Republic of the Philippines Department of Education National Capital Region scH00ts DtvtstoN oFFtcE City of Mandaluyong Tel. no- 53360-85 Fax. no.532-77-77 E-Moil Address: sdo mandaluvonoodeoed qov.ph Offi cial Website: depedmandaluvon g.wordpress.com
DIVISION MEMORANDUM TO
RE
16$rro
Chief Education Supervisor. SGOD and CID t*. BY: Education Program Supervisors ooFrn DATE s., SGOD Officials Principals, Public Elementary and Secondary Schools D
4#,s.
SUBJECT: Addendum to the Metrobank Foundation Search for Outstanding --Teacherc
DATE
February 28,2017
1.
This is in reference to the unnumbered memorandum dated February 28,2017 re: Metrobank Foundation Search for Outstanding Teache6.
2-
See attiachments for the details of the search; who are eligible to join; who can nominate; and criteria for evaluation.
3.
lmmediate and wide dissemination of this memorandum is desired
DR. NERI . LOSARIA, CESO VI Officer-ln-Charge Office of the Schools Division Superintenden hrl
*
IlE
Lrtrob.nk Found.tion
OursrRNorNc
FITIPINoS TE.ACHERS. SOTDIERS. P(,[|CE OTFICIRS
&ps rr- o{t
13 Febtuary 2017
DR. NERISSA LOSARIA
,IJISI(}.,
't
,:ITY SCHOOLS
Division of Mandaluyong City (NCR)
;,.fig-$vED
H-way Hills Elementary School Calbayog St. Mandaluyong City
Nt4.o!
Dear DR. LOSARIA
D
rE
,)1FEB20a'-
'"
tu'pg:-
-
Mabuhay! As we aim to inspire more teachers in the field to excel, allow us to share with you
and your management team current developments and changes in the itetrobank Foundation Outstanding Filipinos - Search for Outstanding Teache6 category. The Metrobank Foundation Outstanding Filipinos with three (3) categories, namely: Search for Outstanding Teachers (SOT), Search for The Outstanding Philippine Soldiers (TOPS) and Search fior Country's Outstanding Police Officers in Service (COPS) - will be recognizing and honoring a tolal of ten (10) awardees consisting of four (4) teachers, three (3) soldiers and three (3) police officers. Each awardee shall receive an increased cash prize of One Million Pesos (P1 ,000,000), a trophy and a gold medallion.
Since 1985, the Metrobank Foundation has already recognized 356 teachers from all over the country who are models of integrity and excellence in their respective communities. ln this connection, we would like to solicit your support by encouraging nominations of your best teachers in the Region for the Search for Outstanding Teachers category. Nominees just need Facebook page: accomplish NOMINATION FORM ONLINE www.facebook.com/mbfi.outstandinqfilipinos. Deadline for submission of nomination form and
to
the
at our
@unoationlnc.,46Floor,Executiveoffices.MetrobankPlaza,Sen Gil Puyat Avenue, Makati City orto the nearest Metrobank Branch is on March 24,2017.
We are enclosing poste(s) and relevant materials on the Search for your reference and kind perusal. For more information and downloadable nomination forms, please visit our Facebook page at www.facebook.com/mbfi.outsta ndinofilioinos . For further queries, you may contacl us through at +mail (02) 898-8898; telefax nos. 818-5656/750-0837; telephone outstandinqfilioinos mbfi(Aomail.com
or
no.
us
We look foMard to your much needed support for the success of the 2017 Metrobank Foundation Outstanding Filipinos - Search for Outstanding Teachers. Thank you and warm regards.
Very truly yours,
RENE D. LABITAD Assistant Executive Direclor
Itetrobant round.tloo r,r- a/t Er
ABOUT THE SEARCH
The Metrobank Foundation Outstanding Filipinos - Search for Outstanding Teachers category bestows honor upon the teaching profession by according special recognition to teachers who manifest profound commitment to the development of the youth through exemplary competence, effective educational leadership and community impact. lt singles out teachers who have made a significant contribution tb nbtional development by raisinS the quality of education through their pa$sionate commitment to teachiFg, Sffective 'and creative teaching strategies, and their admirable efforts towbrds creating impact and sustainable gains within their community, the school and beyond; thereby providing models of excellence in the teaching profession.
The Metrobank Foundation, lnc. believes that recognizing the outstinding qualities, achievements arid contributions of teachers to national development will inspire countless other teachers all over the country to achieve excellence in
|
teaching.
|
thirty three years now, the Search is undertbken annually by the Mqtrobank Foundation in partnership with the Department of Education (DepEd) and the Commission on Higher Education (CHED). lt is supported by school heads of public and private elementary, secondar"y and tertlary institutions in the country. For
WHO ARE ELIGIBTE TO JOIN? Nominees must .,.
1.
2.
3.
4. 5. 5.
The
1.
2. 3.
be Filipino citizen teaching in the elementary, secondary or tertiary levels, including graduate
school,
alternative learning system, with full-time or permahent appointment and with f.Ull teaching load. Note: Elementary schools are entitled to nominate two nominees, one each for ihe pririrary (kiniJer to grade lll) and intermediate (grade lV to grade Vl) while high schools and higher educatjon institution are entitled to nominate only one teacher each. have been actively teaching in the Philippines for:the last 10 years (inclusive of leaves not exceeding three years, provided the nominee is not on leave, i.e., actually teaching at the time of nomination). Moreover, the nominee must not be on leave for more than two years inrmediately prior to nomination and must still have at least 3 years of remaining service before retirement. have valid PRC license (for nominees in the elementary and secondary levels only) or have the pertinent license for tertiary courses where a license is required in tHe exercise of the profession, e.g. Medical Doctors, Lawyers, Engineers, etc. have attained performance ratings of at least Very:;atisfactory for the last ten (10) years, with no rating below Satisfactory. For those who have been on official/:;tudy leave or on secondment, performance ratings for ten (10)years closest to the period of nomination should be provided. have at least completed academic requirements for Masters' Degree for both the elementary and secondary
competitions. must be a doctorate degree holdet for the higher education competition. Research and Professional Doctorate degree ht Uers are eligible to join the Search. Applicants must have completed the terminal degree of their discipline and profession.
following ore olso quolified to join, prcvided they meet specific requirements: Kindergarten teachers, provided that the kindergatten level is part of the integrated curriculum or part of an elementary school system. Deans, vice-deans, 'diiectors, chairpersons of departments, subject area coordinators, assistant principals, teacher-librarians, research or extension coordinators, head teachers. teachers-in-charge, guidance counselors, college/university teachers with research or extension assignments, and others -carrying sirtrilar. administrative positions, provided they carry a teaching load within the months of January to Sei:tefibei zorz. ' College/University teachers with a full teaching loaflcontactirours irr ttrs Sraduate school level during the nomination period.
WHO CAN NOMINATE?
1. 2.
Principals, Teacher-in-Charge or Presidents of colleges/universities or Chancellors of autonomous campuses, are authorized to nominate teachers to the Search. ln addition, upon invitaiion from the Search Secretariat, selected individuals and reputable organizations may also nominate a candidate of their choice. Official nominees in the Elementary Secondary aod Higher Education competitions of satellite campuses.of Fi private colleges and universities and state universities and colleges (SUCs), which are not autonomous, maybe
sor
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uprratnd Janurr\i 10. ?lil
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endorsed by the Campus Directors or Executive Directors, but the Presidents are still the official nominators. For DepEd schools without principals, the Teachef-in-Charge can nominate, but the Principal who is officially designated must endorse the nomination. lf the nominee is the Teacher-in-Charge himselflh€,rself, the Principal who is officially designated for the school shall endorse the nomination to the Search Secretariat.
3
4
CRITERIA FOR EVALUATION
l.
Personal qualities and Character
A.
2.
3.
Model of morality and integrity both in publi,: and private life B. Good human relations in the school and in the communitY lnstructional Competence and Teaching Effectiverress A. Demonstrated competence in teaching, ar; evidenced by the high performance evaluation obtained as a teacher,/instructor/professor irt the last 1O years B. lnstructional materials produced and used for the improvement of teaching in the last 10 years
&
rank
C, Research outputs in the last 10 years D. Original creative outputs in the last 10 years E. original, innovative teaching approaches,/strittegies/practices in the last 10 years Profussional and Community Contribution A. Leadership in professional organizations related to teaching B. Participation in community and civic movemr:nts/advocacies lmpact and sustainability of professional or community contribution
c.
WHERE TO GETTHE NOMINATION FORM?
loining the Seorch is eosy, candidates lust need to accomplish the NoMINATIoN FORM ONLINE and submit hard copy and annexes on or before March:14,2017 to Metrobank Foundation ln.,4th Floor, Executive Offices, Sen. Gil Puyat Avenue, Makati City or to the nearest Metrobank branch. This form is now available online thru our Facebook page: www.facebook.com/mbfi.outstandinsfilipinos. For areas requirinE hardcopy of the nomination form, they are available at the office of Mdtrobank Foundation, Inc. and the division/ regional offices of the Department of Education (DepEd) and the CommiEsion on Higher Education (CHED). This can also be accessed or downloaded from the MBFI SOT facebook page at \ encouraged for faster assessment and feedback.
5uldgqelgotlo,nlrnffllo!.
Online submissions are strongly
As this is a new search for METROBANK FOUNDATION OUTSTANDING FILIPINOS, all past regional and national SOT finalists may now join, subject to the eligibility requirements. PRIZES
Good Newsl Cash prize for each awardee has tbeen increased to Php 1,000,0m.00. The awardee will also receive a medal and a trophy, and the school, a plaque of recognition. National Finalists will receive P50,000.00 cash incentive and a certificate of recognition. BREAKDOWN OF AWARDS There will be four (4) awardees. The MetrobEnk Foundation Outstanding Filipinos Final Board of Judges may elect not to give out all awards if the candidates ifall short of the standards set by the Board. The decision of the Board of Judges is final. The Board reserves the right to withdraw any award at any time, when warranted. IMPORTANT DATES TO REMEMBER March 24, ZO!7 Deadline for submissirrn of Nomination Fo.m with Annexes .3. April-May 2017 Preliminary ludging * May 19,2017 Deadline for submission of Supporting Documents of 2nd Round Qualifiers luly 2017 Final Judging
t, *
.:.
I*
Aqgust 2017 September 2017
g
*letrob.nk
Announcement of Whrners Awarding Ceremony
FOR MORE DETAII,S: Writ€ or call the Met.obank Foundation Office,4'h FlOor, fuecutive Offi.es, Metrobank Plala, Sen. Gil Puyat Avenue, Makati Cit, Philippines 1200, whh telephone nos. (02) 898-8898 'o( 857-8757; lelefax no. {O2l 818-5656j 7504837; 945-7006; or e-mail us at
[email protected]: or visitl www.Ilgfoundation.orr.ph; www.facebook.com/mbfi; www_facebook.com/mbfi.sot.
,
rrgr2 |2
lnstructions:
1. 2. 3. 4.
5.
Please fill out all information COMPLETELY. Use Black ink and print l-EGlBLY or encode in the computer. write N/A if necessary. Please read and follow instructions carefully. Please ensure to attach the required documents in this form {see last page). Submit original copy of the nomination form through your nearest Metrobank Branch or via courier and addressed to MBFI-OF, Metrobank Foundation,4/F Executive Offices, Metrobank Plaza, Sen- Gil Puyat Ave., Makati City 1200. (Please moke sure to photocopy the occomplished nomination Jorm ond ottach this to the suppofting documents) This form can be photocopied/reproduced.
Altach here your latesl 2'x2' lO colored photo. lt must be front, facial close-up, with your printed name & signature at the back of the
photo.
l
O O
E!ementary Primary Levels Elementary lntermediate Levels
Hieh School Level
Higher Education
/
Graduate School
FullName: (Mr./Mrs./Ms./Dr.) (please encircle)
First Name
Middle Name
Last Name
Suffix
Home Address: Residence No
City/Municipality
Street
Subdivision/District/Town/Barangay
Province
Zip Code
Region
Date of Birth: Age:
lnn/dd/yy)
Gender: BM O
F
Civil
Place
of Birth:
Citizenship:
Religion:
Status:05ingle OMarried O Legally Separated QOthers
(pls. specify) Residence Phone No.:
Name of Spouse:
No. of Children:
Date Entered Teaching
Remaining Years in Service
(Cohs oli dote d e xperience )
(Beforc rcIirenenl)
Subject Specialization
Rank:
(Teoching now)
Grade/Year Level being handled:
Current Position/ Designation: Complete School MailinB Address:
School Name:
No./Street
District/Town/Barangay
Zip Code
Province
City/Municipality office Phone No.:
Office Fax No.:
(areo code
lNeo
lelephone No.)
Personal Mobile No
Total Years Teaching;
Current
+
(A.eo Code + rebphone No.)
Alternate Email Add:
Active EmailAddress:
Code +
Ll.phone
No.)
Region
Office Email Address;
Your Schooylnstitution's Definition of Full Load: For Elementary and Secondary: ,ndicate no. of hours perweek For Higher Educati oni indicate no. of unit loads per tem or no. of contact hours per term Your actual teaching load for school yeat 2016-?017
sor
sj:Afi
ar tolt
Page 1 of 4
oUTSTAEDTNGTFAoltR5
!1ETm8lNl( I OUNO,ITIiJN IEAR(tr
FOn OUT5TAN0ING TEACHERs PSQGRA]\,1 PARINT ES
i i
I
i
Ca
O O
',
{wt
&
in with the most
/
EDUCATION EARNED
MAJOR
(i.e. HS Grad, Collete Grad, etc)
SPECIALIZATION
NAME & ADDRESS OF SCHOOI.
INCLUSIVE
ACADEMIC
YEARS
DISTINCTIONS
INCLUSIVE
UNITS EARNED
I
MAJOR
Courses/Degrees Belnt Pursued
/
SPECIAI.IZATION
NAME & ADDRESS OF SCHOOL
write your pedormonce evaluotion/roting obtoined for the lostTen (70) Yeors ' SY 2007:
.
. ?00.8.
,",
"
YEARS
/
STATUS
sY 2011-
.
,23]^2.
sY20is-
ij:':iola
Numerical RatinE Descriptive Equivalent
I
Have you joined the Search for Outstanding Teachers before?
E
YEs
O
Have you been a Finalist of the Search for Outstanding Teachers?
EYEs E No
r.ro
lfYes, in what year/s?
lf Yes, in what year/s?
Have you been CHARGED
Have you been CONVICTED of any ofthe following offenses at !!y time before vou ioined an /or durins active in service )
with any of the following offenses at anv time before vou ioined and/or durinE active in service? I
O Administrative O Civil B Criminal
YES Status: O
Case
Dismissed O Pending
O Administrative Q
NO
Civil
YES
Status: O
Case
Dismissed
0
O criminal NO
Pending
For nomlnees who have been CHARGED or coNvlcTEo wlth criminal, civll, or administratlve offense, please submlt a short report r.{hich include the followlnS: (Please submit a report even if the case has been dismissed or amlcably settled) IANNEX Hl a) Case number and nature of charge (libel, estafa, physical abuse, etc.) b) Date the charge was filed c) Where the charge was filed (City / M unicipal / Regional Trial Court) d) Circumstances surrounding the complaint
a. b. c. d. e) e.
Status/Final Resolution {pending / on-goin8, amicably settled, dismissed, etc.)
Page Z of 4
to the 2017 Metrobank Foundation
This is to certify that I voluntarily nominate
(ndme oJ nominee)
Outstandint Flliplnos lsearch Ior Outstanding Teachers (SOT)1. This nomination is a tribute to his/her track record of excell€nce in the teaching profession and to his/her exemplary dedication to the call to help shape the future of our youth and ultimately contribute to national development,. at
Signed this day of
Place
Printed Name and Sitnature ol Nominator
Affiliation
Designation: Complete Organization's I
Address: Name of Buildine
City/Municipality
/
No.
Street
District/Town/Barangay
Province
Zip Code
Region
Personal Email
Office Phone No.: Personal Mobile No.
lArco code +retephone No.l
Address:
This is to certify that I voluntarily submit myself to the rules of the Metrobank Foundation Outstanding Filipinos lsearch for Outstanding Teachers (SoT)1. I asree to orovide the supporting documents should I oualifv for the next Dhase of the Search or lf I am .equested by anv of the authorired reDresentativ€s ofthe organize6 qf the Search. I also certify that I am physically and mentally fit to undergo the evaluation process of the Search. Further, I authorize the organizers of the Search or their designated aSent/s to validate the information, records, documents that I shall submit in relation to the nomination. ln this regard, I hereby exempt, discharte, release and free Metrobank, the Metrobank Foundation, lnc., their respective directors/trustees, officers, employees, members and staff, affiliates and/or subsidiaries, and the judges of the Search, from any claim or liability arising from my particlpation in the Search.
I hereby certify to the best of my knowledge and belief that all the information contained in this form is true and correct. I am aware that any willful misrepresentation or misdeclaration of facts or any untruthful statement or information stated herein shall be used as basis fgr my disqualiflcation gr the withdrawal of any award slot. I hereby
commit that should I win in the Sea.ch, I wlll contlnue to practice rny teaching professlgn in the Phllippines for at least three (3) years
Signed this day
at
of
Printed Name and Signature of Nomlnee
Please list down three {3) names of references
NAM€
that are not diredly related to the nominee
POStTtON/ORGAN IZATION
ADDRESS
MOBILE NUMEER
EMAIL ADDRESS
1
z
Page 3
of 4
Pleose rcod coreJully ond
.:. .:. .:.
* + {.
conply on the needed documents if necessory.
March 24,2017
Deadline for Submission of Nomination Form (OF-SOT Form No. 1)
May 10,2017
Deadline for Submission of SupportinB Documents of Eligible Nominees
May
Preliminary JudBing
- lune 2017
July 2017
Final Judging
August 2017
Announcement of Winners
September 2017
Awarding Ceremony
ANNEX A. RECoMMENDATIoN (to be filled out and slgned bythe nominator) on a separate sheet, please explain why the nominee should receive the Metrobank Foundation Outstanding Filipinos-Search for Outstanding Teachers Award. Please touch on the following areas: personal character, instructional competence and teaching effectiveness, and professional and community involvement. Please cite specific examples. ANNEX S. SUMMARY OF ACCOMPLISHMENTS A separate file with a listing of your accomplishments which can be downloaded from the MBFI SOT Facebook: o r we bsite: https://d rive. eoosl e.com/file/d/Os748xu you may email us at
[email protected] for a copy of the template
https://www.facebook.com/mbfi.soV
ANNEXC.
Fu
zHVGTVBG
U
iBtSEotTlk/view?usp=sh aring
o
r
AFFIDAVIT OF UNDCRTAKING lNototized)
AFF loAVlT can be downloaded from the M BFI SOT Facebook: https://www.facebook.com/m bfi.sot/ or website httos://drive.eoople.com/ooen?id=0BT4SxuFuzHVGcF9MRlM22iA0dnQ3a0VtZG9zbkNYQnjzd3lw or you may email us at q@fora copyof the sample.
A
sa
mple file of the
D. DAIIY / WEEKTY TEACHING SCHEoULE (to be certified by the registrar / school offlcials concerned) Submit a certified true copy of the daily / weekly teaching schedule / program for the current school year including the administrative duties and other arsignments being handled by the nominee, if any. lndicate also the level of each subiect being taught (e.9. Grade 6, 4th year, undergraduate, or graduate) and the total no. of hours or units per subiect. lndicate your school's definition of full load.
ANNEX
. .
For Elementary and Secondary: The Teache/s Program should indicate the total number of HOURS per week. For Higher Education; Please submit the teaching schedules for the current school year, which should indicate the total number of UNITS/CONTACT HOURS per term. For those who are not able to teach in the 1st term of the current school year/ please submit also the teaching schedule during summer of the previous school year. Submit also a certification summarizing the total no. of unit loads/contact hours for the whole academic year. This includes semestral, trimestral and summer of the previous school year.
E. PERFORMANCE EVALUATION RATINGS (to be certifled by the reSistrar / school officials concerndl Submit only a one-pa8e certification of the summary of performance evaluation/ratings obtained for the last ten (10) years, excluding the current school year. Please indicate both the numerical and the descriptive equivalent of the rating scale being used. For example, a ratiirg of 85% means "Very satisfactory" or (V5). For those on leave for a specific period, please obtain certillcation from head of school that nominee has been on study / official leave. Provide ratings of previous year/s to complete the L0 years requirement. ANNEX
F. CERTIFICATION OF AWARD/S RECEIVED (to be certified by award-giving body / school head) Submit a certification of award/s for teachers received by the nominee at the regionaUnational/ international levels. ANNEX
G. PROFESSIONAL LICENSE (to be certified bythe school head) Submit a certifled true copy of PRC l.D, or license as equivalent or relevant to your discipline
ANNEX
ANNEX H.
WRITE US:
CASE DETAITS
failure to submit is
a
round for d
ualification
Metrobank Foundation Outstanding Filipinos Secretariat, 4 Phiti
Floor, Metrobank Plaza, Sen. Gil puyat Ave., Makati City,
ines 120O
ETdAIL US:
outstan d
CALI US:
(02) 898-87s7; (0922) 803-3948; (09s6) 873-4684
o inos.mbfi(aemail com: mbfi.sot@ smail.com
Page 4
of 4
lnstructions:
1. 2. 3. 4.
5.
Please fill out all information COMPLETETY. Use Black ink and print LEGIBLY or encode in the computer. Write N/A if necessary. Please read and follow instructions carefully. Please ensure to attach the required documents in this form (see last page). Submit original copy of the nomlnation form through your nearest Metrobank Branch or via courier and addressed to MBFI-OF, Metrobank Foundation, 4/F Executive Offices, Metrobank Plaza, Sen. Gil Puyat Ave., Makati City 1200. (Pleose make sure to photocopy the occomplished nominotion Jorm ond oftoch this to the suppoding documents)
the photo.
This form can be photocopied/reproduced.
EI Elementary Primary
O
Attach here your latest 2"x2" lD colored photo. lt must be front, facial close-up, with your prinled name & signature at the back of
O O
Levels
Elementary lntermediate Levels
High School Level
Higher €ducation
/
Graduate school
l. FullName: (Mr./Mrs./Ms./Dr.) (please encircle)
Middle Name
First Name
Last Name
Suffix
Home Address: Residence No
City/Municipality
Street
Subdivision/District/Town/Barangay zip Code
Provin ce
Region
Date of Birth: Age
Gender: OM O
F
Civil Statusr O
Place
of Sirth:
Single OMarried E
Religion:
Citizenship:
Legally Separated AOtherc (pls. specify) Residence Phone No.:
Name of Spouse
No. of Children:
Personal Mobile No.:
Alternate Email Add:
Active EmailAddress
(Arctt code + Tetephone No.)
lt. Date Entered Teaching:
Total Year5 Teaching:
Remaining Years in Service
(Consolid ote d e xperie nce I
(Betote rcliremenl)
Cu.rent
Subject Specialization:
crade/Year Level
Rank:
(Teoching now)
being handled:
Current Position/ school Name
Designation:
Complete School Mailing Address: No./Street
City/Municipality
Province
Office Phone No.:
Office Fax No.:
(Ar.o Code + Telephone No.)
lArco Co.le
+
Telephone No.)
District/Town/Barangay
Zip code
Region
Office EmailAddress:
Load:_
Your School/lnstitution's Definition oI Full For Elementary and Secondary: indicate 09,9Lhg!!se9!!99r For Higher Educati oni indicale no. of unit loads per tom or no. of contact hours per term Your actual teaching load for school yeat 2016-2017
507
SIiAII'11 FOI] OJTSIANI)INGIFACHf
Page
RI l{tT8O8Ai'lK r()Ufr0i\I ON !t AnCll FOn OUTiTANO rlc T[A( Htfls INO6FAiV IARINEfl!
I
of 4
i##
IIE (B
I
in with the most recent)
/
EDUCATION EARNED
MAJOR
(i.e. HS Grad, College Grad, etc)
SPECIALIZATION
NAME & ADDRESS OF SCHOOI.
INCLUSIVE
ACADEMIC
YEARS
DISTINCTIONS
INCLUSIVE
UNITS EARNED
I
I
I
MAJOR
Cour5es/Detrees BeinE Pursued
/
SPECIAI.IZATION
NAME & ADDRESS OF SCHOOL
YEARS
/
STATUS
tv. Lytite your performonce evoluotion/roting obtoined for the losc Ten (70) yeors
Numerical Rating Descriptive Equivalent
v.
.t
:.
Have you joined the Search for Outstanding Teachers before?
E
Eyrs
with any oi the following offenses at anv time
or durinc active in service?
O Administrative
0
Civil
Case
uo
I
B
t-. , Have you been CONVICTED
,.
of any ofthe following offenses at Aly time before vou ioined an d/or durinR active in service?
O Administrative Q
Criminal
NO
YES
Status: O
tr
lf Yes, in what year/s?
Have you been CHARGEO a
,
Have you been a Finalist of the Search for Outstanding Teachers?
YEs E r.ro
lf Yes, in what year/s?
before vou ioi ned
I
il
rrC6ftt
coMPEi!
Civll
YES
Dismissed O Pending
Status: O
Case
Dismissed Q
0
Criminal
NO
Pending
For nominees who have been CHARGED or coNvlCTED wlth criminal, civil, or admlnlstratlve offense, please submlt a shon repon which include the followlng: (Please submit a report even if the (ase has been dismissed or amicably settled) TANNEX Hl
a) a. b) b. c) c. d) d. e) e.
Case number and nature
of charge (libel, estafa, physical abuse, etc.)
Date the charge was filed Where the charge was filed (City / Municipal Circumstances surrounding the complaint
/
Regional Trial Court)
Status/Final Resolution (pending,/ on-going, amicably settled, dismissed, etc.)
PaEe 2
ol 4
to the 2017 Metrobank Foundation
This is to certify that I voluntarily nominate
(ndme of nominee)
Outstandint Flliplnos lsearch for Outstanding Teachers (SOT)1. 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 to help shape the future of our youth and ultimately contribute to national development.. Signed this day of
at Datelmm/ddlyy)
Place
Printed Name and Sitnature of Nominator Designation:
Affiliationl
Complete O.ganization's Address: Name of Buildine
City/Municipality
/
Street
No
District/Town/Barangay
Province
zip Code Personal Email Address:
Office Phone No.: Personal Mobile No
(Arco Code + Tetephone No.)
Region
This is to certify that I voluntarily submit myself to the rules of the Metrobank Foundation Outstanding Filipinos lsearch for Outstanding Teachers (sor)l I aEree to orovide the suooortine documents should I oualifv for the ohase of the Search or if I am reouested bv anv of the authorized
Iepresentatives ofthe organizers of the Search. I also certify that I am physically and mentally fit to undergo the evaluation process of the Search. Further, I authorize the organizers of the Search or their designated agent/s to validate the information, records/ documents that I shall submit in relation to the nomination. ln this regard, I hereby exempt, discharge, release and free Metrobank, the Metrobank Foundation, lnc., their respective directors/trustees, officers, employees, members and staff, affiliates and/or subsidiaries, and the judges of the Search, from any claim or liability arislng from my participation in the Search.
I hereby certify to the best of my knowledte and belief that all the lnformation contained in this form is true and correct, I am aware that any willful of facts or any untruthful statement or information stated herein shall be used as bails for my disqualiflcation or the
I misrepresentation or misdeclaration I withdrawal of a nY award slot. I hereby
commit that should I win in the Search, I wlll continue to practice my teaching profes5lon in the Philippine5 for at least three (3) years
Signed this day
of
Printed Name and signature of Nomin€e
Please list down three (3) names of references NAME
that are not directly related to the nominee.
POSITION/ORGANIZATION
MOBILE NUMBER
ADDRESS
EMAII- ADDRESS
I
1.
I
2
3
Page 3 of 4
Pleose reod corelully ond comply on the needed documents iI necessory.
.1.
March 24,2017
Deadline for Submission of Nomination Form (OF-SOT Form No. L)
May 10,2017
Deadline for Submission of Supporting Documents of Eligible Nominees
* .:.
May
+
luly 2017
FinalJudging
.1.
August 2017
Announcement of Wlnners
*
September 2017
Awarding Ceremony
ANNEX
- june 2017
A.
Preliminary JudginB
RECOMMENDATION (to be filled out and signed by the nominatorl
On a separate sheet, please explain why the nominee should receive the Metrobank Foundation Outstanding Filipinos-Search for outstanding Teachers Award. Please touch on the following areas: personal character, instructional competence and teaching efi'ectiveness, and professional and community involvement. Please cite specific examples.
ANNEX B. SUMMARY OF ACCOMPI.ISHMENTS A separate file with a listing of your accomplishments which can be downloaded from the MBFI 5OT Facebook: https://www.facebook.com/m bfi.sot/ or website: httos://d rive.sooele.co m/file/d/08748xu Fu zHVGTVBGUiBtSE0tTIk/view?uso=sh arins you may email us at outstandingfilipinos.mb,
[email protected] for a copy of the template. ANNEX
C.
o
r
AFFIDAVIT OF UNDERTAKING (Notdrized)
Asamplefileof theAFFIDAVIT can be downloaded from the MBFI SoT Facebook: https://www.facebook.com/mbfi.sot/ or website: htt os://d rive.poosle.com/ooen ?id=08748Xu F uzHVGcF9M Ri M 2ZiA0dnq3a0VtZG9zbkNYQnJzd3lw
[email protected] for a co py of the sample.
or you maY email us at
O. DAILY / WEEKTY TEACHING SCHEDULE (to be certified by the registrar / school officials concerned) Submit a certified true copy of the daily / weekly teaching schedule / program for the current school year including the administrative duties and other assignments being handled by the nominee, lf any. lndicate also the level of each subiect being taught (e.g, Grade 6, 4th year, undergraduate, or graduate) and the total no, of hours or units per subiect. lndicate your school's definition of full load. ANNEX
For Elementary and Secondary: The Teacher's Program should indicate the total number of HOURS per week. For Higher Education; Please submit the teaching schedules for the current school year, which should indicate the total number of UNITS/CONTACT HOURS per term. For those who are not able to teach in the 1st term of the current school year, please submit also the teaching schedule during summer of the previous school year. Submit also a certification summarizing the total no. of unit loads/contact hours for the whole academic year. This includes semestral, trimestral and summer of the previous schoolyear.
E. PERFORMANCE EVALUATION RATINGS (to be certifled by the registrar / school offlcials concerned) Submit only a one-page certification of the summary of performance evaluation/ratings obtained for the last ten (10) years, excluding the current school year. Please indicate both the numerical and the descriptive equiva,ent of the rating scale being used. For example, a ratiig of 85% means "Very Satisfactory" or (VS). For those on leave for a specific period, please obtain certification from head of school that nominee has been on study / official leave. Provide ratings of previous year/s to complete the LO years requirement. ANNEX
F. CERTIFICATION Of AWARD/S RECEIVED (to be certifled by award-giving body / school head) submit a certification of award/s for teachers received by the nominee at the regional/national/ international levels. ANNEX
G. PROFESSIONAL LICENSE (to be certified bythe schoot head) Submit a certified true copy of pRC l.D. or license as equivalent or relevant to your discipline. ANNCX
ANNEX H.
WRITE US: EMAIL US: CALL US:
CASE DETAItS
(failure to submit is a
nd for di
ualification
Metrobank Foundation Outstanding Filipinos Secretariat, 4 Phiti
Floor, Metrobank Plaza, Sen. Gil puyat Ave., Makati City,
ines 1200
outstandinefiliD inos.
[email protected]:
m bfi.sot @qmail.co m (02) 898-87s7; (0922) 803-3948; (09s6) 873-4684
Page 4
of 4
;:'),
lnstructions:
1. 2. 3. 4.
5.
Please fill out all information COMPLETETY. Use Black ink and print LEGIBLY or encode in the computer. Write N/A if necessary. Please read and follow instructions carefully. Please ensure to attach the required documents in this form (see last page). Submit ori8,nal copy of the nomination form through your nearest Metrobank Branch or via courier and addressed to MBFI-OF, Metrobank Foundation,4/F Executive Offices, Metrobank Plaza, Sen. Gil Puyat Ave., Makati City 1200. (Pleose moke sure to photocopy the occomplished nomination form ond ottoch this to the supporting documents)
Attach here your latest 2"x2" lD colored photo. lt must be front, lacial close-up, with your printed name & signature at the back of the photo.
This form can be photocopied/reproduced.
Category Joini
O O
O O
Elementary Primary Levels Elementary Intermediate Levels
High school Level
Higher Education / Graduate School
t. FullName: (Mr./Mrs./Ms./Dr.) (please encircle)
First Name
Middle Name
Last Name
Suffix
Home Address: Residence No
City/Municipality
Street
Subdivision/Districtf-own/Barangay
Province
Zip Code
Regioo
0ate of Eirth: Age
lmm/ddhy)
cender: EM O F
Civil Status:
Place
of Birth:
0 Single OMarried
Citizenshipi
Religion:
O Legally Separated A Others (pls. specify) Residence Phone No.:
Name of Spouse:
No. of Children:
Alternate
Active EmailAddress
il.
(Arco Code + IeEphone No.)
EmailAdd:
Personal Mobile No.:
INFORMATION TotalYears Teaching:
Date Entered Teaching:
Remaining Years in Service:
(Co n sol i dote d e x pe rie nce )
Current
Subject Specialization:
Rank:
(Teoching now)
Grade/Year Level being handled:
Current Position/ Designation:
School Name:
Complete School Mailing Address:
No./street
City/Municipality
District/Town/Barangay
Office Phone No.:
Office Fax No.:
larco code + Tetephone No.)
(Ateo Code
.
Region
Zip Code
Province
Office EmailAddress:
TeEphofle No.)
Your Schooli lnslilution's Oefinition of Full Load For Elementary and Secondary: indicate no. of hours per week For Higher Education. indicale no. of unit loads per tem or no. of contact hours per
tem
Your actual teaching load Ior school yeat 2016-2017
sor
Page
1of
4
sriAh(9 Fofl ou-ISlANt)lN6 -raaaHtR5 [4[T808AN(
t
0UNU^TTON ! tARCIIOn OUT5TAN0ING T[A(
lltl]5
p8()GRAr!4 PnnTNLnS
l"# At|* qv
in with the most recen
/
EDUCATION EARNED
MAJOR
(i.e. HS Grad, College Grad, etc)
SPECIALIZATION
NAME & ADDRESS OF SCHOOI.
INCLUSIVE
ACADEMIC
YEARS
DISTINCTIONS
tNctustvE
UNTTS EARNED
I
MAJOR
Courses/Degrees Beint Pursued
/
SP€CIALIZATION
NAME & ADDR€SS OF SCHOOL
/
STATUS
YEARS
write your pedormonce evoluotion/roting obtoined for the lost Ten (70) Yeo6
Numerical Rating I
Descriptive Equivalent
Have you joined the Search for Outstanding Teachers before?
EYE5 E
Have you been a Finalist of
EYEs tr No
No
tf Yes, in what year/s?
the Search for Outstanding Teachers?
lf Yes, in what year/s?
' Have you been CHARGED I
before vou ioined an
0
with any oi the following offenses at anv time
or durinq active in service?
Administrative
0
Status: O Case Dismissed O Pending
of any
i
ofthe following offenses
at
gly
time before vou ioined and/or during active in service?
E
civil O Criminal
YES
r
ri
Have you been CONVICIED
NO
Administrative
E
Civil
YES
status: O
Case
Q
Criminal
NO
Dismissed Q Pending
For nominees who havG been CHARGED or coNvlCTED wlth crimlnal, civll, or admlnlstrative offense, please submlt a short report which include the followlngi (Please submit a report even if the case has been dismissed or amicably settled) Hl
a) a. b) b. c) c. d) d. e) e.
Case number and nature of charge (libel, estafa, physical abuse, etc.) Date the charge was filed
[ANNEx
Where the charge was filed (City / Municipal / Regional Trial Court) Circumstances surrounding the complaint Status/Final Resolution (pending / on-going, amicably settled, dismissed, etc.)
Page 2 of 4
ThisistocertifythatlVoluntarilynominate-tothe2017MetrobankFoundation (nome of nominee) Outstanding Filiplnos [Search lor Outstandlng Teachers (SOT)1. 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 to help shape the future of our youth and ultimately contribute to national development.. SiSned this day
at
of Date{nm/dd/yy}
Printed Name and Slgnature of Nominator DesiBnation:
Affiliation
Complete Organization's Addressl Name of Building
City/Municipality
/
No.
Street
District/Town/Barangay
Province
Zip Code
ReBion
Personal Email
Office Phone No,: Personal Mobile No,
(Arco Cod. + Telephone No.l
Address:
This is to certify that I voluntarily submit myself to the rules of the Metrobank Foundation Outstanding Filipings [Search for Outstanding Teachers (sor)l I aEree to orovide the suooortinp documents should I oualifv for the ext Dhase of the Search or ll I am requested bv anv of the authotized replCge4allq slli glEllEqls ql![e search. I also certify that I am physically and mentally fit to undergo the evaluation process of the Search. Funher, I authorize the organizers of the Search or their designated aSent/s to validate the intormation, records, documents that I shall submit in relation to the nomination. ln this regard, I hereby exempt, discharge, release and free Metrobank, the Metrobank Foundation, lnc., their respective diredors/trustees, officers, employees, members and staff, affiliates and/or subsidiaries, and the judges of the Search, from any claim or llabllity arislng from my participatlon in the Search.
I hereby certify to the best of my knowledge and belief that all the information contained in this form is true and correct. I am aware that any willful misrepresentation or misdeclaration of facts or any untruthful statement or information stated herein shall be irsed as basls for my dlsqualification or the withdrawal of any award slot. I hereby commit that should I win in the Search, I wlll continue to pradice my teaching profes5lon in the Phlllpplnes for at least three {3) years Signed this day
of
at
Printed Name and Signature of Nominee
Ptease list down three (3) names of references NAME
that are not diredly related to the nominee.
POStTtON/ORGANIZATTON
ADORESS
MOBILE NUMBER
EMAIL ADDRESS
7.
2.
3.
Page 3 of 4
Pleose rcod cotefully ond comply on the needed documents if necessory
*
March 24,2017
Deadline for Submission of Nomination Form (OF-SOT Form No. 1)
May 10,2017
Deadline for submission of Supporting Documents of Eligible Nominees
May
Preliminary Judging
.l .! .l
July 2017
FinalJudganB
$
August 2017
Announcement of Winners
{.
September 2017
Awarding Ceremony
-
June 2017
I
ANNEX A. RECOMMENDATION (to be filled out and signed bythe nomin3tor) On a separate sheet, please explain why the nominee should receive the Metrobank Foundation Outstanding Filipinos-Search for Outstanding Teachers Award. Please touch on the following areas: personal character, instructional competence and teaching effectiveness, and professional and community involvement. Please cite specific examples.
I
ANNEX B. SUMMARY OF ACCOMPLISHMENTS A separate file with a listing of your accomplishments which can be downloaded from the MBFI SOT Facebook: facebook.co mbfi.so or website: httos:,//drive.soosle. co m/file/d/08748X u F u zH VGTVBG UiBtSEotTl k/view?u sp=sh arins or you may email us at
[email protected] for a copy of the template. ANNEX C. AFFIDAvIT OF UNDERTAXING (N otarized ) A samp lefileof theAFFlDAVlT can be downloaded from the MBFI SOTFacebook: https:1/www.facebook.com/mbfi.sot/ or website httDs://drive.eoosle.com/ooen?id=087 4 SXUFUz VGcF9M Ri M 2ZiAodnQ3a0VIZG9zbkNYQnJzd3lw or you may email us at
@for
a copy of the sample.
O. DAILY / WEEKTY TEACHING SCHEDULE (to be certified by the registrar,/ school offlcials concerned) Submit a certified true copy of the daily / weekly teaching schedule / program for the current school year including the administrative duties and other assignm€nts being handled by the nominee, if any. lndicate also the level of each subiect being taught (e.g. Grade 6, 4th year, undergraduate, or Sraduate) and the total no. of hours or units per subiect. lndicate your school's definition of full load. ANNEX
. .
For Elementary and Secondary: The Teacher's Program should indicate the total number of HOURS per week. For Higher Education: Please submit the teaching schedules for the current school year, which should indicate the total number of UNITS/CONTACI HOURS per term. For those who are not able to teach in the 1st term of the current school year, please submit also the teaching schedule during summer of the previous school year. Submit also a certification summarizing the total no. of unit loads/contact hours for the whole academic year. This includes semestral, trimestral and summer of the previous schoolyear.
E. PERFORMANCE EVALUATION RATINGS (to be certmed by the r€gistrar / school omcials concerned) Submit only a one-page cenification of the summary of performance evaluation/ratings obtained for the last ten (10) years, excluding the current school year. Please indicate both the numerical and the descriptive equivalent of the rating scale being used. For example, a ratiirg of 85% means "Very satisfactory" or (Vs). For those on leave for a specific period, please obtain certification from head of school that nominee has been on study / official leave. Provide ratings of previous year/s to complete the 10 years requirement. ANNEX
F. GERTIFICATION OF AwARo/S RECEIVED (to be certilied by award-giving body / school head) Submit a certificatlon of award/s for teachers received by the nominee at the regional/national/ international levels ANNEX
G. PROFESSIONAL LICENSE (to be certified by the school head) Submit a certified true copy of PRC l.D. or license as equivalent or relevant to your discipline
ANNEx
ANNEX H.
CASE DETAILS
failure to submit is
a
nd for d
alification
EMAII. US:
Metrobank Foundation Outstanding Filipinos Secretariat, 4 Floor, Metrobank Plaza, Sen. Gil puyat Ave., Makati City, Ph iti ines 1200 outstand insfllioinos.mbfi@ il,com mbfi.sot@ email.com
CALL US:
(02) 898-87s7; (o922) 803-39a8; (09s6) 873-4684
WRITE US:
Page
4 of4
