Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Negros Oriental

LA LIBERTAD TECHNICAL - VOCATIONAL SCHOOL

South Poblacion, La Libertad, Negros Oriental
School ID: 303243 / Tel. No. (035)- 400 6038 / Cell # 0917-300-4543

Email: lalibertadtvsnegor@yahoo.com Website: lalibertadtvs.weebly.com Facebook: lalibertadtvsnegor@yahoo.com

TEACHERS YEAREND CLEARANCE
SY 2014 -2015
Name: _______________________________
Employee Number: ____________________

Position: ___________________________
TIN: ___________________________

N
O.
1

PERSONNEL
IN-CHARGE
GEORGE B.
BUTALID

FORMS / RECORDS / REPORTS

MELISSA E.
BACLA-AN

-Library Hub Reports, Books Utilization

-School Paper Funds Liquidation Report
-Consolidated Results of ORV in English

MELBA S.
TUMARONG

-School INSET Report

-SY 2014-2015 Class/Teachers Program
-Special Science Class Accomplishment Report
-Math Annual Accomplishment Report (containing
curricular, co-curricular, extracurricular activities
and best practices of Math Teachers) with pictures
if possible
-SAT Documents (with item analysis)
-Teachers Portfolio (RPMS, TSNA, IPPD,
Observation Sheets, Performance Contract)
-Documentation on MTAP Review conducted

LOVELLA B.
ZETA

-Duly Approved Guidance Implementation Plan

-EP/EsP Annual Accomplishment Report
(containing curricular, co-curricular, extracurricular
activities and best practices of EP/EsP Teachers)
with pictures if possible
-Guidance Implementation Report (with specific
cases and action taken)
-Documentation on School Outreach Program

ARIEL F.
GANTALAO

-Number and Percentage of Students getting MPS

of 50% & below, 51%-74%, 75%-84% and 85% &
up in the NAT
-Consolidated Least Mastered Skills by subject in
NAT
-Geo Map Updating Confirmation
-School Website
-ICT Inventory
-Diploma Printing

LITTIE BETH R.
SANGILAN

-Localized Curriculum Implementation Report

-Documentation of Math Olympiad participation
-Lesson Plan/ I Plan
-Class Record

RONALD B.
ENOC

-Report on Recollection Activities for 4th Year

Students, with pictures
-SSG
Accomplishment
Report
(with
SSG
Resolutions and Financial Statements), with
signature of the SSG President
-List of Newly Elected School SSG Officers and
Federated SSG Officers
-Documentation on Youth Summit Participation
-Documentation on Students Leadership Training
participation

-Financial Statement on graduation fund and

Teachers League Fund
-Refund of cash advances
-Teachers Financial Contribution (agreed in faculty
meetings) on different activities
-Documentation of Juniors Ball

Signature

Date
Signed

BABELINA B.
BAYA

CINDERILA D.
GABUNALES

10

MARILOU S.
ZAPANTA

11

JANICE M.
TRINIDAD

12

FERNANDO T.
TUBO

13

LANIE O.
DUMAGPI

14

JULIET B.
GANTALAO

15

ANELYN O.
TRINIDAD
JALAILA
CHARISMA F.
ABULE

16

17

RODEL M.
TRINIDAD

18

JANETH A.
DELATADO

19

ERMINDA E.

-Documentation on Lambigit Festival Participation

-Prefect of Discipline (for boys) Annual Report (with
specific cases and action taken)
-Certificate of Recognition of PTA
-List of General and Homeroom PTA Officers
-Minutes of General and Homeroom PTA Meetings
(with the dates and agenda of meetings signed by
the PTA Secretary) with parents attendance sheet
per meeting
-AP Annual Accomplishment Report (containing
curricular, co-curricular, extracurricular activities
and best practices of AP Teachers)
-List
of
awards
received
by
the
school/teachers/students
(National/Regional/Division/District
Level,
with
names of awardees and date & venue of
competition
-Ranking of honors
-Documentation on Pop Quiz Participation
-Adopt A-School Program Report
-National Drug Education Program
-GAD-RH Implementation
-PTA Liquidation Report with PTA Resolutions
-Annual Accomplishment Report in SPED
-English
Annual
Accomplishment
Report
(containing curricular, co-curricular, extracurricular
activities and best practices of English Teachers)
with pictures if possible
-Prefect of Discipline (for girls) Annual Report (with
specific cases and action taken)
-List of Sports Facilities and Equipment; Date
Acquired, Source, Condition
-Accomplishment Report on Cultural Activities;
Flute, Guitar, Folk Dances
-Baseline-Endline Nutritional Status Report
-MAPEH Annual Accomplishment Report
(containing curricular, co-curricular, extracurricular
activities and best practices of MAPEH Teachers)
with pictures if possible
-Documentation on School Intramurals/District
Meet/NORAA/CVRAA Participation
-Security and Safety Action Plan
-Documentation of Earthquake Drill
-Documentation of BSP/encampment activities
(with financial report)
-Room Keys Turned-Over (with list of class advisers
who turned-over room keys)
-Consolidated Results of ORV in Filipino
-Filipino Annual Accomplishment Report
(containing curricular, co-curricular, extracurricular
activities and best practices of Filipino Teachers)
-Documentation of Buwan ng Wika Activities
-List of Science Teachers with age and
specialization
-Science Annual Accomplishment Report
(containing curricular, co-curricular, extracurricular
activities and best practices of Science Teachers)
-Documentation on Science Month activities
-Report on Canteen Operations
-Documentation of Nutrition Month Celebration
-NGP Accomplishment Report (Consolidated);
-GPP
-Solid Waste Management
-Tree Planting Report
-Inventory of Serviceable TVE (all areas) Tools and
Equipment
-Report on Unserviceable Property
-Report on Textbook/Learning Manuals Inventory
-Report on School Repairs (including major or
minor repairs on school buildings, furniture and
equipment)
-Report on Existing and Newly Acquired Facilities
and Equipment (with Acquisition Cost, Date
Acquired, and Funding Source)
-List of 4Ps Beneficiaries
-DORP Project Reach Report and Action Plan
-List of Grade 10 teachers for K to 12 training by
subject area
-GSP Accomplishment Report, Number of Scouts

CIRCULADO
20

KEERMAH
ROSE S.
PEONAL

21

CLAIRE
THERESE C.
PESALBON

22

MARCELA A.
LIBATON

23

GEREME B.
RODA

24

MYLA G.
BENLOT

25

MICHELLE
ANN D. CADIZ

26

ARBIE G.
BINONDO
MINNIE M.
BILLIONES
SANDY LIZA B.
RODRIGUEZ
OLIVER G.
SABAC
PROSPER G.
TEMPLADO

27
28
29
30

Registered (with financial report)

-Documentation of GSP Encampment/activities
-Soft Copy of Accomplished School Forms 1-7
-HRIS/Service Records (Soft Copy)
-GFMIS Updating (Soft Copy)
-Consolidated Form 86
-Summary of Performance Ratings of Teaching/NonTeaching Personnel
-Liquidation of Cash Advances
-Anti-TB Fund Drive
-Report on Authorized Annual Contributions
-TVE Annual Accomplishment Report (containing
curricular, co-curricular, extracurricular and best
practices of TVE Teachers)
-List of School Personnel with TESDA Certificates
(NC 2) by skill area
-Documentation on Technolympics Participation
-Book Sales Report
-BIR Form 2316, Duly accomplished with
transmittal
-Updated Service Records, Hard Copies
-Updated 201 Files (PDS, NSO Birth Certificate ,
Marriage Contract, Appointment, TOR, Service
Records, PRC License, TIN, Training Certificates,
etc.) in a folder
-List of Newly Hired Personnel CY 2014 with FDS
-Early Registration (for SY 2015-2016) Report
-ESY Accomplished Consolidation Forms
-ESY EBEIS
-2014 Annual Report
-Updated School Data Portfollio
-Updated LIS
-Form 137-A (with LRN)
-Report Cards (with LRN)
-Grade Sheets
-Good Moral Certificates of Graduates (to be
prepared by 4th year class advisers)
-Physical Fitness Post Testing Consolidated Report
-List of Properties Purchased by MOOE
-Brigada Eskwela Form and Action Plan
-Inventory of tables and chairs
-Library Inventory (Reference Materials, etc.)
-Report On Library Utilization

The School Head:

CLEARANCE CERTIFICATE

Sir:

May I have the honor to inform you that I

have been cleared of all accountabilities in school
during the School Year 2014-2015.

This is to certify that

______________________
is CLEARED of all financial, property
accountabilities and other obligations for SY
2014-2015.

Very truly yours,

___________________________
Signature Over Printed
Name

APPROVED:

CLAUDIO F. MACAHILOS
School Head

ANELITO A. BONGCAWIL, ED.D.

District Supervisor