NOTE: email this form to gerry.goze@deped.gov.ph after filling up the needed data in the profile.

ASSESSMENT FORM No. 5C

INDIVIDUAL ASSESSMENT PROFILE FOR SENIOR HIGH SCHOOL TEACHER APPLICANTS
as per D.O. No. 3, s. 2016
S.Y. 2020-2021
SCHOOL: _______________________________________
School Heads: __________________________________________

NAME Permanent Contact Colleg Major / Master Major / Gradu Doct Major Grad Eligibility Present / CRITERIA
Address Number e Minor al Minor ated/N oral / uated /ies / NTTCs Previous EDUC TEAC SPE INTE ENGL POR DEMO TOTAL
Degre Degree umber Degr Minor /Num / TMs / NCs Employment / ATION HING CIALI RVIE ISH TFOR NSTR
e Course of ee ber of (Indicate Agency / / ZED W COM TLIO ATION
Cours Units Cour Units level and School INDU TRAI MUNI / TEAC
e Compl se Comp specializatio STRY NING CATI OUT HING
eted leted n) / ON STAN
WOR SKILL DING
School KPLA S ACHI
CE EVE
EXPE MEN
(LN, FN MI) RIEN TS
20% 15%
CE 10% 15% 10% 10% 20% 100%

GROUP I-AA (Oral Communication, Reading & Writing, English for Academic and Professional Purposes, Practical Research, 21st Century Literature from the Philippines and the World)

GROUP I-AB (Practical Research 1 (Applied), Inquiries, Investigation, & Immersion, Creative Writing, Creative Non-Fiction)
 NAME Permanent Contact Colleg Major / Master Major / Gradu Doct Major Grad Eligibility Present / CRITERIA
Address Number e Minor al Minor ated/N oral / uated /ies / NTTCs Previous EDUC TEAC SPE INTE ENGL POR DEMO TOTAL
Degre Degree umber Degr Minor /Num / TMs / NCs Employment / ATION HING CIALI RVIE ISH TFOR NSTR
e Course of ee ber of (Indicate Agency / / ZED W COM TLIO ATION
Cours Units Cour Units level and School INDU TRAI MUNI / TEAC
e Compl se Comp specializatio STRY NING CATI OUT HING
eted leted n) / ON STAN
WOR SKILL DING
School KPLA S ACHI
CE EVE
EXPE MEN
(LN, FN MI) RIEN TS
20% 15%
CE 10% 15% 10% 10% 20% 100%

GROUP I-B (Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino, Pagbasa at Pagsusuri ng Iba't ibang Teksto sa Pananaliksik, Pagsulat sa Filipino sa Piling Larangan)

GROUP I-C1 (Intro to World Religions and Belief Systems, Personal Development, Practical Research 1, Understanding Culture, Society & Politics, Intro to World Religions and Belief Systems)

I-C.2 Philippine Politics and Governance; Community Engagement, Solidarity and Citizenship; Disciplines and Ideas in the Social Sciences; Trends, Network and Critical Thinking in the 21st
Century Culture; Disciplines and Ideas in the Applied Social Science
 NAME Permanent Contact Colleg Major / Master Major / Gradu Doct Major Grad Eligibility Present / CRITERIA
Address Number e Minor al Minor ated/N oral / uated /ies / NTTCs Previous EDUC TEAC SPE INTE ENGL POR DEMO TOTAL
Degre Degree umber Degr Minor /Num / TMs / NCs Employment / ATION HING CIALI RVIE ISH TFOR NSTR
e Course of ee ber of (Indicate Agency / / ZED W COM TLIO ATION
Cours Units Cour Units level and School INDU TRAI MUNI / TEAC
e Compl se Comp specializatio STRY NING CATI OUT HING
eted leted n) / ON STAN
WOR SKILL DING
School KPLA S ACHI
CE EVE
EXPE MEN
(LN, FN MI) RIEN TS
20% 15%
CE 10% 15% 10% 10% 20% 100%

GROUP I-D (Media & Information Technology; Empowerment Technologies for the Strands)
 ASSESSMENT FORM No. 5C
INDIVIDUAL ASSESSMENT PROFILE FOR SENIOR HIGH SCHOOL TEACHER APPLICANTS
as per D.O. No. 3, s. 2016
S.Y. 2020-2021
SCHOOL: _______________________________________
School Heads: __________________________________________

GROUP II-ABM & ENTREPRENEURSHIP, RESEARCH & WORK IMMERSION

SCHOOL NAME Permanent Address Contact Subject College Major / Minor Mastera Major / Graduate Doctoral Major Graduated Eligibility Present / Previous CRITERIA
Number Group Degree l Minor d/Number Degree / /Number /ies / Employment / Agency EDUC TEACHI SPECI INTER ENG PORTF
Applied Course Degree of Units Course Minor of Units NTTCs / / School ATION NG / ALIZE VIEW LISH ORTLI
for Course Complete Complete TMs / INDUST D COM O/
d d NCs RY / TRAIN MUNI OUTST
(Indicate WORKP ING CATI ANDIN
level and LACE ON G
specializa EXPERI SKIL ACHIE
tion) ENCE LS VEMEN
TS

(LN, FN MI) 20% 15% 10% 15% 10% 10%

II-A (Business Math, Business Ethics and Responsibilities, Organization and Management, Principles of Marketing, Entrepreneurship

II-B (Fundamentals of Accountancy, Business & Mngt 1, Fundamentals of Accountancy, Business & Mngt 2, Business Finance, Applied Economics & Entrepreneurship)
 DEM TOTAL
ONST
RATIO
N
TEAC
HING

20% 100%

No MOV's
for
Interview
and Demo
ASSESSMENT FORM No. 5C
INDIVIDUAL ASSESSMENT PROFILE FOR SENIOR HIGH SCHOOL TEACHER APPLICANTS
as per D.O. No. 3, s. 2016
S.Y. 2020-2021
SCHOOL: _______________________________________
School Heads: __________________________________________

GROUP III: SCIENCE TECHNOLOGY ENGINEERING & MATHEMATICS

SCHOOL CRITERIA

EDUCA TEACHI SPECI INTER ENGL PORTF DEM TOTAL

Eligibility TION NG / ALIZE VIEW ISH ORTLI ONST
/ies / INDUST D COM O/ RATI
Graduat Docto
Graduate NTTCs / Present / RY / TRAINI MUNI OUTST ON
NAME ed/Num ral
College Masteral d/Number TMs / Previous WORKP NG CATI ANDIN TEAC
Permanent Major / Major / ber of Degre Major /
Contact Number Degree Degree of Units NCs Employme LACE ON G HING
Address Minor Minor Units e Minor
Course Course Complete (Indicate nt / Agency EXPERI SKILL ACHIE
Complet Cours
d level and / School ENCE S VEME
ed e
specializ NTS
ation)
20% 15% 10% 15% 10% 10% 20% 100%
(LN, FN MI)

GROUP III-A (General Mathematics, Statistics and Probability and related specialized STEM subjects)

GROUP III-B1 (Earth Science; Earth and Life Science; Physical Science and Inquiries, Investigation and Immersion (applied); Disaster Readiness and Risk Reduction
 GROUP III: SCIENCE TECHNOLOGY ENGINEERING & MATHEMATICS
SCHOOL CRITERIA

EDUCA TEACHI SPECI INTER ENGL PORTF DEM TOTAL

Eligibility TION NG / ALIZE VIEW ISH ORTLI ONST
/ies / INDUST D COM O/ RATI
Graduat Docto
Graduate NTTCs / Present / RY / TRAINI MUNI OUTST ON
NAME ed/Num ral
College Masteral d/Number TMs / Previous WORKP NG CATI ANDIN TEAC
Permanent Major / Major / ber of Degre Major /
Contact Number Degree Degree of Units NCs Employme LACE ON G HING
Address Minor Minor Units e Minor
Course Course Complete (Indicate nt / Agency EXPERI SKILL ACHIE
Complet Cours
d level and / School ENCE S VEME
ed e
specializ NTS
ation)
20% 15% 10% 15% 10% 10% 20% 100%
(LN, FN MI)

GROUP III-B2 General Biology 1; General Biology 2; General Chemistry 1; Inquiries, Investigation & Immersion (applied); Practical Research 2

GROUP III B 3 - General Chemistry2; Physics 1; Physics 2; Inquiries, Investigation & Immersion (applied)
 GROUP III: SCIENCE TECHNOLOGY ENGINEERING & MATHEMATICS
SCHOOL CRITERIA

EDUCA TEACHI SPECI INTER ENGL PORTF DEM TOTAL

Eligibility TION NG / ALIZE VIEW ISH ORTLI ONST
/ies / INDUST D COM O/ RATI
Graduat Docto
Graduate NTTCs / Present / RY / TRAINI MUNI OUTST ON
NAME ed/Num ral
College Masteral d/Number TMs / Previous WORKP NG CATI ANDIN TEAC
Permanent Major / Major / ber of Degre Major /
Contact Number Degree Degree of Units NCs Employme LACE ON G HING
Address Minor Minor Units e Minor
Course Course Complete (Indicate nt / Agency EXPERI SKILL ACHIE
Complet Cours
d level and / School ENCE S VEME
ed e
specializ NTS
ation)
20% 15% 10% 15% 10% 10% 20% 100%
(LN, FN MI)
 ASSESSMENT FORM No. 5C
INDIVIDUAL ASSESSMENT PROFILE FOR SENIOR HIGH SCHOOL TEACHER APPLICANTS
as per D.O. No. 3, s. 2016
S.Y. 2020-2021
SCHOOL: _______________________________________
School Heads: __________________________________________

IV. TECHNICAL VOCATIONAL LIVELIHOOD

SCHOOL NAME Permanent Contact Subject Group Applied for College + Masteral Major / Graduated/N Doctoral Major Graduate Eligibility /ies / Present / Previous CRIT
Address Number Degree Degree Minor umber of Degree / d/Number NTTCs / TMs / Employment /
EDUC TEAC SPECI
Course Course Units Course Minor of Units NCs (Indicate Agency / School
ATION HING/ ALIZE
Completed Complete level and
INDU D
d specialization)
STRY/ TRAINI
WOR NG
KPLA
CE
EXPE
RIEN
CE

(LN, FN MI) 15% 20% 20%

IV A : AGRI-FISHERIES ARTS

IV B: INDUSTRIAL ARTS
 IV. TECHNICAL VOCATIONAL LIVELIHOOD
SCHOOL NAME Permanent Contact Subject Group Applied for College + Masteral Major / Graduated/N Doctoral Major Graduate Eligibility /ies / Present / Previous CRIT
Address Number Degree Degree Minor umber of Degree / d/Number NTTCs / TMs / Employment /
EDUC TEAC SPECI
Course Course Units Course Minor of Units NCs (Indicate Agency / School
ATION HING/ ALIZE
Completed Complete level and
INDU D
d specialization)
STRY/ TRAINI
WOR NG
KPLA
CE
EXPE
RIEN
CE

IV C : INFORMATION & COMMUNICATION TECHNOLOGY

 IV. TECHNICAL VOCATIONAL LIVELIHOOD
SCHOOL NAME Permanent Contact Subject Group Applied for College + Masteral Major / Graduated/N Doctoral Major Graduate Eligibility /ies / Present / Previous CRIT
Address Number Degree Degree Minor umber of Degree / d/Number NTTCs / TMs / Employment /
EDUC TEAC SPECI
Course Course Units Course Minor of Units NCs (Indicate Agency / School
ATION HING/ ALIZE
Completed Complete level and
INDU D
d specialization)
STRY/ TRAINI
WOR NG
KPLA
CE
EXPE
RIEN
CE

IV D: HOME ECONOMICS
CRITERIA
INTE ENG PORT DEM TOTAL
RVIE LISH FORT ONS
W COM LIO/O TRAT
MUN UTSTA ION
ICATI NDING TEAC
ON ACHIE HING
SKIL VEME
LS NTS

15% 5% 10% 15% 100%

CRITERIA
INTE ENG PORT DEM TOTAL
RVIE LISH FORT ONS
W COM LIO/O TRAT
MUN UTSTA ION
ICATI NDING TEAC
ON ACHIE HING
SKIL VEME
LS NTS

UPDATE
CRITERIA
INTE ENG PORT DEM TOTAL
RVIE LISH FORT ONS
W COM LIO/O TRAT
MUN UTSTA ION
ICATI NDING TEAC
ON ACHIE HING
SKIL VEME
LS NTS

transferred from IA
ASSESSMENT FORM No. 5C
INDIVIDUAL ASSESSMENT PROFILE FOR SENIOR HIGH SCHOOL TEACHER APPLICANTS
as per D.O. No. 3, s. 2016
S.Y. 2020-2021
SCHOOL: _______________________________________
School Heads: __________________________________________

GROUP V - SPORTS & the following subjects: PHYSICAL EDUCATION, PERSONAL DEVELOPMENT & RELATED SPECIALIZED SPORTS SUBJECTS
NAME Permanent Address Contact College Major / Masteral Major / Doctoral Major Graduate Eligibilit Present / CRITERIA
Number Degree Minor Degree Minor Degree / d/Numbe y /ies / Previous EDUC TEAC SPECI INTER ENG PORT DEMON TOTAL
r of Units NTTCs
Course Course Course Minor Complet / TMs / Employment / ATION HING / ALIZED VIEW LISH FORT STRATI
ed NCs Agency / INDUS TRAINI COM LIO/O ON
SCHOOL SCHOOL (Indicat School TRY/ NG MUNI UTST TEACHI
e level WORK CATI ANDI NG
and PLAC ON NG
speciali E SKIL ACHI
(LN, FN MI) zation)
15% EXPE
20% 15% 15% LS
5% EVEM
15% 15% 100%
RIENC ENTS
E
ASSESSMENT FORM No. 5C
INDIVIDUAL ASSESSMENT PROFILE FOR SE
as per D.O. N
S.Y. 202
SCHOOL: _______________________________________
School Heads: _____________________________

ARTS
SCHOOL NAME Permane Contact Subject College Major / Masteral Major / Graduate
nt Number Group Degree Minor Degree Minor d/Number
Address Applied Course Course of Units
for Complete
d

(LN, FN
MI)
SSMENT PROFILE FOR SENIOR HIGH SCHOOL TEACHER APPLICANTS
as per D.O. No. 3, s. 2016
S.Y. 2020-2021

ARTS AND DESIGN

Doctoral Major / Graduate Eligibility /ies / Present / CRITERIA
Degree Minor d/Number NTTCs / Previous EDUCATI TEACHIN SPECIALI INTERVI
Course of Units TMs / NCs Employment / ON G/INDUS ZED EW
Complete (Indicate level Agency / TRY/WO TRAININ
d and School RKPLAC G
specialization E
) EXPERIE
NCE

15% 20% 15% 15%

CRITERIA
ENGLISH PORTFO DEMONS TOTAL
COMMU RTLIO/O TRATION
NICATIO UTSTAN TEACHIN
N SKILLS DING G
ACHIEVE
MENTS

5% 15% 15% 100%