Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV - CALABARZON
DIVISION OF LAGUNA
Santa Cruz
____________________________________________________________________________________________________

APPLICATION FOR PERMIT TO STUDY

Name of Teacher:

CAMCAM
( Surname )

School where applicant plans to study:

Course to be pursued:

SILVERIO
( Given name )

PABONAN
( Middle name )

LAGUNA NORTHWESTERN COLLEGE, SAN PEDRO

( School/Place )
Starting 1st/2nd semester/summer:

MAED

JUNE 15, 2013

LIST OF SUBJECT/S TO BE TAKEN

Subjects
________STATISTICS_____________
_Theories, Concepts and Practices_
___in Educational Management___
_Comparative Educational System_

Days
_____________
_____________
_____________
_____________

Time
_____________
_____________
_____________
_____________

No. of Units
_________3_____________
_________3_____________
_______________________
_________3_____________
9

LIST OF SUBJECTS COMPLETED ( if any )

________________________________________N / A_______________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

LIST OF REMAINING SUBJECTS TO BE TAKEN

Sociological, Philosophical and Psychological ( Foundation of Education ); School Finance and Business
Management in Education; Practicum in Educational Management and Planning; Curriculum Practices and Contexts;
Educational Legislation; Trends and Issues in Philippine Education; Seminar in Educational Management;
Educational Leadership and School Public Relations; Educational Organization and Administration of Guidance;
Thesis Writing
CERTIFIED CORRECT:
____________________________________
( Registrar )
End of Afternoon Session:
Latest Performance Rating:

__5 pm__
__2. 88__

Teaching Experience:

14 years

____________________________________
Signature of Applicant
Recommending Approval:
___ROBERTO C. LUNA ED. D.___
Principal/District Supervisor
Approved:
___________________________
ROGELIO F. OPULENCIA
OIC, Office of the Asst. Schools Division Superintendent

____________

ONAN
e name )

f Units
____________
____________
____________
____________

___________
____________
____________
____________

Contexts;

_____________
)

_____________
licant