Republic of the Philippines

Department of Education
Region III

SCHOOLS DIVISION OF NUEVA ECIJA

Brgy. Rizal, Santa Rosa, Nueva Ecija, 3101

INDIVIDUAL RATING FORM FOR TEACHER II, III, RELATED TEACHING

AND NON-TEACHING PERSONNEL (Level II)

Name: IRENE G. TOLEDO II Position Applying For: Teacher II Date:

Designation: Teacher I School: SAN FERNANDO SUR ELEMENTARY SCHOOL District: Cabiao

PERTINENT PAPERS
☐Letter of Intent ☐Transcript of Records/Diploma ☐Trainings Attended
☐Latest Appointment ☐Performance Rating for the last 3 Years ☐Certification on Authenticity Veracity of Documents
☐Service Record ☐Eligibility/PRC License

I. CRITERIA Points Documents Presented

A. Performance Rating 30
Average for the last three years multiplied by ☐Very Satisfactory for the Last Three Years
0.35 ☐PASSA/RPMS
☐Certification of Computation for the last three years with average and weight
B. Experience 10
☐Relevant to the duties and functions of the ☐Service Record ☐Latest Appointment

position to be filled. ☐Computation ☐Designations/Revocation

C. Outstanding Accomplishments 20
a. Outstanding Employee Award (4 pts.)
☐Awardee in the School 0.5 pt. ☐Certificate of Recognition
☐Nomination in the division/awardee in the district 1 pt. ☐Memorandum of the Search
☐Nomination in the district/awardee in the division 2 pts. ☐Invitation/Program
☐Nomination in the department/awardee in the region 3 pts. ☐Pictures
☐National Awardee 4 pts.

b. Innovations (4 pts.)
☐Conceptualized 0.5 pt. ☐Innovative work plan properly documented, approved by
☐Started the implementation 1 pt. immediate chief and attested by authorized regiona/division
☐Fully implemented in the school 2 pts. official
☐Adopted in the district 3 pts. ☐Approved work plan
☐Adopted in the division 4 pts. ☐Certification that it is fully implemented/and or adopted
c. Research and Development Projects (4 pts.)
☐School Level 2 pts. ☐Approved Research duly signed by authorized SDO officials
☐District Level 3 pts.
☐Division Level 4 pts.

d. Publication/Authorship (4 pts.)
☐Articles published in a journal/newspaper 1 pt. ☐Original Newspaper/Magazine/Journal
magazine of wide circulation ☐Book with ISBN No.
☐C0-Authorship of a Book (shall be divided by the number of authors)
☐Sole Authorship of a Book 4 pts.

e. Consultant/Resource Speaker in Trainings/Seminars/Workshops/Symposia (4 pts.)

☐District Level 0.5 pt. ☐Certificate of Recognition
☐Division Level 1 pt. ☐Memorandum of the Training/Seminar/Workshop
☐Regional Level 2 pts. ☐Other supporting documents i.e, travel order, pictures
☐National Level 3 pts.
 ☐International Level 4 pts.

D. Education 15
☐Completed Academic Requirements for Master's Degree 7 pts. ☐Diploma
☐Master's Degree 10 pts. ☐Transcript of Records
☐Completed Academic Requirements for Doctoral Degree 13 pts. ☐Certificate of Completion with Prospectus
☐Doctoral Degree 15 pts. ☐Permit to Study

E. Training 10
☐Participant in Specialized Training 10 pts. ☐Certificate of Participation
Scholarship programs, Short Courses, Study Grants shall be ☐Memorandum of the Training
given one (1) point for every nonth of attendance but ☐Other supporting documents i.e, travel order, pictures
not to exceed five (5) points.
☐Participant in three (3) or more training activities ☐Chair/Co-Chair in a technical/planning committee
in each level conducted for at least three (3) days not ☐District Level 1 pt.
credited during the last promotions: ☐Division Level 2 pts.
☐District Level 2 pts. ☐Regional Level 3 pts.
☐Division Level 4 pts. ☐National Level 4 pts.
☐Regional Level 6 pts. ☐International Level 5 pts.
☐Participant in one (1) trainingconducted for at least three (3) days
not credited during the last promotions:
☐National Level 8 pts.
☐International Level 10 pts.

E.Potential (5 points) 10

F. Psychosocial Attributes and

Personality Traits (5 points) 5

TOTAL
CONFORME: CERTIFIED CORRECT:

IRENE G. TOLEDO II __________________________________

Signature Over Printed Name of Applicant PSB Member, Evaluation Committee

Reference: DepED Order No. 66, s. 2007

ING

ict: Cabiao

of Documents

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