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Republic of the Philippines DEPARTMENT OF EDUCATION REGION IV-A CALABARZON Gate 2, Karangalan Village, Cainta Rizal FORM 1. NOMINATION FORM: Category 1-6 (to be filled out by the nominee) Category: ________________________________________________________ Name of Nominee: ________________________________________________ Position Title: _____________________________________________________ Division: _________________________________________________________ Official Station/School: ___________________________________________ 2”x2” photo Address (Official Station/School)___________________________________ Tel./Fax Number (Official Station/School) _________________________ Email Address (Official Station/School)____________________________ Residence:________________________________________________________ Cellphone Number :_______________________________________________ ============================================================================== (To be filled- out by immediate superior) I hereby nominate _____________________________________________________ (Name) __________________________________of ________________________________________________ (Position Title) (Official Station/School) for the _____________________________________________ of the 2016 GAWAD PATNUGOT (Category) Nominated by: _______________________________ (Immediate Superior) Endorsed by: _________________________________ (Schools Division Superintendent) Email: [email protected]Tel.: (02) 682-1169Website: depedcalabarzon.ph Fax: (02) 682-2114Facebook: DepEdCalabarzon

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Republic of the Philippines

DEPARTMENT OF EDUCATION REGION IV-A CALABARZON

Gate 2, Karangalan Village, Cainta Rizal

FORM 1. NOMINATION FORM: Category 1-6 (to be filled out by the nominee)

Category: ________________________________________________________

Name of Nominee: ________________________________________________

Position Title: _____________________________________________________

Division: _________________________________________________________

Official Station/School: ___________________________________________ 2”x2” photo

Address (Official Station/School)___________________________________

Tel./Fax Number (Official Station/School) _________________________

Email Address (Official Station/School)____________________________

Residence:________________________________________________________

Cellphone Number :_______________________________________________

==============================================================================

(To be filled- out by immediate superior)

I hereby nominate _____________________________________________________ (Name)

__________________________________of ________________________________________________ (Position Title) (Official Station/School)

for the _____________________________________________ of the 2016 GAWAD PATNUGOT (Category)

Nominated by:

_______________________________ (Immediate Superior)

Endorsed by:

_________________________________ (Schools Division Superintendent)

Email: [email protected].: (02) 682-1169Website: depedcalabarzon.ph Fax: (02) 682-2114Facebook: DepEdCalabarzon

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

Search for Outstanding GAD Implementing DIVISION and Individual

NOMINATION FORM

Please attach passport

size (3.5 cm x 4.5 cm)

photo with printed

name at the back.

Nominee’s Profile:

1. Name of Nominee:

2. Date of Birth: 3. Age:

4. Permanent Address:

5. Telephone No.: Fax No.: 6. Email:

7. Affiliation: 8. Office Address:

9. Telephone No.: Fax No.: 10. Email:

11. Duration of engagement with GAD implementing agencies:

From ____________________ to ____________________

(mm/dd/yy) (mm/dd/yy)

12. No. of years of membership in the GAD Focal Point:

13. Current membership in the GFPS (e.g., chair, GAD FP member, TWG member, etc.):

I. Qualities

I.1 Describe the nominee’s reason/s engaging in GAD related initiatives:

1

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

I.2 Describe the nominee’s personal, professional and social behaviors in the home,

workplace and community. Has the nominee been charged, convicted or has pending

administrative, civil or criminal case in court or in any concerned agency/organization?

II. Experience (attach certificates or documentation materials)

II.1 Differences between sex and gender

no idea little knowledge familiar with it confident to talk about it

II.2 Gender and Development

no idea little knowledge familiar with it confident to talk about it

2

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

II.3 Gender discrimination

no idea little knowledge familiar with it confident to talk about it

II.4 Gender analysis

no idea little knowledge familiar with it confident to talk about it

II.5 Gender mainstreaming

no idea little knowledge familiar with it confident to talk about it

II.6 Convention on the elimination of all forms of discrimination against women (UN CEDAW)

no idea little knowledge familiar with it confident to talk about it

II.7 Beijing platform for action (BPfA)

no idea little knowledge familiar with it confident to talk about it

II.8 Sustainable development goals

no idea little knowledge familiar with it confident to talk about it

II.9 Republic Act 9710: Magna Carta of Women

no idea little knowledge familiar with it confident to talk about it

II.10 Women’s EDGE plan (2013-2016)

no idea little knowledge familiar with it confident to talk about it

II.11 Joint Circular 2012-01: Guidelines on the preparation of annual GAD plans and

budgets and GAD Accomplishment reports to implement the Magna Carta of Women

no idea little knowledge familiar with it confident to talk about it

II.12 Joint Memorandum Circular 2016-01: Guidelines on the localization of the Magna

Carta of Women

no idea little knowledge familiar with it confident to talk about it

II.13 Gender sensitivity

little knowledge attended training conducted training served as resource person

II.14 Gender-responsive planning and budgeting

little knowledge attended training conducted training served as resource person

3

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

II.15 GAD Focal Point System Guidelines

little knowledge attended training conducted training served as resource person

II.16 24 hour profile

little knowledge attended training conducted training served as resource person

II.17 Harmonized GAD Guidelines

little knowledge attended training conducted training served as resource person

II.18 Gender Mainstreaming Evaluation Framework

little knowledge attended training conducted training served as resource person

II.19 Gender Responsive LGU (GeRL) Ka Ba Tool

little knowledge attended training conducted training served as resource person

II.20 GAD code guidelines formulation

little knowledge attended training conducted training served as resource person

Other GAD Related Initiatives: (Include ONLY those directly attributed to the nominee. Use

additional sheets as needed.)

Project/Activity Duration Target Outputs and/or Partner

groups/beneficiaries Outcomes* institutions

4

CALABARZON GAWAD PATNUGOT

Program on Awards and Incentives for Service Excellence (PRAISE) In DepED CALABARZON/PROGRAM C-STAR

*include projects initiated, innovations introduced, resources generated etc.

5

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

III. Outputs and Outcomes

III.1 New or unique projects, activities or processes introduced

Project/Activity Duration Target Outputs and/or Partner

groups/beneficiaries Outcomes* institutions

III.2 IEC materials produced

2 IEC materials produced 3 IEC materials produced

4 IEC materials produced 5 or more IEC materials produced

6

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

III.3 Research studies conducted

Research Title Duration Target Outputs and/or Partner

groups/beneficiaries Outcomes* institutions

III. 4 Recognitions/Awards received

Recognition/Award Date received Brief description

7

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR

III.5 Partnership/networking efforts

TITLE OF PARTNERSHIP (Please DATE ESTABLISHED & STATUS OF ACCOMPLISHMENTS

attach TOR when applicable)

PARTNERSHIP

PARTNERS

Reference: Adapted from NEDA, Search for Outstanding CALABARZON GAD Implementer

8

CALABARZON GAWAD PATNUGOT Program on Awards and Incentives for Service Excellence (PRAISE)

In DepED CALABARZON/PROGRAM C-STAR INFORMATION OF THE NOMINATING PARTY:

Name of nominating party: _______________________________________________________________________

(Name of the most senior official if the nominating party is an agency or an organization)

Relationship/engagement with the agency nominated: _______________________________________________

Position: ____________________________________ Agency / Office: ___________________________________

Telephone Nos.: _____________________ Fax: ____________________ E-mail: ___________________________

Signature: _____________________________________________________________________________________

CERTIFICATION FROM THE INDIVIDUAL NOMINATED

I hereby certify that the information stated herein is true and correct. I also authorize

the Regional Development Council IV-A and its authorized representatives to verify/validate the

information stated herein.

______________________________________________ ____________________

(Signature over printed name of head of agency nominated) Date

9

CALABARZON GAWAD PATNUGOT

Program on Awards and lncentives for Service Excellence (PRAISE) ln DepED CALABARZON/PRoG RAM C-STAR

GUIDELINES

!t \ I t( )i.,t.\t.i ,

ln support to the Civil Service Commission Resolution No. 010112 and CSC Mc No. 01, s. 2001, the

Department of Education created it own award system anchored on the csc Program on Awards and lncentives for Service Excellence (PRAISE) as stated in DepEd Order No, 9 s. 2009 rer Establishing the PRAISE in the Department of Education. The Department of Education Region IV-CALABARZON adopts the DepEd PRAISE and translates through the CALABARZON GAWAD PATNUGoI.

It is a regional program on rerlards and recognition that recognizes the exemplary performance of

teache.s (C-sTAR), instructional leaders, non-teaching personnel who have brought honor to their place of work (division), to the region and to the nation as whole. lt also gives recognition to Schools Division Offices

(SDOs) and schools that made difference on the educational landscape through effective school-based

Programs and projects.

OBJECTIYES

1. Recognize schools division and schools; and DepED CALABARZON teachers, school heads; education

program supervisors, public schools district supervisors and non-teaching personnel; best/most effective programs and SBM implementers; and most effective action researches.

Motivate and inspire DepED CALABARZON personnel to continue improve the quality of their performance towards excellence.

3. lnstill deeper commitment to public service.

AWARDS CATEGOR\'

1. Outstanding Teacher (Elementa ry)

2. outstanding Teacher (Junior High school)

3. Outstanding School Head

4. Outstanding Education Program Supervisor (EPS)

5. Outstanding Public School District supervisor

6. outstandingNon-TeachingPersonnel

7. Most Effective School Reading Program (Elementary )

8. Most Effective School Reading Program (lunior High School)

9. Best SBM lmplementer (Elementary )

10. Best SBM lmplementer (lunior High School) 11. Outstanding Division Sports Program 12. Outstanding Campus Journalism Program {Elementary) 13. outstanding Campus Journalism Program iJunior High School) L4, tVost Effective Action Research (conducted for the last 2 years, Elementary)

L5. Most Effective Action Research (Conducted for the last 2 years, lunior High School) 16. Outstanding Division GAD lmplementer (School Division Offices (SDOS) CategorV) 17. Outstanding GAD lmplementer (lndividual Category) 18. Barangay with Zero Out of School Youth (OSY) (Done with the seor.h; to be aworded during the Gawod

Patnugot Ceremony)

CAIABARZON GAWAD PATNUGOT

Program on Awards and lncentives for Service Excellence (PRAlsE) ln DepED CALABARZON/PROG RAM C-STAR

QUAUFICATION RNQUIREMENTS

7. Filipino Citizen 2. Performance Rating of at least Very Satisfactory (VS) for the last three (3) years 5, Active in the service for not less than five (5) years and must not be on leave at the time

of nomination 4, No pending administrative/civil/crimina I case

DISQUAIIFICATION

1. Previous awardees of C-STAR'S Most Outstanding Teacher

2. Awardee of NationalSearch

3, Persons who have been suspended, reprimanded or with pending cases relative to violation of any administrative policies, rules and regulations

4, Lone contender in specific category

5. Less than 80% rating of the submitted documents

APPLICATION REQTJIREMENTS

1. Duly accomplished nomination form

2. Colored photograph (2x2) passport size

3. Nomination by immediate su perior/endorsed by 5chools Division Superintendent

4. DepED appointment

5, Service Record

AWARDS

1. Plaque of Recognition 2. Certificate of Recogn itio n

3, Monetary lncentive

MECHANICS

The Assistant Regional Director, as chair shall organize a selection committee for each

category consisting of Chiefs, Team Leaders/Unit Heads'fromdifferent teams/ units and Education Program Supervisors at the region as members.

Each school division shall submit one (1) official nominee per category for the Gawad

Patnugot who will undergo final evaluation and interview by the Regional Panel of

Judges.

3. Demonstration teaching, interview and validation of submitted documents shall be

announced in a specific time.