EASTERN STAR ACADEMY, INC.

TEACHER’S CLEARANCE
Teacher’s Name: ____________________________________ School Year: _________________
SIGNATURE
DATE OF PERSON-IN-
REQUIREMENTS OF IN-
SUBMISSION CHARGE
CHARGE
ADVISORY CLASS
 Students’ accounts (list per activity) T. Joan
 Students’ liability (broken things & school property T. Joan
 Students’ Tests (UT’s, ST’s, QT’s) T. Izaa
 Empty Classroom T. Joan
DEP-ED & SCHOOL FORMS
 Grading Sheets T. Maris
 Summary of Grades T. Maris
 Class Record T. Maris
 Form 137/ SF10 T. Maris
 SF9 (Report Card) T. Maris
 SF1 LIS GENERATED (School Register) and SF2 (Learners’ Daily
T. Izaa
Attendance Report)
 List and No. of Dropped-outs, transferred-out and transferred-
S. Peter
in (SF4)
 Students’ Birth Certificate (Checked names, spelling etc.) S. Peter
 SF5 (Report on Promotion and Level of Proficiency)
 SF6 (Summarized Report on Promotion and Level of S. Peter
Proficiency)
 SF5A and SF5B (for SHS) T. Camille
 Electronic Files in Compact Disk/CD(including Hardcopy of File of
Grades & Report Cards) Organized Folders of: Exams, Certificate, School S.Peter
Forms, Events and the likes)
 SF 8 Learner’s Basic Health and Nutrition Report (Clinic) S. Peter
OTHER REQUIREMENTS
 Original exam papers w/ answers GS & HS (in pencil – please sort T. Izaa
per subject)
 SMOs (please sort per subject) for elem only T. Izaa
 DLL/DLP/ Curriculum Map and TOS (other FAPE Requirements) S.Peter
 Subject Books (including teacher’s manual) T. Camille
 Evaluation of Books S.Peter
 Letter of Intent to work in SY 2019 – 2020 T. Maris
 School Audio-Visual Materials Borrowed T. Camille
 Documentation of assigned event / activity S. Peter
 Financial liability (teacher) T. Joan
 Class Adviser’s Behavioral Report T. Maris
 Canteen Concerns Ate Leonie
 Library Concerns (undersign sir Joemar) T. Joan
FOR SCIENCE TEACHERS
 Laboratory materials/apparatuses S.Peter
 Copy of thesis /research S.Peter
FOR ENGLISH TEACHERS
 Copy book report S.Peter
FOR SPORTS EVENTS COORDINATOR & PE TEACHERS
 Sports Equipment & Materials T. Joan
The above mentioned name of the teacher has been cleared of financial and property accountability.

____________________________________________ ____________________
PIA MARIE C. ROXAS, MAEd, MGC,LPT,RGC Date
Principal