Republic of the Philippines

Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF NORTHERN SAMAR
Mabini St., Brgy. Acacia, Catarman, N. Samar, 6400, Philippines
___________________________________________________________________________

LETTER OF RECOMMENDATION

______________

DR. CARMELA R. TAMAYO, CESO VI

Schools Division Superintendent
DepEd Northern Samar Division
Catarman, N. Samar

Ma’am:

I would like to recommend _____________________________ to the Division Pool

of Learning Facilitators. She has been with the Office/School as a
________________________ for ____________________ now.

This Office does not pose any objection to any of her assignment as a Learning
Facilitator if she qualifies after the screening process.

Thank you very much.

Very truly yours,

_________________________
Principal I
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF NORTHERN SAMAR
Mabini St., Brgy. Acacia, Catarman, N. Samar, 6400, Philippines
___________________________________________________________________________

LETTER OF COMMITMENT

______________

DR. CARMELA R. TAMAYO, CESO VI

Schools Division Superintendent
DepEd Northern Samar Division
Catarman, N. Samar

Ma’am:

This is to signify my commitment if I qualify as a member of the Learning Facilitators

of this Schools Division, to make myself available for training programs that would require
my expertise and services, especially in the conduct of Division/ School Learning Action
Cell.

Thank you very much.

Very truly yours,

_______________________
Teacher I
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF NORTHERN SAMAR
Mabini St., Brgy. Acacia, Catarman, N. Samar, 6400, Philippines
___________________________________________________________________________

CHARACTER REFERENCE

(Confidential)

One (1) copy to be filled out by the immediate supervisor and another by a co-worker or peer.
Filled out copies must be placed in a sealed envelope and signed before submission to the
Division Screening Committee.

Name of Nominee Position

1. How long have you known the nominee (years/months)?

_____________________

2. In what connection or under what circumstances have you known him/her?

__________________________________________________________________

3. Please rate the nominee in terms of the dimensions by ticking ( ) the criteria
which have been identified as critical to program performance. The checklist
below is intended to facilitate your assessment. If you wish, you may also write a
separate letter as an addition to this form.

Dimensions No. of Basis Below Above Excellent/

for Judgment Average Average Outstanding
Integrity
Work Ethics
Interpersonal
Skills
Time
Management
Stress
Management

4. How will the nominee be able to contribute in providing better training programs?

__________________________________________________________________
___________________________________
(Signature Over Printed Name)
 Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF NORTHERN SAMAR
Mabini St., Brgy. Acacia, Catarman, N. Samar, 6400, Philippines
___________________________________________________________________________

POOL OF LEARNING FACILITATORS APPLICATION FORM

Last Name First Name Middle Name

Birthdate: Highest Education

Qualification:

Sex:

Position: Office:

List of Training Management and Facilitation attended :

Title Inclusive Dates Provider

List of Trainings/ Topics Facilitated:

Title Inclusive Dates Provider