Sulong Bayanihan - Nomination Form

NOMINATION FORM “A”
Official Name of Sustainable Livelihood Program Association (SLPA) or

Individual Participant or EF Model:
Number of Members (for SLPA)
Proposed/ Active:
Region:
Province:
City/ Municipality:
Barangay:
Type of Entry:
Microenterprise Development (MD)
Employment Facilitation (EF)
Specific Theme/ Category For MD:
____________________________________________________________________
(e.g. MARKET, LIBOT, LUPA-ATBP, TRANSFORM, GAWANG-KAMAY- SERBIS)
For EF:
____________________________________________________________________
(e.g. DUNONG, SIKAP, TIYAGA, TRABAJO)
Date Funded/Check Date (for SLPA) and Served (for EF) based on submitted
Monitoring Reports (N/A for EF Model):
I. IDENTIFYING INFORMATION
NOMINATION FORM “B-1”
INSTRUCTIONS/ MECHANICS:
1. The table below shows the specific criteria, indicators, description, and sub-indicators pertaining to merit of the submitted nomination for MICROENTERPRISE
DEVELOPMENT (MD);
2. The 5th column on “Selection” shall be used and be decided upon by the nominating body vis-à-vis actual disposition of the nomination, to be supported by sets of Means of
Verification (MOVs);
3. The nominating body should choose ONLY ONE (by checking the corresponding cell or box located at the right side of each sub-indicator) among the sub-indicators, per
indicator, which best describes the status, accomplishment, or merit of the SLPA;
4. Should all the sub-indicators be inapplicable, you may provide inputs on the merit of the nominations vis-à-vis criteria, description, and indicators on the REMARKS section;
5. Corresponding MOVs should suffice and justify the selection. Otherwise, the points or rating for the selection may not be considered;
6. Each set of MOV corresponding to the selection should be properly and comprehensively be translated into an ANNEX. Each ANNEX should be properly labeled (e.g.
ANNEX: DEMAND/MARKET-DRIVEN; ANNEX: RESOURCE-BASED, etc)
7. This nomination form shall serve as one of the big factors for screening purposes and as rubrics (or rating guide) for the nominated SLPA.
MICROENTERPRISE DEVELOPMENT (MD)

CRITERIA INDICATORS DESCRIPTION SUB-INDICATORS SELECTION
The SLPA has an ongoing or existing engagement/ transaction with at least one (1) market partner
supported with complete documentations (e.g. MOA/MOU/ Terms of References/ Purchase Requests
The enterprise and or Orders/ Transactions Receipts, etc) for at least two (2) years or 24 months or cumulative
1.1. DEMAND/ model responds
SUSTAINABILITY
MARKET-DRIVEN to the demands
(25%)
(5%) of a stable
market The SLPA has an ongoing or existing engagement/ transaction with at least one (1) market partner
supported with complete documentations (e.g. MOA/MOU/ Terms of References/ Purchase Requests
and or Orders/ Transactions Receipts, etc) for at least one year or 12 months or cumulative
The SLPA has an ongoing or existing engagement/ transaction with at least one (1) market partner but
without or incomplete documentations (e.g. MOA/MOU/ Terms of References/ Purchase Requests
and or Orders/ Transactions Receipts, etc) for at least two (2) years or 24 months or cumulative
The SLPA has an ongoing or existing engagement/ transaction with at least one (1) market partner but
without or incomplete documentations (e.g. MOA/MOU/ Terms of References/ Purchase Requests
and or Orders/ Transactions Receipts, etc) for at least one year or 12 months or cumulative
The SLPA caters to its local market niches in their locality and nearby areas
REMARKS
The SLPA makes use of the abundant resources within their locality/ barangay/ and city/ municipality
and encourages consignment or retail arrangement of products exclusively from other SLPA members
supported with complete documentations/ means of verification (e.g. Purchase Order and or
Requests/ Log Books or Ledgers/ Transaction Receipts)
The enterprise
model
sustainably
1.2. RESOURCE- The SLPA makes use of the abundant resources within their locality/ barangay/ and city/ municipality
makes use of
BASED (5%) and encourages consignment or retail arrangement of products exclusively from other SLPA members
available
resources in the but without or incomplete documentations/ means of verification
area.
and encourages consignment or retail arrangement of products from other SLPA members and other
external sources
and encourages consignment or retail arrangement of products but not from other SLPA members
(only from non-SLP sources)
The SLPA buys/ imports raw materials, consigned products, workforce, from other neighboring areas
(outside their Municipal/City level)
REMARKS
The SLPA initiated a development of a disaster mitigation/ resiliency/ preparedness plan or any
equivalent output and has clearly allocated specific emergency funds or has participated in a disaster-
related activity (with relevance to their livelihood project) supported with complete documentations
The enterprise or means of verification (e.g. SLPA resolution, narrative report, photo documentation, minutes of the
model can meeting, final output) and has applied or with existing insurance (whenever applicable)
sustain its
operations and
perform self-
1.3. DISASTER-
correcting
RESILIENT (5%)
mechanisms in The SLPA has ongoing efforts on development of a disaster mitigation/ resiliency/ preparedness plan
spite of foreseen or any equivalent output and has clearly allocated specific emergency funds or has participated in a
and unforeseen disaster-related activity (with relevance to their livelihood project) supported with documentations
events (i.e. or means of verification (e.g. SLPA resolution, narrative report, photo documentation, minutes of the
disasters). meeting, drafts) and has applied, considered, or with existing insurance (whenever applicable)
The SLPA has existing and available funds for emergencies and disasters as reflected in their bank
accounts/ passbook/ financial statements/ resolutions/ constitution and by laws
The SLPA has ongoing efforts on allocating specific funds for emergencies and disasters as reflected in
their proceedings/ minutes of the meeting/ resolutions/ constitution and by laws
REMARKS
The SLPA promotes the principles and exercises or practices reduce, reuse, and recycle in their
livelihood project and has existing rules/ policies/ regulations on waste segregation, disposal, and
treatment as reflected in documentations and other means of verification (e.g. written policy/
constitution and by-laws/ minutes of the meeting)
The enterprise
model
successfully The SLPA promotes the principles and exercises or practices reduce, reuse, and recycle in their
1.4. ENVIRONMENT-
implements livelihood project and has ongoing efforts or exploration on establishing rules/ policies/ regulations
FRIENDLY (5%)
environment on waste segregation, disposal, and treatment as reflected in documentations and other means of
protection verification (e.g. written policy/ constitution and by-laws/ minutes of the meeting)
measures.
The SLPA promotes the principles and exercises or practices reduce, reuse, and recycle in their
livelihood project but does not have any rules/ policies/ regulations on waste segregation, disposal,
and treatment
REMARKS
Areas of various
sectors and The SLPA's livelihood project served as the model for replication of at least two (2) similar enterprises
1.5. REPLICABLE
contexts may within and beyond their locality, supported with an official concept paper submitted and concurred by
AND ADAPTABLE
replicate the the Field Office, and proof of replication through a certificate or any equivalent documents with
(5%)
enterprise model concerned SLPAs or non-SLP groups
within the same
The SLPA's livelihood project served as the model for replication of at least one (1) similar enterprise
within and beyond their locality, supported with an official concept paper submitted and concurred by
the Field Office, and proof of replication through a certificate or any equivalent documents with
concerned SLPA or non-SLP group
timeline or less.
The SLPA translated their business operations/ livelihood model into a concept paper and has
ongoing efforts or coordination with other SLPAs or non-SLP groups in the interest of replication as
supported by documentation and other means of verification (e.g. minutes of the meeting, feedback
reports, resolutions)
REMARKS
The SLPA had at least 85% - 100% increase vis-à-vis its starting capital within less than a year (or less
than one production/ business cycle) of business operations, as reflected in their bank accounts/
passbook/ financial statement and reports and had provided dividends or profit sharing to its
members as supported by acknowledgment receipts/ logbooks and ledgers/ financial statements and
The enterprise
model has reports
2.1. INCREASE IN contributed to an
IMPACT (20%)
INCOME (4%) increase in the
income of its The SLPA had at least 85% - 100% increase vis-à-vis its starting capital within at least one year of
members. business operations (or within at least one production/ business cycle), as reflected in their bank
accounts/ passbook/ financial statement and reports and had provided dividends or profit sharing to
its members as supported by acknowledgment receipts/ logbooks and ledgers/ financial statements
and reports
The SLPA had at least 50% - 84% increase vis-à-vis its starting capital within at least one year of
business operations (or within at least one production/ business cycle), as reflected in their bank
accounts/ passbook/ financial statement and reports and had provided dividends or profit sharing to
its members as supported by acknowledgment receipts/ logbooks and ledgers/ financial statements
and reports
REMARKS
The SLPA was able to acquire various physical inputs (materials, equipment, vehicle, etc) logistics
(office supplies, hardware, etc), technological assets (ICT tool and equipment), and other facilities
through their profit (not from the seed capital fund or any donations) as supported by the actual
The participants presence of the asset, purchase or transaction receipts and records, financial statements and reports.
have increased Also, provided insurance to the assets (whenever applicable).
their capacity to
acquire assets
2.2. ACCESS TO
and access asset
ASSETS (4%) The SLPA was able to facilitate partnership and engagement efforts with other NGAs, NGOs, CSOs,
protection
services through LGUs, SUCs, among others for acquisition of assets and facilities through provision of grants, shared
the enterprise service facilities, donation, and usufructure agreements
model.
The SLPA was able to provide its required physical inputs and other assets through the initiatives of
other SLPA members (e.g. member offered to share his/her personal property equipment; member
pledged to provide specific material or tools, etc)
REMARKS
The SLPA was able to generate employment opportunities exclusively for its members and their
households/ families. The said employment provided salary/ honorarium/ other form of remuneration
as supported by documentations or means of verification which may include work contracts/ terms of
references/ resolutions/ certificate of employment or assumption to service/ pay slips/ and other
equivalent documents
The enterprise The SLPA was able to generate employment opportunities for non-SLPA members. The said
model positively
employment provided salary/ honorarium/ other form of remuneration as supported by
benefits the
documentations or means of verification which may include work contracts/ terms of references/
community
through the resolutions/ certificate of employment or assumption to service/ pay slips/ and other equivalent
2.3. EMPLOYMENT documents
creation of
GENERATION (4%)
additional
employment
opportunities The SLPA was able to generate employment opportunities for its members and non-members.
within the
However, not supported by documentation or means of verification other than a stipulation of the
community.
policy/ regulation in their constitution and by laws
The SLPA was able to generate employment opportunities but are on-call in nature as supported with
acknowledgment or transaction receipts of remuneration for the hired individual/s
REMARKS
100% of SLPA members are able to articulate and translate their experiences and positive changes in
their behavior through a written essay (may be assisted) as supported by the actual write-up duly
signed by the participant/s
The participants
have exhibited a
50%-99% of SLPA members are able to articulate and translate their experiences and positive changes
2.4. BEHAVIORAL positive change
in their behavior through a written essay (may be assisted) as supported by the actual write-up duly
CHANGE (4%) in behavior
through the signed by the participant/s
enterprise model.
Less than 50% of SLPA members are able to articulate and translate their experiences and positive
changes in their behavior through a written essay (may be assisted) as supported by the actual write-
up duly signed by the participant/s
REMARKS
2.5. INCLUSION OF The enterprise At least 50% of the SLPA members belong to the vulnerable and marginalized sectors which include
VARIOUS model involves indigenous peoples, persons with disabilities, drug surrenderees, solo parents, senior citizens, among
VUNERABLE AND the participation others supported by a certificate or indigency or ay equivalent certification duly issued by the Local
MARGINALIZED of other Social Welfare and Development Office
SECTORS (4%) vulnerable and
marginalized
At least 30%- 49% of the SLPA members belong to the vulnerable and marginalized sectors which
include indigenous peoples, persons with disabilities, drug surrenderees, solo parents, senior citizens,
among others supported by a certificate or indigency or ay equivalent certification duly issued by the
Local Social Welfare and Development Office
sectors (e.g. IPs,
PWDs, etc).
Less than 29% of the SLPA members belong to the vulnerable and marginalized sectors which include
indigenous peoples, persons with disabilities, drug surrenderees, solo parents, senior citizens, among
others supported by a certificate or indigency or ay equivalent certification duly issued by the Local
Social Welfare and Development Office
REMARKS
The SLPA had at least 85% - 100% increase vis-à-vis its starting capital within less than a year (or less
than one production/ business cycle) of business operations, as reflected in their bank accounts/
The enterprise passbook/ financial statement and reports. The said income includes the receivables and net profit
model can from sales.
3.1. PRODUCTIVITY
ECONOMIC financially
AND PROFITABILITY
VIABILITY (20%) support itself and
(10%)
produce positive The SLPA had at least 85% - 100% increase vis-à-vis its starting capital within at least one year of
net profit. business operations (or within at least one production/ business cycle), as reflected in their bank
accounts/ passbook/ financial statement and reports. The said income includes the receivables and
net profit from sales.
REMARKS
The enterprise
model The SLPA promotes the value-chain of their enterprise. Hence, preventing wastage or spoilage of raw
3.2. OPTIMIZATION
demonstrates materials or supplies. The SLPA also enforce 100% participation and involvement of all SLPA members
OF AVAILABLE
effective and as evidenced by their organizational structure, terms of reference, constitution and by-laws, and other
RESOURCES (5%)
efficient use of equivalent means of verification.
assets and
The SLPA promotes the value-chain of their enterprise. However, there are some resources which are
non-recyclable hence contributing to wastage or spoilage of raw materials, supplies, and products.
available
The SLPA also enforce 100% participation and involvement of all SLPA members as evidenced by their
resources.
organizational structure, terms of reference, constitution and by-laws, and other equivalent means of
verification.
REMARKS
The SLPA was able to expand and diversify to at least four (4) different or value-chain projects, on top
3.3. ABILITY FOR The enterprise of their main enterprise, which emerged also as "group projects" and not just the individual projects
EXPANSION AND model is capable of their members. The said expansion and or diversification were not sourced out from the initial seed
DIVERSIFICATION of expanding its capital fund, instead from their profit or other mobilized resources (e.g. sponsorships, donations,
(5%) operations. grants of other partners), as supported by pertinent documentations such as but not limited to
resolutions/ transaction records/ certificate of donation or grant/ among others
The SLPA was able to expand and diversify to at least three (3) different or value-chain projects, on
top of their main enterprise, which emanated also as "group projects" and not just the individual
projects of their members. The said expansion and or diversification were not sourced out from the
initial seed capital fund, instead from their profit or other mobilized resources (e.g. sponsorships,
donations, grants of other partners), as supported by pertinent documentations such as but not
limited to resolutions/ transaction records/ certificate of donation or grant/ among others
The SLPA was able to expand and diversify to at least two (2) different or value-chain projects, on top
of their main enterprise, which emanated also as "group projects" and not just the individual projects
of their members. The said expansion and or diversification were not sourced out from the initial seed
capital fund, instead from their profit or other mobilized resources (e.g. sponsorships, donations,
grants of other partners), as supported by pertinent documentations such as but not limited to
The SLPA was able to expand and diversify to at least one (1) different or value-chain project, on top
of their main enterprise, which emanated also as "group projects" and not just the individual projects
of their members. The said expansion and or diversification were not sourced out from the initial seed
capital fund, instead from their profit or other mobilized resources (e.g. sponsorships, donations,
grants of other partners), as supported by pertinent documentations such as but not limited to
The SLPA has ongoing efforts or exploration on coming up with a potential expansion or diversification
of project. Such efforts should be reflected in the minutes of the meeting/ preliminary
documentations/ and other equivalent means of verification
REMARKS
The SLPA, on its own, makes use of technology (information and communication), ease of doing
business, operational diagrams, research efforts, technical market analysis and surveys, and other
types of unique logistic practices which are duly translated into concept papers or frameworks
The model The SLPA, assisted by SLP Project Development Officers and other partners (academe, LGU, CSOs,
makes use of NGAs, NGOs, etc), makes use of technology (information and communication), ease of doing business,
4.1. ORIGINALITY
new ideas and operational diagrams, research efforts, technical market analysis and surveys, and other types of
OF CONCEPT/
INNOVATION (15%) technologies that
MODEL-BUILDING unique logistic practices which are duly translated into concept papers or frameworks
contribute to the
INITIATIVE (5%)
efficiency of the
implementation.
The SLPA, on its own or assisted by SLP Project Development Officers and other partners (academe,
LGU, CSOs, NGAs, NGOs, etc), makes use of technology (information and communication), ease of
doing business, operational diagrams, research efforts, technical market analysis and surveys, and
other types of unique logistic practices. However, these initiatives were not duly translated into
documentation but is visible and present upon actual validation
REMARKS
The SLPA practices knowledge management strategies on filing, sorting, inventory, and
recordkeeping. Reference materials are readily retrievable and are properly warehoused in a
The association conducive environment. The SLPA also shares the information, data, and other references during their
has available meetings and assemblies as reflected in their minutes of the meeting and are shared to the DSWD
reference SLP.
materials such
as concept
4.2.
papers, progress
DOCUMENTATION
reports, and
OF CONCEPT/ The SLPA practices knowledge management strategies on filing, sorting, inventory, and
other means of
KNOWLEDGE recordkeeping. Reference materials are readily retrievable and are properly warehoused in a
verification to
MANAGEMENT conducive environment. However, the SLPA does not or relatively seldom shares the information,
support that the
PRACTICES (5%) data, and other references during their meetings and assemblies and with the DSWD-SLP.
project
underwent
knowledge
management
initiatives The SLPA has complete documentation and recordkeeping of their files and references. However, the
SLPA does not fully conform to efficient document safekeeping and records management mechanisms
or practices.
REMARKS
The enterprise
model utilizes The SLPA implements innovative marketing strategies which are reflected in a concept paper and has
innovative been submitted or made known to the DSWD-SLP through pertinent documentations and equivalent
marketing means of verification such as but not limited to monitoring reports/ concept paper/ resolutions/
strategies to minutes of the meeting/ photo documentation/ among others. The SLPA also has existing transactions
4.3.
boost product and efforts on exportation of their products outside their provinces and even outside the country as
STRENGTHENED
sales and
MARKETING evidenced by purchase orders and requests/ transaction records and receipts/ MOA/MOU/ Terms of
capture target
MECHANISMS (5%) references/ documentation.
markets (e.g.
online
advertising,
incentive-based The SLPA implements innovative marketing strategies but are not reflected in a concept paper and
marketing, etc.) has not been submitted or made known to the DSWD-SLP. Subject for field validation.
REMARKS
The SLPA has 100% quorum for at least 5 consecutive SLPA meetings/ assemblies and were able to
The enterprise signify their stand or preferences during issuances of SLPA resolutions and similar documents
model
encourages
active The SLPA has 100% quorum for at least 3 consecutive SLPA meetings/ assemblies and were able to
5.1. ENCOURAGES participation and signify their stand or preferences during issuances of SLPA resolutions and similar documents
ORGANIZATIONAL
COLLABORATIVE empowerment of
DEVELOPMENT
PLANNING AND the program
(15%) The SLPA at least 80% quorum for at least 5 consecutive SLPA meetings/ assemblies and were able to
EXECUTION (5%) participants,
through their signify their stand or preferences during issuances of SLPA resolutions and similar documents
involvement in
planning and
decision-making. The SLPA at least 80% quorum for at least 3 consecutive SLPA meetings/ assemblies and were able to
signify their stand or preferences during issuances of SLPA resolutions and similar documents
REMARKS
The association The SLPA regularly conducts its meeting with at least 85% quorum as evidenced by minutes of the
maximizes its meeting and attendance sheets. The SLPA also has an efficient safekeeping of all updated and
resources to regularly monitored documents pertaining to various aspects on financial, organizational, operations,
efficiently marketing, among others. The SLPA also has its organizational structure/chart, vision, mission,
manage various conspicuously displayed in their office.
5.2. EFFICIENT organizational
ORGANIZATIONAL aspects such as
STRATEGIES (5%) financial
housekeeping,
The SLPA regularly conducts its meeting with at least 50% quorum as evidenced by minutes of the
governance, and
meeting and attendance sheets. The SLPA also has an efficient safekeeping of all updated and
overall
operations regularly monitored documents pertaining to various aspects on financial, organizational, operations,
management. marketing, among others. The SLPA also has its organizational structure/chart, vision, mission, but are
not conspicuously displayed in their office.
REMARKS
Public and The SLPA has at least three (3) various partners/ engagements duly supported with notarized
5.3.
private partners MOA/MOU/ LGU Resolution/ LGU Ordinance and with documentation on partner provisions/
COLLABORATION
have significantly counterparts
AMONG INTERNAL
contributed in the
AND EXTERNAL
implementation The SLPA has at least two (2) various partners/ engagements duly supported with notarized
STAKEHOLDERS
of the enterprise MOA/MOU/ LGU Resolution/ LGU Ordinance and with documentation on partner provisions/
(5%)
model (e.g. counterparts
The SLPA has at least three (3) various partners/ engagements but without notarized MOA/MOU/ LGU
Resolution/ LGU Ordinance
The SLPA has at least two (2) various partners/ engagements but without notarized MOA/MOU/ LGU
provision of Resolution/ LGU Ordinance
financial capital,
The SLPA has one (1) partner/ engagement with or without notarized MOA/MOU/ LGU Resolution/
capacity-building,
physical assets, LGU Ordinance
etc.)
REMARKS
Members of the The SLPA conducts gender-responsive activities more than three times a year, for at least two years,
enterprise model as part of their organizational development plan
conduct gender-
responsive
6.1. GENDER- The SLPA conducts gender-responsive activities at least twice per year, for at least one year
activities (e.g.
INCLUSIVE
trainings and
ACTIVITIES (3%)
seminars on
gender The SLPA conducts gender-responsive activities at least once per year and whenever only necessary or
sensitivity, anti- directed
GENDER VAWC, etc)
RESPONSIVENES
S (5%)
REMARKS
Women are More than 51% of leadership positions were delegated to women
6.2. WOMEN represented in
EMPOWERMENT the leadership
(2%) positions of the Less than 50% of leadership positions were delegated to women
group.
REMARKS
Prepared by: ___________________________________________________________________ Date signed: ______________________________
(Signature over printed name of SLP Social Marketing Officer)
Recommended by: _________________________________________________________________ Date signed: ______________________________

(Signature over printed name of SLP Regional Program Coordinator)
Approved by: ___________________________________________________________________ Date signed: ______________________________

(Signature over printed name of Regional Director)

1. The table below shows the specific criteria, indicators, description, and sub-indicators pertaining to merit of the submitted nomination for EMPLOYMENT FACILITATION (EF);
indicator, which best describes the status, accomplishment, or merit of the program participant;
6. Each set of MOV corresponding to the selection should be properly and comprehensively be translated into an ANNEX. Each ANNEX should be properly labeled
(e.g.ANNEX: SECURITY OF EMPLOYMENT, ANNEX: CAREER GROWTH AND PROMOTION, etc)
7. This nomination form shall serve as one of the big factors for screening purposes and as rubrics (or rating guide) for the nominated program participant.
EMPLOYMENT FACILITATION (EF)

The participant has been employed in a regular/ plantilla position for at least 3 years (after
probationary period) and is considered a full-fledged employee of the company supported by an
official working contract/ certificate of employment/ and other equivalent means of verification
The participant has
been employed in a
regular/ plantilla
1.1. SECURITY OF
SUSTAINABILITY position and is The participant has been employed in a regular/ plantilla position for at least 1 year (after
EMPLOYMENT
(50%) considered as a full- probationary period) and is considered a full-fledged employee of the company supported by an
(15%)
fledged employee of official working contract/ certificate of employment/ and other equivalent means of verification
the employing
company
The participant has been employed in a regular/ plantilla position for at least 6 months (after
probationary period) and is considered a full-fledged employee of the company supported by an
official working contract/ certificate of employment/ and other equivalent means of verification
REMARKS
The participant was able to participate or be involved in at least ten (10) types of trainings/
seminars/ capacity-building/ among others supported by training certificates or any equivalent
means of verification. The participant was also able to be promoted at least once in his/ her current
The employing employment since his/ her assumption to service, as evidenced by administrative or special order/
company provides certificate of employment/ and other equivalent means of verification
opportunities for
career growth and
1.2. CAREER promotion such as The participant was able to participate or be involved in at least five (5) types of trainings/
GROWTH AND supervisory seminars/ capacity-building/ among others supported by training certificates or any equivalent
PROMOTION (15%) functions, means of verification. The participant was also able to be promoted at least once in his/ her current
management employment since his/ her assumption to service, as evidenced by administrative or special order/
positions, in-house certificate of employment/ and other equivalent means of verification
trainings, among
others.
The participant was able to participate or be involved in at least five (5) types of trainings/
seminars/ capacity-building/ among others supported by training certificates or any equivalent
means of verification. However, promotion in current employment has yet to be achieved.
REMARKS
The participant is The participant is currently employed, for at least 6 months, in his/her current job since his/her
currently employed, assumption to service, supported by a contract and has not committed any violation or attritions
for at least 6 against the employing company.
months, in his
1.3. JOB
current job since
RETENTION (10%)
his/her assumption
to service,
supported by a
contract. The participant is currently employed, for at least 3 months, in his/her current job since his/her
assumption to service, supported by a contract and has not committed any violation or attritions
against the employing company.
REMARKS
The participant
enjoys various The participant receives mandatory benefits such as SSS/GSIS, Philhealth, PAG-IBIG, leave credits,
employment subsistence allowance, scholarships, and other insurance. The said benefits shall be evidenced by
benefits such as updated contributions record/ pay slips/ certifications/ and other equivalent means of verification.
access to
1.4. ACCESS TO
SSS/GSIS,
EMPLOYMENT
PhilHealth, PAG-
BENEFITS (10%) The participant is still on probation/ job order/ on-call terms of engagement with the employing
IBIG, leave credits,
subsistence company. However, he/ she still receives some of the benefits that are appropriate and may be
allowances, provided to him/her by the employing company. The said benefits shall be evidenced by updated
scholarships, other contributions record/ pay slips/ certifications/ and other equivalent means of verification.
insurances, etc.
REMARKS
The participant is able to generate savings from his / her income whereas at least 60% of savings,
vis-à-vis accumulated salary/ remuneration (base pay only excluding benefits) since his/ her
assumption to service, are readily available and safe-kept as supported by his/ her bank account/
ATM record/ pay slips/ and other equivalent means of verification
The employment
provided stronger
support to income The participant is able to generate savings from his / her income whereas at least 50% of savings,
generation as vis-à-vis accumulated salary/ remuneration (base pay only excluding benefits) since his/ her
2.1. INCREASE IN evidenced by bank assumption to service, are readily available and safe-kept as supported by his/ her bank account/
INCOME (20%) savings, payslips, ATM record/ pay slips/ and other equivalent means of verification
etc. Thus, enabling
an improved well-
IMPACT (50%) being of self and
family members.
The participant is able to generate savings from his / her income whereas at least 30% of savings,
vis-à-vis accumulated salary/ remuneration (base pay only excluding benefits) since his/ her
assumption to service, are readily available and safe-kept as supported by his/ her bank account/
ATM record/ pay slips/ and other equivalent means of verification
REMARKS
The participant was able to acquire various assets such as but not limited to insurance policies,
vehicle, financial capital for house renovation, purchasing of personal gadgets and possessions,
The employment land ownership, among others, accounting to at least 50% of his/her accumulated annual net
provided means to income, subject to actual validation.
acquire various
assets such as
financial capital for The participant was able to acquire various assets such as but not limited to insurance policies,
2.2. ACQUISITION
house renovation, vehicle, financial capital for house renovation, purchasing of personal gadgets and possessions,
OF ASSETS (20%)
purchasing of land ownership, among others, accounting to at least 30% of his/her accumulated annual net
personal gadgets income, subject to actual validation.
and possessions,
land ownership,
among others. The participant was able to acquire various assets such as but not limited to insurance policies,
vehicle, financial capital for house renovation, purchasing of personal gadgets and possessions,
land ownership, among others, accounting to at least 10% of his/her accumulated annual net
income, subject to actual validation.
REMARKS
The participant
exhibited positive The participant is able to inspire, motivate, or create an impression from others regarding his/ her
2.3. PERSONALITY change in behavior
experiences and positive changes in his/ her behavior through written testimonials of at least five
DEVELOPMENT including
(5) character references/ supervisors/ peers in his/her workplace. The said testimonials should be
(10%) improvement in
overall physical duly signed by the person/s concerned.
appearance,
The participant is able to inspire, motivate, or create an impression from others regarding his/ her
communication
experiences and positive changes in his/ her behavior through written testimonials of at least three
skills, work ethics,
(3) character references/ supervisors/ peers in his/her workplace. The said testimonials should be
leadership ability,
through the duly signed by the person/s concerned.
personality
development and
related programs of The participant is able to inspire, motivate, or create an impression from others regarding his/ her
the employing experiences and positive changes in his/ her behavior through written testimonials of at least one
company.
(1) character reference/ supervisor/ peer in his/her workplace. The said testimonial should be duly
signed by the person concerned.
REMARKS



1. The table below shows the specific criteria, indicators, description, and sub-indicators pertaining to merit of the submitted nomination for EMPLOYMENT FACILITATION (EF
MODEL);
indicator, which best describes the status, accomplishment, or merit of the EF model;
6. Each set of MOV corresponding to the selection should be properly and comprehensively be translated into an ANNEX. Each ANNEX should be properly labeled
(e.g.DEMAND/ MARKET-DRIVEN, ANNEX: SECURITY OF TENURE, etc)
7. This nomination form shall serve as one of the big factors for screening purposes and as rubrics (or rating guide) for the nominated EF model.
EMPLOYMENT FACILITATION (EF) MODEL

The EF model provided an opportunity for the conduct of employment skills training (apart from
The participants have BEST), preparatory workshops/ seminars, life skills, career counselling, (conducted at least 3 days’
been capacitated
1.1. DEMAND/ duration per activity), among others prior to the conduct of any recruitment activities. The said
SUSTAINABILITY according to the
MARKET-DRIVEN trainings are recognized by appropriate authorities on skills trainings or by the Field Office.
(30%) needs of the
(10%) Supporting documents should include the complete training proceedings, project proposal,
employment
opportunities training design, attendance sheets, certificates of completion/ recognition/ training/ national
certificates, feedback report, etc
BEST), preparatory workshops/ seminars, life skills, career counselling conducted at least 3 days’
duration per activity, among others prior to the conduct of any recruitment activities. However,
the said trainings are not recognized by appropriate authorities on skills trainings or by the Field
Office and were initiatives of the project implementer, the LGU, or other partners. Supporting
documents should include the complete training proceedings, project proposal, training design,
attendance sheets, certificates of completion/ recognition/ training, feedback report, etc
BEST), preparatory workshops/ seminars, life skills, career counselling (conducted at least 1-day
duration per activity), among others prior to the conduct of any recruitment activities. The said
trainings are recognized by appropriate authorities on skills trainings or by the Field Office.
Supporting documents should include the complete training proceedings, project proposal,
training design, attendance sheets, certificates of completion/ recognition/ training/ national
certificates, feedback report, etc
BEST), preparatory workshops/ seminars, life skills, career counselling conducted at least 1-day
duration per activity, among others prior to the conduct of any recruitment activities. However,
the said trainings are not recognized by appropriate authorities on skills trainings or by the Field
Office and were initiatives of the project implementer, the LGU, or other partners. Supporting
documents should include the complete training proceedings, project proposal, training design,
attendance sheets, certificates of completion/ recognition/ training, feedback report, etc
The participants have only undergone basic orientation/ briefing/ assembly/ mandatory BEST prior
to conduct of recruitment activities
REMARKS
1.2. SECURITY OF The employment The EF model has at least five (5) participating employment companies or agencies which offer
TENURE (10%) opportunities are/have regular positions (not contractual or job order) or have already regularized program participants,
potential to become based on actual implementation and outcomes, monitoring reports, success stories, as supported
long-term by list of participants who were regularized, certificates of employment, work contracts, among
others. The said participating employment companies or agencies should specifically be a part of
the EF model and not as a stand-alone EF partner.
The EF model has at least four (4) participating employment companies or agencies which offer
regular positions (not contractual or job order) or have already regularized program participants,
based on actual implementation and outcomes, monitoring reports, success stories, as supported
by list of participants who were regularized, certificates of employment, work contracts, among
The EF model has at least three (3) participating employment companies or agencies which offer
The EF model has at least two (2) participating employment companies or agencies which offer
The EF model has at least one (1) participating employment company or agency which offers
REMARKS
The EF model has been replicated and implemented in at least five (5) Local Government Units
(Provincial, City/ Municipal, excluding Barangay levels) as supported by communication letters
requesting permission or agreeing to collaborate or replicate the EF model for implementation,
Areas of various certifications, MOA/MOU, terms of references, or any equivalent means of verification proving
sectors and contexts that the EF model was replicated and adapted for actual implementation
1.3. REPLICABILE
may replicate the
AND ADAPTABLE
employment model
(10%) The EF model has been replicated and implemented in at least three (3) Local Government Units
within the same
timeline or less. (Provincial, City/ Municipal, excluding Barangay levels) as supported by communication letters
certifications, MOA/MOU, terms of references, or any equivalent means of verification proving
that the EF model was replicated and adapted for actual implementation
The EF model has been replicated and implemented in at least two (2) Local Government Units
(Provincial, City/ Municipal, excluding Barangay levels) as supported by communication letters
certifications, MOA/MOU, terms of references, or any equivalent means of verification proving
that the EF model was replicated and adapted for actual implementation
REMARKS
ECONOMIC The EF model made use of stakeholders / resource mapping and skills inventory to identify
VIABILITY (25%) available opportunities for employment vis-à-vis number and type of program participants. Also,
the EF model mobilized the partnership efforts and resources of other stakeholders in the
implementation of the EF activities. Supporting documentations or equivalent means of
verification shall include actual results and analysis of stakeholders resource mapping/ skills
inventory/ MOA/MOU with partners/ terms of references/ feedback report/ photo documentation
2.1. EFFECTIVE The opportunities
The EF model made use of stakeholders / resource mapping and skills inventory to identify
RESOURCE- created respond to the
available opportunities for employment vis-à-vis number and type of program participants. No
MARKET demands of the
MATCHING (15%) employment sector. other resource mobilization activities were done. Supporting documentations or equivalent means
of verification shall include actual results and analysis of stakeholders resource mapping/ skills
inventory/ feedback report/ photo documentation
The EF model made use of other strategies apart from the stakeholders/ resource mapping and
skills inventory, as supported by pertinent documentations and equivalent means of verification
REMARKS
Available SLP-EF modalities such as the Pre/Employment Assistance Fund and Skills Training Funds
(if EF model was developed in previous years) were maximized alongside mobilization of resources
from the LGU and implementing partners as supported by approved project proposals, cash
assistance payrolls, disbursement vouchers, acknowledgment receipts, MOA/MOU with partners/
terms of references, among others
SLP modalities have One of the two (2) available SLP-EF modalities such as the Pre/Employment Assistance Fund and
2.2. OPTIMIZATION
been properly Skills Training Funds (if EF model was developed in previous years) were maximized alongside
OF AVAILABLE
exhausted to facilitate mobilization of resources from the LGU and implementing partners as supported by approved
RESOURCES
linkage to project proposals, cash assistance payrolls, disbursement vouchers, acknowledgment receipts,
(10%)
employment. MOA/MOU with partners/ terms of references, among others
The EF model maximized the resources made available by the LGU and implementing partners
instead of utilizing the SLP modalities (P/EAF, ST) in the implementation of recruitment / EF model-
related activities as supported by approved project proposals, cash assistance payrolls,
disbursement vouchers, acknowledgment receipts, MOA/MOU with partners/ terms of references,
among others
REMARKS
The EF model, through the SLP alone, makes use of technology (information and communication),
ease of doing business, operational diagrams, research efforts, technical market analysis and
surveys, and other types of unique logistic practices which are duly translated into concept papers
or frameworks
The model makes use

3.1. ORIGINALITY of new ideas and The EF model, through the assistance of engaged partners (academe, LGU, CSOs, NGAs, NGOs, etc),
OF CONCEPT/ technologies that makes use of technology (information and communication), ease of doing business, operational
MODEL-BUILDING contribute to the diagrams, research efforts, technical market analysis and surveys, and other types of unique
INITIATIVE (10%) efficiency of the logistic practices which are duly translated into concept papers or frameworks
implementation.
The EF model, through the SLP alone or assisted by engaged partners (academe, LGU, CSOs, NGAs,
NGOs, etc), makes use of technology (information and communication), ease of doing business,
operational diagrams, research efforts, technical market analysis and surveys, and other types of
INNOVATION (20%) unique logistic practices. However, the documentations of these initiatives were incomplete or
were not duly translated into documentation at all.
REMARKS
The employment
model has available The SLP practices knowledge management strategies on filing, sorting, inventory, and
3.2. reference materials recordkeeping of any information regarding the EF model. Reference materials are readily
DOCUMENTATION such as concept retrievable and are properly warehoused in a conducive environment. The SLP also shares the
OF CONCEPT (5%) papers, progress information, data, and other references during various activities, in connection with the EF model,
reports, and other as reflected in their minutes of the meeting and are shared to the DSWD Field Office/ RPMO.
means of verification
The SLP practices knowledge management strategies on filing, sorting, inventory, and
recordkeeping of any information regarding the EF model. Reference materials are readily
retrievable and are properly warehoused in a conducive environment. However, the SLP seldom
to support that the shares the information, data, and other references during various activities, in connection with the
project underwent EF model, as reflected in their minutes of the meeting and are shared to the DSWD Field Office/
knowledge RPMO.
management
initiatives.
The SLP has complete documentation and recordkeeping of their files and references in connection
with the EF model. However, the SLP does not fully conform to efficient document safekeeping and
records management mechanisms or practices in relation with the EF model.
REMARKS
The EF model implements innovative marketing strategies, which led to a 90%-100% employment
The employment success rate, which were further reflected in a concept paper and has been submitted or made
model utilizes various known to the DSWD-Field Office through pertinent documentations and equivalent means of
3.3. verification such as but not limited to monitoring reports/ concept paper/ resolutions/ minutes of
marketing strategies
STRENGTHENED the meeting/ photo documentation/ among others.
to boost employability
MARKETING
of participants and
MECHANISMS The EF model implements innovative marketing strategies, which led to a 80%-89% employment
capture target
(5%) success rate, which were further reflected in a concept paper and has been submitted or made
industries or
employers. known to the DSWD-Field Office through pertinent documentations and equivalent means of
verification such as but not limited to monitoring reports/ concept paper/ resolutions/ minutes of
the meeting/ photo documentation/ among others.
success rate, which were further reflected in a concept paper and has been submitted or made
known to the DSWD-Field Office through pertinent documentations and equivalent means of
success rate, which were further reflected in a concept paper and has been submitted or made
known to the DSWD-Field Office through pertinent documentations and equivalent means of
REMARKS
The EF model encourages collaborative planning and execution, (including post-conduct of

The employment activities), active participation and empowerment of the program participants and partners
model encourages through their involvement in planning, workshops, activities and decision-making, as supported in
active participation concept papers, MOA/MOU with partners, terms of references, narrative and feedback reports,
4.1. ENCOURAGES and empowerment of operational procedures and diagrams, minutes of the meeting, and other equivalent means of
FUNCTIONAL COLLABORATIVE the program verification
COLLABORATION PLANNING AND participants, through
(15%) EXECUTION (7%) their involvement in The EF model encourages collaboration, active participation and empowerment of the program
planning, workshops, participants and partners but only on post-conduct of activities such as deployment, monitoring
activities and efforts, and evaluation, as supported in concept papers, MOA/MOU with partners, terms of
decision-making. references, narrative and feedback reports, operational procedures and diagrams, minutes of the
meeting, and other equivalent means of verification
REMARKS
The EF model has at least seven (7) participating employment companies or agencies, and other
implementing partners (LGU, CSOs, NGOs, NGAs) directly involved (not stand-alone EF partners) in
the various activities emerging through the EF model, as supported by pertinent documentations,
MOA/MOU with partners, terms of references, concept papers, narrative or feedback reports,
resolutions, composition of technical working group or committees, and other equivalent means of
verification
4.2. Public and private The EF model has at least five (5) participating employment companies or agencies, and other
COLLABORATION partners have implementing partners (LGU, CSOs, NGOs, NGAs) directly involved (not stand-alone EF partners) in
AMONG INTERNAL significantly the various activities emerging through the EF model, as supported by pertinent documentations,
AND EXTERNAL contributed in the MOA/MOU with partners, terms of references, concept papers, narrative or feedback reports,
STAKEHOLDERS implementation of the resolutions, composition of technical working group or committees, and other equivalent means of
(8%) employment model. verification
The EF model has at least three (3) participating employment companies or agencies, and other
implementing partners (LGU, CSOs, NGOs, NGAs) directly involved (not stand-alone EF partners) in
the various activities emerging through the EF model, as supported by pertinent documentations,
MOA/MOU with partners, terms of references, concept papers, narrative or feedback reports,
resolutions, composition of technical working group or committees, and other equivalent means of
verification
REMARKS
The EF model conducted at least six (6) activities which are integrated in the overall design of the
model itself. Such should not be stand-alone activities and may be in a form of workshop,
counselling, training, seminar, forum, assembly, provided that gender-responsive objectives and
rationale are anchored in gender-responsive and gender-sensitive principles, as supported by
approved project proposals, concept papers, training designs and methodologies, narrative or
feedback report, proceedings, certifications, and other equivalent means of verification
The EF model conducted at least four (4) activities which are integrated in the overall design of the
model itself. Such should not be stand-alone activities and may be in a form of workshop,
Gender-responsive feedback report, proceedings, certifications, and other equivalent means of verification
5.1. GENDER- activities have been
RESPONSIVE conducted during/prior
ACTIVITIES (5%) to employment The EF model conducted at least two (2) activities which are integrated in the overall design of the
GENDER
facilitation. model itself. Such should not be stand-alone activities and may be in a form of workshop,
RESPONSIVENES
S (10%)
The EF model conducted at least one (1) activity which is integrated in the overall design of the
model itself. Such should not be stand-alone activity and may be in a form of workshop,
REMARKS
The EF model provided opportunities (not necessarily and literally equal by the number as long as
well represented) for males, females, and various vulnerable and marginalized sectors/
The employment participants (PWD, drug surrenderees, indigenous peoples, etc) as reflected in the employment
model encourages success records, list of hired individuals sorted by sex/gender/sector/etc, certificate of
5.2. NON- balanced employment employment, and other equivalent means of verification
DISCRIMINATORY opportunities for
(5%) males, females, and The EF model provided opportunities (not necessarily and literally equal by the number as long as
other vulnerable well represented) for males, females, but not involving various vulnerable and marginalized
sectors. sectors/ participants (PWD, drug surrenderees, indigenous peoples, etc) as reflected in the
employment success records, list of hired individuals sorted by sex/gender/sector/etc, certificate
of employment, and other equivalent means of verification
REMARKS



ENDORSEMENT FORM “C”
I. IDENTIFYING INFORMATION
Official Name of Partner/ Service Provider/ Stakeholder:
Region:
Province:
City/ Municipality:
Barangay:
Typology:
State Universities and Colleges (SUCs) Technical-Vocational Institution (TVI)
National Government Agency (NGA) Employment Agency
Civil Society Organization (CSO) Media Outfit
Non- Government Agency (NGO) Private Businesses
Others: ____________________________
ENDORSEMENT FORM “D”
Instruction:
1. Please provide brief description for the corresponding field/ question
How did the partnership begin or come about?
What particular SLP interventions/ modalities

became the point of convergence or collaboration
between DSWD-SLP and the partner? What were
the partner’s particular contributions to the
success of the implementation?
How many program participants or associations
benefitted from the engagement of DSWD-SLP
and the partner?
What were the “extra-miles”, initiatives, or biggest

contribution of the partner which became very
valuable and helpful in the implementation of the
project/s or program/s?
What were the challenges or hindering factors

before, during, and after the implementation of the
project/ program, as far as the partnership is
concerned? How were the challenges or
hindering factors resolved?
What are the current efforts and future plans of

DSWD-SLP and the outstanding regional partner?
How will you realize the future plans?




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NOMINATION FORM “A”

Official Name of Sustainable Livelihood Program Association (SLPA) or

Employment Facilitation (EF)

Specific Theme/ Category For MD:

MICROENTERPRISE DEVELOPMENT (MD)

Recommended by: _________________________________________________________________ Date signed: ______________________________

Approved by: ___________________________________________________________________ Date signed: ______________________________

NOMINATION FORM “B-2”

EMPLOYMENT FACILITATION (EF)

Prepared by: ___________________________________________________________________ Date signed: ______________________________

Recommended by: _________________________________________________________________ Date signed: ______________________________

Approved by: ___________________________________________________________________ Date signed: ______________________________

EMPLOYMENT FACILITATION (EF) MODEL

The model makes use

The EF model encourages collaborative planning and execution, (including post-conduct of

Prepared by: ___________________________________________________________________ Date signed: ______________________________

Recommended by: _________________________________________________________________ Date signed: ______________________________

Approved by: ___________________________________________________________________ Date signed: ______________________________

Official Name of Partner/ Service Provider/ Stakeholder:

National Government Agency (NGA) Employment Agency

Civil Society Organization (CSO) Media Outfit

Non- Government Agency (NGO) Private Businesses

1. Please provide brief description for the corresponding field/ question

How did the partnership begin or come about?

What particular SLP interventions/ modalities

What were the “extra-miles”, initiatives, or biggest

What were the challenges or hindering factors

What are the current efforts and future plans of

Prepared by: ___________________________________________________________________ Date signed: ______________________________

Recommended by: _________________________________________________________________ Date signed: ______________________________

Approved by: ___________________________________________________________________ Date signed: ______________________________

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Prepared by: _____________________________________ Date signed:

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Approved by: _____________________________________ Date signed: