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Teacher Applicant Information Form

This document contains a teacher applicant information form for the Division of Lanao del Norte in the Philippines. The form collects information such as the applicant's name, date of birth, contact details, level and subject they are applying for. It lists the mandatory documents required such as ID photos, teaching certificates, transcripts and clearances. For senior high school or technical-vocational applicants there are additional educational requirements. The form is to be submitted in triplicate to the school screening committee and human resources management office.

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Asniah Takiri Mcrnds
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2K views

Teacher Applicant Information Form

This document contains a teacher applicant information form for the Division of Lanao del Norte in the Philippines. The form collects information such as the applicant's name, date of birth, contact details, level and subject they are applying for. It lists the mandatory documents required such as ID photos, teaching certificates, transcripts and clearances. For senior high school or technical-vocational applicants there are additional educational requirements. The form is to be submitted in triplicate to the school screening committee and human resources management office.

Uploaded by

Asniah Takiri Mcrnds
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region X, Northern Mindanao
DIVISION OF LANAO DEL NORTE
TEACHER APPLICANT INFORMATION FORM
Name: ______________________________________________________________________
Date of Birth: ________________________ Contact No.: _________________________
Address: _____________________________________________________________________
Level:  Kindergarten  Junior High School
 Elementary Major: _______________________________________
 SPED  Senior High School
Strand:______________________________________

Previous/Present Employment:
 Public  Private (Under Contract)
 Private  None

 NEW APPLICANT (to be checked and filled by School Screening Committee)


Mandatory Requirements
 Letter of Intent
 Two (2) CSC Form 212, Revised 2017 (PDS) w/ the latest 2x2 ID picture
 One (1) Certified photocopy of PRC professional identification card or a PRC
certification showing the teacher’s name, LET rating, and other information
recorded in the PRC Office; LET/PBET Rating: ______
 One (1) certified copy of service records, performance rating, and school clearance
for those w/ teaching experience; Experience in Years: _______
 Certified photocopy of Transcript of Records; GWA: _______
 Certified photocopy of certificates of relevant specialized training, if any
 Certified copy of the Voter’s ID and/or any proof of residency
 NBI Clearance
 Omnibus certification of authenticity and veracity of all documents submitted
Additional Educational Requirements for SHS teacher Applicants
 15 units of specialization in relevant strand/specialized subject
Additional Requirements for TVL teacher-applicant/s
 TESDA NC ____- Specialized in __________________________________ TMC ____

 Old Applicant
Take Demo
EPT?  Yes  No Tchng:  Yes  No
Interview:  Yes  No

 One (1) certified photocopy of latest service records; Add: Experience (yr/mo) _____
 Certified copies of additional Specialized Training Certificate
 Update Marital Status: __________________
*Comply this form in three (3) copies
1 for Personal
1 for School Screening Committee ____________________________
1 for HRMO Name & Signature of Applicant
Division Office, Gov. Arsenio A. Quibranza Prov’l Gov’t Compound, Pigcarangan, Tubod, Lanao del Norte 9209
www.depedldn.com

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