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Republic of the Philippines

DEPARTMENT OF EDUCATION
(insert your region)
(insert school’s division here)
(insert school’s district)
(NAME OF HIGH SCHOOL)

CHECKLIST FOR APPLYING AS TEACHER I

 Application Letter and Curriculum Vitae


 CSC Form 212 (2005 Revision) – 2 Copies
 Photocopy of PRC License
 Photocopy of Ratings obtained from Licensure Examination for Teachers
 Copy of Transcript of Record for Baccalaureate Course and Certification of
Graduation
 Service Record Performance Rating and School Clearance
(or kung wala ka pang service record kasi kasalukuyan ka pang employed put this
instead: Letter about my Service Record, Performance Rating and School
Clearance)
 Specialized Trainings and Seminars Certificate
 Photocopy of Voter’s ID
(or kung wala ka pang voter’s ID secure a: Copy of Certification from COMELEC)
 Photocopy of NBI Clearance
 Omnibus Certification of authenticity and veracity of all documents submitted

Prepared by:

Your Complete Name


Teacher Applicant

GIVEN NAME SURNAME, LPT


Ho us e # S tre e t, B ar a n ga y em ai l @gm a i l.c om 09 1 2 3 45 6 7 89
T own /C it y, Pr o v i nc e we bs it e. if . a n y.c om 09 9 8 7 65 4 3 21

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