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Teacher Record Evaluation Form

This document is an Equivalent Record Form from the Department of Education in the Philippines. It collects information about a teacher such as name, date of birth, employee number, position title, and actual and authorized salaries. It documents the teacher's educational attainment, civil service eligibility, service record, equivalent teaching units earned, and efficiency ratings. The form is signed by the teacher and school officials and processed by the Division for classification and salary assignment, which is then evaluated and approved by the Regional Office of the Department of Education.

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0% found this document useful (0 votes)
120 views1 page

Teacher Record Evaluation Form

This document is an Equivalent Record Form from the Department of Education in the Philippines. It collects information about a teacher such as name, date of birth, employee number, position title, and actual and authorized salaries. It documents the teacher's educational attainment, civil service eligibility, service record, equivalent teaching units earned, and efficiency ratings. The form is signed by the teacher and school officials and processed by the Division for classification and salary assignment, which is then evaluated and approved by the Regional Office of the Department of Education.

Uploaded by

joan dalilis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region X – Northern Mindanao
DIVISION OF BUKIDNON
City of Malaybalay

EQUIVALENT RECORD FORM

Name: ___________________________________ Date of Birth: ______________ Sex: _______


(Surname) (Given Name) (M.I.)
Employee No.: ____________________________ Authorized Position Title: _________________
Item Number: ____________________________ Authorized Salary: ______________________
Actual Salary: __________________________

I. Educational Attainment and Civil Service Eligibility:

CS Eligibility
Title, Degree or Highest
Name of Institution Year Received Date
Degree Attained Exam Rating
Taken

II. Service Record: (Attached duly certified and updated Service Record)

III. Equivalent Units:

A. Total no. of years teaching: (public only) _________________ Equivalent: __________________


B. Degree to degree equivalent: (present degree) ____________ Equivalent: __________________
C. Areas of Equivalents: School Year Units Earned Description
00 1. Professional Study
2. Teaching Experiences:
a. Public School
b. Private School
3. Adm. Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, workshops, etc.)
TOTAL

LATEST EFFICIENCY RATING: _____________________

__________________________________ __________________________
PSDS/PRINCIPAL/HEAD TEACHER Teacher’s Signature

IV. DIVISION ACTION:


Date Range
Classification Salary Range Scheduled Salary Remarks
Processed Assignment

Certified Correct: Recommending Approval:

___________________ _______________________ _______________________


Division Processing Officer Asst. Schools Div. Superintendent Schools Division Superintendent

__________________________________________________________________________________
V. DepED REGIONAL OFFICE ACTION:

EVALUATED BY: DEPARTMENT OF EDUCATION


DATE: ________________________ REGION X, CAGAYAN DE ORO CITY
POST-AUDIT OF TEACHING POSITION
CLASS TITLE: ____________________
______________________________ SALARY GRADE: _________________
TEACHER CREDENTIALS EVALUATOR SUBJECT TO AVAILABILITY OF AN ITEM

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