Requirements:

O Completely filled-up nomination form

O Team members’ Personal Data Sheet with passport size½” x(12”) taken within the last six months prior to the nomination.

O Documentation of accomplishments and results achieved (activity reports, minutes, mention in publications- print, social media, tv, etc)

O Endorsement from the office, provincial or regional director

O Other supporting documents (certification of recognitions, awards, etc)

MembersName of Team Members and Position/ Designation/ Contribution:

Region:

Landline Number:

Mobile Number:

Email address:

Nominator

Name of Nominator:

Signature:

Position:

Contact Details:

BUGKOS NG BAYAN (Most Outstanding Cluster, HUC and Province)

Team Assessment Form

Scope:

1. Context - The context needs to describe the circumstances that were of influence on the development, implementation and impact of the practice. This context is essential because it will explain if a practice could be applied in their own setting.

2. Level of Intervention - This describes at what level the practice or strategy has been carried out.

3. Beneficiaries users of the practice/strategies- This describes to whom the practice of strategy applies. This can be individuals, groups, organizations (NGOs, government) at different levels of intervention.

4. Problems addressed - Describe the problem that was addressed and that has instigated the practice. This section should be relatively short and not describe circumstances that led to the problems.

5. Purpose of Intervention - This describes the objectives and expected results from the practice or strategy.

6. Strategy of Implementation - This describes the strategies used in the implementation of the practice including sequence of activities taken by the different actors involved during the whole process of implementation. The description should be as concrete as possible. This can also include the overall process from the moment it was identified and the decision to address the problem was taken (e.g. priority setting, conceptualization, planning, implementation and monitoring)

Your answer for each criteria must not exceed 500 words and should cover:

O the circumstances (nature of the problem or objective) and impact (this should not be more than a brief sentence or two)

O behavioural evidence, i.e. what you actually did.

Site the Innovative systems and processes that enhanced the local governance experience in your respective areas of responsibility?

Resources required for the practice- This section has to cover:

O Skills required

O Infrastructure/materials required

O Financial resources

O Training required

O Human resources required

Results and impact - Mention results of the project here. These may include anticipated impacts (the goal to be reached), but also include not anticipated impacts that have occurred as a result of the practice.

Results and impact - Mention results of the project here. These may include anticipated impacts (the goal to be reached), but also include not anticipated impacts that have occurred as a result of the practice.

Critical Issues and Lessons Learnt- This provides reflection and analysis of the practice or strategy.

Scope:

1. Sustainability – ability and feasibility of practice to succeed; ease of replicability of practice to other units