NOMINATION FORM

INSTRUCTION:

This FORM shall be filled out by the NOMINATOR and submitted to the Division
Selection Committee in not more twenty (20) pages, including attachments.

PART I: BASIC INFORMATION

N O M I N E E‘ S I N F O R M A T I O N
EDISON TAGARDA DAHANG
Name of the NOMINEE: _________________________________________________________________

May 1, 1967
Date of Birth: ____________________________ Salay, Misamis Oriental
Place of Birth: _______________________________

Administrative Assistant II Baliwagan NHS

Position: ________________________________ School/District: ______________________________

Cogon, Balingasag, Misamis Oriental

Mailing Address: _______________________________________________________________________

NOMINATOR‘S INFORMATION
MARILYN A. ABAN
Name of NOMINATOR: __________________________________________________________________

School Principal III

Position/Title: ___________________________ Head
Relation to the NOMINEE: _______________________

Dampil, Lagonglong, Misamis Oriental

Mailing Address: _______________________________________________________________________

09253800665 Marilyn.aban@deped.gov.ph
Contact Number: ________________________ Email: _______________________________________

Signature of the NOMINATOR/Date: _______________________________________________________

More than 10 years

How long have you known the NOMINEE? __________________________________________________

When he was hired in DepED on December 1, 2004

If yes, by whom and when? ______________________________________________________________

PART II: ABSTRACT OF NOMINEE’S ACCOMPLISHMENT

INSTRUCTION:

1. Please list and describe two (2) most outstanding accomplishments/contributions of the
nominees in the last three (3) years

1. Updated submition of Liquidation Reports.

Preparation of reports, Records keeping and Maintain the cleanliness of the
District Office. In-charge in preparation all SEF budget and to follow-up
documents. Member of the Local SEF- Balingasag, Misamis Oriental.
 2. SPORTS DEVELOPMENT
Coach, Officiating Officials, Members of Balingasag Sports Association,
Member of Samahan ng mgaBasketbolista ng Pilipinas (SBP).

2. Why would you consider each of the above accomplishments REMARKABLE and WORTHY of
recognition in the search?

Accomplishment # 1
He prepared monthly reports and all other reports required by the Division Office and
submitted reports before the due date. He updated records and kept orderly. He maintained
the cleanliness of the District Office. He extended assistance to teachers in preparing
requirements of their promotion, ERF, Leave of absence and Retirement. In addition to his
duties, he is in-charge of preparing cash advance and liquidation of SEF. He is also a member
of Local School Board (Non-Teaching Representative) in our Municipality.

Accomplishment # 2
He participated in all sports activities in DepEd and in the community. He is a Coach in
Basketball (Elem-Boys) in District Meet, Unit Meet and Provincial Meet. He is also an
Officiating Official in Regional Meet. He is a Head Coach in the 1 st Congressional District of
Inter-Municipal League- Unabia Cup.

3. Describe the IMPACT of each accomplishment. (What problems/need each of his/her

accomplishment addressed/solved/minimized? How did it improved the school’s performance?
What was the condition before the NOMINEE/s intervention? How did it result to higher level of
organizational performance/productivity/efficiency/effectiveness? How did it enhance policy-
making and governance? How much savings/income generated?)

Accomplishment # 1
Balingasag North District is classified as large district within Misamis Oriental. Serving
204 teachers in the District is quite difficult but he showed dedication to his work. He
prepared all reports – complete, accurate and organized. He was able to maintain the
cleanliness of the District Office. He reported to duty before the official time and even
rendered services beyond official time.

Accomplishment # 2
As a coach, he showed expertise in sports. He shared his skills to the school children
by conducting Basketball Sports Clinic during his free time and/or Saturdays. He tried his best
by all means just to impart his knowledge. He even used his personal money to purchase
some basketball equipments for the training.

4. What was the distinct/critical ROLE performed by the NOMINEE in carrying out each
accomplishment? (How would the outcome be different without the NOMINEE’s participation?)

Accomplishment # 1
Without him all reports cannot be submitted and records are not organized. The
District Office would not be maintained clean and orderly. We therefore, need his services.

Accomplishment # 2
Some of his athletes were selected to higher meet and some participated in any
Basketball League. Others were also taken by some schools and universities as Varsity
Players. I therefore conclude that he is part of their success.
 5. Would you consider the NOMINEE’s accomplishment sustainable? Why?

Accomplishment # 1
His accomplishment is sustainable because he is a hardworking employee. Love of his
work is his priority.

Accomplishment # 2
His accomplishment in Sports is sustainable because he inspired more to see his
athletes who are now successful players.

PART III: DESCRIPTION of the NOMINEE’S PERSONAL ATTRIBUTES

1. What other awards, recognition and citations received by the NOMINEE?
School: ________________________________________________________________
District: _______________________________________________________________
Division: Most Outstanding Non-Teaching Personnel 2006/__________________
Most Outstanding Non-Teaching Personnel 2014 _____
Region: ____________________________________________________________
National: ___________________________________________________________
International: _______________________________________________________

2. How would you describe the traits of the NOMINEE?

As a Leader: He showed himself as an example of hardworking employee

________________________________________________________________________

As a MEMBER of the community: He is responsible and cooperative.

________________________________________________________________________

As a FAMILY MEMBER (if information is available): He is loving, responsible and

God-fearing

3. How as the NOMINEE been described or is regarded by his/her peers in the school/district and
stakeholders?
He is doing his duties and responsibilities towards his peers with utmost respect.

__________________________________________________________________

4. How would you describe the NOMINEE’s integrity?

He is fair and honest in doing his duties.

__________________________________________________________________
__________________________________________________________________

5. Other information that demonstrate NOMINEE’s ability in leading people, driving results,
optimizing resources, building coalitions/linkages.
He has the ability to communicate to people and visitors for the welfare to everyone.

__________________________________________________________________
PART IV: LIST OF REFERENCES
INSTRUCTION:

Please list TWO REFERENCES who are very familiar with the NOMINEES’s accomplishments/contribution
and personal attributes. Include their Name, Position, Affiliation/Organization, Address, Telephone, Fax,
Mobile Numbers, and email address.

1. Mrs. Beatriz E. Acdal -------- Schools District Supervisor

Balingasag South Districtl
Balingasag, Misamis Oriental
Cell# 09177946147

2. Hon. John Romualdo -------- Sangguniang Bayan Member

Committee on Sports
Balingasag, Misamis Oriental
09175441530

I attest to the COMPLETENESS, TRUTHFULNESS and ACCURACY of all facts and claims stated herein.

DAYLINDA O. VEQUEZO 11/13/15

Signature over Printed Name of the NOMINATOR/date

For more information on the Search, please contact Dr. Rhodora L. Gallares or to download this form and other
related materials, go to www.depedmisor.net.