Republic of the Philippines

Department of Education
MIMAROPA Region
DIVISION OF ____________________
School Address: ___________
SENIOR HIGH SCHOOL TEACHER-APPLICANTS

Name: Sex: Age:

Surname First Name Middle Initial

Home Address: Birthday:

Contact Number/s: E-mail Add:

Course/Degree: Major:

Preferred Subject Group:

Graduate Studies: Units Specialization:

● Kindly indicate your preferred strand in front of your folder.
● If you are an old applicant who prefer to use your score in the previous RQA please submit a hand written
letter containing your intentionto use your points from the previous ranking and your preferred track.

MANDATORY REQUIREMENTS
1 Letter of intent (in handwriting) indicating:
a. Statement of purpose/expression of interest
b. Subject group interest to teach
c. Preferred school
2 CSC Form 212 (Personal Data Sheet) 2 copies with latest 2 x 2 ID pictures
3 Certified photocopy of TOR with at least 15 units of sepcialization in relevant strand/specialized subject
w/ computed GENERAL WEIGHTED AVERAGE (GWA) from the school/Registrar's Office / Certified
Photocopy of Certified Photocopy of Masters Degree TOR/Units earned Certified Photocopy of
Doctors Degree TOR/Units earned (if available
4 Certified photocopy of Employment Certificates
5 Certified photocopy of certificates of relevant trainings, if any
6 Certified photocopy of Recognitions/Awards/Certificates for Outstanding Accomplishments
7 Certified photocopy of Diploma on Bachelor's degree/Proof of graduation from Technical Vocational
Course
8 For TVL applicants Only: Certified photocopy of NC II/NCIII/NCIV (valid and migrated)
9 Certified photocopy of Voter's ID and or / any proof of residency
10 NBI clearance
11 Omnibus certification of authenticity and veracity of all documents submitted, signed by the applicant
ADDITIONAL REQUIREMENTS
1
2 Certified photocopy of ratings obtained in LET/PBET (if applicable)
ADDITIONAL REQUIREMENTS FOR TVL
1
ADDITIONAL REQUIREMENTS FOR ARTS AND DESIGN AND SPORTS TRACK
1 Certified photocopy of Certificate of Proficiency/ Recognition from organized & relevant association/
organization/guild
ADDITIONAL REQUIREMENTS FOR HEI/TVI FACULTY/OFW
 1 Certified photocopy of Certification of Status of Employment/Service Record from HEI/TVI/OFW Proof
of Employment
ADDITIONAL REQUIREMENTS FOR PART-TIME POSITIONS
1 Written approval from head of unit if currently employed by the national government or the local
government unit
Reference: DO 3, s 2016 & DO 32, s2016, DO 51, s 2017
Note: Please attach label (tabbing) on the right side of each requirement for easy access and evaluation.

Submitted by:

Signature Teacher-Applicant
nd written
-Applicant