Republic of the Philippines

Department of Education
Region I
Division of Pangasinan I
Lingayen

SCORING SHEET OF TEACHER-APPLICANT

Note: (To be accomplished by the teacher-applicant)

Name:

Address:

School Graduated:

Course:

Contact Number:

I. EDUCATION: (25 points)

GWA ______ Points:___________

II. EXPERIENCE: (10 points) Points:___________

A. Public Schools: No. of Months

1. Preschool ______________
2. ALS ______________
3. Substitute Teacher ______________
4. LSB Teacher ______________
5. Others ______________
B. Private Schools ______________
(Note: Recognized private school by DepEd)

Total No. of Months: _________________

III. Rating: (10 points) Points:___________

LET ___________
PBET ___________
IV. EXPERENTIAL LEARNING COURSE Points:___________
Practice Teaching/Field Study
Rating___________
V. SPECIALIZED TRAINING AND SKILLS: ( 5 points) Points:___________
(Supported with documents validated by Division sub-Committee)
Skills Points
_________________________ ______________
_________________________ ______________
_________________________ ______________
_________________________ ______________
_________________________ ______________

TOTAL POINTS OF I-V Points:___________

 This is to certify that I assume full responsibility and accountability in the
validity and authenticity of the documents submitted and the corresponding
points that I have entered thereat. Any violation/misinterpretation will
automatically disqualify me for the selection process.

Signature over Printed Name:

Validated by:

Member Member

Member Member

Chairman

(Note: To be accomplished by the Division Sub-Committee)

VI. Interview ( 10 points) Points:___________

Points Signature
Chairman _________________________ ______________
Members _________________________ ______________
_________________________ ______________
_________________________ ______________
_________________________ ______________

Average Points ___________

VII. Demo ( 20 points) Points:___________

Points Signature
Chairman _________________________ ______________
Members _________________________ ______________
_________________________ ______________
_________________________ ______________
_________________________ ______________

Average Points ___________

SUB TOTAL (I-VII) Points:___________