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ABOUTTHESEARCH

TheMetrobank Foundation Outstanding Filipinos - Search for Outstanding Teachers category bestows honorupontheteachingprofessionbyaccordingspecialrecognitiontoteacherswhomanifestprofoundcommitmenttothedevelopmentoftheyouththroughexemplarycompetence,effectiveeducational leadershipandcommunity impact. Itsingles out teachers who have made a significant contribution to national development by raising the quality ofeducation through their passionate commitment to teaching, effective and creative teaching strategies, and theiradmirable efforts towards creating impact and sustainable gains within their community, the school and beyond;therebyprovidingmodelsofexcellenceintheteachingprofession.

The Metrobank Foundation, Inc. believes that recognizing the outstanding qualities, achievements andcontributionsofteacherstonationaldevelopmentwill inspirecountlessotherteachersalloverthecountrytoachieveexcellenceinteaching.

Forthirtythreeyearsnow,theSearchisundertakenannuallybytheMetrobankFoundationinpartnershipwiththeDepartmentofEducation(DepEd)andtheCommissiononHigherEducation(CHED).Itissupportedbyschoolheadsofpublicandprivateelementary,secondaryandtertiaryinstitutionsinthecountry.

WHOAREELIGIBLETOJOIN?

Nomineesmust…1. be Filipino citizen teaching in the elementary, secondary or tertiary levels, including graduate school, alternative

learningsystem,withfull-timeorpermanentappointmentandwithfullteachingload.Note:Elementaryschoolsareentitledtonominatetwonominees,oneeachfortheprimary(kindertogradeIII)andintermediate(gradeIVtogradeVI)whilehighschoolsandhighereducationinstitutionareentitledtonominateonlyoneteachereach.

2. havebeenactively teaching in thePhilippines for the last10years (inclusiveof leavesnotexceeding threeyears,provided thenominee is not on leave, i.e., actually teaching at the timeof nomination).Moreover, thenomineemustnotbeonleaveformorethantwoyearsimmediatelypriortonominationandmuststillhaveatleast3yearsofremainingservicebeforeretirement.

3. havevalidPRClicense(fornomineesintheelementaryandsecondarylevelsonly)orhavethepertinentlicensefortertiary courses where a license is required in the exercise of the profession, e.g. Medical Doctors, Lawyers,Engineers,etc.

4. have attained performance ratings of at least Very Satisfactory for the last ten (10) years, with no rating belowSatisfactory.Forthosewhohavebeenonofficial/studyleaveoronsecondment,performanceratingsforten(10)yearsclosesttotheperiodofnominationshouldbeprovided.

5. have at least completed academic requirements for Masters’ Degree for both the elementary and secondarycompetitions.

6. must be a doctorate degree holder for the higher education competition. Research and Professional Doctoratedegree holders are eligible to join the Search. Applicants must have completed the terminal degree of theirdisciplineandprofession.

Thefollowingarealsoqualifiedtojoin,providedtheymeetspecificrequirements:1. Kindergarten teachers, provided that the kindergarten level is part of the integrated curriculum or part of an

elementaryschoolsystem.2. Deans,vice-deans,directors,chairpersonsofdepartments,subjectareacoordinators,assistantprincipals,teacher-

librarians, research or extension coordinators, head teachers, teachers-in-charge, guidance counselors,college/university teachers with research or extension assignments, and others carrying similar administrativepositions,providedtheycarryateachingloadwithinthemonthsofJanuarytoSeptember2017.

3. College/University teachers with a full teaching load/contact hours in the graduate school level during thenominationperiod.

WHOCANNOMINATE?

1. Principals, Teacher-in-Charge or Presidents of colleges/universities or Chancellors of autonomous campuses, areauthorized tonominate teachers to theSearch. Inaddition,upon invitation from theSearchSecretariat, selectedindividualsandreputableorganizationsmayalsonominateacandidateoftheirchoice.

2. OfficialnomineesintheElementary,SecondaryandHigherEducationcompetitionsofsatellitecampusesofprivatecollegesanduniversitiesandstateuniversitiesandcolleges(SUCs),whicharenotautonomous,maybeendorsedbytheCampusDirectorsorExecutiveDirectors,butthePresidentsarestilltheofficialnominators.

UpdatedJanuary30,2017

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3. For DepEd schools without principals, the Teacher-in-Charge can nominate, but the Principal who is officiallydesignatedmustendorsethenomination.

4. IfthenomineeistheTeacher-in-Chargehimself/herself,thePrincipalwhoisofficiallydesignatedfortheschoolshallendorsethenominationtotheSearchSecretariat.

CRITERIAFOREVALUATION

1. PersonalQualitiesandCharacterA. ModelofmoralityandintegritybothinpublicandprivatelifeB. Goodhumanrelationsintheschoolandinthecommunity

2. InstructionalCompetenceandTeachingEffectivenessA. Demonstratedcompetenceinteaching,asevidencedbythehighperformanceevaluation&rankobtainedasa

teacher/instructor/professorinthelast10yearsB. Instructionalmaterialsproducedandusedfortheimprovementofteachinginthelast10yearsC. Researchoutputsinthelast10yearsD. Originalcreativeoutputsinthelast10yearsE. Original,innovativeteachingapproaches/strategies/practicesinthelast10years

3. ProfessionalandCommunityContributionA. LeadershipinprofessionalorganizationsrelatedtoteachingB. Participationincommunityandcivicmovements/advocaciesC. Impactandsustainabilityofprofessionalorcommunitycontribution

WHERETOGETTHENOMINATIONFORM?

Joining the Search is easy! Candidates just need to accomplish theNOMINATION FORMONLINE and submithardcopyandannexesonorbeforeMarch24,2017toMetrobankFoundationIn.,4thFloor,ExecutiveOffices,Sen.GilPuyatAvenue,MakatiCityortothenearestMetrobankbranch. ThisformisnowavailableonlinethruourFacebookpage: www.facebook.com/mbfi.outstandingfilipinos. For areas requiring hardcopy of the nomination form, they areavailableattheofficeofMetrobankFoundation,Inc.andthedivision/regionalofficesoftheDepartmentofEducation(DepEd)andtheCommissiononHigherEducation(CHED).ThiscanalsobeaccessedordownloadedfromtheMBFISOTfacebookpageatwww.facebook.com/mbfi.sot.Onlinesubmissionsarestronglyencouragedforfasterassessmentandfeedback.http://www.facebook.com/mbfi.sot

Asthis isanewsearchforMETROBANKFOUNDATIONOUTSTANDINGFILIPINOS,allpastregionalandnationalSOTfinalistsmaynowjoin,subjecttotheeligibilityrequirements.http://www.facebook.com/mbfi.sot

PRIZES

Good News! Cash prize for each awardee has been increased to Php 1,000,000.00. The awardee will alsoreceiveamedalanda trophy,and theschool,aplaqueof recognition.NationalFinalistswill receiveP50,000.00 cashincentiveandacertificateofrecognition.

BREAKDOWNOFAWARDS

Therewill be four (4) awardees. TheMetrobank FoundationOutstanding Filipinos Final Board of JudgesmayelectnottogiveoutallawardsifthecandidatesfallshortofthestandardssetbytheBoard.ThedecisionoftheBoardofJudgesisfinal.TheBoardreservestherighttowithdrawanyawardatanytime,whenwarranted.

IMPORTANTDATESTOREMEMBER v March24,2017 DeadlineforsubmissionofNominationFormwithAnnexesv April-May2017 PreliminaryJudgingv May19,2017 DeadlineforsubmissionofSupportingDocumentsof2ndRoundQualifiersv July2017 FinalJudgingv August2017 AnnouncementofWinnersv September2017 AwardingCeremony

FORMOREDETAILS:WriteorcalltheMetrobankFoundationOffice,4thFloor,ExecutiveOffices,MetrobankPlaza,Sen.GilPuyatAvenue,MakatiCity,Philippines1200, with telephone nos. (02) 898-8898 or 857-8757; telefax no. (02) 818-5656; 750-0837; 945-7006; or e-mail us [email protected];orvisit:www.mbfoundation.org.ph;www.facebook.com/mbfi;www.facebook.com/mbfi.sot.

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CategoryJoiningin:(pleasecheckone)

❏ElementaryPrimaryLevels

❏ElementaryIntermediateLevels

❏HighSchoolLevel❏HigherEducation/GraduateSchool

I. PERSONALINFORMATION

FullName: (Mr./Mrs./Ms./Dr.)(pleaseencircle)FirstNameMiddleNameLastNameSuffix

HomeAddress: ResidenceNo.StreetSubdivision/District/Town/Barangay

City/MunicipalityProvinceZipCodeRegion

DateofBirth:(mm/dd/yy) Age: PlaceofBirth: Religion: Citizenship:

Gender: ❏M❏F CivilStatus:❏Single❏Married❏LegallySeparated❏Others(pls.specify)

NameofSpouse: No.ofChildren: ResidencePhoneNo.:(AreaCode+TelephoneNo.)

ActiveEmailAddress: AlternateEmailAdd: PersonalMobileNo.:

II. PROFESSIONALINFORMATION

DateEnteredTeaching: TotalYearsTeaching:(Consolidatedexperience)

RemainingYearsinService:(Before retirement)

CurrentRank:

SubjectSpecialization:(Teachingnow)

Grade/YearLevelbeinghandled:

CurrentPosition/Designation: SchoolName: CompleteSchoolMailingAddress: No./StreetDistrict/Town/Barangay

City/MunicipalityProvinceZipCodeRegionOfficePhoneNo.:(AreaCode+TelephoneNo.)

OfficeFaxNo.:(AreaCode+TelephoneNo.) OfficeEmailAddress:

Your School/Institution’s Definition of Full Load: ____________

For Elementary and Secondary: indicate no. of hours per week For Higher Education: indicate no. of unit loads per term or no. of contact hours per term

Your actual teaching load for school year 2016-2017: ____________

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Instructions:1. PleasefilloutallinformationCOMPLETELY.UseBlackinkandprintLEGIBLYorencodeinthe

computer.WriteN/Aifnecessary.2. Pleasereadandfollowinstructionscarefully.3. Pleaseensuretoattachtherequireddocumentsinthisform(seelastpage).4. SubmitoriginalcopyofthenominationformthroughyournearestMetrobankBranchorvia

courierandaddressedtoMBFI-OF,MetrobankFoundation,4/FExecutiveOffices,MetrobankPlaza,Sen.GilPuyatAve.,MakatiCity1200.(Pleasemakesuretophotocopytheaccomplishednominationformandattachthistothesupportingdocuments)

5. Thisformcanbephotocopied/reproduced.

Attach here your latest 2”x2” ID colored photo. It must be front, facial close-up, with your printed name & signature at the back of the photo.

OF – SOT Form No. 01

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III. EDUCATIONALBACKGROUND&ADVANCEMENT

(Beginwiththemostrecent)EDUCATIONEARNED

(i.e.HSGrad,CollegeGrad,etc)MAJOR/

SPECIALIZATIONNAME&ADDRESSOFSCHOOL INCLUSIVE

YEARSACADEMIC

DISTINCTIONS

Courses/DegreesBeingPursued MAJOR/SPECIALIZATION NAME&ADDRESSOFSCHOOL INCLUSIVE

YEARSUNITSEARNED/

STATUS

IV. PERFORMANCEEVALUATION

Writeyourperformanceevaluation/ratingobtainedforthelastTen(10)Years SY2006-

2007SY2007-2008

SY2008-2009

SY2009-2010

SY2010-2011

SY2011-2012

SY2012-2013

SY2013-2014

SY2014-2015

SY2015-2016

NumericalRating

DescriptiveEquivalent

V. COMPETITIONRECORD

HaveyoujoinedtheSearchforOutstandingTeachersbefore?

❏YES❏NOIfYes,inwhatyear/s?_______________________

HaveyoubeenaFinalistoftheSearchforOutstandingTeachers?

❏YES❏NOIfYes,inwhatyear/s?_______________________

VI. CRIMINAL,CIVIL&ADMINISTRATIVERECORD

HaveyoubeenCHARGEDwithanyofthefollowingoffensesatanytimebeforeyoujoinedand/orduringactiveinservice?

❏Administrative❏Civil❏Criminal____YES____NO

Status:❏CaseDismissed❏Pending

HaveyoubeenCONVICTEDofanyofthefollowingoffensesatanytimebeforeyoujoinedand/orduringactiveinservice?

❏Administrative❏Civil❏Criminal____YES____NO

Status:❏CaseDismissed❏Pending

FornomineeswhohavebeenCHARGEDorCONVICTEDwithcriminal,civil,oradministrativeoffense,pleasesubmitashortreportwhichincludethefollowing:(Pleasesubmitareportevenifthecasehasbeendismissedoramicablysettled)[ANNEXH]a) a. Casenumberandnatureofcharge(libel,estafa,physicalabuse,etc.)b) b. Datethechargewasfiledc) c. Wherethechargewasfiled(City/Municipal/RegionalTrialCourt)d) d. Circumstancessurroundingthecomplainte) e. Status/FinalResolution(pending/on-going,amicablysettled,dismissed,etc.)

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VII. NOMINATOR’SCERTIFICATION

ThisistocertifythatIvoluntarilynominate___________________________________________tothe2017MetrobankFoundation

(nameofnominee)OutstandingFilipinos[SearchforOutstandingTeachers(SOT)].Thisnominationisatributetohis/hertrackrecordofexcellenceintheteachingprofession and to his/her exemplary dedication to the call to help shape the future of our youth and ultimately contribute to nationaldevelopment..

Signedthisdayof at Date(mm/dd/yy) Place

PrintedNameandSignatureofNominator

Designation: Affiliation:

CompleteOrganization’sAddress: NameofBuilding/No.StreetDistrict/Town/Barangay

City/MunicipalityProvinceZipCodeRegion

OfficePhoneNo.:(AreaCode+TelephoneNo.) PersonalMobileNo.

PersonalEmailAddress:

VIII. NOMINEE’SCERTIFICATION

This is to certify that I voluntarily submitmyself to the rules of theMetrobank FoundationOutstanding Filipinos [Search forOutstanding Teachers(SOT)]. Iagreetoprovidethesupportingdocumentsshould IqualifyforthenextphaseoftheSearchor if IamrequestedbyanyoftheauthorizedrepresentativesoftheorganizersoftheSearch.IalsocertifythatIamphysicallyandmentallyfittoundergotheevaluationprocessoftheSearch.Further,IauthorizetheorganizersoftheSearchortheirdesignatedagent/stovalidatetheinformation,records,documentsthatIshallsubmitinrelationtothenomination.Inthisregard,Iherebyexempt,discharge, release and freeMetrobank, theMetrobank Foundation, Inc., their respective directors/trustees, officers, employees,members and staff,affiliatesand/orsubsidiaries,andthejudgesoftheSearch,fromanyclaimorliabilityarisingfrommyparticipationintheSearch.Iherebycertifytothebestofmyknowledgeandbeliefthatalltheinformationcontainedinthisformistrueandcorrect.Iamawarethatanywillfulmisrepresentationormisdeclarationoffactsoranyuntruthfulstatementorinformationstatedhereinshallbeusedasbasisformydisqualificationorthewithdrawalofanyawardslot.IherebycommitthatshouldIwinintheSearch,IwillcontinuetopracticemyteachingprofessioninthePhilippinesforatleastthree(3)years.

Signedthisdayof at Date(mm/dd/yy) Place

PrintedNameandSignatureofNominee

IX. CHARACTERREFERENCES

Pleaselistdownthree(3)namesofreferencesthatarenotdirectlyrelatedtothenominee.

NAME POSITION/ORGANIZATION ADDRESS MOBILENUMBER EMAILADDRESS

1.

2.

3.

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X. IMPORTANTREMINDERS

Pleasereadcarefullyandcomplyontheneededdocumentsifnecessary.

DATESTOREMEMBER

v March24,2017 DeadlineforSubmissionofNominationForm(OF-SOTFormNo.1)

v May10,2017 DeadlineforSubmissionofSupportingDocumentsofEligibleNominees

v May–June2017 PreliminaryJudging

v July2017 FinalJudging

v August2017 AnnouncementofWinners

v September2017 AwardingCeremony

IMPORTANTATTACHMENTS(pleaselabelproperly)ANNEXA. RECOMMENDATION(tobefilledoutandsignedbythenominator)Onaseparatesheet,pleaseexplainwhythenomineeshouldreceivetheMetrobankFoundationOutstandingFilipinos-SearchforOutstandingTeachersAward.Pleasetouchonthefollowingareas:personalcharacter,instructionalcompetenceandteachingeffectiveness,andprofessionalandcommunityinvolvement.Pleasecitespecificexamples.ANNEXB. SUMMARYOFACCOMPLISHMENTSAseparatefilewithalistingofyouraccomplishmentswhichcanbedownloadedfromtheMBFISOTFacebook:https://www.facebook.com/mbfi.sot/orwebsite:https://drive.google.com/file/d/0B748XuFuzHVGTVBGUjBtSE0tT1k/view?usp=sharingoryoumayemailusatoutstandingfilipinos.mbfi@gmail.comforacopyofthetemplate.ANNEXC. AFFIDAVITOFUNDERTAKING(Notarized)AsamplefileoftheAFFIDAVITcanbedownloadedfromtheMBFISOTFacebook:https://www.facebook.com/mbfi.sot/orwebsite:https://drive.google.com/open?id=0B748XuFuzHVGcF9MRjM2ZjA0dnQ3a0VtZG9zbkNYQnJzd3Iworyoumayemailusatoutstandingfilipinos.mbfi@gmail.comforacopyofthesample.ANNEXD. DAILY/WEEKLYTEACHINGSCHEDULE(tobecertifiedbytheregistrar/schoolofficialsconcerned)Submitacertifiedtruecopyofthedaily/weeklyteachingschedule/programforthecurrentschoolyearincludingtheadministrativedutiesandotherassignmentsbeinghandledbythenominee,ifany.Indicatealsothelevelofeachsubjectbeingtaught(e.g.Grade6,4thyear,undergraduate,orgraduate)andthetotalno.ofhoursorunitspersubject.Indicateyourschool’sdefinitionoffullload.

• ForElementaryandSecondary:TheTeacher’sProgramshouldindicatethetotalnumberofHOURSperweek.• ForHigherEducation:Pleasesubmittheteachingschedulesforthecurrentschoolyear,whichshouldindicatethetotalnumberof

UNITS/CONTACTHOURSperterm.Forthosewhoarenotabletoteachinthe1sttermofthecurrentschoolyear,pleasesubmitalsotheteachingscheduleduringsummerofthepreviousschoolyear.Submitalsoacertificationsummarizingthetotalno.ofunitloads/contacthoursforthewholeacademicyear.Thisincludessemestral,trimestralandsummerofthepreviousschoolyear.

ANNEXE. PERFORMANCEEVALUATIONRATINGS(tobecertifiedbytheregistrar/schoolofficialsconcerned)Submitonlyaone-pagecertificationofthesummaryofperformanceevaluation/ratingsobtainedforthelastten(10)years,excludingthecurrentschoolyear.Pleaseindicateboththenumericalandthedescriptiveequivalentoftheratingscalebeingused.Forexample,aratingof85%means“VerySatisfactory”or(VS).Forthoseonleaveforaspecificperiod,pleaseobtaincertificationfromheadofschoolthatnomineehasbeenonstudy/officialleave.Provideratingsofpreviousyear/stocompletethe10yearsrequirement.ANNEXF. CERTIFICATIONOFAWARD/SRECEIVED(tobecertifiedbyaward-givingbody/schoolhead)Submitacertificationofaward/sforteachersreceivedbythenomineeattheregional/national/internationallevels.ANNEXG. PROFESSIONALLICENSE(tobecertifiedbytheschoolhead)SubmitacertifiedtruecopyofPRCI.D.orlicenseasequivalentorrelevanttoyourdiscipline.ANNEXH. CASEDETAILS(failuretosubmitisagroundfordisqualification)

FAILURETOSUBMITWITHTHEATTACHMENTSMAYBEAGROUNDFORDISQUALIFICATION

FORFURTHERINQUIRIES

WRITEUS: MetrobankFoundationOutstandingFilipinosSecretariat,4thFloor,MetrobankPlaza,Sen.GilPuyatAve.,MakatiCity,Philippines1200

EMAILUS: [email protected];[email protected]

CALLUS: (02)898-8757;(0922)803-3948;(0956)873-4684

Metrobank Foundation Outstanding Filipinos [Search for Outstanding Teachers] ANNEX B: SUMMARY OF ACCOMPLISHMENTS

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I.INSTRUCTIONALCOMPETENCEANDTEACHINGEFFECTIVENESSA. INSTRUCTIONALMATERIALS

Enumeratetheinstructionalmaterialsproducedbythenomineeinthelasttenyears.Pleaseindicateifthesematerialsarebeingusedintheschool,district,college,etc.Includetitlesofbooks,referencematerials,manuals,workbooks,modules,evaluationinstruments,InformationTechnology(I.T.)materials,etc.Useadditionalsheetsifnecessary.Donotattachsupportingdocumentsyet.

TYPEOFMATERIAL TITLEWHERE/WHEN/HOWUSED

(National/Regional/Division/School)

B. RESEARCHANDCREATIVEOUTPUTS

Explainandgiverelevantdetailsofanyresearch(includingactionresearch),originalcreativeoutput(likepoems,shortstories,essays,featurearticles,scriptsetc.)andoriginalinnovativeteachingapproaches/strategies/practicesintroduced/produced/adoptedbythenominee.Includeonlythosethatwereproducedinthelasttenyears.ForC.1.toC.3.useadditionalsheetsifnecessary.Donotattachsupportingdocumentsyet.C.1.RESEARCH(Researchescarriedoutinearningacademicdegreesshouldnotbeincluded)

TITLEDETAILS/PARTICULARS

(toincludedateaccomplished;researchsponsor,ifany;journalwherepublished;nameandaddressofpublisher;anddateofpublication)

C.2.ORIGINALCREATIVEOUTPUTS

TYPEOFCREATIVEOUTPUT TITLE

DETAILS/PARTICULARS(toincludeanyoriginalcreativeoutputofateacher)

C.3.ORIGINALINNOVATIVETEACHINGAPPROACHES/PRACTICES/STRATEGIES

TITLEDETAILS/PARTICULARS

(toincludeoriginalinnovativeteachingapproaches/practices/strategiesthatimprovethequalityofinstruction)

C. INVOLVEMENTINCO-CURRICULARACTIVITIES

Otherthanteaching,enumeratethewaystheteacherwasinvolvedwithco-curricularactivitiesinthelasttenyears(e.g.,trainor,adviserofclubs,etc.).Useadditionalsheetsifnecessary.Donotattachsupportingdocumentsyet.

ROLE/DESIGNATION CLUB/ORGANIZATION

D. EDUCATIONALATTAINMENTANDPROFESSIONALADVANCEMENT1. Listdownparticipationinanyadvancedtraining,seminarsorworkshopsattendedinthelasttenyears(beginwithmostrecent).(e.g.,Internationally-

sponsoredtraining/sponsoredbythenationalgovernmentorprofessionalassociations/DepEd-approvedin-servicescholarshiportraining).Donotattachsupportingdocumentsyet.

ADVANCEDTRAININGSATTENDED(pleasespecifytitleoftraining)

ADMINISTERINGINSTITUTIONandPRESENTADDRESS

INCLUSIVEDATES

II.PROFESSIONALANDCOMMUNITYINVOLVEMENTA. ACTIVITIES

Whatprofessionalandcommunityactivitiesoutsideofteachinghastheteacherbeeninvolvedinwithinthelasttenyears?

1. ParticipationinTrainingPrograms(e.g.,Organizer/Consultant/Chair/Planner/Speaker/Facilitator/Reactor/EvaluatorinSeminarsand/or

TrainingPrograms)

1.a. PROFESSIONALSEMINAR/TRAINING

PROGRAMORGANIZATION

ROLE/POSITION

INCLUSIVEDATES

Metrobank Foundation Outstanding Filipinos [Search for Outstanding Teachers] ANNEX B: SUMMARY OF ACCOMPLISHMENTS

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1.b. COMMUNITYSEMINAR/TRAINING

PROGRAMORGANIZATION

ROLE/POSITION

INCLUSIVEDATES

2. LeadershipinProfessionalOrganizations(e.g.,PresidentofTeachers’Association)ORGANIZATION ROLE/POSITION INCLUSIVEDATES

3. ParticipationinCommunityandCivicMovements(e.g.PresidentofWomen’sLeague,Homeowners’AssociationorChairofaCommunityProject).

ORGANIZATION ROLE/POSITION INCLUSIVEDATES

B. PROFESSIONAL/COMMUNITYSERVICEAWARDS

Listdownmajorawardsreceivedbythenomineefromreputablegroupsandidentifylevel(e.g.,school,district,division,regional,national,internationaletc.).B.1. PROFESSIONAL(e.g.GawadGuro,PalancaAwardsforLiterature,ProfessorialChairsheld,ifany,etc.)NAMEOFAWARD/LEVEL AWARDEDBY DATEAWARDED

B.2. COMMUNITYSERVICE(e.g.,UlirangAmaorIna,ModelFamilyAward,etc.)

NAMEOFAWARD/LEVEL AWARDEDBY DATEAWARDED

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REPUBLIC OF THE PHILIPPINES ] _________________________ ] S.S.

AFFIDAVIT OF UNDERTAKING

I, __________________________________, of legal age, single/married/widow/separated, Filipino and residing at ______________________________________ after having been duly sworn to in accordance with law, do hereby depose and state that:

1. I am joining the 2017 Metrobank Foundation Outstanding Filipinos - Search for The Outstanding Teachers (SOT) and in connection therewith, I am submitting my duly accomplished nomination form and the required attachments;

2. I hereby attest to the best of my knowledge that all the information contained in the nomination

form and documents is true, accurate and correct;

3. I also affirm and attest that I am of good moral character and have not violated any laws of the land (including the Civil Code) at any time before or during the period I joined the teaching profession;

4. I have read and will abide by the rules, regulations and requirements governing the above-

mentioned competition;

5. I am aware that any willful misrepresentation or misdeclaration of facts stated herein or in the nomination form and/or supporting documents can be used as basis for my disqualification in the competition/Search; and

6. I am executing this affidavit to attest to the truth, veracity and validity of all the foregoing and to

certify, under oath, the authenticity of my records, under pain of perjury. FURTHER, AFFIANT SAYETH NAUGHT

___________________

Affiant

REPUBLIC OF THE PHILIPPINES ) S.S. SUBSCRIBED AND SWORN TO before me this ______________ day of ___________20_____, in ____________________ affiant exhibiting his/her Community Tax Certificate No. ______________________ Issued at _________________ on ________________, 20 _________