ANNEX A

R&R Form 1 (Nomination Form)

RO 7 PASIDUNGOG SEARCH

Individual Category:
Nominee (First Name, Middle Initial, Last Name)
: Signature:
JAYVEE T. MONTECILLO

Position (per Service Record): Gender: FEMALE Age:

TEACHER I 27

Status of Appointment (per Service Record):

Date of Birth: FEB. 20, 1997
PERMANENT

Telephone/Cellphone Nos(Active Contact

Place of Birth: TUBURAN CEBU
Details): 09385984113

Residence Address: UPPER CASILI ,MANDAUE

CITY

Level of Position:
☐ 1st Level ☐ 2nd Level. ☐ 3rd Level Group Category:
OUTSTANDING TEACHER
(SDS/ASDS)

☐ Teaching Related☐ Non-teaching ☐ Nominee: CASILI ELEMENTARY

Teaching SCHOOL/SDO MANDAUE CITY

Email address: Size(small, medium, large…):

jayvee.montecillo@deped.gov.ph MEDIUM

SCHOOL HEAD

Name: QQUEENIE O. CACANOG Position: Principal III

Office/Office Address: CASILI ELEMENTARY SCHOOL, CASILI,MANDAUE CITY

Telephone/Cellphone Nos. 09175820604 Email Address:

qqueenie.cacanog@deped.gov.ph

DIVISION/AGENCY HEAD

Name: BIANITO A. DAGATAN EdD, CESO V Position: Schools Division

Superintendent

Office/Office Address: MANDAUE CITY

Telephone/Cellphone Nos. (Active Contact Details): 09156042067

Email Address:bianitodagatan@gmail.com

NOMINATOR

Name: ROGELIO I. GARBO EdD Position: PSDS-WEST II DISTRICT

Office: DIVISION OF MANDAUE CITY Telephone/Cellphone Nos.:

Office Address: CENTRO, MANDAUE Email Address:

CITY rogelio.garbo@deped.gov.ph

Additional Information about the Nominee:

Were you a previous PASIDUNGOG Nominee? ☐ Yes ☐ No What year:

_____ What Award Category: _____

Were you a previous PASIDUNGOG Semi-finalist? ☐ Yes ☐ No What

year: _____ What Award Category: _____

Were you a previous PASIDUNGOG Awardee? ☐ Yes ☐ No What

year: _____ What Award Category: _____
ANNEX B
R & R Form 2 (Nomination Write-up for all Categories)
Nomination Write-up:

(Minimum of 250 words and Maximum of 500 words, A4 size bond paper, Arial #12 font, including executive
summary)

Name of Nominee (Individual Category) : (Group Category): OUTSTANDING TEACHER

JAYVEE T. MONTECILLO (Medium Category)

Position: TEACHER I Name of School/SDO: CASILI ELEMENTARY

SCHOOL

Length of Service in the Position: 3 YEARS Head of Office: QQUEENIE O. CACANOG

in Government:

I. Executive Summary

For the past three years, Jayvee Montecillo has shown exceptional
teaching skills as a dedicated teacher at Casili Elementary School. Her student-
centered approach addresses each child's unique needs. Jayvee goes beyond
classroom duties, investing extra time in preparing lessons that inspire a lifelong
love of learning.

Jayvee Montecillo has built strong relationships with parents and

stakeholders through excellent communication, earning their trust and respect.
She consistently excels in her duties, receiving recognition for her exceptional
work. Using modern, interdisciplinary methods, she equips students with critical
thinking, creativity, and problem-solving skills.

Casili Elementary School has been significantly impacted by Jayvee

Montecillo's accomplishments. She has brought honor to the school by excelling in
district teaching demos and winning honors for ongoing improvement efforts. She
is well-liked for her compassionate and efficient teaching style. Her passion and
adaptability demonstrate her outstanding contributions to the school community.

II. Exemplary Conduct Demonstrated in the Past Three Years

Jayvee Montecillo, a dedicated teacher at Casili Elementary School, has

consistently demonstrated an exceptional and effective teaching attitude. Over her
three years at the school, she has established herself as a beacon of child-
centered education. Jayvee's unique teaching techniques focus on the individual
needs of each student, ensuring that every child receives the attention and support
they need to thrive academically and personally.

Her commitment to her students goes beyond the classroom. Jayvee is

known for her tireless efforts to provide the best possible education, often spending
extra hours preparing lessons and activities that engage and inspire her learners.
Her approach is not just about imparting knowledge; it is about fostering a love for
learning that will last a lifetime.

Communication is one of Jayvee's strongest skills. She has built strong

relationships with parents and stakeholders, creating an open and supportive
community around her classroom. This has been instrumental in her success, as it
ensures that everyone involved in her students' education is working together
towards common goals. Her ability to listen, understand, and respond to the
concerns of parents has earned her their trust and respect.

In addition to her teaching duties, Jayvee has taken on various tasks and
responsibilities at Casili Elementary School. Each task she undertakes is
completed with excellence, earning her recognition and praise. She has been
acknowledged for her outstanding work, often being cited as the best in her role.

Jayvee employs modern and effective teaching methods, integrating

multiple disciplines into her lessons to provide a holistic education. Her innovative
approach ensures that students are not only learning core subjects but also
developing critical thinking, creativity, and problem-solving skills. This
multidisciplinary integration prepares students for the complexities of the modern
world, equipping them with the tools they need to succeed.

In her three years at Casili Elementary School, Jayvee Montecillo has

made a significant impact. Her competence as a teacher, combined with her
dedication and innovative methods, has greatly contributed to the school's success.
Jayvee's passion for teaching and her unwavering commitment to her students
exemplify the qualities of an outstanding educator. She is a valued member of
Casili Elementary School and a role model for her peers.

III. Impact of Accomplishments (Indicate problems addressed, savings generated, people/office

benefited and transactions facilitated. Indicate whether or not the accomplishments are part of the nominee’s
regular functions/mandated or the product of his/her/their own initiative. If part of nominee’s regular duties or
mandated, justify why the accomplishments are considered exemplary or extraordinary)

Jayvee Montecillo has made a significant impact at Casili Elementary

School through her dedication and achievements. Recognized as an effecient
teacher, she has excelled in district teaching demonstrations, showcasing her
skills and innovative methods. Her success extends beyond the classroom, as she
has won several awards in continuous improvement projects, highlighting her
commitment to enhancing educational practices.

Jayvee's participation in various contests has brought pride to Casili

Elementary School. She consistently performs well, often winning these
competitions and setting a high standard for others to follow. Her active
involvement in co-curricular activities, especially community work, further
demonstrates her dedication to her students and the broader community.

Parents and stakeholders regularly provide positive feedback about

Jayvee's teaching and her ability to handle children with care and expertise. Her
versatility and talent are evident in her ability to engage students and create a
supportive learning environment. Jayvee has also attended numerous training
sessions, continually applying new knowledge and techniques to benefit her
students.

IV. Other Information (Major Awards/Citations Received/Membership in the Organization)

Awards and Citations:

1. COACH OF THE 3rd PLACE WINNER- DSPC
2. TEACHER’S NITE 1st PLACE WINNER 2024- West II District
3. CHRISTMAS CAROLING CONTEST 1ST PLACE WINNER 2023
4. BEST PRESENTER – West II Elementary School’s CIP Symposium
5. FIRST PLACE WINNER –Declamation Contest 2022 Education Week
6. LAC DEMONSTRATOR- West II Elementary School’s LAC SESSION
 7. COACH OF THE 1ST PLACE WINNER- West II Declamation Contest 2021
8. THIRD PRIZE Winner – T-shirt Design Making Contest WOMEN’S MONTH

CERTIFICATION
We/I attest to all facts contained herein and authorize the use of this information for
publication. We understand that the Committee on Awards will validate the accuracy of the
information contained in this form and grant our consent to the conduct of a background
investigation. Any misrepresentation made by the signatories shall be a ground for
disciplinary action pursuant to applicable Civil Service laws and rules and DepEd RO VII
Rewards & Recognition Policy.

Printed Name and Signature:

JAYVEE T. MONTECILLO ROGELIO I. GARBO EdD

CASILI ELEMENTARY SCHOOL Nominator
Nominee

DANILO G. GUDELOSAO EdD, CESO VI BIANITO A. DAGATAN EdD, CESO V

PRAISE Committee/ Highest HRMO Division Office Head
ANNEX C
R & R Form 3 (Omnibus Certification for Individual & Group Categories)

OMNIBUS CERTIFICATION OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, JAYVEE T. MONTECILLO, Filipino, of legal age, with permanent address at

MANDAUE CITY, after being sworn in accordance with law, hereby depose and state that:
1. I am applying for OUTSTANDING TEACHER (MEDIUM) CATEGORY at Mandaue
City Division, Mandaue City; Name of Category Name of School /Division

Address of School/Division

2. I have submitted the following documents:

1. Fully accomplished Rewards and Recognition Forms
1.1. Nomination Form (Form 1)
1.2. Nominee’s Write-ups on the Highlight of Accomplishments
(Form 2)
2. Updated PDS with passport size (1 ½”x 2) photo with name tag taken within
the last six (6) months prior to the nomination.
3. Endorsement letter from the Schools Division Superintendent/Chairperson
of the Division PRAISE Committee or its equivalent, that the nomination has
undergone deliberation by the Committee.
4. Certification of No Unliquidated Cash Advances signed under oath by the
agency’s Financial Officer/Accountant and Certification of No Disallowances
issued by the COA Resident Auditor for previous accountabilities as of
December 31, 2023. In case of existing unliquidated cash advance and
disallowance, a certificate of the status of such financial obligation shall be
issued by the COA Resident Auditor.
5. Certificate of no pending administrative/civil/criminal case;
6. Updated service record duly certified by the agency’s Human Resource
Management Officer (HRMO).
7. Performance Rating for the last three (3) performance rating periods prior
to the nomination.
3. I am executing this Certification to attest to the authenticity and veracity of all
documents submitted.
4. By executing this Omnibus Certification of Authenticity and Veracity of
Documents, I hereby authorize the Department of Education, Division of
Mandaue City, to verify the authenticity of the above-mentioned documents.

JAYVEE T. MONTECILLO
Signature over printed name

July 17, 2024

Date

SUBSCRIBED AND SWORN to before me in City/Municipality Mandaue City this _____ day
of __________, 20___, affiant exhibiting to me his/her Community Tax Certificate No.
________ issued on ______________ at ________________, Philippines.
__________________________
Notary Public