DISTRICT OF BALETE
Balete, Batangas
EVALUATION WORK SHEET
(For Master Teacher I Position)
1. Bio – data:
a. Name: SUSAN L. KATIMBANG School: PALIGAWAN ELEMENTARY SCHOOL
b. Employment Status: PERMANENT
c. Educational Attainment: BSEED w/________M.A. UNITS
d. Performance Rating:
(1) School Year 2018-2019_____________________
(2) School Year 2019-2020 _____________________
(3) School Year 2020-2021 _____________________
e. Teaching Experience: ________________________________________________
Years Months Days
2. Demonstration Teachers (Maximium 10 pts.) _____________
a. Three or more (10 pts.) _____________
b. Twice (7pts) _____________
c. Once only (4 pts.) _____________
3. Leadership: Potential And Accomplishment:
a. Introduced curricular or instructional materials, effective teaching techniques,
simplification of work or worthwhile income generating project.
(20 pts. for any of the item)
__________
b. Served as subject coordinator or grade chairman for at least one year or as adviser of
school publication or any special school organization.
__________
c. Served as chairman of special committee, such as curriculum study or committee,
committee to prepare instructional materials or committee to prepare school programs.
__________
d. Initiated or headed an educational research activity duly approved by educational
authorities. (12pts) ___________
DEPEDBATS-LRS-F-011/R0/07-22-2019
(043)722-1840/722-1796/722-1437/722-2675/722-1662(043)723-2816[email protected]www.depedbatangas.org
CRN 44 100 18 93 0045
e. Served as coordinator of community project or activity or of a program of another
agency or coordinator of rural service improvement activity such as feeding
nutrition, etc. for at least two years.
(12 pts.) ______________
f. Organized/ managed an in-service training activity at least on the school level.
(12 pts.) ______________
g. Credited with meritorious achievement such as :
(1) Trainor of or coach to contestant who received prizes or commendations or any form
of recognition:
National Level (10pts) ______________
Regional Level (5pts) ______________
Division Level (3pts) ______________
District Level (1pt) ______________
(2) Athletic Coach of teams who won prizes as follows:
National Level (10pts) ______________
Regional Level (5pts) ______________
Division Level (3pts) ______________
District Level (1pt) ______________
h. Authorship: (10 pts. for a book and 1 pt. for each article)
Sole Authorship (10pts) ______________
Co – Authorship (5pts) ______________
Article (1pt) ______________
4. TOTAL POINTS OBTAINED:------------------------------ ______________
________________________________________________________________________________
CERTIFICATION
We are hereby certify that the herein candidate meets the requirement prescribed in
MEC No. 10, s. 1979 and the supporting document are authentic,
________________________ _______________________
Member Member
________________________ _______________________
Member Co – Chairman
__________________________
Chairman
DEPEDBATS-LRS-F-011/R0/07-22-2019
(043)722-1840/722-1796/722-1437/722-2675/722-1662(043)723-2816[email protected]www.depedbatangas.org
CRN 44 100 18 93 0045