FM-HRM-6006

Revision: 01
Effectivity Date: June 20, 2022

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As part of our company policy on hiring, job transfers and promotions, may we request your
good office to please accomplish the attached HAU Recommendation Form.

Once completed, please send on or before _________________________ through either one of

the following:
a. E-mail to HR Coordinator (Scanned Copy)
b. Fax to 045-887-0628
c. The candidate/ applicant in a sealed and duly signed envelope

Likewise, we request your kind permission for a follow-up through phone or e-mail on matters
that need further clarification.

Thank you for your assistance.

Sincerely yours,

Dr. Gertrude P. Tuazon

Director
Human Resource Management Office
045-888-8691 loc 1146
Information obtained through this form will be maintained and used by HAU-Human Resource
Management Office only for hiring purposes and will not be disclosed to anyone including the
applicant concerned.

Name of Applicant: MR. JAYPEE J. DIZON

Position applied for: _____________________________________________________________

1. What is the nature of your supervisory responsibility/ professional relationship with the
applicant?
The undersigned was a former DILG Field Officer of Local Government Unit
(LGU) of Bacolor, Pampanga and presently supervised the Municipal Planning and
Development Office of the same LGU. The undersigned regularly coordinates
various programs, projects, and activities to the concerned office where the
applicant is presently deployed.

2. Please indicate period of his/her employment in your organization.

The applicant is an employee of the LGU Bacolor, Pampanga for around three (3)
years. Due to the lack of vacant permanent positions in the LGU, Mr. Dizon could
not be given nor offer a regular position.
3. In your opinion, is he/she qualified to handle the responsibility inherent to the position
he/she is applying for?
Mr. Dizon is qualified and will be able to perform the duties and responsibilities for
the said position due to his exemplary work ethics.

4. Kindly make an objective and frank assessment of the applicant using the rating scale and
evaluation criteria below by checking the box that corresponds to your rating.

Superior Being Superior or a role model in a sense by showing high level of

consistencies or frequencies in behavior and attitudes indicating almost perfect
match with the statements below.
Good Being Good or meeting expectations in a sense by showing average level of
consistencies or frequencies in behavior and attitudes close to manifesting the
competency reflected in the statements below
Fair Being Fair in a sense by showing low level of consistencies or frequencies in
behavior and attitudes indicating needing much improvement to attain
competency reflected in the statements below.
Poor Being Poor in a sense by almost not showing the competencies contained in
the statements below.
 SUPERIOR GOOD FAIR POOR
Competence
Oral Communication Skills √
Written Communication Skills √
Planning √
Decision-making √
Critical Thinking √
Integrity
Honors commitments in timely and √
honest means in all settings
Practices transparency and √
accountability
Christ-centeredness
Discerns, acts and evaluates with √
wisdom in the light of Cahtolic
principles
Excellence
Works passionately and shares √
innovative ideas and practices for
operations improvement
Commits and engages in continuing √
imrpovement and inovation in learning,
programs and services thorugh regular
training; continuing studies and quality
assurance initiatives
Keeps and open and receptive mind for √
evaluation, feedback and learning
Community
Values and practices listening, open √
communication and dialogue, and
respect for others
Societal Responsibility
Actively participates in sustainable √
community programs for and with the
poor
Practices and promotes environmental √
preservation starting with workplaces
and extending to the whole campus and
the community at large
 SUPERIOR GOOD FAIR POOR
FOR FACULTY APPLICANTS:
Teaching Effectiveness
This relates to teaching performance,
described as depth and breadth of
knowledge, skills and attitudes in
teaching based on planned and smooth
delivery tasks in the following areas.
Teacher’s Values
This relates to teacher’s qualities,
described as teacher’s actions and
interactions to demonstrate
commitment to the welfare of learners
and the school.
Community Involvement
Teacher’s sense of contribution and
accountability to school and
community welfare in terms of a
composite of attitudes, skills, and
values.
Personal Growth & Professional
Development
Teacher’s initiatives to enhance
personal and professional skills to
promote the teaching profession as well
as one’s discipline/field of
specialization.

5. Based from your observation and encounters with the applicant, what are his/her
strengths?
Greatest strength of Mr. Dizon is he can work under pressure as well as his capacity
for ease understanding and immediately perform the duties and deliverables
provided to him with minimal supervision. Similarly, his commitment to job is
commendable in which there were times he rendered overtime work and on holidays
if necessary.

6. What do you consider as his/her major contribution to your organization during his/her
employment?
The undersigned as a former DILG Officer closely works with various offices
including the Human Resource Management Office (HRMO) in which Mr. Dizon is
currently assigned. The partnership of the DILG Bacolor and LGU Bacolor,
Pampanga led to several recognitions and awards achieved by the latter such as the
prestigious Seal of Good Local Governance (SGLG) thru the hard work of all the
employees including the applicant.
 7. What other relevant data of professional or personal nature on the applicant do you
consider important?
The applicant shows professionalism in his work and able to accomplished task and
submit reports prior to the given deadline. In addition, he is able to maintain a
respectable and decent working relationship with his colleagues as the applicant is
easy to deal with.

8. In what areas do you think he/she needs to improve?

At present, the undersigned cannot think of weakness as the applicant is able to
consistently deliver his task not just from his immediate supervisor but also from
other offices especially the request of the undersigned who came from a National
Government Agency (NGA). Definitely, there will be a room for improvement upon
hiring of the applicant once given with a more challenging duties and
responsibilities.

9. Would you re-hire him/her? If not, why?

The undersigned would definitely rehire Mr. Dizon and will offer a plantilla position
if there will be available vacant position in the future.

10. Additional comments

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

CHRISTIAN RED D. MEJIA, EnP Date: _______________

Signature over Printed Name of Rater

NOTE:

Once completed, please send on or before ______________ through either one of the following:
a. E-mail to HR coordinator (Scanned Copy)
b. Fax to 045-887-0628
c. The candidate/ applicant in a sealed and duly signed envelope

NOTE: THIS FORM CAN BE DISTRIBUTED THROUGH PRINTED OR ONLINE COPY