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Republic of the Philippines

Department of Education
REGION IV – A
SCHOOL DIVISION OFFICE OF SANTA ROSA CITY

APPLICATION FOR PERMIT TO TEACH


August 12, 2020
Date

Name of Teacher: Jeffrey Nabo Lozada

Applicant’s Assignment:
School: Sinalhan Integrated High School
District: 2

School where the applicant plans to teach:


School: Polytechnic University of the Philippines Santa Rosa Campus
Place: Baranggay Kanluran, City of Santa Rosa, Laguna

Last Performance Rating: Outstanding (4.511)

LIST OF SUBJECTS TO TEACH

[ ] 1ST Semester [ ] 2ND Semester [ ] Trimester [ ] Summer SY 2020 - 20 21


SUBJECT/S UNITS DAY TIME
Natatanging diskurso sa Wika at 3 Monday 5:00 – 8:00
Panitikan
Dulaang Filipino 3 Saturday 10:30 – 1:30
Filipinolohiya at Pambansang 3 Saturday 2:00 – 5:00
Kaunlaran
Pagsasalin ng Kontekstong 3 Tuesday 5:00 – 8:00
Filipino
Pagsasalin ng Kontekstong 3 Thursday 5:00 – 8:00
Filipino

Certified Correct:

Jeffrey Nabo Lozada Prof. Charito A. Montemayor


Signature of Teacher University Dean

Recommending Approval:

Ma. Cristina C. Pegollo, Principal II


School Head
Republic of the Philippines
Department of Education
REGION IV – A
SCHOOL DIVISION OFFICE OF SANTA ROSA CITY

Approved:

MANUELA S. TOLENTINO, CESO V


Schools Division Superintendent

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