Enclosure No.

3 - School Awards Committee (SAC) Form 1 (School Nomination Form)

SCHOOL NOMINATION FORM

SY 2022 - 2023

Academic Excellence Awards

Conduct Awards
Leadership Award
Awards for Outstanding Performance in Specific Discipline
Award for Club / Organization Achievement
Special Recognition

GRADE LEVEL / SECTION NAME TITLE OF AWARDS

with Honors
Grade IV-Zinnia Acebedo, Angeline C.
Conduct Award
with Honors
Grade IV-Zinnia Agnes, Cyril Jhay
Conduct Award
with Honors
Grade IV-Zinnia Bucat, Hershell Suzanne C.
Conduct Award
with Honors
Grade IV-Zinnia Calbayar, Shane Ann P.
Conduct Award
with Honors
Grade IV-Zinnia Coloma, Joshua Marco S.
Conduct Award
with Honors
Grade IV-Zinnia Gregorio, Rennalyn G.
Conduct Award
with Honors
Grade IV-Zinnia Hilario, Cee Jhan M.
Conduct Award
with Honors
Grade IV-Zinnia Pascua, Justine C.
Conduct Award
with Honors
Grade IV-Zinnia Somido, Jaliyah R.
Conduct Award

Prepared by:

AMANDA N. ANTONIO
Adviser / Subject Coordinator / Club Coordinator

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
Enclosure No. 3 School Awards Committee (SAC) Form 2: School Evaluation Form for Leadership
Award
CRITERIA FOR LEADERSHIP AWARD

Name of Awardee: ___________________________________

Minimum requirements:

_____1. Have no failing grades in any of the learning areas.

_____2. Have not committed any offense punishable by suspension or higher sanction.
_____3. Be a class officer or an active member / officer of any recognized school club, team or
organization.

CRITERIA POINTS
1. Motivational Skills (40%) N/A
a. Communicates Effectively
 Conducted 5 or more meetings/speakerships and has shown
exemplary performance in communicating the objectives of the
organization. (5 pts)
 Conducted 4 meetings/speakerships and has shown very good
performance in communicating the objectives of the organization.
(4 pts)
 Conducted meetings/speakerships and has shown good
performance in communicating the objectives of the organization.
(3 pts)
 Conducted 2 meetings/speakerships and has shown satisfactory
performance in communicating the objectives of the organization.
(2 pts)
 Conducted at least 1 meeting/speakership and has shown
satisfactory performance in communicating the objectives of the
organization. (1 pt)
b. Shows initiative and responsibility
 Initiated at least 2 activities and has shown exemplary performance
in initiating the activities of the organization.
(5 pts)
 Initiated at least 1 activity and has shown exemplary performance
in initiating the activities of the organization.
 Did not initiated any activities. (1 pt)
c. Engages group and/or club mates to participate
 Engages at least 85% of group and/or club mates to participate (5
pts)
 Engages at least 75% of group and/or club mates to participate (3
pts)
 Engages below 75% of group and/or club mates to participate (1 pt)
d. Establishes collaborative relationships
 All (5 pts)
 80% (3 pts)
 50% (1 pt)

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
 CRITERIA POINTS

e. Resolves Conflicts
 Resolve at least 2 conflicts in their group activities (5 pts)
 Resolve at least 1 conflict in their group activities (3pts)
 Did not resolve any conflicts in their group activities (1 pt)
Sub Total
2. Planning and Organizational Skills (40 %)
a. Plans and designs relevant activities for the class club and/or school
 Plans and designs at least 2 relevant activities for the class club
and/or school (5 pts)
 Plans and designs at least 1 (3 pts)
 Did not plan and design (1 pt)
b. Implements planned activities effectively and efficiently
 Implemented at least 2 planned activities effectively and efficiently
(5 pts)
 Plans and designs at least 1 planned activity effectively and
efficiently (3 pts)
 Did not planned activities effectively and efficiently (1 pts)
c. Monitors implementation of plans and tasks
 Monitored and implemented at least 2 plans and tasks in a given
activity. (5 pts)
 Monitored and implemented at least 1 plan and task in a given
activity. (3 pts)
 Did not Monitored and implemented plans and tasks in a given
activity. (1 pt)
d. Manages and/or uses resources wisely.
 Managed and/or used all resources wisely. (5 pts)
 Managed and/or used at least 75% of the resources wisely.
(3 pts)
 Managed and/or used at least 50% of the resources wisely.
(1 pt)
Sub Total
3. Contribution to the School and/or Community (20%)
Renders service and/or implements activities relevant to the school
population and/or community.
 Rendered service and/or implemented 2 activities relevant to the
school population and/or community. (5 pts)
 Rendered service and/or implemented 1 activity relevant to the
school population and/or community. (3 pts)
 Did not rendered service and/or implemented any activities
relevant to the school population and/or community. (1 pt)
Sub Total
Total Points

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
 Enclosure No. 4 School Awards Committee (SAC) Form 3: School Evaluation Form for Outstanding
Performance in Specific Disciplines

CRITERIA FOR AWARDS FOR OUTSTANDING PERFORMANCE

IN SPECIFIC DISCIPLINES

Name of Awardee: ___________________________________

Area:___________________________

CRITERIA WEIGHT
1. Academic Rating 20%
Final grade in the learning area or average of the final grades in subjects N/A
specifically related to the award
2. Skill in the Disciplines 40%
As shown through:
a. Output (1 pt for every output)
b. Membership in a club/team(10pts.)
c. Class or school representation
School- (2pts)
District – (4pts)
Zonal- (5pts.)
Division- (6pts.)
Regional- (8pts.)
National- (10pts.)
d. Winnings and awards
District- (5pts.)
Zonal- (5pts.)
Division- (10pts.)
Regional- (15pts.)
National- (20pts.)

Sub Total
3. Attitude toward the discipline 20%
Commendation from adviser/coach
Sub Total
4. Contribution to the school related to the discipline 20%
In any of the following:
a. Volunteer/Tutorials- (10pts)
b. Performance- (10pts)
Sub Total
Total Points

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
Enclosure No. 5 - School Awards Committee (SAC) Form 4: School Evaluation Form for Award for
Club

NAME OF CLUB / ORGANIZATION: ___________________________________________________

CRITERIA FOR AWARD FOR CLUB / ORGANIZATION ACHIEVEMENT

CRITERIA WEIGHT POINTS

1. Club / Organization Performance
a. Plans and develops club / organization’s objectives,
projects, and activities
b. Implements projects and activities and delivers services
based on the club / organization’s objectives and plans
c. Manages and / or uses resources wisely
d. Shows teamwork and collaboration among its members
Documentary evidences: Action Plan, Accomplishment Report, etc.
2. Exemplary Output
Delivers a concrete output related to the objectives and
purpose of the organization and the school
Documentary evidences: Accomplishment report with evidences of
concrete outputs
3. Contribution to the School or Community
Benefits members of the club/organization and the greater
majority of the school population and/or community
Documentary evidences: Impact Assessment, Quality Assurance of the
Project Implementation or any proof showing the benefits or
contribution to the school or community
TOTAL

Prepared by:

Adviser/Club Coordinator

Recommending Approval: SAC

Approved:

MILA E. MORALES
Principal II

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
Enclosure No. 6 - School Awards for Kindergarten

RESULTS OF THE EVALUATION AND DELIBERATION

SY 2022 - 2023

1. Performance Awards for Kindergarten

Name of Pupil Title

Recommending Approval:

SAC

Approved:

MILA E. MORALES
Principal II

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
Enclosure No. 7 - School Awards Committee (SAC) Form 6: School Awards for Grades 1 to 6

RESULTS OF THE EVALUATION AND DELIBERATION

SY 2022 - 2023

A. Grade Level Awards

1. Conduct Awards
Grade Level / Section Name of Pupil Title
Grade IV-Zinnia Acebedo, Angeline C. Conduct Award
Grade IV-Zinnia Agnes, Cyril Jhay Conduct Award
Grade IV-Zinnia Bucat, Hershell Suzanne C. Conduct Award
Grade IV-Zinnia Calbayar, Shane Ann P. Conduct Award
Grade IV-Zinnia Coloma, Joshua Marco S. Conduct Award
Grade IV-Zinnia Gregorio, Rennalyn G. Conduct Award
Grade IV-Zinnia Hilario, Cee Jhan M. Conduct Award
Grade IV-Zinnia Pascua, Justine C. Conduct Award
Grade IV-Zinnia Somido, Jaliyah R. Conduct Award

2. Academic Excellence Award

Grade Level / Section Name of Pupil Award Received

Grade IV-Zinnia Acebedo, Angeline C. with Honors
Grade IV-Zinnia Agnes, Cyril Jhay with Honors
Grade IV-Zinnia Bucat, Hershell Suzanne C. with Honors
Grade IV-Zinnia Calbayar, Shane Ann P. with Honors
Grade IV-Zinnia Coloma, Joshua Marco S. with Honors
Grade IV-Zinnia Gregorio, Rennalyn G. with Honors
Grade IV-Zinnia Hilario, Cee Jhan M. with Honors
Grade IV-Zinnia Pascua, Justine C. with Honors
Grade IV-Zinnia Somido, Jaliyah R. with Honors

3. Leadership Award

Grade Level / Section Name of Pupil

N/A

4. Award for Outstanding Performance in Specific Discipline

Grade Level / Section Name of Pupil Award Received

BALAYBAY ELEMENTARY SCHOOL
PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph
 N/A

5. Award for Club or Organization Achievement

Grade Level / Section Name of Pupil Award Received

N/A

6. Special Recognition

Grade Level / Section Name of Pupil Award Received

N/A

Recommending Approval:

SAC

Approved:

MILA E. MORALES
Principal II

BALAYBAY ELEMENTARY SCHOOL

PUROK 3, TOLENTINO ST., BALAYBAY, CASTILLEJOS
+639399131267
106854@deped.gov.ph