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DepEd Lipa City ICONS Awards (Inspirational Characters with Outstanding and Notable Service)

Checklist of Required Documents

for Nomination

2018 DEPED LIPA CITY ICONS AWARDS Checklist of Required Nomination Documents

Nomination Folder

One (1) original nomination folder with accomplished nomination form and other documentary requirements, and one (1) additional copy of the original nomination folder.

Completely Filled Out ICONS Awards Nomination Form (Maximum of 10 pages including Executive Summary and Nomination Write-Up)

ICONS Awards (IA) Nomination Form 1 - Nomination for the individual categories: Iconic Teacher, Iconic Principal, Iconic Head Teacher, Iconic EPS, Iconic PSDS, Iconic Non-Teaching Personnel, Iconic Campus Paper Adviser, Iconic Researcher)

ICONS Awards (IA) Nomination Form 2 - Nomination Form for the school category: Sen. Claro M. Recto Memorial Award, Iconic School-Based Management Implementer, Iconic Elementary ELLN Implementer, Bienvenido Lumbera Award, Iconic Sports Program, Teodoro M. Kalaw Memorial Award for Campus Journalism

ICONS Awards (IA) Nomination Form 3 - Nomination Form for the Best Performing School

Nominee's updated Form 212 or Personal Data Sheet with passport size photo with nametag taken during the last six months prior to the nomination (For Individual Category) Certification from the Chairperson of the District PRAISE Committee or its equivalent, that the nomination has undergone deliberation by the Committee (For School Category) Letter from the head of office/immediate superior endorsing the nomination to the Division PRAISE Committee Self-certification of No Pending Administrative, Civil and Criminal Case (For Individual Category) Certification signed by immediate superior that the nominee has obtained of least Very Satisfactory (VS) performance ratings (IPCRF) for the last three (3) years for the individual category and Very Satisfactory (VS) performance rating (OPCR) for the last two (2) years for the school categories. Copy of the rating forms should be attached to the nomination folder Copy of the recent appointment (Individual Category) Authenticated and updated PRC License (Individual Category) Certification of No Unliquidated Cash Advances and Disallowances for previous accountabilities as of December 31 of the year prior to nomination to be secured from the Commission on Audit (COA) Resident Auditor. Said Certification should be signed by the agency's COA Resident Auditor NOT the school’s or agency's Financial Officer/Accountant (For Principals and School Categories)


Checklist of Required Documents

for Nomination

ln case of existing unliquidated cash advance and disallowance, a certificate of the status of such financial obligation shall be issued by the COA Resident Auditor ***Completion of the above requirements will make the nominee eligible to participate in the search.


NOMINATION FORM 2 School Category

AWARD CATEGORY: ________________________

Additional Information about the Nominee:

Was your school previous Gawad Tanglaw Nominee? ☐ Yes ☐ No What year: _____

What Award Category: _____ Was your school a previous Gawad Tanglaw Finalist? ☐ Yes ☐ No What year: _____

What Award Category: _____ Was your school a previous Gawad Tanglaw Awardee? ☐ Yes ☐ No What year: _____

What Award Category: _____

THE NOMINEE

School:

School Address:

District:

Telephone/Cellphone Nos: Email Address

SCHOOL HEAD Name:

Position:

Telephone / Cellphone Nos.:

Email address:

PROGRAM COORDINATOR Name:

Position:


Email address:

NOMINATOR Name: Position:

School/Office: Telephone/Cellphone Nos.:

School/Office Address:

Email add:



Nomination Write-up: (Maximum of 10 pages, A4 size bond paper, Arial #11 font, including executive summary)

I. Executive Summary (Description of why the school is deserving of the award in not more than 150 words which includes TEA governance

implementation, financial management, DepEd programs and projects implementation.)

Click here to enter text.

II. Significant Accomplishment/s within the Last Two Years (June 2016 – March 2018) (Description of the

Project/Work Accomplished, Strategies/Activities Done that have significantly impacted the performance of the learners and the school/school

community.)


III. Impact of Accomplishments (Indicate problems addressed, people/office benefited and transactions facilitated. Justify why the

accomplishments are considered exemplary or extraordinary.)


IV. Innovations (If any, original, creative programs, projects, activities made in the last two years in connection to the award category. One page

abstract.)


V. Awards and Membership (Major awards/citations received by the school relevant to the category.)


Name of the School:

District:

Category:



CERTIFICATION

We attest to all facts contained herein and authorize the use of these information for publication. We understand that the Committee on Awards will validate the accuracy of the information contained in this form and grant our consent to

the conduct of a background investigation. Any misrepresentation made by the signatories shall be a ground for disciplinary action pursuant to applicable Civil Service laws and rules.

Printed Name and Signature:

Program Coordinator Nominator School Head Public School District

Supervisor


NOMINATION FORM 3 Best Performing School Category

AWARD CATEGORY: ________________________


Was your school previous Gawad Tanglaw Nominee? ☐ Yes ☐ No What year: _____

What Award Category: _____ Was your school a previous Gawad Tanglaw Finalist? ☐ Yes ☐ No What year: _____

What Award Category: _____ Was your school a previous Gawad Tanglaw Awardee? ☐ Yes ☐ No What year: _____


THE NOMINEE

School:

School Address:

District:


SCHOOL HEAD Name:

Position:


Email address:




Email add:



Nomination Write-up:

(Maximum of 10 pages, A4 size bond paper, Arial #11 font, including executive summary)

I. Executive Summary (Description of why the school is deserving of the award in not more than 150 words which includes TEA governance

implementation, financial management, DepEd programs and projects implementation.)


II. Significant Accomplishment/s within the Last Two Years (June 2016 – March 2018) (Description of the

Project/Work Accomplished, Strategies/Activities Done that have significantly impacted the performance of the learners, the school/school

community, and the Schools Division as well.)


III. Impact of Accomplishments (Indicate problems addressed, people/office benefited and transactions facilitated. Indicate whether or not

the accomplishments are part of the nominee’s regular functions/mandated or the product of SDO’s initiative. If part of the regular duties or

mandated, justify why the accomplishments are considered exemplary or extraordinary.)


IV. Innovations (If any, original, creative programs, projects, activities made in the last two years in connection to the award category. One page

abstract.)


V. Awards and Membership (Major awards/citations received by the school relevant to the category.)

Name of the School:

District:

Category:




CERTIFICATION




School Head Nominator Public School District Supervisor


NOMINATION FORM 1 Individual Category

AWARD CATEGORY: ________________________


Were you a previous Gawad Tanglaw Nominee? ☐ Yes ☐ No What year: _____

What Award Category: _____ Were you a previous Gawad Tanglaw Finalist? ☐ Yes ☐ No What year: _____

What Award Category: _____ Were you a previous Gawad Tanglaw Awardee? ☐ Yes ☐ No What year: _____


THE NOMINEE

Name: Signature:

Position: Date of Birth:

Residence Address: Place of Birth:


School/Office:


Telephone/Cellphone Nos: School/Office Email address:

SCHOOL / OFFICE HEAD Name:

Position:


Email address:




Email add:



Nomination Write-up: (Maximum of 10 pages, A4 size bond paper, Arial #11 font, including executive summary)

I. Executive Summary (Description of why the nominee is deserving of the award in not more than 150 words which includes personal and

professional traits and competencies.)


II. Significant Accomplishment/s within the Last Three Years (June 2015 – March 2018) (Description of the

Project/Work Accomplished, Strategies/Activities Done that have significantly impacted the performance of the school/school community.)


III. Impact of Accomplishments (Indicate problems addressed, people/office benefited and transactions facilitated. Indicate whether or not

the accomplishments are part of the nominee’s regular functions/mandated or the product of his/her initiative. If part of the nominee’s regular duties

or mandated, justify why the accomplishments are considered exemplary or extraordinary.)


IV. Innovations (If any, original, creative programs, projects, activities made in the last three years in connection to the award category. One page

abstract.)


V. Awards and Membership (Major awards/citations received relevant to the category and active membership in a reputable professional

organization)


Name of Nominee: School/Division/Unit:

Position:

Length of Service in the Position: In Government:



CERTIFICATION




Nominee Nominator School Head Education Program

Supervisor/

Public School District

Supervisor