R&R Form 1 (Nomination Form)

DEPED BOHOL DIVISION

PASIDUNGOG SEARCH Passport Size
Photo

Individual Category: _______________________________________

MOST OUTSTANDING TEACHER

Nominee (First Name, Middle Initial, Last Name): Signature:

RONALD REY S. RESABAL
Position (per Service Record): Gender: Age:
SHST - II 39 years old
Status of Appointment (per Service Record): Date of Birth:
SHST - II
PERMANENT MAY 17, 1983
Telephone/ Cellphone Nos (Active Contact Details): Place of Birth:
+63 9197306643 CEBU CITY, CEBU
Residence Address:
CASANGAAN, SAN ROQUE, MARIBOJOC, BOHOL
Level of Position: Group
1st Level 2nd Level 3rd Level Category: _______________________________

Teaching Related Non- Teaching Teaching Nominee (Name of School/ Name of SDO)
Email Address: Size (Name of School/ Name of SDO)
ronaldrey.resabal@deped.gov.ph TUBIGON WEST CENTRAL HS
SCHOOL HEAD
Name: Position:
ZENAIDA Y. MASCARIÑAS SECONDARY SCHOOL PRINCIPAL I
Office/ Office Address:
POOC ORIENTAL, TUBIGON, BOHOL
Telephone/ Cellphone Nos. (Active Contact Details): Email Address:
+63 922 7311299 zenaida.mascarinas001@deped.gov.ph

DIVISION/ AGENCY HEAD

Name: Position:
BIANITO A. DAGATAN EdD, CESO V SCHOOLS DIVISION SUPERINTENDENT
Office/ Office Address:
0050 LINO CHATTO DRIVE BARANGAY COGON, TAGBILARAN CITY
Telephone/ Cellphone Nos. (Active Contact Details): Email Address:

NOMINATOR
Name: Position:
ALBERTA P. PATULIN LMgtD PUBLIC SCHOOLS DISTRICT SUPERVISOR
Office: Telephone/ Cellphone Nos.:
TUBIGON WEST DISTRICT OFFICE 09384761091
Office Address: Email Address:
POOC ORIENTAL, TUBIGON, BOHOL alberta.patulin@deped.gov.ph

Additional Information About the Nominee:

Yes No What year: __________

 Where you a previous PASIDUNGOG Nominee?
What Award Category: ___________________

Where you a previous PASIDUNGOG Semi- Finalist? What year: __________

What Award Category: ___________________

Yes
Where you a previous PASIDUNGOG Awardee? No What year: __________
What Award Category: ___________________

R & R Form 2 (Nomination Write- up for all Categories)

Nomination Write- up:

(Minimum of 250 words and maximum of 500 words, A4 size bond paper, Arial #12 font, including executive summary)

Nominee (Individual Category): (Group Category):

Position: Name of School/ SDO:

Length of Service in the Position: Head Office:

in the Government:

I. Executive Summary
The teacher is nominated through his:
1. exemplary achievements as TEACHER- COACH in different division,
regional and national competitions related to Science and Technology;
2. valuable contribution to teaching and learning process using his remarkable
intervention applied to his learners in class as accepted by the Regional
Research Committee as one of the recipients of Basic Education Research
Fund (BERF) 2022;
3. innovation developed that is utilized by the school and district office in
relation to governance;
4. active participation, facilitation and involvement on division, regional,
national and international seminars and trainings sponsored by DepED and
other stakeholders; and
5. active involvement in different division Technical Working Groups (TWG)
that ensure all services are delivered to our stakeholders.

II. Exemplary Behavior/ Conduct Displayed within the last 3 years

The nominee displayed exemplary behavior throughout his 3 years teaching in the
department as reflected in his Individual Performance Commitment and Review form.
III. Impact of Accomplishments (indicate problems addressed, savings generated, people/ office benefited,
and transactions facilitated. Indicate whether or not the accomplishments are part of the nominees’ regular
functions/ mandated or the product of his/ her own initiative. If part of nominee’s regular duties and mandated,
justify why accomplishments are considered exemplary or extraordinary)
The nominees’ achievement as a teacher- coach in various competitions related to
Science and Technology (Robotics and Research) has helped learners develop their
communication and critical thinking skills where they won with flying colors.
The nominee also has contributed to the teaching and learning process where his
intervention was utilized to enhance learners’ academic performance and was one of the
research projects that was accepted by the Regional Research Committee to be funded by the
Basic Research Fund (BERF) 2022.
The nominee also is the main developer of the school’s Action Research (AR) in
relation to governance. With this, all documents and reports are being stored in the system
digitally where teachers can access it anytime, anywhere. The said innovation is also utilized
by the district office through the District ICT coordinator.
The nominee also is active in participating different seminars and trainings
sponsored by DepED and other stakeholders. Notable trainings and seminars attended by the
nominee were SouthEast Asian Ministers of Education Organization (SEAMEO) Innotech,
SouthEast Asian Institute of Educational Training Incorporated (SEAITI), Presentation of the
PISA 2018 Results cum Development of Computer- Based Assessment Tools for Junior High
School Mathematics, Science and Technology. The nominee is also a speaker and gives
technical assistance on Robotics, Action Research and Science Investigatory Project.
The nominee also is an active member of Science Curriculum Technical Working
Group, Research Technical Working Group and ICT4 Bohol Technical Working group.

Other Information (Major Awards/ Citations Received/ Membership in an Organization)

The nominee receives the following awards and citations and member of some
 organizations:
 Most Outstanding Teacher (School Level)
 Most Outstanding Teacher (ICT)
 President, Tubigon West Central High School Teachers and Employees
Association (TWCHSTEA)
 Member, Philippine Association of Physics and Science Instructors (PAPSI)
 Coach, 5th place, DepED Region VII, Science and Technology Fair 2022
(Robotics and Intelligence Machine)
 Coach, 4th place, National Robotics Camp and Coding Competition

CERTIFICATION

We/ I attest to all the facts contained herein and authorize the use of these information for
publication. We understand that the Committee on Awards will validate the accuracy of the
information contained in this form and grant our consent to the conduct of a background
investigation. Any misrepresentation made by the signatories shall be ground for disciplinary action
pursuant to the applicable Civil Service laws and rules and DepED Bohol Rewards and Recognition
Policy.

Printed Name and Signature:

RONALD REY S. RESABAL ALBERTA P. PATULIN

Nominee Nominator PRAISE Committee/ Division Office
Highest HRMO Head

R and R Form 3 (Omnibus Certification for Individual and Group Category)

OMNIBUS CERTIFICATION OF AUTENTHICITY

AND VERACITY OF DOCUMENTS

I, RONALD REY S. RESABAL, Filipino, of legal age, single/ married and with permanent address
at Casangaan, San Roque, Maribojoc, Bohol, after being sworn in accordance with law, hereby dispose
and state that:
1. I am applying for _______________________________
MOST OUTSTANDING TEACHER at
TUBIGON WEST CENTRAL HIGH SCHOOL_______________________________;
_________________________________, Name of Category
Pooc Oriental, Tubigon, Bohol
Name of School/ Section Address of School/ Division

2. I have submitted the following documents:

1. Fully accomplished Rewards and Recognition Forms
 1.1 Nomination Form (Form 1)
1.2 Nomination Write- ups on the Highlight of Accomplishments (Form 2)
2. Updated PDS with passport size (1 ½” x 2) photo with name tag taken within the
last six (6) months prior to the nomination.
3. Endorsement letter from the School Principal or its equivalent, that the nomination
has undergone deliberation by the Committee.
4. Certification of No Unliquidated Cash Advances signed under oath by the Agency’s
Financial Officer/ Accountant and Certification of No Disallowances issued by the
COA Resident Auditor for previous accountabilities as of December 31, 2021. In
case of existing unliquidated cash advance and disallowance, a certificate of the
status of such financial obligation shall be issued by the COA Resident Auditor.
5. Certificate of no pending administrative/ civil/ criminal case.
6. Updated Service Record duly certified by the agency’s Human Resource
Management Officer (HRMO).
7. Performance Rating for the last three (3) performance rating periods prior to the
nomination.

3. I am executing this Certification to attest to the authenticity and veracity of all documents
submitted.
4. By executing this Omnibus Certification of Authenticity and Veracity of Documents, I
hereby authorize the Department of Education, Division of Bohol to verify the authenticity of
the above-mentioned documents.

RONALD REY S. RESABAL

____________________________
Signature over printed name

____________________________
Date

SUBSCRIBE AND SWORN to before me this _______ day of ____________, 20____ in City/
Municipality ______________________, affiant exhibiting to me his/ her Government ID No.
____________ issued on ________________ at ________________________, Philippines.

Notary Public