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Certification: Department of Education

1. This document is a checklist and application for a teacher position at New Dumangas Elementary School in Tboli, South Cotabato, Philippines. 2. It requests information about the applicant and checks for required documents like transcripts, certifications, and clearances. 3. Upon review, the school screening committee will certify if the applicant has submitted all necessary papers for the level applied for.

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Rodel Esteban
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94 views2 pages

Certification: Department of Education

1. This document is a checklist and application for a teacher position at New Dumangas Elementary School in Tboli, South Cotabato, Philippines. 2. It requests information about the applicant and checks for required documents like transcripts, certifications, and clearances. 3. Upon review, the school screening committee will certify if the applicant has submitted all necessary papers for the level applied for.

Uploaded by

Rodel Esteban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region XII
Division of South Cotabato
Tboli 4 District
NEW DUMANGAS ELEMENTARY SCHOOL

Name of Teacher Applicant: ____________________________ Contact Number: ___________


Home Address: _____________________________________________________________________
Education: ____________________________________ Teaching Experience: _______________
LET/PBET Rating: ________ Specialized Training: _______ Experiential Learning: ______

Checklist of Documents Yes No Remarks


1. Application Letter/Letter of Intent
2. CSC Form 212 (Revised 2017) Personal Data Sheet
3. Certified Photocopy of PRC ID Card or PRC Certification
4. Certified Photocopy of LET/PBET Rating
5. Certified Photocopy of Transcript of Records with GWA
6. Copies of Service Records or Certificate Employment
7. Certificate/s of Specialized Training
8. Certified Copy of Voters ID or Any Proof of Residency
9. National Bureau of Investigation (NBI) Clearance
10. Omnibus Certification of Authenticity and Veracity of
All Documents Submitted

Comments: _________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________.

Respectfully submitted by:

______________________________
Teacher Applicant

CERTIFICATION
We hereby certified that the pertinent papers of ________________________,
Teacher Applicant for _______________________ level have undergone school screening
process.

SCHOOL SCREENING COMMITTEE


(Elementary Level)

RICHARD A. TRAVILLA
Chairman

VERONICA M. TUVILLARA JOAQUIN T. TUSALEM


Member Member

JOY G. DOMEJES LORLYNIE Q. CEA


Member Member

New Dumangas, Tboli, South Cotabato 9513


School ID: 130836
Republic of the Philippines
Department of Education
Region XII
Division of South Cotabato
Tboli 4 District
NEW DUMANGAS ELEMENTARY SCHOOL

Name of Teacher Applicant: ____________________________ Contact Number: ___________


Home Address: _____________________________________________________________________
Education: ____________________________________ Teaching Experience: _______________
LET/PBET Rating: ________ Specialized Training: _______ Experiential Learning: ______

Checklist of Documents Yes No Remarks


1. Application Letter/Letter of Intent
2. CSC Form 212 (Revised 2017) Personal Data Sheet
3. Certified Photocopy of PRC ID Card or PRC Certification
4. Certified Photocopy of LET/PBET Rating
5. Certified Photocopy of Transcript of Records with GWA
6. Copies of Service Records or Certificate Employment
7. Certificate/s of Specialized Training
8. Certified Copy of Voters ID or Any Proof of Residency
9. National Bureau of Investigation (NBI) Clearance
10. Omnibus Certification of Authenticity and Veracity of
All Documents Submitted

Comments: _________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________.

Respectfully submitted by:

______________________________
Teacher Applicant

CERTIFICATION
We hereby certified that the pertinent papers of ________________________,
Teacher Applicant for _______________________ level have undergone school screening
process.

SCHOOL SCREENING COMMITTEE


(Junior High School)

RICHARD A. TRAVILLA
Chairman

JONNA MAE A. NERMAL ROMELIN B. DALAYAP


Member Member

ROLPH C. MALACAD II REY MARK S. BALDABA


Member Member

New Dumangas, Tboli, South Cotabato 9513


School ID: 130836

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