Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF MABALACAT CITY
PROGRESS AWARDS NOMINATION FORM
Promote and Recommend Outstanding,Goal-driven,Resourceful,Excellent, and Service-oriented School personnel
SEARCH FOR NATATANGING LINGKOD DALISIAN 2022

Name of Nominee: Position: Designation:

School: Mobile Number: email ad:

DIRECTIONS: This self-assessment form may be used as self-nomination or to nominate other employee to be used by the School Praise
Committee in assessing the nominees' merit and performance during the final selection of official nominees, interview, validation,
evaluation and deliberation. Please check all your possible categories. To qualify, the nominees need at least one standard from automatic
nominations OR two from possible nominations OR three cummulative accomplishments either from automatic or possible nominations.

Natatanging Lingkod Ng DALISIAN 2022 Categories

Non-Teaching Personnel
Guro sa Sekondarya (Teacher I-III)
Dalubguro (Master Teacher I-II)

Diligent Leadership Innovative Synergetic

Contribution to
School Processes
Created Unique
information system
Admirable Ability Resource Commitment with
Practices Management the Stakeholders
Partnership
AUTOMATIC NOMINATIONS
Division or Regional Writer, Designated / Put up responsive Involving Parents and
PAPs from Income Community Partners
Researcher, Proponent, Appointed Reclassed Generating Projects
Author, Editor or Staff / Promoted

Designed recognized
Policy Framework,
Process or Guidelines
Applying responsive Served as chair, Acquired at least Keeping Stakeholders
speaker or facilitator 2K worth of Engagement
assessment tools
of Technical academic PAPs
Committee in School from private
activity or training donors or
sponsors

Invention of Elected in School Keeping Inventory Appreciation of

material to Innovation/Reseach/ Level Organizations Information Stakeholders/Partners
facilitate work or Project Proposal from or Clubs System
job regional level up

Created Video Keeping Interventions Strengthened Simplifying Recognized in any

lessons/IM’s on Learning Gaps learning and transactions or school awards
development work processes
PAP’s
Note : Please specify at least one of your major accomplishments for S.Y 2021-2022
1
2
3
Eligibility Requirements
A model of morality and integrity both in public and private life;
Has good human relations in the school and in the community;
Has been rated "Outstanding" or "VS" for the last three (3) performance rating periods prior to the nomination;
A regular permanent employee for at least three years and at least three months in present designation or position;
Has not been found guilty of any administrative or criminal case.

Grounds for Disqualification

Previous awardees/winners in a similar search in the regional or national level sponsored by DepEd;
Employees who have been suspended for any administrative or criminal offense; and
The PRAISE Committee may revoke winners who have found committed falsification of documents during and after the Search.

Documentary Requirements
This Nomination Form Softcopy of Slide Presentation of Major Accomplishments (if
chosen Performance Rating for the last three years as one of the semi-finalists)
Service Record/Designation Order

Reflection:
Why you should be awarded as Natatanging Lingkod DALISIAN for 2022? (English or Tagalog)

Submitted by:

Signature of Nominee/Nominator Over Printed

Name Date Accomplished:

Address: Xevera, Tabun, Mabalacat City, Pampanga

Email Address: dalis@depedmabalacat.org
“To Learn, To Lead and To Serve”