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SUPPLEMENTARY INFORMATION SHEET TO ADM. ORDER NO.

171
INFORMATION SHEET CSC FORM 1 (1960) REVISED

Name: ZENAIDA G. SAN BUENAVENTURA Item No.


Position: Principal III Page:
Office: DEP.ED - Divisiion of Pasig City P. A.
Civil Service Eligibility: Salary Range:

Teacher Exam First Grade Exam

When Taken: October 26, 1969 August 18, 1974


Where Taken: Manila Manila

1. If degree is not fully earned, state no. of units taken


Degree and attached Transcript of Record

ED.D in Educational Management (Please see attached Transcript of Record)

2. Performance Rating: Last 3 years

2007-2008 - 9.43 - O ; 2008 - 2009 - 9.40 - O ; 2009 -2010 - 9.64 - O

3. In-Service Trainings:
Course Date & Hour Training Agency Conducting

Accreditation Program for Public Elementary Schools


12/09/2010 12/10/2010 16 DepEd/NCR
(APPES)
2010 PASS-NCR Education STAKEHOLDERS CONGRESS 10/12/2010 10/13/2010 16 DepEd/NCR/PASS

Phil. Elem. Schools Principals Association NCR- Forum 09/17/2010 8 PACESPA/NCR

2010 PASS-NCR Division Seminar on Disaster Preparedness 07/23/2010 8 Div. of Pasig City

Division Planning Workshop for the Adoption of BESRA


Implementation & Accountability Plan 2010-2012 - Certificate 06/07/2010 06/09/2010 24 Div. of Pasig City
of Completion
School Based Management Development Program 06/1/2010 06/02/2010 48 MMLDC
Commission for Family & Life
Subtle Attacks Against The Family Explained (SAFE) 05/15/2010 05/16/2010 16
(Archiocese of Manila)
Orientation on Communicating the DepEd Master Plan for
Basic Educ. & 2010 Div. Annual Plan for elem. & Secondary 01/08/2010 8 Div. of Pasig City
Levels

4. Scholarship, Training Grants, etc.


_________________________________________________________________________________________

KIND WHEN WHERE


DECS Integrated Scholarship Program April 21, 1997 to Philippine Normal College
in Evaluation of Learning Outcomes May 16, 1997

5. Outstanding Accomplishment Duly Commended:

DepEd NCR Reading Recovery Program - December 16 - DepEd NCR

N.B. Each candidate for appointment or promotion shall accomplish this Supplementary Information Sheet
as well as the Information Sheet for Purposes of Administrative Order No. 171 and C.S. Form 11
(1960). Revised irrespective of the position and range to which be / she being Considered for
appointment or promotion

ZENAIDA G. SAN BUENAVENTURA


Signature of Employee
DUTIES AND RESPONSIBILITIES
1. Supervises and directs all school teaching and non-teaching personnel
2. Manages instructional system
3. Sets up goals and objectives
4. Leads and implements educational programs
5. Organizes and conducts INSETs
6. Promotes and coordinates services for the holistic development of school personnel and pupils
7. Directs, coordinates and manages school funds according to prioritized needs
8. Assigns teachers where they best fit to teach (grades, learning areas, special assignments, etc.)
9. Requests and distributes instructional materials
10. Initiates and compiles teachers professional documents in portfolios
11. Practices equitable distribution of teaching loads and observes teacher-learner ratio
12. Inspects regularly Daily Lesson Logs (DLL)
13. Monitors teachers upkeep of students records
14. Provides EPA compliant accommodation to learners amidst shortages
15. Prepares/consolidates reports
16. Rates all school personnel performance and recommends promotion
17. Creates committee to assess learning outcomes
18. Establishes linkages with stakeholders
19. Ensures compliance to existing laws, policies and orders of fund raising projects for the school
20. Evaluates the school plant, physical facilities fitness, safety and sufficiency with the assistance of specialists
21. Formulates intervention programs/innovations for learners development
22. Organizes special classes for learners with special needs
23. Meets parents regularly to confer/inform about school accomplishments
24. Determines the strengths, weaknesses, opportunities and threats of the school
25. Designs programs with stakeholders to address school needs
26. Recognizes accomplishments of stakeholders
27. Promotes welfare of stakeholders
28. Mediates and ensures resolution of conflicts in school
29. Formulates school policies with stakeholders
30. Harnesses participation of alumni and other organizations (NGOs, LGUs, PPP)
31. Promotes school discipline with stakeholders
32. Leads the preparation of SIP/AIP and ensures participation of stakeholders
nel and pupils

nments, etc.)

for the school


he assistance of specialists
INFORMATION SHEET REQUIRED FOR
PURPOSE OF ADM. ORDER NO. 171, JANUARY 17, 1956

1. Name: SAN BUENAVENTURA ZENAIDA GONZALES Civil Status: Single


(Family Name) (Given Name) (Middle Name)

2. City: 7188 Jennys Ave. 4F2 Eusebio Provincial Address: Lagundi, Morong, Rizal
Bliss Vill., Maybunga, Pasig City
3. Birthdate: 7/29/1948 Place: Morong, Rizal

4. Nearest Relative: Eiffel SJ. San Buenaventura Relationship: Niece

5. Civil Service Eligibility:

Name of Examination Rating Date

Teacher Examination 70% October 26, 1969


First Grade Examination 75% August 18, 1974

6. Educational Attainment College/University Date

BSEEd PNC 1969


MA in Guidance MLQU 1989
ED.D inEducational Management-Academic Req. MLQU 1992

7. Board Examination Passed, if any:

Name of Examination Rating Date


N/A N/A N/A

8. Technical Training, if any:

Management Training

9. Special Knowledge, if any: Gardening, Computer

10. Record of Services in the government (Include date of original appointment as well as subsequent ones, including
the last promotion)

Date Bureau of Office Position Annual Salary Nature of Work Performed

Please see attached Service Records

11. Brief but concise statement of your present duties:


Attends to the Administrative and Supervisory functions.
Conduct meetings, conferences, seminars, attending meetings, seminars-workshops,
conferences inherent to the position.
Maintenace of the school plant & facilities.

12. Experience outside the government, if any:

NONE
13. In what particular line of services can you be the most useful?

Administration and Supervision of an Elementary School

14. Are you related to anybody in the office in which the position you aspire for belongs? If so, state the degree of
relationship.
No

15. Have you been accused or convicted in the court of any crime or are there any criminal or administrative case
filed against you in the court of any government agency? If so, give particulars:

No

16. Have you been retired under any retirement law or separated from the service?

No

17. Reference: Give names, address and occupation of the reliable persons (not related to you who could vouch for
integrity and honesty).

Dr. Florentina R. Lizano SDS Div. of Pasig City


Mrs. Myrsna J. Hipolito Supervisor Div. of Pasig City
Ms. Divina B. Gearlan Coordinating Principal Nagpayong Elementary School

I hereby certify under oath that the foregoing statements are true and correct.

Date: ZENAIDA G. SAN BUENAVENTURA


Signature of Employee

SUBSCRIBED AND SWORN to before me this day of ,


2011 at , attiant exhibiting to me her
Residence Certificate No. issued at on
____________________ .

BENJAMIN C. JACOSALEM
Administrative Officer V
REPUBLIC OF THE PHILIPPINES 1. NAME OF EMPLOYEE
BC-CSC Form No. 1 :
ALBAY REGINA RAYMUNDO
: (Family Name/Given Name/Middle Name)

2. Department, Corporation or Agency :3. Bureau or Office


Local Government
Department of Education Bureau of Elementary Education

4. Department/Branch/Division :5. Work Station/Place of Work

Division of Pasig City BUTING Elementary School

6a. Pres. Approp. : 6b. Prev. Approp. :7a. Salary 7b. Other Compensation

ACT ACT
Board Res. Board Res. : Authorized
Ord. No. Ord. No.
Item No. Item No. : Actual

8. Official Designation or Position :9. Working or Proposed title

MASTER TEACHER 2 PRINCIPAL 1

10. WAPCO Classification of Position :11. Occupation Group Title

12. For Local Government Position, Check Government Unit and Unit's Class

MUNICIPALITY ( ) CITY (X ) PROVINCE ( )


1st ( ) 2nd ( ) 3rd ( ) 4th ( ) 5th ( ) 6th ( ) 7th ( )

13. Statement of Duties and Responsibilities. (If more space is needed please attach additional sheets.)

Percent DUTIES

1. Supervises and directs all school teaching and non-teaching personnel


2. Manages instructional system
3. Sets up goals and objectives
4. Leads and implements educational programs
5. Organizes and conducts INSETs
6. Promotes and coordinates services for the holistic development of school personnel and pupils
7. Directs, coordinates and manages school funds according to prioritized needs
8. Assigns teachers where they best fit to teach (grades, learning areas, special assignments, etc.)
9. Requests and distributes instructional materials
10. Initiates and compiles teachers professional documents in portfolios
11. Practices equitable distribution of teaching loads and observes teacher-learner ratio
12. Inspects regularly Daily Lesson Logs (DLL)
13. Monitors teachers upkeep of students records
14. Provides EPA compliant accommodation to learners amidst shortages
15. Prepares/consolidates reports
16. Rates all school personnel performance and recommends promotion
14. Position Title of Immediate Supervisor :15. Position of Next Higher Supervisor

CEAZAR S. GONZALES ARNIEL D. ARO


PSDS ASDS

16. Names, Titles and Item Nos. of those you Directly Supervise
28 TEACHERS , 14 UTILITY WORKERS INCLUDING GUARDS

17. Contacts :18. Working Condition


Occasional Frequent : Normal Working Condition ( )
General Public ( ) ( / ) : Field Work ( )
Other Agencies ( / ) ( ) : Field Trips ( )
Supervisors ( ) (/ ) : Exposed to various Weathe ( )
Managements (/ ) ( ) : Others (Specify) ( )
Others ( ) ( )

19. I CERTIFY that the above answers are accurate and complete.

JULY 25,2017 REGINA R. ALBAY


Date Signature of Employee

To Be Filled Out By Immediate Supervisor

20. Describe briefly the general function of the unit or section.

21. Describe briefly the general functions of the position.

22a. Indicate the required qualification by years and kind of Education considered
in filling up a vacancy for the position. (Keep the position in mind rather than
the qualifications of the present incumbent. This item should be filled for all
position other than teaching).

Education:

Education:

22b. License or Certificate required to do this work, if any.

23. I hereby CERTIFY that the above answers are accurate and complete.

JULY 25,2017 CEAZAR S. GONZALES


Date Signature of Immediate Supervisor

24. APPROVED:

JULY 27,2017 Dr. DOMINICO C. IDANAN


Date SCHOOLS DIVISION SUPERINTENDENT

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