Republic of the Philippines

Department of Education
REGION III – central luzon
SCHOOLS DIVISION OF TARLAC PROVINCE
STA. ROSA INTEGRATED SCHOOL – HIGH SCHOOL DEPARTMENT
STEADY READY ST., STA. ROSA, CONCEPCION, TARLAC

LEADERSHIP AWARD
DepEd Order No. 36, s.2016

Name of Candidate: __________________________________ Affiliation: ____________________

Grade and Section: ___________________________________ General Average: _____________

WEIGHT
CRITERIA
ADVISER PEER
1. Motivational Skills (40%) 24% 16%
a. Communication effectively
b. Shows initiative and responsibility
c. Engage group and/ or club mates to participate
14
actively
d. Establishes collaborative relationships
e. Resolve conflicts
2. Planning and Organizational Skills (40%) 24% 16%
a. Plans and designs relevant activities for the
class, club and/ or school
b. Implements planned activities effectively and
efficiently
c. Monitors implementation of plans and tasks
d. Manages and/ or uses resources wisely
3. Contribution to the School and/ or 12% 8%
Community (20%)
a. Renders service and/ or implements activities
relevant to the school population and/ or
community
TOTAL

GRAND TOTAL

___________________________________________
Signature over printed name
Adviser

Address: Steady Ready St., Sta. Rosa, Concepcion Tarlac

Telephone No.: (045) 606-3139
Email Address: 307020.starosais@deped.gov. ph
 Republic of the Philippines
Department of Education
REGION III – central luzon
SCHOOLS DIVISION OF TARLAC PROVINCE
STA. ROSA INTEGRATED SCHOOL – HIGH SCHOOL DEPARTMENT
STEADY READY ST., STA. ROSA, CONCEPCION, TARLAC

LEADERSHIP AWARD
DepEd Order No. 36, s.2016

Name of Candidate: __________________________________ Affiliation: ____________________

Grade and Section: ___________________________________ General Average: _____________

WEIGHT
CRITERIA
ADVISER PEER
1. Motivational Skills (40%) 24% 16%
a. Communication effectively
b. Shows initiative and responsibility
c. Engage group and/ or club mates to participate
actively
d. Establishes collaborative relationships
e. Resolve conflicts
2. Planning and Organizational Skills (40%) 24% 16%
a. Plans and designs relevant activities for the
class, club and/ or school
b. Implements planned activities effectively and
efficiently
c. Monitors implementation of plans and tasks
d. Manages and/ or uses resources wisely
3. Contribution to the School and/ or 12% 8%
Community (20%)
a. Renders service and/ or implements activities
relevant to the school population and/ or
community
TOTAL

GRAND TOTAL

___________________________________________
Signature over printed name
Peer

Address: Steady Ready St., Sta. Rosa, Concepcion Tarlac

Telephone No.: (045) 606-3139
Email Address: 307020.starosais@deped.gov. ph