Republic of the Philippines

DEPARTMENT OF EDUCATION
Region VII, Central Visayas
Division of Cebu Province

STUDENTS’ ASSENT FORM

Name:___________________________________________Grade and Section: ___________________________________

Reason(Please check) ____ Transfer _____ Completion _____ Request Form

FOR SUBJECT TEACHERS:

____________________________________ __________________________________________
Understanding Culture, Society and Politics 21st Century Literature

____________________________________ __________________________________________
Physical Science Oral Communication

____________________________________ __________________________________________
Contemporary Arts Media and Information Literacy

____________________________________ __________________________________________
Earth and Life Science Physical Education

FOR SCHOOL ADMINISTRATION OFFICERS:

____________________________________ __________________________________________
School Finance and Budget Officer School SSG Adviser

____________________________________ __________________________________________
School PTA President/Treasurer School Guidance Counselor

FOR APPROVAL RECOMMENDATION:

____________________________________ __________________________________________
Class Adviser School Senior High School Coordinator

FOR APPROVAL:

GRACESILA I. MANANITA, Dev. Ed. D.

School Head/ Tecaher-In-Charge