GRIEVANCE FORM

Date Filed: July 8, 2021 School/Division/Office: --

Name of Aggrieved Ms. Sonia A. Arnaiz et. al. Aggrieved Party’s Mr. John L. Gomez
Party: Higher Supervisor:
Position Title/ Teacher I Principal
Designation:
Name/Subject of Grievance:

Action Desired:

Call the attention of the principal so that he changes his attention.

Signature of Aggrieved
Party:
 GRIEVANCE AGREEMENT

Name of Ms. Sonia A. Name of Dr. Rex C.

Aggrieved Party: Arnaiz/ Mr. John Responding Penelope-District
L. Gomez Party: Supervisor
Nature of the Grievance:

Steps Towards Settlement:

1. Prepare an incident report.
2. Have all the concerned teachers sign the petition.
3. Submit the petition to Dr. Penelope.
4. Days after Dr. Penelope responded and have us proceed to his office to
have a settlement meeting with the principal.
5. An agreement was reached between the teachers and the principal
Agreement/s Reached:
1. The principal should explain in writing the why, how and the what of his
intention beforehand and let the teachers know.
2. If there will be suggestions or objections and most of the teachers agree on
it, then the principal should abide by it if it led to the same principle that
answers the why.
3. However, if it means a solution that led to cost efficiency, an agreement
with all the parties concerned must be reached.

WE promise to abide by the above-stated agreement.

Ms. Sonia A. Arnaiz/ Mr. John L. Gomez Dr. Rex C. Penelope-District

_____________________________ Supervisor
Aggrieved Party ___________________________
(signature over printed name) Responding Party
(signature over printed name)

Dr. Rex C. Penelope-District Supervisor

_______________________
Chairman of Grievance Committee
 CERTIFICATE OF FINAL ACTION

This certifies that the grievance filed by Ms. Sonia A. Arnaiz et. al. (aggrieved
party) on July 1, 2021 (date of filing) has been acted upon by this Committee
on July 5, 2021 (date of final resolution)
Final Action Taken:
Both parties must abide by the following resolutions moving forward:
1. The principal should explain in writing the why, how and the what of his
intention beforehand and let the teachers know.
2. If there will be suggestions or objections and most of the teachers agree on
it, then the principal should abide by it if it led to the same principle that
answers the why.
3. However, if it means a solution that led to cost efficiency, an agreement with
all the parties concerned must be reached.

Dr. Rex C. Penelope-District Supervisor

Chairman
Grievance Committee

Date Issued: July 8, 2021

 GRIEVANCE REPORT

Aggrieved Party:

Ms. Sonia A. Arnaiz/ Mr. John L. Gomez

Responding Party:

Dr. Rex C. Penelope-District Supervisor

Grievable Issue: (choose from the following)

1. Non-implementation of Terms and Conditions of

Employment
2. Non Implementation of Human Resourse/Personnel
Action Policies
3. Physical Working Conditions
4. Interpersonal Linkages or Relationships
5. Protest on Appointments
X 6. Other matters of employee dissatisfaction

Grievance Committee:

Chairman:

Dr. Rex C. Penelope-District Supervisor

Members:
Dr. Vicente F. Torres – District Grievance Committee
Dr. Aileen C. Ruiz – District Grievance Committee

I. AUTHORITY
 In compliance with DepED Order No. 35, s. 2004 of the Department of
Education, the following individuals are designated as members of the
Grievance Committee: Dr. Rex C. Penelope, Dr. Vicente F. Torres, and Dr.
Aileen C. Ruiz, through a Memorandum dated May 8, 2021.
Furthermore, this grievance was appealed from N. A. (state here previous
authority who addressed the grievance) where it was unresolved. Thus, within
the jurisdiction of the School/District Grievance Committee.

II. GRIEVANCE ISSUE:

III. WHAT TRANSPIRED DURING THE GRIEVANCE MEETING

1. The teachers stated three cases, and each case was narrated
by the teachers present during the meeting.
2. They presented screenshots and video recordings as an exhibit
of their evidence.
3. The principal stated the reasons the logic behind his
intentions.

III. ARGUMENTS AND DISCUSSION

DepED Order No. 35, s. 2004 of the Department of Education

IV. DECISION/RECOMMENDATIONS:
Both parties must abide by the following resolutions moving forward:
1. The principal should explain in writing the why, how and the what of his
intention beforehand and let the teachers know.
2. If there will be suggestions or objections and most of the teachers agree on
it, then the principal should abide by it if it led to the same principle that
answers the why.
3. However, if it means a solution that led to cost efficiency, an agreement with
all the parties concerned must be reached.