Republic of the Philippines

Department of Education
ANNEX "A"
LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address Position Position Designated Specialization Taught in DepEd
2019) Attainment Position
33 Units- MaEd- Educational
roxybaking0210@gmail.com
Baking Roxanne Palafox F 2/10/1986 33 Management Teacher I 5 Kinder Teacher 5 General Education Kinder 5
Bachelor of Elementary
meagan.bonus@deped.gov.ph
Bonus Meagan Macanas F 12/24/1991 27 Education Teacher I 1 Kinder Teacher 1 General Education Kinder 1
45 Units- MaEd- Educational
lucenaaquino18@gmail.com All subjects (Self-
Aquino Lucena Mercado F 3/20/1961 58 Management Teacher III 21 Gr. 1 Adviser 1 General Education Contained) 32
Bachelor of Secondary All subjects (Self-
Arańez Maria Alexa Pelipog F 8/6/1997 21 Education- English mariaalexa0722@gmail.com
Teacher I 5 months Gr. 1 Adviser 1
English
5 months
Contained)
27 Units- MaEd- Educational
Puraon Jamie Janela Castro F 8/10/1993 25 Management Teacher I
jamiejanela.castro@deped.gov.ph 4 Gr. 2 Adviser 4 General Education MAPEH 4
33 Units- MaEd- Educational
Basilio Majorie Bonus F 10/16/1978 40 Management Teacher III
majorie.basilio001@deped.gov.ph 3 Gr. 2 Adviser 3 General Education Filipino & MTB 13
Complete Academic req.
MaEd- Educational
Sitchon Rodella Supan F 10/15/1972 46 Management Teacher III
rodellasupansitchon@gmail.com 12 Gr. 3 Adviser 20 General Education English & Science 20
45 Units- MaEd- Educational
Balagtas Catherine Del Rosario F 4/19/1971 48 Management Teacher III
catemanny@gmail.com 7 Gr. 3 Adviser 17 General Education Math & AP 17
45 Units- MaEd- Educational
Canlas Emina Pineda F 3/14/1968 51 Management eminacanlas@gmail.comTeacher III 6 Gr. 4Adviser 25 General Education Araling Panlipunan 25
33 Units- MaEd- Educational
Illescas Maricar Salazar F 5/7/1984 35 Management Teacher II
maricar.illescas@deped.gov.ph 3 Gr. 4Adviser 5 TLE Science 10
24 Units- MaEd- Educational
Magtoto Solyda Martin F 11/5/1971 47 Management Teacher III
magtotosolyda1@gmail.com 5 Gr. 5 Adviser 21 General Education Math 21
Bachelor of Elementary
Basilio Renmart Dayrit M 12/29/1993 25 Education renmartb@gmail.comTeacher I 3 Gr. 5 Adviser 3 General Education English 3
48 Units- MaEd- Educational
Esguerra Ma. Vilma Santos F 2/1/1972 47 Management Teacher III
esguerramavilma187@gmail.com 3 Gr. 6 Adviser 18 General Education Filipino 18
15 Units- MaEd- Educational
Samson Rosalina Lingat F 2/14/1973 46 Management Teacher III
annmae430@yahoo.com 1 Gr. 6 Adviser 8 General Education EPP 20
33 Units- Masters on Early
Dizon Ma. Cristina Ignacio F 12/25/1981 38 Childhood Education Teacher III
ma.dizon005@deped.gov.ph 5 Esp Teacher 9 General Education ESP 9
33 Units- MaEd- Educational MAPEH & MTB
Narciso Genelyn Quiambao F 6/14/1987 30 Management Teacher II
ghenquiambao@deped.gov.ph 3 Teacher 1 TLE MAPEH & MTB 6
27 Units- MaEd- Educational
Quiambao Jennifer Dizon F 10/7/1984 24 Management Teacher I
jenniferquiambao002@deped.gov.ph 1 ESP & AP Teacher 1 General Education ESP & AP 1

Prepared by: Noted by:

REGIEL R. MANGULABNAN FELISA T. CABAOBAS

Signature Over Printed Name Signature Over Printed Name
JHS- ICT Coordinator 10-Apr-19
Designation Date
10-Apr-19
Date of Submission
f the Philippines
nt of Education

PMENT PARTICIPANT'S PROFILE

[17] Title of L & D Program Attended

[14] [15] Division [16] Region
Office/School Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted

AECMIS
City of San Fernando III Training on alpabasa reading program May 21-23, 2016
AECMIS
City of San Fernando III Training on alpabasa reading program July 8,15 & 22, 2017 Multi- Factored Assessment Tool Dec. 10-14, 2018
AECMIS
City of San Fernando III Multi- Factored Assessment Tool May 12-14, 2018
AECMIS
City of San Fernando III ITQM- Math Jan. 16, 2019
AECMIS Division Sports Accreditation for Coaches May 19, 25 & June 9,
City of San Fernando III & Officiating Officials 2018
AECMIS
City of San Fernando III Multi- Factored Assessment Tool May 12-14, 2018
AECMIS
City of San Fernando III Revisiting K- 12 Curriculum May 16-18, 2018
AECMIS Implementation of the Grade 3 K to
City of San Fernando III 12 Basic Educ. Program May 12-16,2014
AECMIS Mass Training of Teachers on critical
City of San Fernando III content in AP 6 April 17-25, 2017
AECMIS Regional Mass Training of Teachers on Critical
City of San Fernando III Content in Science 4 May 16-27, 2018
AECMIS Regional Training of Teachers on
City of San Fernando III critical content in Math 4 June 17-28, 2018
AECMIS Collaborative Teaching-Learning
City of San Fernando III Activities October 29, 2018
AECMIS Seminar workshop -School Paper
City of San Fernando III Aviser May 11-13, 2018
AECMIS Mass Training of Teachers on critical
City of San Fernando III content in TLE 6 April 17-25, 2017
AECMIS
City of San Fernando III Capacity building of ESP Teachers April 10-12, 2018
AECMIS
City of San Fernando III Mother Tongue Based Training May 2-4, 2018
AECMIS Division Training on Strategies and
City of San Fernando III content May 15, 2018

Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
 Republic of the Philippines
Department of Education
ANNEX "A"
LEARNING AND DEVELOPMENT PARTICIPANT'S PROFILE

[1] Last Name First Name Middle Name Extension [2] Sex [3] Birthdate [4] Age [5]Highest [6] Email [7] Plantilla [8] Years in the [9] Designation [10] Years in the [11] Area of [12] Subject [13] Years
(Jr, Sr, II,etc.) (M/F) (MM/DD/YY) (by June Educational Address Position Position Designated Specialization Taught in DepEd
2019) Attainment Position
43 Units- MaEd- Physical
Briones Mark Constantino M 10/1/1992 26 Education mark.briones@deped.gov.ph
Teacher II 1 Gr. 7 Adviser 3 MAPEH MAPEH 5
Complete Academic Req.-
markkevin.luzung@deped.gov.ph
Luzung Mark Kevin Capati M 8/23/1992 26 MaEd- English Teacher I 1 Gr. 7 Adviser 1 English English 1
Complete Academic Req.-
nicole30regala@yahoo.com
Regala Stephanie Nicole Hipolito F 8/30/1989 29 MaEd- English Teacher I 6 Gr. 8 Adviser 2 English English 6
15 Units- MaEd- General
dominador.buracjr@deped.gov.ph Biological Science
Burac Dominador Bembenuto Jr. M 1/25/1994 25 Science Teacher I 2 Gr. 8 Adviser 1 Science 2
9 Units- Master ofArts in
Macanas Mark Jonnel Castro M 6/29/1993 25 Teaching- Social Studies Teacher I
markjonnelmacanas29@gmail.com 1 Gr. 9 Adviser 1 Social Studies AP & ESP 1
Bachelor of Secondary
Coronel Ivan Basilio M 5/15/1989 29 Education- TLE Teacher I
ivan.coronel@deped.gov.ph 6 TLE Teacher 1 TLE TLE 6
18 Units- MaEd- Math
Gomez Sharmaine Lingat F 1/13/1993 26 Teacher I
sharmaine.gomez@deped.gov.ph 3 Math Teacher 3 Math Math 3
Bachelor of Secondary
Mangulabnan Regiel Reyes M 5/23/1996 22 Education- Filipino Teacher
regiel.mangulabnan@deped.gov.ph I 1 Filipino Teacher 1 Filipino Filipino 1

Prepared by: Noted by:

REGIEL R. MANGULABNAN FELISA T. CABAOBAS

Signature Over Printed Name Signature Over Printed Name
JHS- ICT Coordinator 4/10/2019
Designation Date
10-Apr-19
Date of Submission
f the Philippines
nt of Education

PMENT PARTICIPANT'S PROFILE

[17] Title of L & D Program Attended

[14] [15] Division [16] Region
Office/School Division Level Date Conducted Regional Level Date Conducted National Level Date Conducted

AECMIS Roll out training on HIV & STI 2nd PFDS Pampanga Chapter Regional National Seminar-Workshop on
City of San Fernando III EADUCATION in school setting Aug. 8-11, 2017 Folk Dance Workshop July 22-24, 2018 Teaching MAPEH Aug. 19-21, 2016
AECMIS Regional Seminar of Teachers on
City of San Fernando III Critical Content English 7 Dec. 3-12, 2018
AECMIS Regional Seminar of Teachers on
City of San Fernando III Critical Content English 8 May 26- June 4, 2018
AECMIS Regional Mass Training of Teachers on Critical
City of San Fernando III Content in Science 8 May 28- June 8, 2018
AECMIS
City of San Fernando III ITQM- AP 10 January 18, 2019
AECMIS Mass Training of Teachers for April 17- May 23,
City of San Fernando III MAPEH 6 2017
AECMIS Mass Training of Teachers on critical
City of San Fernando III content in Math 8 June 5-16, 2018
AECMIS October 17, 18, 19,
City of San Fernando III Training Of School DRRM 29 & 30, 2018
AECMIS
City of San Fernando III

Approved by:

_________________________
Signature Over Printed Name
_________________________
Date
 Republic of the Philippines
Department of Education
ANNEX "B"
SCHOOL HEADS DEVELOPMENT PROGRAM: FOUNDATION COURSE

MODULE 1: The School Head as an Instructional Leader MODULE 2: The School Head as an Organizational Leader MODULE 3: The School Head as an Exemplar
Date: November 27 - December 3, 2016 Venue: Skewers Grill, King's Royale, JASA, Macabacle, Bacolor, Pampanga Date:December 5 - 11,2016 Venue: Skewers Grill, King's Royale, JASA, Macabacle, Bacolor, Pampanga Date:December 16 - 23, 2016 Venue: Hacienda Gracia Hotel & Restaurant, Sta. Mari

Date: Venue: Date: Venue: Date: Venue:

[1] Last Name First name MI [2] Sex [3] Birthdate [4] Age [5] Plantilla [6] Years in [7] Designation [8] Years in the [9] Years in [10] School [11] Type of [12] Division [13] Region [14] Year when [15] Title of Work [16] WAP: Date [17] WAP: Date [18] WAP: Inclusive [19] WAP: Date when
(M/F) (MM/DD/YY) (by June Position the Position Designated DepEd School SHDP:FC was Application Project Submitted Approved Dates of Presented in Colloquim
2019) Position taken (WAP) Implementation

Learning Math is January 3, 2019 - March

Cabaobas Felisa T. F 12/9/1964 54 Principal II 3 Years School Head 16 Years 28 years Arch. Emilio Integrated School 258 3 2016 Fun and Easy Dec. 19,2016 31, 2019 Oct 26,2017
Cinense Memorial
Integrated School

Prepared by:

Noted by:

Approved by:
PMENT PROGRAM: FOUNDATION COURSE

For Non-Completers

[20] Lacking
Requirement/s