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Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao


Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)

GENERAL NOMINATION FORM


2022 Search for Best Elementary Grade Teacher Demonstrator
and Secondary School Teacher Demonstrator

THE SCREENING AND SELECTION COMMITTEE


Division of Lanao del Sur-I
Brgy. Datu Saber, Marawi City
Recent 2x2 picture

of the Nominee

Mesdames/Sirs:

After reviewing the rules and criteria for the 2022 Search for Best
Demonstrator, I hereby nominate:

CATEGORY (PLS. CHECK): Elementary Grade Teacher


Secondary School Teacher

NAME OF NOMINEE: ________________________________________________

CURRENT POSITION: _______________________________________________

DISTRICT/SCHOOL: ________________________________________________

I hereby certify that, to the best knowledge, information contained in the


accompanying supporting documents are true and correct.

The Nominee and the undersigned understand that the decision of the
Division Screening and Selection Committee is final and that we abide by it.

Name of Nominator: _________________________ Position: ________________

Signature of Nominator: ______________________ Date signed: ____________

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)

2022 SEARCH FOR BEST DEMONSTRATOR

Please check appropriate box:


Elementary
Secondary
INSTRUCTION:
1. Please fill out form completely.
2. Submit fully accomplished form to Division Search Committee with the following attachments on or
before September 29, 2022: a. Certificates of Trainings attended b. Service Record c. PRC ID

The ______________________________________ is honored to nominate ___________________________ to the


2022
(Name of School) (Name of Nominee)
Search for Best Demonstrator. This nomination is a tribute to his/her track record of excellence in the
teaching profession and to his/her exemplary dedication to the call of service to help shape the future of
our youth and ultimately contribute to the Division of Lanao del Sur-I development.

(Mr./Ms./Mrs./Dr.) _________________________________________ ______________________________


(Please encircle title) Signature over Printed Name Designation

NOMINEE’S INFORMATION

Full Name (Mr./Ms./Mrs./Dr.) ____________________________________________________________________


(Please encircle title) Surname Given Name Middle

Home Address:
_____________________________________________________________________________________

CONTACT DETAILS
Mobile Number Personal Email Address School Email

Name of Nominee’s Current School:


_________________________________________________________________
School Address: ____________________________________________________________________________________

I. WORK PROFILE

1. Present Position and Rank: _________________________________________________________________


2. Grade/Year Level Being Handled:
___________________________________________________________
3. Specific/Major Field Specification (List only one):
____________________________________________
4. For Elementary and Secondary Nominee:
Specify subject and grade/year level that you would like to teach in the teaching
demonstration
List only one: ______________________________________________________________________________
5. Summary of Work Load of Nominee for SY 2022-2023:

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)

Work Load Number of Hours


A. Actual Teaching Load (Specify):

B. Other Assignments (specify):

C. Consultation

D. Committee/Clubs (specify):

E. Administrative Work (specify position):

F. Community Work/Extension (Specify):

G. Others:

6. INSTRUCTIONAL MATERIALS
Enumerate the instructional materials produced by the nominees in the last 3 years. Please
indicate if these materials are being used in the school, district, etc. include title of books, references,
manuals, workbooks, modules, etc.

TYPE OF MATERIAL TITLE WHERE/WHERE/HOW USED

7. INVOLVEMENT IN CO-CURRICULAR/EXTRA CURRICULAR ACTIVITIES


Other than teaching, enumerate the ways teacher was involved with extra and co-curricular
activities in the last three years.

ROLE/DESIGNATION CLUB/OOGANIZATION

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)

1.
List down the degrees obtained and or being pursued by the nominee (begin with the most
recent)
DEGREE/S MAJOR SCHOOL YEAR/S OF UNITS EARNED
EARNED/BEING SPECIALIZATION ATTENDANCE
PURSUED

II. PROFESSIONAL AND COMMUNITY INVOLVMENT

Activities: What professional and community activities outside of teaching has the teacher involved in
within the last three years? (Professional, Community, Leadership, Community and Civic
Movement)
Participation in Training Programs:
(Organizer/Consultant/Chair/Planner/Speaker/Facilitator/Evaluator/)

SEMINAR/ ORGANIZATION ROLE/POSITION ACTIVITY INCLUSIVE


(Professional, Community,
TRAINING Leadership, Community and DATES
PROGRAM Civic Movements)

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)

PROFESSIONAL/COMMUNITY SERVICE AWARDS

List down major awards by the nominee from reputable groups and identify level (school, district,
division, regional, national, international etc.)

NAME OF AWARD/S LEVEL AWARDED BY DATE AWARDED

III. CERTIFICATION BY THE NOMINEE (to be filled out by the nominee)

To Division Screening and Selection Committee:

I hereby certify to the best of my knowledge that all the information contained in
this form is true and correct. I am aware that any willful misrepresentation of facts
stated herein can be used as basis for any disqualification

SIGNED THIS DAY OF _________________________ at _____________________________


Date Place

________________________________________
PRINTED NAME AND SIGNATURE OF NOMINEE

2022 SEARCH FOR BEST DEMONSTRATOR

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)

DOCUMENT EVALUATION (40%) SCORE


Length of Service 15
Instructional Materials 20
Extra and Co-curricular Activities 15
Educational Attainment 20
Professional and Community Involvement 20
Awards and Recognition 10
TOTAL 100

TEACHING DEMONSTRATION (60%) SCORE

SCORE
DOCUMENT EVALUATION 40
TEACHING DEMONSTRATION 60
TOTAL 100

Length of Service (15) Points


3-5 years 5

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Ministry of Basic, Higher and Technical Education
DIVISION OF LANAO DEL SUR I
1037 Amaipakpak Avenue, Brgy. Datu Saber, Marawi City 9700
Email Address: depedlanaodelsue1@deped.gov.ph
Contact Number: SMART (0939-902-3861) GLOBE (0927-544-1473)
Instructional Materials (20) Points
Division 10
6-10 years 10 Regional 15
11 years and beyond 15 National 20

Extra and Co-Curricular Activities (15)

District Points Division Points Regional Points National Points


1st 3 1st 5 1st 8 1st 15
2nd 2 2nd 4 2nd 7 2nd 12
3rd 1 3rd 3 3rd 6 3rd 10

Points
Educational Attainment 20
a. Bachelor’s Degree Holder 5 pts
b. At least 18 MA units 7 pts
c. At least 27 MA Units 8 pts
d. At least 36 MA Units 9 pts
e. Completed Academic Requirements for Master’s Degree 10 pts
f. Master’s Degree 11 pts
g. At least 18 PhD units 13 pts
h. At least 27 PhD Units 14 pts
i. At least 48 PhD Units 15 pts
j. Completed Academic Requirements for DoctoralS Degree 18 pts
k. Doctoral Degree 20 pts

Professional and Community Involvement (20) Points


School 5
District 8
Division 12
Regional 15
National 18
International 20

Awards and Recognition (10) Points


School 2
District 4
Division 6
Regional 8
National 10

References: (1) Regional Memo 357, s. 2018 (2018 Regional Search for Most Outstanding
Bangsamoro Teachers), (2) Division of Bataan - Division Memorandum No 61, s. 2013 (Division
Search for Outstanding DEPED Teaching and Non-Teaching personnel) (3) Deped Order No. 7, s. 2015

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