CERTIFICATION This is to certify that we have received the following documents of ____________________ ____________________________ , Teacher-Applicant for Senior High School (SHS): 1.
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Application letter addressed to the Schools Division Superintendent stating statement of purpose/ expression of interest; subject/group he intends to teach and the preferred school, if any Duly accomplished Applicants’ Individual Sheet Omnibus Certification of authenticity and veracity of all documents submitted signed by the applicant and notarized CSC Form 212 (Revised 2017) – duly accomplished Personal Data Sheet with latest passport size ID picture Work Experience Sheet Photocopy of updated PRC ID Photocopy of ratings obtained in the Licensure Examination for Teacher(LET)/ Professional Board Examination for Teachers (PBET) Certified photocopy of Transcript of Records with at least 15 units of specialization in relevant strand/specialized subject a. Baccalaureate Degree b. 18 Professional Units in Education c. Masters’ Degree d. Doctorate Degree Certification from the School of General Weighted Average (GWA) a. For Education Graduates – GWA of baccalaureate degree b. For Non-Education Graduates – GWA of baccalaureate degree and the eighteen (18) professional units in education Copies of Service Records or Certificate of Employment with Inclusive Dates, Performance Rating and School Clearance for those with teaching experience. If unavailable, the applicant must submit a justification citing the reason/s for unavailability Certified photocopy of Certification of Status of Employment/Service Record from HEI/TVI Certificates of relevant Seminars/ Trainings attended after the baccalaureate degree National Certificate issued by TESDA (NC II, III, TMC, etc), if any Certified photocopy of Certification of Proficiency/ Recognition from recognized and respectable relevant associations/organizations/guild, if any Certified copy of Voter’s ID and/or any proof of residency as deemed acceptable by the School Screening Committee NBI Clearance
____________________________ School Head
Date Received: ___________________
OMNIBUS CERTIFICATION
To Whom It May Concern: I, _________________________________________, a resident of ________________ _______________________________ , an applicant to _________________________ hereby affirm the completeness, veracity, accuracy and authenticity of all attached documents submitted. Furthermore, I understand that any violation committed will automatically disqualify me to the position I am applying for. IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of ________ , 2019 at Ormoc City, Leyte Philippines.
__________________________ Applicant
SUBSCRIBED AND SWORN TO BEFORE ME this ________ day of ______, 2019 at Ormoc City Leyte Philippines. Affiant exhibited to me his/her Residence Certificate No. _____________ issued at ____________________ on __________________, 2019.
APPLICANT’S INDIVIDUAL SHEET
Senior HS Teacher-Applicants School Year 2019 - 2020 Name of Applicant _________________________________________ Age ____________ Sex __________ Degree: ______________________________________________ Major: ___________________________ Complete Address ____________________________________________ Contact No. _________________ Applied Track and Strand _______________________________________ Group______________________ I.
EDUCATION (_______ points) Gen. Weighted Ave. ________ Equivalent Points __________
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TEACHING EXPERIENCE (______ points) _______________________________ _______________________________
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SPECIALIZED TRAINING (________ points) __________________________________ __________________________________ __________________________________
_________________
IV.
INTERVIEW (15 POINTS)
_________________
V.
ENGLISH COMMUNICATION SKILLS (________ points)
_________________
VI.
PORTFOLIO/OUTSTANDING ACHIEVEMENTS (________ points)
_________________
VII.
DEMONSTRATION TEACHING (________ points)
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II.
III.
GRAND TOTAL
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CERTIFIED TRUE and CORRECT: SCHOOL SCREENING COMMITTEE ____________________________ Member _________________________ Member
__________________________ Member
___________________________ Chairman
____________________________ Member
-------------------------------------------------------------------------------------------------------------------------------------------------------DIVISION SELECTION COMMITTEE
BRENDA P. MAROLEÑA, PIII Member
ALLAN O. CELEDONIO, Ed.D./ EPS Member
MA. JEREZA C. MATIGA, P4/ OIC-PSDS Member
IMELDA A. AMODIA, EPS Member
JOEL A. ZARTIGA, Ph.D./ OIC-ASDS Chairman