Annex A

Enclosure 1. Summary of Elections and Appointment Procedures

Election Procedures

No. Process Timeline Documents needed:

a. Establishment of the School’s Learner School Memorandum

Government COMEA:
1. Identification of Commissioners A week after the issuance Resolution (Encl. 3)
1
2. Composition of Committees of this Memorandum Notice of Meeting (Encl. 4)
b. Identification of modality and schedule of
election activities Minutes of the Meeting (Encl. 5)

a. Election Application Form (Encl. 6)

b. Introductory Profile (Encl. 7.1)
Application Period: Submission of required
2 c. Certificate of Good Moral
forms and documents
d. Photocopy of School Form 9
(Learner’s Progress Report Card)

3 Screening Process Screening Form (Encl. 8.1)

4 Posting of Official List of Candidates Resolution (Encl. 3)

Resolution (Encl. 3)
Campaign Period: Setting of campaign The duration of each
5 Notice of Meeting (Encl. 4)
modality and guidelines process shall be
determined by the LG Minutes of the Meeting (Encl. 5)
COMEA. It must be
ensured that the schedule
Pre-election: is compliant with the
allotted period to conduct a. Resolution (Encl. 3)
a. Identification of polling precincts b. Poll Watcher Authorization Form
6 b. Authorization of Poll Watchers the LG Elections.
(Encl. 9)
c. Preparation of ballots, master list of c. Sample Ballot (Encl. 10)
voters, and displayed list of candidates

Post-election:
a. Election Tabulation Form (Encl. 11)
7 a. Tabulation of votes b. Election Canvass Form (Encl. 12)
b. Canvassing of votes

8 Issuance of Official Results of Winners Registry of Elected Officers (Encl. 13)

9 Oath Taking Ceremony Oath of Office (Encl. 14)

Appointment Procedures
No Process Timeline Documents needed:

a. Establishment of the School’s Learner School Memorandum

Government COMEA: A week after the Resolution (Encl. 3)
1 1. Identification of Commissioners issuance of this
2. Composition of Committees memorandum Notice of Meeting (Encl. 4)
b. Appointment Guidelines Minutes of the Meeting (Encl. 5)

2 Nomination Period Nomination Form (Encl. 15)

Consolidation of submitted nomination forms;

3 Communication for Nominee (Encl. 16)
Informing the nominated learners

a. Certificate of Good Moral

b. Photocopy of School Form 9 [Learner’s
4 Submission of Required Documents
Progress Report Card]
The duration of each c. Introductory Profile (Encl. 7.2)
process shall be
determined by the LG
5 Screening Process COMEA. It must be Screening Form (Encl. 8.2)
ensured that the
schedule is compliant
with the allotted period Registry of Qualified Nominees
6 Shortlisting of Learners for Appointment to conduct the LG
(Encl. 17)
Elections.

Informing the shortlisted learners about their Communication for Appointee

7
appointment (Encl. 18)

8 Accomplishment of Appointment Form Appointment Form (Encl. 19)

9 Proclamation and Oath Taking Ceremony Oath of Office (Encl. 14)

Grievance Procedures

No Process Timeline Documents needed:

1 Filing of Complaint Grievance Form (Encl. 20)

The duration shall be

Informing the Respondent and Concerned determined by LG
2 Communication for Respondent (Encl. 21)
parties (Teacher, Parent, etc.) COMEA, provided that
all complaints shall be
resolved before the
proclamation of the new Notice of Meeting (Encl. 4)
3 Investigation/Deliberation
set of Learner Minutes of the Meeting (Encl. 5)
Government Officers.

4 Final Verdict Resolution (Encl. 3)

 Enclosure 2.

A. Tabular Summary of Grade Level Qualifications

SCHOOL CLASSIFICATION
ELECTIVE POSITIONS
SMALL MEDIUM LARGE MEGA

A. ELEMENTARY LEVEL (with Grade 3 – 6)

A.1. President One (1) incoming Gr. 5 or 6 One (1) incoming Gr. 5 or 6 One (1) incoming Gr. 5 or 6 One (1) incoming Gr. 5 or 6
A.2. Vice President One (1) incoming Gr. 5 or 6 One (1) incoming Gr. 5 or 6 One (1) incoming Gr. 5 or 6 One (1) incoming Gr. 5 or 6
A.3. Secretary One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6
A.4. Treasurer One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6
A.5. Auditor One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6
A.6. Public Information Officer One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6
A.7. Protocol Officer One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6 One (1) incoming Gr. 3, 4, 5 or 6
A.8. Grade Level Representatives One (1) incoming Gr. 6 One (1) incoming Gr. 6 Two (2) incoming Gr. 6 Two (2) incoming Gr. 6
(for SELG/SSLG only) One (1) incoming Gr. 5 One (1) incoming Gr. 5 Two (2) incoming Gr. 5 Two (2) incoming Gr. 5
One (1) incoming Gr. 4 One (1) incoming Gr. 4 Two (2) incoming Gr. 4 Two (2) incoming Gr. 4
One (1) incoming Gr. 3 One (1) incoming Gr. 3 One (1) incoming Gr. 3 Two (2) incoming Gr. 3

TOTAL 11 11 14 15

B. JUNIOR HIGH (Grade 7 – 10)

B.1. President One (1) incoming Gr. 9 or 10 One (1) incoming Gr. 9 or 10 One (1) incoming Gr. 9 or 10 One (1) incoming Gr. 9 or 10
B.2. Vice President One (1) incoming Gr. 9 or 10 One (1) incoming Gr. 9 or 10 One (1) incoming Gr. 9 or 10 One (1) incoming Gr. 9 or 10
B.3. Secretary One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10
B.4. Treasurer One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10
B.5. Auditor One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10
B.6. Public Information Officer One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10
B.7. Protocol Officer One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10 One (1) incoming Gr. 8, 9 or 10
B.8. Grade Level Representatives One (1) incoming Gr. 10 One (1) incoming Gr. 10 Two (2) incoming Gr. 10 Two (2) incoming Gr. 10
(for SELG/SSLG only) One (1) incoming Gr. 9 One (1) incoming Gr. 9 Two (2) incoming Gr. 9 Two (2) incoming Gr. 9
One (1) incoming Gr. 8 One (1) incoming Gr. 8 Two (2) incoming Gr. 8 Two (2) incoming Gr. 8
**One (1) incoming Gr. 7 **One (1) incoming Gr. 7 **Two (2) incoming Gr. 7 **Two (2) incoming Gr. 7

TOTAL 11 11 15 15

C. INTEGRATED HIGH (Grade 7 – 12)

 SCHOOL CLASSIFICATION
ELECTIVE POSITIONS
SMALL MEDIUM LARGE MEGA

C.1. President One (1) incoming Gr. 11 or 12 One (1) incoming Gr. 11 or 12 One (1) incoming Gr. 11 or 12 One (1) incoming Gr. 11 or 12
C.2. Vice President One (1) incoming Gr. 11 or 12 One (1) incoming Gr. 11 or 12 One (1) incoming Gr. 11 or 12 One (1) incoming Gr. 11 or 12
C.3. Secretary One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12
C.4. Treasurer One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12
C.5. Auditor One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12
C.6. Public Information Officer One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12
C.7. Protocol Officer One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12 One (1) incoming Gr. 8, 9, 10, 11 or 12
C.8. Grade Level Representatives One (1) incoming Gr. 12 One (1) incoming Gr. 12 Two (2) incoming Gr. 12 Two (2) incoming Gr. 12
(for SELG/SSLG only) One (1) incoming Gr. 11 One (1) incoming Gr. 11 Two (2) incoming Gr. 11 Two (2) incoming Gr. 11
One (1) incoming Gr. 10 One (1) incoming Gr. 10 Two (2) incoming Gr. 10 Two (2) incoming Gr. 10
One (1) incoming Gr. 9 One (1) incoming Gr. 9 Two (2) incoming Gr. 9 Two (2) incoming Gr. 9
One (1) incoming Gr. 8 One (1) incoming Gr. 8 Two (2) incoming Gr. 8 Two (2) incoming Gr. 8
**One (1) incoming Gr. 7 **One (1) incoming Gr. 7 **Two (2) incoming Gr. 7 **Two (2) incoming Gr. 7
TOTAL 13 13 19 19
D. STAND-ALONE SENIOR HIGH (Grade 11 – 12)
D.1. President One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.2. Vice President One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.3. Secretary One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.4. Treasurer One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.5. Auditor One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.6. Public Information Officer One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.7. Protocol Officer One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12 One (1) incoming Gr. 12
D.8. Grade Level Representatives One (1) incoming Gr. 12 One (1) incoming Gr. 12 Two (2) incoming Gr. 12 Two (2) incoming Gr. 12
(for SELG/SSLG only) **One (1) incoming Gr. 11 **One (1) incoming Gr. 11 **Two (2) incoming Gr. 11 **Two (2) incoming Gr. 11

TOTAL 9 9 11 11
**Subject for special election in the opening of classes within the Grade level ONLY
B. Tabular Summary of Eligible Voters per Elective Position
 SCHOOL CLASSIFICATION
ELECTIVE POSITIONS
SMALL MEDIUM LARGE MEGA

A. ELEMENTARY LEVEL (with Grade 3 – 6)

 SCHOOL CLASSIFICATION
ELECTIVE POSITIONS
SMALL MEDIUM LARGE MEGA

A.1. President Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.2. Vice President Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.3. Secretary Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.4. Treasurer Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.5. Auditor Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.6. Public Information Officer Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.7. Protocol Officer Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners Incoming Gr. 3, 4, 5 and 6 learners
A.8. Grade Level Representatives Incoming Gr. 6 learners Incoming Gr. 6 learners Incoming Gr. 6 learners Incoming Gr. 6 learners
(for SELG/SSLG only) Incoming Gr. 5 learners Incoming Gr. 5 learners Incoming Gr. 5 learners Incoming Gr. 5 learners
Incoming Gr. 4 learners Incoming Gr. 4 learners Incoming Gr. 4 learners Incoming Gr. 4 learners
**Incoming Gr. 3 learners **Incoming Gr. 3 learners **Incoming Gr. 3 learners **Incoming Gr. 3 learners

TOTAL 11 11 14 15

B. JUNIOR HIGH (Grade 7 – 10)

B.1. President Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.2. Vice President Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.3. Secretary Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.4. Treasurer Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.5. Auditor Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.6. Public Information Officer Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.7. Protocol Officer Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners Incoming Gr. 8, 9, and 10 learners
B.8. Grade Level Representatives Incoming Gr. 10 learners Incoming Gr. 10 learners Incoming Gr. 10 learners Incoming Gr. 10 learners
(for SELG/SSLG only) Incoming Gr. 9 learners Incoming Gr. 9 learners Incoming Gr. 9 learners Incoming Gr. 9 learners
Incoming Gr. 8 learners Incoming Gr. 8 learners Incoming Gr. 8 learners Incoming Gr. 8 learners
**Incoming Gr. 7 learners **Incoming Gr. 7 learners **Incoming Gr. 7 learners **Incoming Gr. 7 learners

TOTAL 11 11 15 15

C. INTEGRATED HIGH (Grade 7 – 12)

C.1. President Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
C.2. Vice President Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
C.3. Secretary Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
C.4. Treasurer Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
C.5. Auditor Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
 SCHOOL CLASSIFICATION
ELECTIVE POSITIONS
SMALL MEDIUM LARGE MEGA

C.6. Public Information Officer Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
C.7. Protocol Officer Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners Incoming Gr. 8, 9. 10, 11 and 12 learners
C.8. Grade Level Representatives Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
(for SELG/SSLG only) Incoming Gr. 11 learners Incoming Gr. 11 learners Incoming Gr. 11 learners Incoming Gr. 11 learners
Incoming Gr. 10 learners Incoming Gr. 10 learners Incoming Gr. 10 learners Incoming Gr. 10 learners
Incoming Gr. 9 learners Incoming Gr. 9 learners Incoming Gr. 9 learners Incoming Gr. 9 learners
Incoming Gr. 8 learners Incoming Gr. 8 learners Incoming Gr. 8 learners Incoming Gr. 8 learners
**Incoming Gr. 7 learners **Incoming Gr. 7 learners **Incoming Gr. 7 learners **Incoming Gr. 7 learners
TOTAL 13 13 19 19
D. STAND-ALONE SENIOR HIGH (Grade 11 – 12)
D.1. President Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.2. Vice President Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.3. Secretary Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.4. Treasurer Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.5. Auditor Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.6. Public Information Officer Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.7. Protocol Officer Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
D.8. Grade Level Representatives Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners Incoming Gr. 12 learners
(for SELG/SSLG only) **Incoming Gr. 11 learners **Incoming Gr. 11 learners **Incoming Gr. 11 learners **Incoming Gr. 11 learners

TOTAL 9 9 11 11
**Subject for special election in the opening of classes within the Grade level ONLY
 Enclosure 3. Resolution

RESOLUTION NO. _______

A RESOLUTION ______________________________________________
(Subject of the Resolution)

WHEREAS, (Provide the legal basis to support the content of the resolution.)
Ex. The Supreme Secondary Learner Government (SSLG) of [Name of School]
recognizes the importance of representative leadership in promoting the interests
and welfare of the learners;

WHEREAS, (Provide the details of the agreement of the body)

Ex. The election of learner government members is an important part of the
democratic process and provides an opportunity for learner to participate in the
governance of the school;

WHEREAS, (Provide a concluding statement and approval of the body)

Ex. The candidates for the Supreme Learner Government have demonstrated their
commitment to serving the student body and have presented their platforms and
ideas for improving learners’ life;

NOW, THEREFORE, BE IT RESOLVED AS IT IS HEREBY RESOLVED, (Restating

the agreement and approval)
Ex. That the Supreme Secondary Learner Government (SSLG) elections shall be
held on [Date] in accordance with the procedures and guidelines established by the
Learner Government COMEA Commissioner;

RESOLVED FURTHER (Additional considerations for the agreements)

Ex: That the Learner Government COMEA Commissioner on Electoral Board shall
oversee the election process and ensure that all candidates are afforded equal
opportunities to present their platforms of government and ideas to their fellow
learners;

RESOLVED FURTHER (Additional considerations for the agreements)

Ex. That the Learner Government COMEA Commissioner on Electoral Board shall
announce the results of the elections to the learner government body, as soon as
possible after the elections have concluded and shall work with the newly elected
learner government leaders, and members to implement their initiatives and
programs for the betterment of the learner government body.

Resolved UNANIMOUSLY this ________ of ____________ at

_____________________________.

I HEREBY CERTIFY the correctness of the above-quoted resolution.

_____________________________________________
Commissioner on _____________________

_____________________________ _____________________________
Commissioner/Member Commissioner/Member

_____________________________ _____________________________
Commissioner/Member Commissioner/Member
________________________________
Chief Commissioner
 Enclosure 4. Notice of Meeting

NOTICE OF MEETING

TO : NAME/COMMITTEE
Designation
Learner Government COMEA

FROM : NAME
Designation
Learner Government COMEA

SUBJECT : TITLE

VENUE : Location of the Meeting

(e.g. Learner Government COMEA Conference Room)

DATE : DD MM YYYY

TIME : HH:MM a.m./p.m.

AGENDA : (1)
(2)
 MINUTES OF THE MEETING
Enclosure 5. Minutes of the Meeting

Subject:

Venue:

Actual Time Started:

Date:
Actual Time Ended:

1.
Agenda: 2.
3.

Attendees
(may add rows if necessary)

Name Designation Committee

Meeting Highlights
(may add rows if necessary)

Agenda Discussion points Agreements

Attachment/s: Notice of Meeting and Photos as Means of Verification (MOV)

Prepared by:

SIGNATURE OVER PRINTED NAME

Designation
Learner Government COMEA

Noted by:

SIGNATURE OVER PRINTED NAME

Chief Commissioner
Learner Government COMEA
 Enclosure 6. Election Application Form

ELECTION APPLICATION FORM

The Learner Government Program embodies the ideals, principles,

and practices of participatory democracy. It represents and steers
the learner towards the fulfillment of LG Program goals promoting
learners’ rights and welfare. As a learner government leader, this
Election Application Form is a statement of your best knowledge
and understanding of a position you are applying for.
Place your
Instruction: Please supply the information requested in the 2X2 Picture Here
space provided.

I. PROFILE
Learner’s Name: ______________________________________________
(Surname, Given Name, Middle
Name, & Extension Name e.g., Jr., I, II…)
Grade Level: __________________________________________________
Elective Position Applied: ____________________________________
Party Affiliation (if applicable): ___________________
Gender: Age: Date of Birth:
Email Address: Mobile No.: Landline:
Home Address:
II. LEARNER’S ACADEMIC AND BEHAVIORAL STATUS
1. Has no failing grades in all subject areas Yes No

Attested by:
Class Adviser Name & Signature Date:
2. Is of good moral character Yes No

Attested by: EsP/Guidance Coordinator Name

Date:
& Signature
Kindly attach a photocopy of your School Form 9 [Learner’s Progress Report Card and Certificate of Good Moral.
III. PARENTAL CONSENT
I, _______________________________________________ as a parent/ guardian of
__________________________________________________ will support his/her commitment to the Learner
Government to the best of my ability.

I am allowing him/her to participate in the programs, projects, and activities of the

Supreme Learner Government.

I agree and understand the commitment of my son/daughter and will support his/her
endeavor to the Supreme Learner Government.

_____________________________________________ ______________________________
Name and Signature of the Parent/Guardian Contact Number
IV. CERTIFICATION

I am filing this Election Application Form of the Supreme Learner Government for the
school year ________________.
I hereby certify that the facts stated herein are true and correct to the best of my
knowledge.
_______________________________________________________
Signature of Candidate over Printed Name

Verified by: Approved by:

___________________________________________ ____________________________________
Screening and Validation Commissioner LG COMEA Chief Commissioner
 Enclosure 7.1 Introductory Profile for Elementary
Level

Date: ______________ Date: _______________

INTRODUCTORY PROFILE FOR ELEMENTARY LEVEL

DISCLAIMER: This form, which contains the introductory profile of the learner shall be utilized by Learner
Government COMEA for election purposes in the Supreme Learner Government. This also informs the concerned
learner that this form shall be published, posted, or disseminated in any form or format, whichever is deemed
appropriate. By signing this form, the concerned learner gives his/her consent to utilize all information herein by
the LG COMEA.

The following statements serve as your profile showing your interest and
uniqueness that allow you to share your clear understanding about what you can do
as part of the Learner Government.

I _____________________________________________ from _____________________ running

(Surname, Given Name, Middle Initial) (Grade Level and Section)
for __________________.
(Position)

Instruction: Complete the following statements.

1. My hobby/hobbies is/are
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________

2. My ambition/s is/are
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________

3. As a learner, I can develop a learner-friendly and motivating environment by

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________________
 Enclosure 7.2 Introductory Profile for Secondary
Level

INTRODUCTORY PROFILE FOR SECONDARY LEVEL

DISCLAIMER: This form, which contains the introductory profile of the learner shall be utilized by Learner
Government COMEA for election purposes in the Supreme Learner Government. This also informs the concerned
learner that this form shall be published, posted, or disseminated in any form or format, whichever is deemed
appropriate. By signing this form, the concerned learner gives his/her consent to utilize all information herein by
the LG COMEA.

The following statements serve as your profile showing your interest and
uniqueness that allow you to share your clear understanding about what you can do
as part of the Learner Government.

I _____________________________________________ from _____________________ running

(Surname, Given Name, Middle Initial) (Grade Level and Section)
for __________________.
(Position)

General Guide Questions for All Candidates

Instruction: Answer the following questions.

Personal Leadership

1. What qualities do you possess as an aspiring student leader?

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Organizational Leadership

2. Check (/) the organizational skills that are applicable to you as an aspiring
leader and why.

( ) Motivation ( ) Problem Solving ( ) Values-Oriented

( ) Communication ( ) Goal-Oriented ( ) Service-Oriented

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Public Leadership

3. What is your vision of the Learner Government in 3 years’ time?

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
 Enclosure 8.1 Screening Form [Election]

SCREENING FORM [Election]

(Note: This Screening Form shall be accomplished by the Screening and Validation Committee.)

Name of Learner:
__________________________________________________________________
Grade Level & Section: __________________________
Position: ________________________________

Direction: Please check the appropriate box to determine if the aspiring candidate
possesses all the qualifications to be elected as a Learner Government Officer.

DESCRIPTION REMARKS

Required Documents Yes No

1. The learner completely fills out the
Election Application Form (Encl. 6) and
submits it on or before the deadline
2. The learner submits the following documents.
a. Introductory Profile (Encl. 7)
b. Photocopy of School Form 9
[Learner’s Progress Report Card]
c. Certificate of Good Moral
Qualifications
1. The learner is enrolled in the current
school year.
2. He/She has no failing grades in all
subject areas.
3. He/She is of good moral character.
4. The grade level of the aspiring candidate
is appropriate to the requirement of the
desired elective position. (Refer to Encl.
2.)

With all the required documents submitted by the aspiring candidate, the Learner
Government COMEA hereby declares him/her _____ QUALIFIED _____ NOT
QUALIFIED to run for the elections.

Verified by:

____________________________________________________

Commissioner on Screening and Validation

 Enclosure 8.2 Screening Form
[Appointment]
Date: ___________________

SCREENING FORM [Appointment]

(Note: This Screening Form shall be accomplished by the Screening and Validation Committee.)

Name of Learner:
__________________________________________________________________
Grade Level & Section: __________________________
Position: ________________________________

Direction: Please check the appropriate box to determine if the possible appointee
possesses all the qualifications to be appointed as a Learner Government Officer.

DESCRIPTION REMARKS

Required Documents Yes No

1. The learner has been nominated through
a Nomination Form (Encl. 15).
2. The possible appointee has submitted
the Nomination Reply Slip (Encl. 16) to
the LG COMEA.
3. The learner has submitted the following documents.
a. Introductory Profile (Enc. 7)
b. Photocopy of School Form 9
[Learner’s Progress Report Card]
c. Certificate of Good Moral
Qualifications Yes No
1. The learner has been enrolled in the
current school year.
2. He/She has no failing grades in all
subject areas.
3. He/She is of good moral character.
4. The grade level of the aspiring candidate
is appropriate to the requirement of the
desired elective position. (refer to Encl.
2)

With all the required documents submitted by the possible appointee, the Learner
Government COMEA hereby declares him/her _____ QUALIFIED _____ NOT
QUALIFIED to be appointed.

Verified by:
 ____________________________________________________
Enclosure 9. Poll Watcher Authorization Form
Commissioner on Screening and Validation

Date: ___________________
POLL WATCHER AUTHORIZATION FORM

(Authorization form for poll watchers is a document that allows designated learners
to serve as poll watchers during an election.)

I,_______________________________________________(insert name), authorize the

following individuals to act as poll watchers on my behalf during
the___________________________________ (insert name of school) Learner Government
Election on__________________________________________ [insert date]:

1. Name: _____________________________________________
Grade Level & Section: ______________________________ Age: ______ Gender:
_________
Contact Number: _____________________ Email Address:
___________________________
Home Address: _________________________________________________________________

2. Name: _____________________________________________
Grade Level & Section: ______________________________ Age: ______ Gender:
_________
Contact Number: _____________________ Email Address:
___________________________
Home Address: _________________________________________________________________

I certify that these individuals are acting on my behalf and are authorized to
observe the election process at the designated polling stations.

I understand that these individuals are not allowed to interfere with the
voting process and must adhere to all rules and regulations set forth by the Learner
Government COMEA.

Signed,

_____________________________________________
Signature of the Candidate Over Printed Name
Date:

I do hereby state that I am knowledgeable of the rights and responsibilities of a

poll watcher as attached in this Poll Watcher Authorization Form and will, in good
faith, comply with the provisions stated.

___________________________________________________________________________________
Signature of the Poll Watcher over Printed Name
 DUTIES AND RESPONSIBILITIES OF POLL WATCHERS

Poll watchers are individuals who are designated to observe the voting process
during an election to ensure fairness and transparency. In learner government
elections, poll watchers may have the following roles and responsibilities:

a. Observe the voting process: Poll watchers should be present at the polling
station during the entire voting process - from setting up to the closing of
the polls. In case of a tiebreaker, the poll watchers shall also be present
during the process of the determination of the winning candidate.

b. Ensure fairness: Poll watchers should ensure that the election is conducted
fairly and impartially, and that all eligible voters are allowed to cast votes.

c. Monitor the voting equipment: Poll watchers should monitor the voting
equipment to ensure that it is functioning properly and that no tampering or
manipulation takes place.

d. Report any irregularities: Poll watchers should report any irregularities or

violations of election rules to the Grievance Committee.

e. Uphold integrity: Poll watchers shall maintain a good character or behave

accordingly and shall not do any campaign activities inside the polling
precinct.

f. Keep records: Poll watchers may request a copy of canvassed results.

Overall, the role of poll watchers in the election is to ensure that the election
process is conducted in a fair, transparent, and impartial manner.
 Grade 6 Representative
Ο Javier, Eun Grace
LORENZO ZAYCO ELEMENTARY SCHOOL Ο Palacios, Divine Grace T.
Learner Government Elections
for SY 2025 – 2026 cut here

SAMPLE BALLOT Name:_________________________________________

General Instructions: Shade the circle beside Grade and Section:
the name of the candidate of your choice. Vote ___________________________
wisely!
Signature:_________________________
President Right Thumbmark:
Ο Baydal, Jasmine P.
Ο Lamoste, Treshia S.

Vice President
Ο Infante, Jherah C.
Ο Salgado, Alexander T.

Secretary
Ο Martizano, Xiamarra LORENZO ZAYCO ELEMENTARY SCHOOL
Ο Mission, Princess Skhemonhie Learner Government Elections
for SY 2025 – 2026
Treasurer
Ο Maghinay, Princess Rhiann SAMPLE BALLOT
Ο Peduhan, Princess Arah E General Instructions: Shade the circle beside
Ο Tangga, Aira S. the name of the candidate of your choice. Vote
wisely!
Auditor
Ο Ballentos, April Princess President
Ο Elicana, Jhazzelle Kaith B. Ο Baydal, Jasmine P.
Ο Pastor, Miles A. Ο Lamoste, Treshia S.

Public Information Officer Vice President

Ο Castel, John Lawrence M. Ο Infante, Jherah C.
Ο Deles, Angelo D. Ο Salgado, Alexander T.

Protocol Officer Secretary

Ο Castel, John Vincent M. Ο Martizano, Xiamarra
Ο Esconde, Leslie Ann T. Ο Mission, Princess Skhemonhie
Ο Guarin, Jhon Mike C.
Treasurer
Grade 3 Representative Ο Maghinay, Princess Rhiann
Ο Toledo, Thalia Yzabel D. Ο Peduhan, Princess Arah E
Ο Villanueva, Ian Jofhet E. Ο Tangga, Aira S.

Grade 4 Representative Auditor

Ο Jalea, Chloe C. Ο Ballentos, April Princess
Ο Toledo, Steffi Sofia D. Ο Elicana, Jhazzelle Kaith B.
Ο Pastor, Miles A.
Grade 5 Representative
Ο Castel, Klaiser G. Public Information Officer
Ο Pacardo, Kirk Nathan T. Ο Castel, John Lawrence M.
Ο Deles, Angelo D.
Protocol Officer
Ο Castel, John Vincent M.
Ο Esconde, Leslie Ann T.
Ο Guarin, Jhon Mike C.

Grade 3 Representative
Ο Toledo, Thalia Yzabel D.
Ο Villanueva, Ian Jofhet E.

Grade 4 Representative
Ο Jalea, Chloe C.
Ο Toledo, Steffi Sofia D.

Grade 5 Representative
Ο Castel, Klaiser G.
Ο Pacardo, Kirk Nathan T.

Grade 6 Representative
Ο Javier, Eun Grace
Ο Palacios, Divine Grace T.

cut here

Name:_________________________________________
Grade and Section:
___________________________

Signature:_________________________
Right Thumbmark:
 Enclosure 11. Election Tabulation
Form

ELECTION TABULATION FORM

Level of Learner Government: Elementary Secondary

Mode of Election: Manual Digital Hybrid

Tally of Votes per Position: (Note: Add rows if necessary.)

Name Tally Total Rank

President
BAYDAL, JASMINE P.
LAMOSTE, TRESHIA S.
Vice President
INFANTE, JHERAH C.
SALGADO, ALEXANDER
Secretary
MARTIZANO, XIAMARRA
MISSION, PRINCESS SKHEMONHIE
Treasurer
MAGHINAY, PRINCESS RHIANN
PEDUHAN, PRINCESS ARAH E.
TANGGA, AIRA S.
Auditor
BALLENTOS, APRIL PRINCESS
ELICANA, JHAZZELLE KAITH B.
PASTOR, MILES A.
Public Information Officer
CASTEL, JOHN LAWRENCE M.
DELES, ANGELO D.
Protocol Officer
CASTEL, JOHN VINCENT M.
ESCONDE, LESLIE ANN T.
GUARIN, JHON MIKE C.
Grade 3 Representative
TOLEDO, THALIA YZABEL D.
VILLANUEVA, IAN JOFHET E.
 Grade 4 Representative
JALEA, CHLOE C.
TOLEDO, STEFFI SOFIA D.
Grade 5 Representative
CASTEL, KLAISER G.
PACARDO, KIRK NATHAN T.
Grade 6 Representative
JAVIER, EUN GRACE
PALACIOS, DIVINE GRACE T.

Prepared by:

____________________________________________
Signature over printed name of
Electoral Board Committee Member

Attested by:

____________________________________________
Signature over printed name of
Commissioner on Electoral Board

Enclosure 12. Election Canvass Form

ELECTION CANVASS FORM

.
Level of Learner Government: Elementary Secondary

Mode of Election: Manual Digital Hybrid

Tally of Votes per Position: (Note: Add rows if necessary.)

Name Tally Total Rank

President

Vice President

Secretary

Treasurer

Auditor

Public Information Officer

Protocol Officer

Grade ___ Representative

Grade ___ Representative

Grade ___ Representative

 Grade ___ Representative

Grade ___ Representative

Grade ___ Representative

Prepared by:

____________________________________________
Signature over printed name of
Commissioner on Screening and Validation

Attested by:

____________________________________________
Signature over printed name of
LG COMEA Chief Commissioner
Enclosure 13. Registry of Election
Officers

REGISTRY OF ELECTED OFFICERS

Level of Learner Government: Elementary Secondary

Name of School: LORENZO ZAYCO ELEMENTARY SCHOOL

/ School ID:117843

Position Name Gender Grade Level

President LAMOSTE, TRESHIA S. FEMALE 5
 Vice President INFANTE, JHERAH C. FEMALE 5
Secretary MISSION, PRINCESS SKHEMONHIE F. FEMALE 5
Treasurer TANGGA, AIRA S. FEMALE 5
Auditor BALLENTOS, APRIL PRINCESS G. FEMALE 5
Public Information Officer CASTEL, JOHN LAWRENCE M. MALE 5
Protocol Officer CASTEL, JOHN VINCENT M. MALE 5
Grade 3 Representative VILLANUEVA, IAN JOFHET E. MALE 2
Grade 4 Representative TOLEDO, STEFFI SOFIA D. FEMALE 3
Grade 5 Representative PACARDO, KIRK NATHAN T. MALE 4
Grade 6 Representative PALACIOS, DIVINE GRACE T. FEMALE 5

Prepared by:

____________________________________________
Signature over printed name of
Commissioner on Screening and Validation

Attested by: Approved by:

____________________________________________ ____________________________________________
Signature over printed name of Signature over printed name of
Commissioner on Electoral Board LG COMEA Chief Commissioner
 Enclosure 14. Oath of Office

Republic of the Philippines

Department of Education
Region _____
Division _________

Oath of Office
I ______________________________________of ____________________________________,
(State your Full Name) (Name of School)
having been elected/appointed as _________________________________________________
of
(your current position)
________________________________________, do hereby solemnly swear that I will
faithfully
(Name of Organization)
discharge, to the best of my ability, the duties and responsibilities of my present
position; that I have clearly understood and will abide by the guidelines governing
this organization and of the issuances by the Department of Education; and that I
impose this obligation upon myself voluntarily, without mental reservation or
purpose of evasion.

So, help me God.

Signature Over Printed Name

Administering Officer
 Enclosure 15. Nomination
Form

Nomination Form
This nomination form allows a learner to formally declare his/her candidacy for the Supreme Learner
Government elections. It includes personal information, qualifications, goals, and reasons for running.
A candidate may also need to obtain signatures from fellow learners to qualify. The purpose of this
form is to provide a structured process and equal opportunity for all candidates, inform voters about
the candidates' platforms, and ensure a fair and transparent election that encourages learners’
participation in school governance.

Date: ___________________________

________________________________________________
Learner Government COMEA Chief Commissioner

To whom it may concern:

I hereby nominate ____________________________________________ from

___________________ (Grade Level/Section) for the position of ___________________ in the
Learner Government of ______________________________________ (Name of School).

As a bona fide learner of this school, I solemnly swear that through this nomination,
every learner’s voice is heard and represented in decision-making processes. I believe that
he/she has the necessary skills, experience, and qualities to serve in this position and make
a positive impact on the student body.

Very truly yours,

Name and Signature over printed name of the nominator

Contact Number:
Grade Level and Section:

Enclosure 16. Communication for

Nominee

COMMUNICATION FOR NOMINEE

Date:

NAME OF NOMINATED LEARNER

Mr./ Ms.

Greetings!

This is to inform you that you have been nominated as ____________________ of the
Learner Government of ____________________________________ for School Year
_________.

To proceed with the process, you are hereby requested to submit the Nomination
Reply Slip indicating your take on the nomination within three (3) days upon
receipt of this letter.

Furthermore, if you are amenable of the nomination, kindly submit the following
requirements:
a. Photocopy of School Form 9 (Learner’s Progress Report Card);
b. Certificate of Good Moral Character; and
c. Introductory Profile (Elementary/Secondary)

The LG COMEA highly encourages your utmost support and participation on this
matter.

Thank you.

Very truly yours,

NAME OF COMMISSIONER
_____________________________________________________________________________________
NOMINATION REPLY SLIP

To : LEARNER GOVERNMENT COMEA COMMISSIONER

Date : ________________________________________

Ma’am/Sir:

Thank you very much for notifying me about my nomination for the position of
__________________ in the Learner Government of ___________________________________
for School Year ___________________.

For and in consideration of my possible appointment, I hereby

Accept Waive

my nomination.

Sincerely yours,

NAME OF NOMINATED LEARNER

 Enclosure 17. Registry of Qualified
Nominees

REGISTRY OF QUALIFIED NOMINEES

Level of Learner Government: Elementary Secondary

Name of School: _________________________________________ School ID:

________________________

Position Name Gender Grade Level

President
Vice President
Secretary
Treasurer
Auditor
Public Information Officer
Protocol Officer
Grade ___ Representative
Grade ___ Representative
Grade ___ Representative
Grade ___ Representative
Grade ___ Representative
Grade ___ Representative
(Note: For representatives, add rows if necessary.)

Prepared by:

____________________________________________
Signature Over Printed Name of
Commissioner on Appointment

Attested by: Approved by:

____________________________________________ ____________________________________________
Signature Over Printed Name of Signature Over Printed Name of
Commissioner on Screening and Validation LG COMEA Chief Commissioner
 Enclosure 18. Communication for
Appointee

COMMUNICATION FOR APPOINTEE

Date:

NAME OF APPOINTEE

Mr./ Ms.

Greetings!

After careful deliberation of the Learner Government Commission and Elections and
Appointment (LG COMEA), and considering all qualifications required for the
position, you are hereby appointed as _____________________.

Upon consideration of this possible appointment, you are hereby requested to

submit the Appointment Reply Slip to the LG COMEA.

If you are amenable to your appointment and upon submission of your Appointment
Reply Slip, you will be requested by LG COMEA to sign your Appointment Form.

Thank you and congratulations.

Very truly yours,

NAME OF COMMISSIONER
Learner Government COMEA

__________________________________________________________________________________

APPOINTMENT REPLY SLIP

To : LEARNER GOVERNMENT COMEA COMMISSIONER

Mr./ Ms.

Thank you very much for the opportunity of being part of the Learner Government
of for School Year .

For and in consideration of my possible appointment, I hereby

Accept Waive

my appointment as ________________________ of the Organization.

Again, thank you for this opportunity!

Sincerely yours,

NAME OF APPOINTEE
Date:
 Enclosure 19. Appointment
Form

Republic of the Philippines

NAME OF REGION
NAME OF DIVISION
NAME OF SCHOOL
LEARNER GOVERNMENT OF

APPOINTMENT FORM

Mr./ Ms.

After a series of deliberation, you are hereby appointed as ___________________

of the Learner Government of ______________________________________ for School Year
_____________.

This appointment shall take effect immediately on the date of signing by the
appointing authority.

Very truly yours,

NAME OF COMMISSIONER
Learner Government COMEA
Date of Signing:

__________________________________________________________________________________

CERTIFICATION
This is to certify that the appointee has undergone a series of screening,
validation, and deliberation processes as facilitated by the LG COMEA in pursuant to
the Learner Government Election and Appointment Code (LGEAC).

Moreover, all requirements and supporting documents submitted by the

appointee are valid and compliant to the standards and qualifications set by the LG
COMEA.

NAME OF COMMISSIONER
Chief Commissioner
 Learner Government COMEA
Date: _________________________
Enclosure 20. Grievance Form

GRIEVANCE FORM

In the processing of these data and information, the Department of Education is

committed to ensure the free flow of information as required under the Freedom of
Information Act (Executive Order No. 2, s. 2016) and to protect and respect the
confidentiality and privacy of these data and information as required under
the Data
Privacy Act of 2012 (Republic Act No. 10173) read: [Link]
about-deped/data-privacy-notice/). Data generated are not shared with any other
party.

I. COMPLAINANT’S INFORMATION
Name: __________________________________________________________________
Address: ________________________________________________________________
Contact Number: _____________________________ Age: _____________________
Email Address: _________________________________________________________
Date Filed: ___________________________________ Time: ____________________

II. COMPLAINT AGAINST

Learner Government COMEA Candidate
Teacher Political Party
Learner Others:_____________________

III. NATURE OF COMPLAINT

Dishonesty Falsification
Oppression Vote-solicitation
Disgraceful and Immoral Conduct Negligence of Duty
Impersonation Misconduct
Others:____________________________________________________________
_

IV. NARRATIVE REPORT

Instruction: Write in detail the incident or complaint including the persons involved,
date and time. (May use additional sheet/s of paper if necessary)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
__________________________________________________________________________

V. ATTACHMENTS (Proofs e.g. picture, video etc.) *if available

 VI. CERTIFICATION

I hereby certify that the information stated herein is true and correct to the
best of my knowledge.

________________________________________
Signature of Complainant over Printed Name

Received by:
Enclosure 21. Communication for
Respondent
______________________________________
Commissioner on Grievance
Date: ___________________

COMMUNICATION FOR RESPONDENT

Date:

NAME OF RESPONDENT

Mr./ Ms.

Greetings of peace!

This is to inform you that the Learner Government Commission and Election and
Appointment (LG COMEA) received a complaint concerning you regarding
____________________________________.

[Summary of the Complaint to be provided by the LG COMEA based on the

submitted Grievance Form].

Relative to this, you are hereby requested to submit a written explanation about the
complaint to the LG COMEA within forty-eight (48) hours upon receipt of this letter.

LG COMEA highly encourages your utmost cooperation regarding this matter.

Thank you.

Very truly yours,

NAME OF COMMISSIONER
Learner Government COMEA
 Enclosure 22. General Plan of
__________________________________________________________________________________
Action
Copy furnished: Name of Parents/Legal Guardian
Name of Class Adviser

Learners Government Program:

General Plan of Action (LGP: GPOA)
School Name: School I.D.:
School Year: Division Office:
LG Category: SELG SSLG Regional Office:

Quarter No.:
(Indicate the specific quarter of the school year in which the activity is scheduled.)
Name of Activity 1:
(Provide the complete and accurate name of the activity.)
DepEd Core Value:
(Identify which DepEd Core Value/s align with the activity: Maka-Diyos/ Makakalikasan/ Makatao /Makabansa)
Description of Activity:
(Present a concise description outlining the nature and purpose of the activity.)

Time Participant Mode of Expected

Objectives Resources
Frame s Delivery Outputs
(Specify the (Clearly state the (Enumerate and (Clearly state the (Detail the (Clearly define
exact month, objectives of the specify the location/platform resources, the anticipated
date, and year activity.) participants where the including funds or outcomes or
during which the involved, activity is materials, results of the
activity is including any scheduled to take essential for the activity.)
planned.) collaborating place.) successful
organizations/ execution of the
clubs.) activity.)

Strategies/Implementation Monitoring & Evaluation

(Describe in brief the steps involved in conducting the (Establish metrics, data collection methods, and responsible
activity.) parties for ongoing assessment. Include a feedback
mechanism and criteria for adjustments.)

Remarks
(Provide any additional comments/special notes relevant to the activity.)

Quarter No.:
Name of Activity 2:
DepEd Core Value:
Description of Activity:

Time Participant Mode of Expected

Objectives Resources
Frame s Delivery Outputs

Strategies/Implementation Monitoring & Evaluation

Remarks
Note: Add additional tables as necessary. Ensure that each section is completed accurately and thoroughly to facilitate
comprehensive planning and execution of the GPOA.

Prepared by: (Include all the Name/s and Designation/s of the SELG/SSLG Officer/s responsible for preparing the GPOA.)

[NAME 1] [NAME 2]
Designation Designation
SELG/SSLG Officer SELG/SSLG Officer

[NAME 3] [NAME 4]
Designation Designation
SELG/SSLG Officer SELG/SSLG Officer

Noted by: (Include the Name and Designation of the Adviser responsible for overseeing the SELG/SSLG Officers’ GPOA.)

[NAME OF SELG/SSLG ADVISER]

Designation

Approved by: (Include the Name, Designation, and Office of the approving authority for the GPOA.)

[NAME OF SCHOOL HEAD]

Designation