SAMPLE COMPUTATION FOR PERFORMANCE RATING:

Rating Period:
2015-2016 4.25
2016-2017 4.6
2017-2018 4.72
4.52 POINTS
90.47 AVERAGE
31.66 TOTAL WEIGHTED PTS.

ALL FORMS MUST BE PRINTED IN LONG BOND PAPER (8.5" x 13")

DOCUMENT CODE MUST BE VISIBLE IN THE FOOTER WHEN PRINTED
 EVALUATION SHEET FOR RELATED TEACHING AND NON TEACHING POSITIONS
DepEd Order No. 66, s. 2007

Name:
(Surname) (First Name) (Middle Initial)

Present Position:________________________________________ Eligibility: __________________

LEGEND:
TEACHING AND NON TEACHING
CRITERIA RELATED GROUP
TEACHING
LEVEL 1 LEVEL2
a. Performance 35 35 30
b. Experience 5 5 10
c. Outstanding Accomplishments
(Meritorious 20 5 20
Accomplishments)
d. Education 25 10 15
e. Training 5 10 10
f. Potential 5 20 10
g.Psycho-social attributes 5 15 5
TOTAL 100 100 100

FACTORS TO BE CONSIDERED
Total
I. Performance Rating for the last three (3) No. of Pts. Average Weighted Pts.
Rating Period

II. Relevant Experience

III. Outstanding Accomplishments

TEACHING AND NON TEACHING

CRITERIA RELATED GROUP
TEACHING LEVEL 1 LEVEL2
Outstanding Employee Award 4 1 4
Innovations 4 1 4
Research and Development Project 4 1 4

Publication / Authorship
Consultant/Resource Speaker in 4 1 4
Trainings / Seminar 4 1 4

A. Outstanding Employee Award

B. Innovations

DOC-HRM-FR-017 REV 02
 C. Research and Development Projects

D. Publication/Authorship

DOC-HRM-FR-017 REV 02
 E. Consultant/Resource Speaker in Training

IV. Education and Training

A.Education

Total
B Training

Total

VI. Potential

VII.Psychosocial Attributes & Personality Traits

TOTAL WEIGHTED POINTS: 0

OTJ: *not applicable*
GRAND TOTAL POINTS: 0

(Name & Signature of Candidate)

Human Resource Merit Promotion and Selection Board

IVAN BRIAN L. INDUCTIVO

OIC-Office of the Asst. Schools Division Superintendent
Chairman

ELIAS A. ALICAYA,JR., Ed.D. ELPIDIA B. BERGADO, Ed.D.

OIC-Asst. Schools Division Superintendent Chief, Curriculum Implementation Division
Member Member

VERNA C. CABAYA ELAINE V. BALEN

Administrative Officer Administrative Officer IV-HR
V Member
Member

DOC-HRM-FR-017 REV 02
 MAGDALENO R. LUBIGAN, Ed.D. ROMAN M. SALAZAR,
School Principal IV/President,NAPPSHI Ed.D.
Member President, CAVSTEA
Member

Approved:

CHERRYLOU D. REPIA
Schools Division Superintendent

DOC-HRM-FR-017 REV 02
 Teaching and Related Teaching Group
RANKING OF QUALIFIED APPLICANTS FOR TEACHER II

School/District: FRANCISCO P. TOLENTINO NATIONAL HIGH SCHOOL No of Vacancies: ______

EDUCATION & TRAINING
RELEVANT OUTSTANDING PSYCHOSOCIAL
PERFORMANCE POTENTIAL
EXPERIENCE ACCOMPLISHMENT Training ATTRIBUTES FINAL
NAME OF CANDIDATE RANK
Education (25 pts) RATING

(35 pts.) (5 pts.) (20 Pts.) (5 pts.) (5 pts.) (5 pts.)

1
2
3
4
5

This is to certify that the candidate/s listed above have been interviewed, screened, evaluated and found qualified by Division Human Resource Merit Promotion and Selection Board.

Human Resource Merit Promotion and Selection Board

IVAN BRIAN L. INDUCTIVO ELIAS A. ALICAYA,JR., Ed.D. ELPIDIA B. BERGADO, Ed.D.

OIC-Office of the Asst. Schools Division Superintendent OIC-Asst. Schools Division Superintendent Chief, Curriculum Implementation Division
Chairman Member Member

VERNA C. CABAYA ELAINE V. BALEN MAGDALENO R. LUBIGAN, Ed.D. ROMAN M. SALAZAR, Ed.D.
Administrative Officer V Administrative Officer IV-HR School Principal IV/President,NAPPSHI President, CAVSTEA
Member Member Member Member

Approved:

CHERRYLOU D. REPIA
Schools Division Superintendent
 Teaching and Related Teaching Group
RANKING OF QUALIFIED APPLICANTS FOR TEACHER III

School/District: ________________________________ No of Vacancies: ______

EDUCATION & TRAINING
RELEVANT OUTSTANDING PSYCHOSOCIAL
PERFORMANCE POTENTIAL
EXPERIENCE ACCOMPLISHMENT Training ATTRIBUTES FINAL
NAME OF CANDIDATE RANK
Education (25 pts) RATING

(35 pts.) (5 pts.) (20 Pts.) (5 pts.) (5 pts.) (5 pts.)

1
2
3
4
5

This is to certify that school PSB followed Open Ranking Procedure in the screening, and Evaluation of Applicants'
documents:

_____________________________________
Division Personnel/Process Observer
This is to certify that the candidate/s listed above have been interviewed, screened, evaluated and found qualified by Division Human Resource Merit Promotion and Selection Board.

Human Resource Merit Promotion and Selection Board

IVAN BRIAN L. INDUCTIVO ELIAS A. ALICAYA,JR., Ed.D. ELPIDIA B. BERGADO, Ed.D.

OIC-Office of the Asst. Schools Division Superintendent OIC-Asst. Schools Division Superintendent Chief, Curriculum Implementation Division
Chairman Member Member

VERNA C. CABAYA ELAINE V. BALEN MAGDALENO R. LUBIGAN, Ed.D. ROMAN M. SALAZAR, Ed.D.
Administrative Officer V Administrative Officer IV-HR School Principal IV/President,NAPPSHI President, CAVSTEA
Member Member Member Member

Approved:

CHERRYLOU D. REPIA
Schools Division Superintendent