of another agency or 12 points maximum

Coordinator = 12 points, Member = 7 points

VI. Organized/Managed an in-service activity or other similar activities at 12 pts maximum

Chairman/Co-chair = 12 points, Member = 7 points

VII. Credited with meritorious achievements such as: 10 points maximum

It shall be supported with the following documents:

National – 10 points Regional – 5 Points

Provincial – 3 points District – 1 Points

2. Coach of athletes or team who won Top 3 prizes

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

For same event: the highest level shall be given credit

National – 10 points Regional – 5 Points

Provincial – 3 points District – 1 Points

3. Coordinator of BSP or GSP Activities. It shall be supported with

VIII. Authorship 10 points maximum

1. Copy of the published book/articles

Sole authorship - 10 points

(Journals or researches that are peer reviewed by international circulation

GRAND TOTAL 100 points

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

Reviewed and Evaluated By:

HUMAN REOURCE MERIT PROMOTION AND SELECTION BOARD

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

EVALUATION OF PAPERS FOR MASTER TEACHER 1 POSITION

NO NAME OF TEACHER SCHOOL SIGNATURE

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

“EDUKASYONG TAPAT AT SAPAT PARA SA L A H A T”

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