Republic of the Philippines

Department of Education
Region VII, Central Visayas
Schools Division of Cebu City, South District 1
FIRST HIGH SCHOOL FOR THE HEARING IMPAIRED
Macopa St., Basak San Nicolas, Cebu City @ Tel No.: (032)425-1325

(To be accomplished by the Class Adviser and submitted to the School Awards Committee)

Weight
CRITERIA
Advisers Peers
1. Motivational Skills (40%) 24% Rating 16% Rating
a. Communicates effectively 5% 5 3% 3
b. Shows initiative and responsibility 5% 5 3% 3
c. Engages group and/or club mates to participate actively 5% 5 3% 3
d. Establishes collaborative relationships 5% 4 3% 3
e. Resolves conflicts 4% 4 4% 3
2. Planning and Organizational Skills (40%) 24% Rating 16% Rating
a. Plans and designs relevant activities for the class, club and/or 6% 6 4% 3
school
b. Implements planned activities effectively and efficiently 6% 6 4% 3
c. Monitors implementation of plans and tasks 6% 6 4% 2.5
d. Manages and/or uses resources wisely 6% 6 4% 3
3. Contribution to the School and/or Community (20%) 12% Rating 8% Rating
a. Renders service and/or implements activities relevant to the 12% 12 8% 7
school population and/or community
TOTAL 60% 59 40% 33.5
OVER-ALL TOTAL = ( Advisers’ score + Peers’ score ) 92.50

KENNETH R. CASINILLO 10 – ATHENE CARLA V. BUTAYA

Name of Candidate Year & Section Class Adviser

Note: To qualify for this award, a learner must:

1. Have no failing grades in any of the learning areas.
2. Have not committed any offense punishable by suspension or higher sanction according to the Department’s
service manual and child protection policies in the current school year.
3. Be a class officer or an active member/officer of any recognized school club, team, or organization.
4. Only those learners who have met at least 90% of the criteria will be considered for leadership award.

Certified true and correct report on leadership of the above-named student-candidate for Leadership
Award.
_______________________
Signature of Class Adviser Over
Printed Name

Validated by the School Awards Committee on July 3, 2023

Grade 12 Adviser Faculty President Guidance Counselor/Coordinator

Member Member Member

SPET I Principal
Co-Chairman Chairman

Reviewed by the District Awards Review Committee on July 5, 2023

Principal Public Schools District Supervisor Principal

 Member Chairman Member

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Schools Division of Cebu City, South District 1
FIRST HIGH SCHOOL FOR THE HEARING IMPAIRED
Macopa St., Basak San Nicolas Cebu City @ Tel No.: (032)425-1325

LIST OF WORK IMMERSION AWARDEES

School Year 2022-2023

Grade Level: 12

(To be accomplished by the School Awards Committee)

WORK IMMERSION AWARDEES

Name Section Rating
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Prepared and submitted by the School Awards Committee:

Grade 12 Adviser Faculty President Guidance Counselor/Coordinator

Member Member Member

SPET I Principal
Co-Chairman Chairman

Approved by the District Awards Review Committee:

Principal Public Schools District Supervisor Principal I

Member Chairman Member