GENERAL EDUCATION COURSES (GEC) (39 units each)

Art Appreciation
Mathematics in the modern world
Science Technology and Society
The Contemporary World
Purposive Communication
Reading in Philippine History
Understanding the Self
Life & Works of Rizal
Ethics
Mandated Courses: (14 Units)
PE 1-IV (2 Units Each)
NSTP 1-2 (3 Units Each)
Professional Education: (48 Units)
Major Music Courses: (66 Units)

Institutional:
Depending on the institutional requirements
Filipino Courses, if any
Advanced Computer;
Ect.
GRP Form Checklist- Initial Permit/ Recognition
PROGRAM APPLICATION CHECKLIST
Name of HEI: ___________________________________
Address: _______________________________________
Academic Year: _________________________________
For applying for initial permit or recognition, the following documents should be
submitted:
No. DUCUMENTS With W/O Remarks

1 HEI’s application letter duly signed by chairman of the

board of trustees/ president or authorized representative
including notarized affidavit.

2 For private HEIs: Article of Incorporation and By-Laws

duly registered with Securities and Exchange Commission
for local college: Copy of Original Ordinance approving
establishment

3 Cop(ies) of transfer of certificate(s) Title (TCL) Lease

Contract/ Ownership of School Building

4 Certificate of Occupancy for Building(s) being used in the

name of HEI and indicated for Educational Purpose issued
by City/ Municipality Office of Building Office.

5 Feasibility study to include:

Brief Description of Proposed Program
Institutional Mandate and Philosophy and Goal of
Proposed Program
Management viability, such as:
Management capability and administrative
competence as reflected in organizational chart
and qualification of management personnel
Market viability in terms of:
Demand for graduates/employment
Prospective student (Enrolled Projection)
Presence of Existing Higher Education
Institution (HEIs) offering same course with in
the area.
Financial viability in terms of sustainability of
operation, such as:
Financial Soundness
Projected income and expenditure
Schedule of Proposed Tuition & Other
Fees
Other operational aspects
Location of schools in relation to factors
that are not conductive to learning such as
cockpits, dancing halls, bars or recreational
places of questionable character, bowling
alleys, movie houses, market garbage
dumps, funeral parlors, jails, commentaries
& others
6 School Administrative (President, Vice President(s),
Director(s), Dean(s), Program Chairs(s), Head(s),
Coordinator(s), etc.)

7 A. Spreadsheet should the following information:

Name
Position/ Designation
Educational Qualification (Where & When
obligated)
Professional License No. & Expiration Date (if
applicable)
Nature of Appointment (Permanent/ Temporary)
Status (Full-time/ Part-Time)
 B. Certified true copy of transcript or records
C. Certified true copy of professional license (if applicable)
D. Copy of Resume’/ Curriculum Vitae
E. Copy of Notarized Appointed/Contract of employment
(to be submitted if already hired)
F. Letter of commitment (if not yet hired but to submit
notarized appointment/ contract before issuance of
renewal permit)
G. Approved resignation from previous employer, if newly
hired (to be submitted before issuance of initial permit/
recognition permit)
8 Faculty Members
A. Spreadsheet should include the following information
(Separate spreadsheet for faculty handling General
Education Subject and Professional Subjects):
Name
Educational Qualification (Where & When
obtained)
Professional License Number & Expiration data if
applicable
Field of Specialization
Subjects to be Taught
Nature of Appointment (Permanent/ Temporary)
Status (Full-Time/Part-Time)
B. Certified true copy of transcript of records
C. Certified true copy of Professional License (If
Applicable)
D. Copy of Resume/ Curriculum Vitae
E. Copy of Notarized appointment/ Contracts of
employment (to be submitted if already hired)
F. Letter of Commitment (If not yet hired but to submit
notarized appointment/contract before issuance of
initial permit/recognition)
G. Approved resignation from previous employer (To be
submitted before issuance of initial permit/recognition)
9 Non-teaching personnel (Registrar, Guidance Counselor,
Administrative Staff, etc.)
A. Spreadsheet should include the following information:
Name
Educational Qualification (Where & When
obtained)
Professional License Number & Expiration data if
applicable
Nature of Appointment (Permanent/ Temporary)
Status (Full-Time/Part-Time)
B. Certified true copy of transcript of records
C. Certified true copy of Professional License (If
Applicable)
D. Copy of Resume/ Curriculum Vitae
E. Copy of Notarized appointment/ Contracts of
employment (to be submitted if already hired)
10 Curriculum
Distribution of Subjects per term
Summary of Units
Course Description (By Subjects)
Course Syllabus (By Subjects)
11 Library
A. Librarian (Copy of Transcript of Records,
Appointment, professional license)
B. Facilities (Floor Space in Sq. m.) include pictures
C. Seating Capacity (Combined number of students
and faculty at one time)
D. Library collections (Books, Journals Magazine,
Dictionaries, Almanacs etc.)
 List of 5 non-duplicated book titles per
subject in the curriculum published within
the last 5 years
List of Book collections/ accessioned books
Start-up-3000 library collections (for initial permit
Minimum of 5,000 library collections
(for recognition)
List of subscription to relevant professional
journals.
Note: List should be in spreadsheet to include
author, title of books, year of publication and number
of volumes.
12 Physical Facilities to be used exclusively for tertiary
programs (to include pictures)
School site
Total Floor Area (in sq. m.)
Buildings
Number & Size of Classrooms/Lecture Rooms
Number & Type of Laboratories
Note: Refer to PSG for the program applied for
13 List of equipment and other instructional device/aids

14 Support Facilities
Audio visual room
Sports and recreational, if outsourced to include
notarized MOA
Canteen
Faculty Lounge
Student Lounge
15 Support Services
A. Guidance and Counseling
B. Medical and Dental Services for students and
faculty, if outsourced to include notarized MOA
16 NSTP
A. Coordinator (Copy of Transcript of Records &
Appointments)
B. NSTP Office
C. Affiliation to Accredited NSTP Provider, if
outsourced, to include notarized MOA
17 Application fee in the amount of eight thousand pesos
8,000 in cash or check payable to CHEDRO

18 Inspection fee in the amount of fifteen thousand pesos

(15,000) in cash or check payable to CHEDRO

Evaluated By:

Position: RQAT Member Position: RQAT Member

Date: _________________ Date: _________________

__________________________________________________
Education Supervisor II(Teacher Education)
CHED Representative

Conforme:
 BACHELOR OF SECONDARY EDUCATION
SCHOOL ADMINISTRATORS (President, Vice President(s)),
Director(s), Dean(s), Program Chairs/Head(s), Coordinator(s), etc.)

Professional License Nature of

Position/ Educational Qualifications Appointment Status
Name of Administrator No. & Expiration Date (Full-time/Part-Time)
Designation (Where & When obtained) (Permanent/
(1) (If Applicable) Temporary) (6)
(2) (3)
(4) (5)
Hermengildo F. Samoy, Jr. PhD. University President Doctor of Philosophy, Educational Management
No. 7654
University of La Salette ‘2004
Permanent Full Time
Exp. 11/10/22
Elizabeth T. Carig, PhD Assistant Professor V / Doctor of Philosophy No. 005617
Vice President for Academic Neuva Vizcaya State University ‘2016
Exp. 4/14/2022 Permanent Full Time
& Related Affairs

Vice President for Administration

Angelina T. Ambonon, DPA DPA
& Finance Director, N/A Permanent Full Time
Administrative Services University of La Salette ‘10
Romiro G. Bautista, PhD Professor I/ Doctor of Philosophy, Science Edu. 0819209
Director for Instruction University of La Salette ‘2008 Permanent Full Time
Exp. July 01, 2021
Fredisminda M. Dolojan, PHD Professor IV/ Doctor of Philosophy No. 358537
Director for Extension & Neuva Vizcaya State University ‘2014 Exp. 4/3/2021 Permanent Full Time
Training Services

Ma. Theresa B. Valerio, PhD Associate Professor Doctor of Philosophy No. 02655767
V/Dean, College of University of La Salette Exp. 3/20/2020 Permanent Full Time
Teacher Education

Agaton P. Pattalitan, Jr., PhD Professor II/ Doctor of Philosophy No. 0346133
BSED & BTLED University of La Salette Exp. 2022 Permanent Full Time
Program Chair

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
 Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition)

FACULTY MEMBERS
A. Spreadsheet Should include the following information
FOR GENERAL EDUCATION (GE) COURSES

Name of Faculty Educational Qualifications (Where & When Professional License Field of Subject to be Taught Nature of Appt. Status (Full-
obtained) No. & Expiration Date (Write the descriptive title of (Permanent/Temporary) Time/Part-
(1) Specialization the course based on the new
(2) (If Applicable) (6) Time)
(4) PSGs)
(3) (5) (7)

English
Ma. Theresa B. Valerio, PhD Doctor of Philosophy No. 02655767 Language Research/ Permanent Full Time
University of La Salette Exp. 3/20/2020 English Literature/ Intro
Linguistics

Ailyn Joy Peralta, PhD University of the Philippines No. 1382615 Permanent Full Time
English World Literature
Doctor of Phil. in Communication ‘2019 & Exp. 2018
Ronnie G. Guillermo, MAT Isabela State University No. 0356638 & Linguistic/ Permanent Full Time
English
Master of Arts in Teaching English ‘2009 Exp. 2020 Literature
Claudine Fay Tomas MAT English No. 1397242 & Purposive Permanent Full Time
English
PNU Alicia (On-going) Exp. 2021 Communication
Aprylle Maye M. Baloro Isabela State University No. 1452645 Purposive Temporary Full Time
Master of Arts in Education (on going)
English
& Exp. 2021 Communication
Filipino

University of La Salette No. 0346133 Panimulang

Agaton P. Pattalitan, Jr., PhD Filipino Permanent Full Time
Doctor of Philosophy ‘2008 Exp. 2022 Lingwistika

Mishell Q. Jaramillo, MAED University of La Salette No. 0346104 & Filipino Pagsasaling Wika/ Permanent Full Time
Master of Arts in Education-Filipino ‘2015 Kulturang Popular/
 Exp. 2020 Panitikan

Nueva Vizcaya State University No. 1537474 & Maunlad na Filipino/ Temporary Full Time
Charlie T. Meriales Filipino Sanaysay at Talumpati
MAT-Filipino (2019-On going) Exp. 2019
Panitikang Filipino/
Nueva Vizcaya State University No. 1319995 Filipino sa Ibat Ibang
Temporary Full Time
Jeferlyn V. Agbayani MAT-Filipino (2019-On going) & Exp. 2022 Filipino Disiplina/
Kontekswalisadong Filipino

Mathematics
Donna Mae Santos University of the Philippines Diliman Mathematics Modern Geometry/ Permanent Full Time
Masters of Science in Statistic ‘2017 N/A Elem. Statistics and
Probability

Liezel S. Lopez, MAT University of La Salette, Inc. No. 1238831 & Mathematics Math in the Modern Permanent Full Time
Master of Arts in Education Major in Mathematics ‘2019
Exp. 2021 World

Mary Joy Agnes B. Alunday, MS Nueva Vizcaya State University No. 1400521 Mathematics Assessment & Evaluation 2/
Logic & Set Theory/ Number
Permanent Full Time
MS MATHEMATICS Exp. 2022 Theory/ Tech for T&L 1/
Math in the Modern World/
On Becoming a Teacher

Dyanika P. Nolasco Nueva Vizcaya State University No. 0167071 & Mathematics Logic & Set Theory Permanent Full Time
Doctor of Philosophy Science Education- Mathematics
(on going)
Exp. 2022

Physical Education

Jumrei T. Cacal Northeastern College No. 1651417 & Physical Education Fundamentals of Temporary Full Time
Rhythmic Activities/
Masters of Arts in Education (on going) Exp. 2021 Recreation Activities

Reynaldo B. Velasco University of La Salette Physical Education Fundamentals of Permanent Full Time
N/A Rhythmic Activities
Masters of Arts in Education ‘2002
Science
Denson Liday Saint Mary’s University No. 0824758 & Science Analytical Chemistry Permanent Full Time
MA-Chemistry ‘2000 Exp. 2020
Kristine Grace Velasco Nueva Vizcaya State University No. 1240677 Science Anatomy & Permanent
Doctor of Phil. Major in Biology (on- Exp. 2023 Physiology/ Human
Anatomy and
going)
 Physiology

Ana Marie Carino University of Santo Tomas No. 1321086 & Science History and Permanent Full Time
Doctor of Phil. in Biology ‘2019 Exp. 2020 Philosophy of Science

Cynthia Cabicungan Marikina Polytechnic College Science Astronomy/ Analytical Temporary Full Time
Bachelor of Technical Teacher Education No. 1105529 Chemistry/
Thermodynamics
(Chemistry for Technology) Exp. 2020
MAT on-going

Romiro G. Bautista, PhD Doctor of Philosophy, Science Edu. 0819209 Science Science, Technology Permanent Full Time
University of La Salette ‘2008 Exp. July 01, and Society
2021
Social Science
Ma. Olivia S. Isabela University of the Cordilleras CS No. 08-100243 Social Science Phil. Popular Culture Temporary Full Time
Bautista MA Dev. in Management (2010-present) & 2020 & Art Appreciation &
Reading in Phil. History

Psychology
Maydee Gervacio, MAED National College of Business & Arts No. 1825316 & Psychology Ethics/ Gender Permanent Full Time
Master in Business Administration Exp. 2022 and Society
‘2006

Czarina Celestino University of La Salette, Inc. No. 003659 Psychology Child and Adolescent Permanent Full Time
Master of Arts in Education Major in Guidance &
Exp. 3/6/2021 & Facilitating
Counseling ‘2017 Learning/
Understanding Self
To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition.
B. Spreadsheet Should include the following information
FOR PROFESSIONAL EDUC (PROF. ED) COURSES

Name of Faculty Educational Qualifications Professional License Field of Subject to be Taught Nature of Appt. Status (Full-
(1) (Where & When obtained) No. & Expiration Specialization (Write the descriptive (Permanent/Temporary Time/Part-
Date (If Applicable) title of the course based
Time)
 (2) (3) (4) on the new PSGs) ) (7)
(5) (6)
Agaton P. Pattalitan, Jr. PhD University of La Salette No. 0346133 Permanent Full Time
Doctor of Philosophy ‘2008 Exp. 2022
Filipino Practice Teaching

Ma. Theresa B. Valerio, PhD Doctor of Philosophy No. 02655767 Permanent Full Time
University of La Salette Exp. 3/20/2020
English Practice Teaching

Romiro G. Bautista, PhD Doctor of Philosophy, Science Edu.

University of La Salette ‘2008 Practice Teaching/ Permanent Full Time
0819209
Exp. July 01, 2021
General Science Social Dimension/
Educ’l Research

Jamina Camayang, PhD Doctor of Philosophy in Education (PHD)

Major in Educational Management No. 0380258 & Guidance & Permanent Full Time
Field Study
St. Paul University Exp. 2021 Council

Ronie G. Guillermo, MAT Isabela State University No. 0356638 & Field Study/ Permanent Full Time
Master of Arts in Teaching English ‘2009
Exp. 2020
English Social Dimension/ Intro.
to Cur. & Insn’l planning

Mary Joy Agne B. Alunday, MS Nueva Vizcaya State University Assessment & Permanent Full Time
MS MATHEMATICS No. 1400521
Exp. 2022
Mathematics Evaluation of
Learning
Joselle Concepcion Saint Mary’s University
No. 1355157 Information
Computer Permanent Full Time
Masters in Information Literacy/Facilitating
Technology ‘2018 Exp. 2022 Technology Learning

Jennalyn Sarmiento Doctor of Philosophy in

No. 0778959 Child & Adolescent/ Permanent Full Time
Education Psychology
St. Paul University Exp. 2022 Facilitating Learning

Czarina Celestino University of La Salette, Inc. No. 003659 Permanent Full Time
Master of Arts in Education Major in
Exp. 3/6/2021
Psychology Child & Adolescent
Guidance & Counseling ‘2017

Aprylle Maye M. Baloro Isabela State University No. 1452645 English Tech. for Teaching Temporary Full Time
Learning&Learner / The
 Master of Arts in Education Teacher&the community,
& Exp. 2021 School Culture, &
(on going)
organizational

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition).

C. FOR FIELD OF SPECIALIZATION COURSES

Name of Faculty Educational Qualifications (Where & When Professional License No. Field of Subject to be Nature of Appt. Status (Full-
 (1) obtained) & Expiration Date Specialization Taught (Permanent/Temporary Time/Part-
(2) (If Applicable) (4)
(Write the descriptive title ) Time)
of the course based on
(3) the new PSGs)
(6) (7)
(5)
English
Ailyn Joy Peralta, PhD University of the Philippines No. 1382615 English Conversational Permanent Full Time
Doctor of Phil. in Communication ‘2019 & Exp. 2018 Eng./ Children &
Adolescent Lit.

Aprylle Maye M. Baloro Isabela State University No. 1452645 English Survey of Phil. Lit. In Temporary Full Time
Eng. / Prep. and Eval.
Master of Arts in Education (on going) & Exp. 2021 Of. Ins. Material

Claudine Fay Tomas MAT English No. 1397242 & English Intensive Grammar/ Permanent Full Time
Remedial Instruction
PNU Alicia (On-going) Exp. 2021 in English

Ma. Theresa B. Valerio, PhD. Doctor of Philosophy No. 02655767 English Language Research/ Permanent Full Time
Literature/ Intro
University of La Salette Exp. 3/20/2020 Linguistics

Romar B. Antonio, MAT Saint Louis University No. 1047808 & English Structure of Permanent Full Time
Doc. of Phil. -Language Ed. (2017-on going) Exp. 2022 English
Ronnie G. Guillermo, MAT Isabela State University No. 0356638 & English
Speech & Stage Arts /
Exploring the Curriculum / Permanent Full Time
Master of Arts in Teaching English ‘2009 Exp. 2020 Language Program & Policies
in Multilingual Societies /
Language Learning Materials
Development

Divina Gracia S. Sabio University of Santo Tomas No. 0202239 & English
Language Program and
Policies Permanent Full Time
Doctor of Philosophy Exp. 2023 in Multilingual Societies /
Language Learning Materials
Development

Filipino
Agaton P. Pattalitan, Jr. PhD. University of La Salette No. 0346133 Filipino
Panimulang Lingwistika/
Istraktura ng
Permanent Full Time
Doctor of Philosophy ‘2008 Exp. 2022 Wika/Maikling Kwento &
Nobela/ Introduksyon sa
Pananaliksik sa Wika at
Panitikan/ Maikling
Kwento at Nobela /
Estruktuktura ng
Wikang Fil
Mishell Q. Jaramillo, MAED University of La Salette No. 0346104 & Filipino Pagsasaling Wika/ Permanent Full Time
Master of Arts in Education-Filipino ‘2015 Ang Filipino sa
Exp. 2020 Kurikulum ng
Batayang Edukasyon
/ Introduksiyon sa
Pagsasalin
Charlie T. Meriales Nueva Vizcaya State University No. 1537474 & Filipino Maunlad na Temporary Full Time
MAT-Filipino (2019-On going) Exp. 2019 Filipino/Sanaysay
at Talumpati

Jeferlyn V. Agbayani Nueva Vizcaya State University No. 1319995 Filipino Kulturang Popular/ Temporary Full Time
MAT-Filipino (2019-On going) & Exp. 2022 Panulaang Filipino

Science
Kristine Grace Velasco, MAT Nueva Vizcaya State University No. 1240677 Anatomy & Permanent Full Time
Science
Doctor of Phil. Major in Biology (on-going) Exp. 2023 Physio

Romiro G. Bautista, PhD Doctor of Philosophy, Science Edu. 0819209

Science
Organic Chem. / Permanent Full Time
University of La Salette ‘2008 Exp. July 01, 2021 Statistics for Bio

Cynthia Cabicungan Marikina Polytechnic College

Bachelor of Technical Teacher Education
No. 1105529 Astronomy/ Analytical Permanent Full Time
(Chemistry for Technology) Exp. 2020 Science Chemistry/
MAT on-going Thermodynamics

Ana Marie D. Carino, PhD University of Santo Tomas No. 1321086 & Biochemistry Permanent Full Time
Science
Doctor of Phil. in Biology ‘2019 Exp. 2020

Denson Liday, MAT Saint Mary’s University No. 0824758 & Analytical Permanent Full Time
Science
MA-Chemistry ‘2000 Exp. 2020 Chemistry

Dennis Opiano University of Saint Luis No. 121288 Civil Electricity & Permanent Full Time
MA Civil Engineering ‘2019 Exp. 2020 Engineering Magnetism

Math
Donna Mae Santos, MS University of the Philippines Diliman Modern Geometry/ Permanent Full Time
N/A Math Elem. Statistics
Masters of Science in Statistic ‘2017
and Probability

Mary Joy Agnes B. Alunday, MS Nueva Vizcaya State University No. 1400521 Math
Assessment & Evaluation
2/ Logic & Set Theory/
Permanent Full Time
Master of Science in Teaching-Mathematics ‘2019 Exp. 2022 Number Theory/ Tech for
T&L 1/ Math in the
Modern World/ On
 Becoming a Teacher/
Math College &
advance Algebra

Liezel S. Lopez University of La Salette, Inc. No. 1238831 & Plane and Solid Permanent Full Time
Master of Arts in Education Major in Mathematics ‘2019 Exp. 2021 Math Geometry/
Trigonometry

Nelson Guray, MOM Isabela State University No. 0018382 & Calculus 2/ Calculus Permanent Full Time
I with Analytic
Doctor of Education (on going) Exp. 2021 Math
Geometry/ Integral
Calculus

Dyanika P. Nolasco, MAED Nueva Vizcaya State University No. 0167071 & Logic & Set Permanent Full Time
Doctor of Philosophy Science Education- Mathematics Exp. 2022 Math
(on going)
Theory

Social Science
Ma. Olivia Isabela Bautista University of the Cordilleras CS No. 08-100243 Social Science Phil. Popular Temporary Full Time
MA Dev. in Management (2010-present) & Exp. 2020 Culture & Art
Appreciation &
Rizal Life

National College of Business & Arts No. 1825316 & Rizal’s life Work &
Maydee Gervacio, MAED Social Science Writings &
Permanent Full Time
Master in Business Administration ‘2006 Exp. 2022 Understanding by it self

Northeastern College No. 1651417 & Rizal’s life Work &

Jumrei T. Cacal Social Science Writings &
Temporary Full Time
Masters of Arts in Education (on going) Exp. 2021 Understanding by itself &
The Contemporary World

PE
Reynaldo B. Velasco University of La Salette
N/A Physical Education Fundamentals of Permanent Full Time
Masters of Arts in Education ‘2002 Rhythmic Activities

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition.
 D. Non-Teaching Staff (Registrar, Guidance Counselor, Librarian(s), NSTP Coordinators, Administrative Staff, Etc.)

Name of Faculty Educational Professional Field of Subject to be Taught Nature of Appt. Status
(1) Qualifications License No. & Specialization (Write the descriptive title (Permanent/Temporary) (Full-Time/Part-Time)
(Where & When Expiration Date (4) of the course based on the (6) (7)
obtained) (If Applicable) new PSGs)
(2) (3) (5)

Eleanor G. Garingan, PhD Doctor of Philosophy No. 0267601 NSTP 1&2 Literacy Permanent Full Time
Filipino, University of La
Exp. 2022 English Training Service
Salette, ‘2018

Jenelyn M. Sarmiento, PhD Doctor of Philosophy in No. 0778959 Child & Adolescent/ Permanent Full Time
Education
Exp. 2022 Psychology Facilitating Learning
St. Paul University
Melba Baldonado Saint Mary’s University No. 0002892 Permanent Full Time
Master in Library &
Exp. 2020 Librarian III N/A
Information ‘2012

Padma R. Bunao, MMPM Quirino State University N/A University N/A Permanent Full Time
 Master in Management Registrar
Public Management

Richard P. Pablo, RCPCE University of Saint Louis

(Tuguegarao) No. 0148343
Civil Engineering N/A Permanent Full Time
Masters in Engineering - Exp. 2022
Major in Civil Engineering

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition.
 BACHELOR OF TECHNOLOGY & LIVELIHOOD EDUCATION
SCHOOL ADMINISTRATORS (President, Vice President(s)),
Director(s), Dean(s), Program Chairs/Head(s), Coordinator(s), etc.)
Professional License Nature of
Position/ Educational Qualifications Appointment Status
Name of Administrator No. & Expiration Date (Full-time/Part-Time)
Designation (Where & When obtained) (Permanent/
(1) (If Applicable) Temporary) (6)
(2) (3)
(4) (5)
Hermengildo F. Samoy, Jr. PhD. University President Doctor of Philosophy, Educational Management
No. 7654
University of La Salette ‘2004
Permanent Full Time
Exp. 11/10/22
Elizabeth T. Carig, PhD Assistant Professor V / Doctor of Philosophy No. 005617
Vice President for Academic Neuva Vizcaya State University ‘2016
Exp. 4/14/2022 Permanent Full Time
& Related Affairs

Vice President for Administration

Angelina T. Ambonon, DPA DPA
& Finance Director, N/A Permanent Full Time
Administrative Services University of La Salette ‘10
Romiro G. Bautista, PhD Professor I/ Doctor of Philosophy, Science Edu. 0819209
Director for Instruction University of La Salette ‘2008 Permanent Full Time
Exp. July 01, 2021
Fredisminda M. Dolojan, PHD Professor IV/ Doctor of Philosophy No. 358537
Director for Extension & Neuva Vizcaya State University ‘2014 Exp. 4/3/2021 Permanent Full Time
Training Services

Ma. Theresa B. Valerio, PhD Associate Professor Doctor of Philosophy No. 02655767
V/Dean, College of University of La Salette Exp. 3/20/2020 Permanent Full Time
Teacher Education
Agaton P. Pattalitan, Jr., PhD Professor II/ Doctor of Philosophy No. 0346133
BSED & BTLED University of La Salette Exp. 2022 Permanent Full Time
Program Chair

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
 FACULTY MEMBERS
A. Spreadsheet Should include the following information
FOR GENERAL EDUCATION (GE) COURSES

Name of Faculty Educational Qualifications (Where & When Professional License Field of Subject to be Taught Nature of Appt. Status (Full-
obtained) No. & Expiration Date (Write the descriptive title of (Permanent/Temporary Time/Part-
(1) Specialization the course based on the )
(2) (If Applicable) Time)
(4) new PSGs)
(6)
(3) (5) (7)

English
Ma. Theresa B. Valerio, PhD Doctor of Philosophy No. 0346133 English Intro. Ling. / Full Time
Exp. 2022 Permanent
University of La Salette Literature
Ronie G. Guillermo, MAT Isabela State University No. 0356638 & English Linguistic / Full Time
Permanent
Master of Arts in Teaching English ‘2009 Exp. 2020 Literature
Ailyn Joy Peralta, PhD University of the Philippines No. 1382615 English Purposive Full Time
Permanent
Doctor of Phil. in Communication ‘2019 & Exp. 2018 Communication
Claudine Fay Tomas MAT English No. 1397242 & English Purposive Full Time
Permanent
PNU Alicia (On-going) Exp. 2021 Communication
Aprylle Maye M. Baloro Isabela State University No. 1452645 English Purposive Full Time
Temporary
Master of Arts in Education (on going) & Exp. 2021 Communication
Filipino
Agaton P. Pattalitan, Jr., University of La Salette No. 0346133 Filipino Panimulang Permanent Full Time
PhD Doctor of Philosophy ‘2008 Exp. 2022 Lingwistika
Mishell Q. Jaramillo, MAED University of La Salette No. 0346104 & Filipino Permanent Full Time
Master of Arts in Education-Filipino ‘2015 Pagsasaling Wika
Exp. 2020
Charlie T. Meriales Nueva Vizcaya State University No. 1537474 & Filipino Pananaliksik ng Temporary Full Time
Komunikasyon, KomFil,
MAT-Filipino (2019-On going) Exp. 2019 Fildis, & Masining na
pagpapahayag

Jeferlyn V. Agbayani Nueva Vizcaya State University No. 1319995 Filipino Komfil, Fildis, Temporary Full Time
MAT-Filipino (On going) & Exp. 2022 Masining na
Pagpapahayag,
Mathematics
Donna Mae Santos University of the Philippines Diliman Mathematics Mathematics in Permanent Full Time
N/A
Masters of Science in Statistic ‘2017 the Modern World
Liezel S. Lopez, MAT University of La Salette, Inc. No. 1238831 & Mathematics Plane and Solid Permanent Full Time
Master of Arts in Education Major in Mathematics ‘2019 Geometry/ Trigonometry
Exp. 2021
Mary Joy Agnes B. Alunday, MS Assessment & Evaluation
Nueva Vizcaya State University No. 1400521 Mathematics 2/ Logic & Set Theory/
Permanent Full Time
MS MATHEMATICS Exp. 2022 Number Theory/ Tech for
T&L 1/ Math in the Modern
World/ On Becoming a
Teacher

Dyanika P. Nolasco Nueva Vizcaya State University No. 0167071 & Math in the Permanent Full Time
Doctor of Philosophy Science Education- Mathematics
Exp. 2022 Mathematics
(on going)
Modern World

Physical Education

Jumrei T. Cacal Northeastern College No. 1651417 & Fundamentals of Temporary

Masters of Arts in Education (on going) Physical Education Rhythmic Activities/ Full Time
Exp. 2021 Recreation Activities

Reynaldo B. Velasco University of La Salette Fundamentals of Permanent

Masters of Arts in Education ‘2002 N/A Physical Education Rhythmic Activities/ Full Time
Recreation Activities

Science
Romiro G. Bautista, PhD Doctor of Philosophy, Science Edu. No. 0819209 Science, Technology Permanent
University of La Salette ‘2008 Exp. July 01, 2021
Science and Society
Full Time

Ana Marie Carino University of Santo Tomas No. 1321086 & History and Permanent
Doctor of Phil. in Biology ‘2019 Exp. 2020
Science Philosophy of Science
Full Time
Kristine Grace Velasco Nueva Vizcaya State University
No. 1240677 Anatomy & Physiology/ Permanent
Doctor of Phil. Major in Biology (on-going)
Exp. 2023
Science Human Anatomy and Full Time
Physiology

Denson Liday Saint Mary’s University No. 0824758 & Permanent

MA-Chemistry ‘2000 Exp. 2020
Science Analytical Chemistry Full Time

Cynthia Cabicungan Marikina Polytechnic College Astronomy/ Analytical Temporary

Bachelor of Technical Teacher Education No. 1105529 Chemistry/
(Chemistry for Technology) Exp. 2020
Science Thermodynamics Full Time
MAT on-going

Social Science
Ma. Olivia Isabela S. Bautista University of the Cordilleras CS No. 08-100243 Phil. Popular Culture Temporary
MA Dev. in Management (2010-present) & Exp. 2020 Social Science & Art Appreciation & Full Time
Rizal life

Jumrei T. Cacal Northeastern College No. 1651417 &

Phil. Popular Culture Temporary
Masters of Arts in Education (on going) Exp. 2021
Social Science & Art Appreciation & Full Time
Rizal life

Psychology
Maydee Gervacio, MAED National College of Business & Arts No. 1825316 & Psychology Child and Adolescent/ Permanent Full Time
Master in Business Administration ‘2006 Exp. 2022 Ethics

Czarina Celestino University of La Salette, Inc. No. 003659 Psychology Child and Adolescent Temporary Full Time
Master of Arts in Education Major in Guidance & Exp. 3/6/2021 & Facilitating
Counseling ‘2017 Learning

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
 D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition)

B. Spreadsheet Should include the following information

FOR PROFESSIONAL EDUC (PROF. ED) COURSES

Name of Faculty Educational Qualifications (Where Professional Field of Subject to be Taught Nature of Appt. Status
(1) & When obtained) License No. & Specialization (Write the descriptive title of (Permanent/ (Full-Time/Part-Time)
(2) Expiration Date the course based on the new Temporary) (7)
(If Applicable) (4) PSGs) (6)
(3) (5)
Ma. Theresa B. Valerio, Doctor of Philosophy No. 0346133 English Practice Teaching Permanent Full Time
PhD Exp. 2022
 University of La Salette
Agaton P. Pattalitan, PhD University of La Salette No. 02655767 Permanent Full Time
Exp. 3/20/2020 Filipino Practice Teaching
Doctor of Philosophy ‘2008
Romiro G. Bautista, PhD Doctor of Philosophy, Science Edu. 0819209 Practice Teaching/ Permanent Full Time
University of La Salette ‘2008 Exp. July 01, General Science Social Dimension/Educ.’l
2021 Research

Jamina Camayang, PhD Doctor of Philosophy in Education (PHD) Major in

Educational Management
No. 0380258 & General Permanent Full Time
Exp. 2021 Field Study
St. Paul University Education

Ronie G. Guillermo, MAT Isabela State University No. 0356638 &

English Social Dimension Permanent Full Time
Master of Arts in Teaching English ‘2009 Exp. 2020
Mary Joy Agnes B. Alunday, MS Nueva Vizcaya State University No. 1400521 Assessment & Permanent Full Time
MS MATHEMATICS Mathematics
Exp. 2022 Evaluation of Learning
Joselle Concepcion, MIT Saint Mary’s University No. 021-1696- Information Permanent Full Time
Masters in Information Technology 2531-2 Technology Educational Technology
‘2018 Exp. 2020
Jennalyn Sarmiento, PhD Doctor of Philosophy in Education No. 0778959 Psychology Child & Adolescent/ Permanent Full Time
St. Paul University Exp. 2022 Facilitating Learning

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition)

C. FOR FIELD OF SPECIALIZATION COURSES

Name of Faculty Educational Qualifications (Where & When Professional License No. Field of Subject to be Taught
(Write the descriptive title of
Nature of Appt. Status (Full-
obtained) & Expiration Date (Permanent/Temporary Time/Part-
(1) Specialization the course based on the new
)
PSGs) Time)
 (2) (If Applicable) (4) (5) (6) (7)
(3)

Home Economics
Ed. Pantahanan at
Isabela State University Pangkabuhayan / Ref. &
Masters of Arts in Industrial Education- Technology No. 1285216 & Air conditioning/
Mary Glo M. Bonilla & Home Economics (2015-on going)
Exp. 2020
T.L.E Handicrafts/ Consumer Permanent Full Time
Education/ House
Resource Management

Clothing
Mary Ann Dela Cruz Home Economics Construction Permanent Full Time

Northeastern College No. 0925157 & Building & Enhancing

Literacy Across the
Maricris Nanglihan, PhD MS Home Technology ‘2018 Exp. 2021 T.L.E Curriculum w/ Emphasis Permanent Full Time
on the 21 st
Century
Skills

Agriculture
Isabela State University No. 0021921 & Organic
Pamela S. Tobias Master of Science in Agricultural Science Major in Animal
Exp. 2021 Agriculture Temporary Full Time
Science Agriculture

Nueva Vizcaya State University No. 0021529 & Agri – Fishery/ Crop
Temporary
Marjorie C. Opiano Master of Science in Animal Science (On-going) Exp. 2021 Agriculture Production Tech. 1: Field Full Time
Crop & Cereal Production

ICT
Saint Paul University CS No. 130981 Intro. to ICT Part 1 /
Illustration: Drawing
William Sabug Masters in Information Technology (on going) Exp. 2020 ICT Temporary Full Time
Concept and
Strategies

Saint Mary’s University No. 021-1696-2531-2 Illustration: Drawing

Jocelle Concepcion, MIT Masters in Information Technology ‘2018 Exp. 2020 ICT Tools & Animation Permanent Full Time

University of Saint Louis (Tuguegarao) C.S. No. 0132742 Drawing, Waves

Cristobal B. Laslas Masters in Engineering - Major in Civil Engineering Exp. 2023 ICT & Optics
Permanent Full Time

Quirino State University

Forester License No.
Julie E. Luis, MMPM, MA MMPM ‘2015
0011868 ICT Industrial Arts Permanent Full Time
Forester Nueva Vizcaya State University
Exp. 2020
Master in Forestry ‘2019
 To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition.)

Non-Teaching Staff (Registrar, Guidance Counselor, Librarian(s), NSTP Coordinators, Administrative Staff, Etc.)

Name of Faculty Educational Professional Field of Subject to be Taught Nature of Appt. Status
(1) Qualifications (Where & License No. & Specialization (Write the descriptive title (Permanent/Temporary) (Full-Time/Part-Time)
When obtained) Expiration Date (4) of the course based on the (6) (7)
(2) (If Applicable) new PSGs)
(3) (5)

Doctor of Philosophy, No. 0267601 & NSTP 1&2 Literacy

Eleanor G. Garingan, PhD University of La Salette, ‘2018 English Permanent Full Time
Exp. 2022 Training Service
Doctor of Philosophy in No. 0778959 Child & Adolescent/
Jenelyn M. Sarmiento, PhD Education
Exp. 2022 Psychology Permanent Full Time
St. Paul University Facilitating Learning

Saint Mary’s University No. 0002892

Melba Baldonado Master in Library &
Exp. 2020 Librarian N/A Permanent Full Time
Information ‘2012

Quirino State University REGISTRAR III/

Padma R. Bunao, MMPM Master in Management N/A Master in Management N/A Permanent Full Time
Public Management (Major in Public Management)

University of Saint Louis

(Tuguegarao) No. 0148343
Richard P. Pablo, RCPCE Civil Engineering N/A Permanent Full Time
Masters in Engineering - Major Exp. 2022
in Civil Engineering

To be attached
A. Certified true copy of transcript of records
B. Certified true copy of Professional License (if applicable)
C. Copy of Resume/ Curriculum Vitae
D. Copy of notarized appointment/contract of employment (to be submitted if already hired)
E. Letter of Commitment (if not yet hired but to submit notarized appointment/ contact before issuance of renewal permit)
F. Approve resignation from previous employer, if newly hired, if newly hired (to be submitted before issuance of initial permit/ recognition.