= Dep. 4 ELEAS® DEC 22 2023 Tae Republic of she Blips Department of Education "PROS SECTION REGION Il - CENTRAL LUZON SCHOOLS DIVISION OFFICE OF NUEVAECIA 15 December 2023 masons To: “FIRST DIVISION YOUTH CONGRESS: BUILDING SERVANT LEADERS THROUGH COLLABORATIVE JOURNEY TOWARDS 4MS (MAKA-DIYOS, MAKATAO, MAKA- ‘KALIKASAN AT MAKA-BANSA)” Chiefs of Division, CID and SGOD Pulls Blesosiars and Setoniny School Heads All Others Concerned. 1. SDO Nueva Ecija through SGOD- Youth Formation Unit will conduct the “First Division 2. The Objectives of this congress: a To cultivate a deeper understanding of servant leadership among the youth, emphasizing the values of selflessness and empathy in leadership roles. b. To promote collaborative efforts in addressing societal issues through the lens of Maka-Diyos, Makatao, Maka-balikasan, and Make-Bansa, as pillars for sustainable development and nation-building. ¢. To provide a platiorm for youth leaders to exchange ideas, best practices, and success stories in implementing programs and initiatives that alien with the 4Ms framework. 4d. To inspire and empower the youth to actively contribute to the betterment of their communities, guided by the principles of servant leadership and the 4Me (Maka-Diyos, Makatao, Maka-kalikasan at Maka-Bansa) 3. The participants in this activity are all Secondary School SSLG President, Secondary YES-0 President, BKD President, and one (1) School SSLG Teacher Adviser. (Wiote that if an SEG Teacher Adviser is not available, « representative from the Teacher Adviser of YES-O or BED may participate) total of Four (4) Participants per Secondary Schools}. 4. Attached herewith are the selected Technical Working Group (TWG) and learmers Participants and Parental Consent form. 5. Travel expenses of learner participants and teacher adviser representatives shall be chargeable DepED MATATAG ‘against the school MOOE in accordance with accounting and auditing rules and ‘Address: Brgy. Rizal, Santa Roza, Nueva Ecija 3101 ‘Telephone No.: (044) 9403121. Email: [email protected] Facebook Page: DepEd S00 Nueva Ecija Webpage: ww depedne.net.ph6. Thic Memorandum alse serves ac a Travel Authority of the participants 7. For inquiries, please coordinate with the Youth Formation Unit through the Division Youth Formation Coordinator, Ms. Sherry Anne R. Palasigue on 0946-659-0684. 8, Immediate dissemination and strict compliance of this memorandum is desired. Schoola Bivision Superintendent, Engr. EDGARD C, Te PhD, = Bek se staat ‘To be inchaded in the Perpetual Index ‘Under the flowing subjects: [STUDENT GOVERNMENT! 9 /SAP 12-20-2003,‘SELECTED TECHNICAL WORKING GROUP (TWG) AND LEARNERS’ PARTICIPANTS. ‘Schools, Name Penaranda NHS [JULIET 5. ASTILLAZO [Nueva Beija High Schools FRANZ JEWEL ANGELES [Nueva Beija High Schools [JONNAH YSABELLE SY Zaragoza NHS [Br Jose Lapaz NHS Falavera SHS [ino F. Bernardo NHS PIA A. SALES. [REND Y & PONTIGON [TIM SEAN AMARU M.ABRENICA [AIRA MOLINA, Vicente & Bumanlag sy NHS [ALVIN 5 DETERA Zaragoza NHS (SSLG) IROSELYN G. HERNANDEZ Zaracoza NHS (BED) PHILLIP ARMAND G. LAJOM. Talavera SHS [Carmen NHS BERNARD ©. RAMOS Lino P. Bernardo NHS [JOHN KEVIN D. TOONG Pulo NHS [CATHERINE C. DEL MUNDO (Calaba NHS FIDEZ B. CASTILLO MARIA GEAH M.MANG AY-AYAM Exequiel R. Lina HS [GIRLIE H. VALEROSO Lambakin NHS Bicos NHS. NORMAN REGALA Risal NHS IMYRA DE GUZMAN [Caranglan NES IBHON -BHON C. AGCAOILE [Cuyano NHS IMARK JOSEPH SUBA [ARIES R_ BAUTISTA Penaranda NHS IMARITTES A. PADILLA Macabaclay NHS IDONALYN G. URAGA Huario ©. Hermoca MHS [ROSALIE F. MANIAGO Nueva Beija High School IRODOLFO E. MATA, [San Mariano NHS. HERWIN M.MANABAT Palayan City [KRISTINE G.SARENO Marawa HS IRACQUEL C. SALOBERES: Zacarias C.Aquilican HS [ROWENA A_UCOL Dy. Jose Lapus HS [ANA AILEEN A_ CONCEPCION Dr. Jose Lapus HS [HELEN MARIE 5.GALANG Exequiel Lina HS FRANZ EMMANUEL M. ESPIRITU [HANNAH BIANCA M. ILANO IRAICA MEL G. CORPUZ, [VALERIE I MARIANO. Bartolome Sanggalang NHS SS aE aiSrs ae oe aR or Talavera SHS [EUNICE PAMELA DELA CRUZ Penaranda NHS [JOHN RENZO CARLOS, Zaracoza NHS [ALIAH FAYE GUERRERO Zaragoza NHS IREIANNE THERESE G. YUSON Dy. Jose Lapus IKHLOE S.GALANG, [Carmen NHS. INCEMI IGNACIO ACOSTA (Gen. Lune NHS Vicente & Bumanlag Sr NW Hilario © Hermosa MHS [JHILLIAN PEARL LANORIO [CATHERINE D_CONSTANTING: [GEMARIE A. GALLARDO.PARENTAL CONSENT AND WAIVER FORM (English Version) L as the parent or legal guardian of, hereby acknowledge that I have been informed of the details of the conduct of the face-to-face “FIRST DIVISION YOUTH CONGRESS with the theme Building Servant Leaders Through Collaborative Journey Towards 4Ms (Maka-Diyos, Makatao, Maka-Kalikasan At Maka-Bansaj’ that will be held on 27 December 2023 at Concuslo Hotel, Filipino & Chinese Restaurant, Mshsslilea Hi- ‘Way, San Mariano, Santa Rosa, Nueva Ecija from 8:00 am to 5.00 pm. I understand that the Schools Division Office of Nueva through the Schools Governance and Operation Division -Youth Formation Unit of the Department of Education shall implement the minimum public health standards set by the government to minimize the risk of the spread of COVID-19, but it cannot guarantee that my child will not become infected with COWID-19 given that it is highly contagious. Tunderstand that my child's in-person attendance in the event will include associating with teachers, fellow learners and school personnel, and other persons inside and outside of the school that may put my child at risk of COVID-19 transmission, notwithstanding the precautions undertaken by the implementing team. Voluntary Participation Tacknowiedge that my child’s participation in this activity is completely voluntary. My child may decline to participate or withdraw from participation at any time for any reason. Declining or withdrawal of participation will not result in any penalty or loss of benefits or reduction of any basic right to which my child is entitled. While there remains the risk of possible COVID-19 transmission to my child/ren, and to the members of my household, I freely assume the said risk and I permit my child/ren to attend this activity. Exclusion (Limitations/Ineligibility) Tam aware thet symptoms of COVID-19 include, but are not limited to, fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, the new Joss of taste or smell, sore throat, congestion or runny nose, nausea, vomiting, and diarrhea. Tconfirm that my child currently has none of those symptoms and is in good health. I will not allow my child to physically goto the event if my child or any member of my household develops any of the said symptoms or any other symptoms of illness that may or may not be related to ‘COVID-19. I will also inform the school and not allow my child to attend the event if my child or any of my household members tests positive for COVID-19. My child/ren and I, with my household members, will follow the required health and safety protocols and procedures adopted by the school and community. Documentation T confirm that I give full permission in any recording or picture taken of my child during the ‘conduct of this event and to use some or all of my child’s images/ contribution/ performance in any publication (including electronic publications such as film or website) created by or for the SGOD-YFD and to release this material to DepEd official platforms. ‘Confidentiality Iam aware that any information that will be given during the activity will be kept strictly confidential, and personal information will be treated in accordance with the Data Privacy Act of 2012. Iam accured that the information about my child will not be chared outside of the implementation team. My child's name will not be used when data from this activity is analyzed.