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Attach 2 passport

(Enclosure No.2 to DepEd Memorandum No. 217, S. 2016) size recent


photos here with
Personal Data Sheet your name at the
back of the pho
for Potential LR Evaluators
Name: PADAYAO JAYMAR KEVIN A.
Family First Middle Initial
Place of Paoay, Ilocos
Date of Birth: 04-21-1993 Birth: Norte Citizenship: Filipino Sex:Male
Home # 15 Suba, Paoay, Ilocos
Civil Status: Single Address: Norte
Designation: Teacher III
Office/ School Address: #15 Suba, Paoay, Ilocos Norte
Tel. Number: n/a Cell Number: 09565437770
Email Address: jaymarkevin.padayao001@deped.gov.ph Fax Number:
Name of
Superior: TERESITA BABY P. CACAYORIN Designation Head Teacher I
Contact
Address: Nanguyudan, Paoay, Ilocos Norte Number: 09177729520

Application Details (Please answer completely. The information provided herein shall serve as reference in assigning materials that the
LREs shall be tasked to quality assure/ evaluate)
Preference Learning Area Specialization Key Stage/ Grade Level
1st preference Araling Panlipunan 5

2nd preference Science 6

•Have you served as a Learning Resource Evaluator (LRE) for DepEd? Yes
/ No
If Yes, when and for what subject and grade level?

•What mother tongue language do you speak and write fluently? Ilokano & Filipino

Relevant Background (starting from the most recent, continue on a separate sheet if necessary)
Education
Name of School/ College/ University Degree Earned Inclusive Dates Honors Received
Northwestern University 36 MA Unist Earned 2018-present n/a
Mariano Marcos State University Bachelor of Elementary Education 2009-2013 n/a

Paoay Lake National High School Secondary Education 2005-2009 n/a


Service Record (Include experience outside government service and continue on a separate sheet if necessary)
Position Institution/ Agency Inclusive Dates

Experience
Learning Area/s Taught School/ College/ University Inclusive Dates
(for at least 5 years)
Learning Resources you have written, edited, evaluated, proofread, or served as consultant
(Continue on a separate sheet if necessary)
Publish
Title of Learning Role (e.g., writer, editor, er Year published
Resources evaluator, proofreader
etc)
N/A

Special Studies, Trainings, Grants, Other Qualifications Relevant to LR Evaluation


(From 2010 to present only; continue on a separate sheet if necessary)
Title of Seminar/ Conference/ Level (e.g. Nature of Conducted Inclusive Dates
Training Course International, national, Participation by
regional, etc.)
N/A

Relevant Trainings on Curriculum, Pedagogy, Assessment, etc. (minimum of 24hs)


(From 2010 to present only; continue on a separate sheet if necessary)
Title of Seminar/ Conference/ Level (e.g. Nature of Conducted Inclusive Dates
Training Course International, national, Participation by
regional, etc.)
International Training on International Participant Philippine April 1-6, 2021
School Leadership and Continuing
Pedagogical Enhancement for Professiona
21st Century Educators l
Developme
nt Training
Center, Inc.
Teacher Enhancement and Regional Participant Philippine February 10-11,
Competence Hands-On Science 2021
High
School –
Ilocos
Region
National Conference & National Participant Center for December 8-10,
Webinar Series on Human 2020
Homeroom Program towards Research &
student Formation Developme
nt
Foundation
, Inc.
Research O’clock Forum National Participant Department March 2, 2020
of
Education
Outcome-Based Education Division Participant Department May 20-21, 2019
Demo-Teaching and Faculty Demonstration of
Evaluation Metric in Teacher Education
Elementary and Secondary
Understanding and Utilizing National Participant National October 3-5, 2018
Media in Teaching: An Demonstration Council for
Integration of Media Literacy Teacher Children’s
in K-12 Curriculum Seminar- Television
workshop
Region-wide Seminar- Regional Participant Philippine June 20-22, 2018
Workshop in Teaching Demonstration Science
English, Science and Teacher High
Mathematics using Inquiry School –
Based Approach Ilocos
Region
Division Training in Division Participant Department December 16-17,
Teaching K-12 Standards of 2017
with Technology for Education
Transformative Learning
Environment

References (Persons not related by consanguinity or affinity to applicant)


Name Address Telephone Number
MARY JEAN RICO PAOAY, ILOCOS NORTE 09175219116

DHAN LANGAMAN PAOAY, ILOCOS NORTE 09615032452

Evaluator’s Declaration
If selected to serve as Learning Resource Evaluator, I am aware of and shall abide with the following:

Conflict of Interest
1. I do not have conflict of interest (i.e. not a writer, contributor, consultant, or editor of any learning resources
assigned to me for evaluation;
2. I am not related or affiliated to any member of the writing/ development team of the learning resources for
evaluation assigned to me and I am willing to reveal information necessary to ensure no conflict of interest;

Performance of Service
3. I will, to the best of my ability, perform the assigned tasks and ensure that grammatical, computational, social
content, typographical and other errors that I make or miss to point out in the learning resources that I review;
4. I have been granted permission/ authority by my superior (if any) to serve as evaluator and to attend all
necessary activities relative thereto;

Confidentiality
5. I will not duplicate, make unauthorized use, or disclose the materials or my findings on them, in part of full, to
any other person other than the designated person to coordinate with and receive any and all materials and
outputs from me.

By signing below, I declare under penalties of perjury that the statements and information given above are true and
correct to the best of my knowledge and belief. Should I violate or fail to honor any of the above, this could be used as
sufficient ground to disqualify me as DepEd Learning Resource Evaluator.

_ JAYMAR KEVIN A. PADAYAO 11-02-2021


Applicant’s signature over printed name (Date accomplished)

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