Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF BULACAN

CHECKLIST ON SUBMITTED DOCUMENTARY REQUIREMENTS

FOR JUNIOR HIGH SCHOOL TEACHING APPLICATION

Name of Junior High School Teacher Applicant: ______________________________________________

Unique Applicant Number : ______________________________________________________________
Subject Area : ________________ If TLE Major : Specify specialization: ___________________________
Complete Address : ____________________________________________________________________
Contact Number : ____________________________________________________________________

Documents Submitted :
(As per DepEd Order No. 7, s. 2015) Please check.

1. Written application with the UAN indicated _______

2. CSC Form 212 (Revised 2017) in two copies with the latest 2 x 2 ID picture _______
(application.deped.gov.ph)

3. *Certified photocopy of PRC professional identification card or _______

*PRC certification showing the teachers’ name, LET rating, and other
Information recorded in the PRC office _______

4. Certified photocopy of ratings obtained in the Licensure Examination

For Teachers (LET) / Professional Board Examination for Teachers (PBET) _______

5. Certified copy of transcript of records _______

6. Copies of service records _______

Performance rating _______

School clearance _______

If unavailable, justification citing the reason for unavailability _______

Certificate of specialized training ______

7. Certified copy of the Voter’s ID _______

If unavailable, any proof of residency _______

8. NBI Clearance _______

9. Omnibus certification of authenticity and veracity of all documents ______

Submitted, signed by the applicant

CERTIFICATION
This is to certify that the School Screening Committee of ______________________High
School
received the application of the above-named Teacher Applicant and the specified documents in support
of his/her application.

_________________________________
School Screening Committee Chairperson
Date: _________________
3 copies:

Provincial Capitol Compound, Brgy. Guinhawa, City of Malolos, Bulacan

website: https://bulacandeped.com email. bulacan@deped.gov.ph
 Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF BULACAN

1. Teacher Applicant
2. School File
3. SDO File (to be attached to the applicant’s folder to be submitted to the SDO)

Provincial Capitol Compound, Brgy. Guinhawa, City of Malolos, Bulacan

website: https://bulacandeped.com email. bulacan@deped.gov.ph