Annex B to Division Memorandum No. 034, s.

2021

CHECKLIST OF DOCUMENTARY REQUIREMENTS FOR SENIOR HIGH SCHOOL TEACHER-APPLICANTS

Name of Applicant:
Course:
Major:
Contact Number:
Ethnicity:
Person with Disability: Yes ( ) No ( )
Solo Parent: Yes ( ) No ( )
Status of Verification
(To be filled-out by the DSC)
Submission
Basic Documentary Requirements (To be filled-out by Status of
the applicant; Submission Remarks
Check if submitted) (Check if complied)
Mandatory Requirements:
Letter of Intent with or without Unique Applicant
1.
Number (UAN)
Duly accomplished Personal Data Sheet (PDS) (CS
2. Form No. 212, Revised 2017) with the latest 2x2 ID
picture
3. Certified photocopy of certificates of relevant
specialized trainings (two (2) days or more), if any
Certified copy of Voter’s ID and/or any proof of
4.
residency
Valid National Bureau of Investigation (NBI)
5.
clearance
Additional Requirements:
1. Certified copy of Diploma on Bachelor’s Degree
Certified photocopy of Transcript of Records (TOR)
2. with at least 15 units of specialization in relevant
strand/specialized subject
Certification of General Weighted Average (GWA), if
3.
not indicated in the TOR
Certified photocopy of valid and updated
4. Professional Regulation Commission (PRC),
Professional ID card/certificate of registration/license
Certified photocopy of ratings obtained in the
5. Licensure Examination for Teachers (LET)/Professional
Boards Examination for Teachers (PBET)
Certified photocopy of Certification of Status of
Employment/Service Record indicating employee’s
6.
name, job title and duration of services rendered or
period of employment, if any
7. Government-issued Business Permit, if self-employed
Portfolio/Outstanding Accomplishments, if any
a.) Published work
b.) Recognized Innovations and
Accomplishments in Research and
Development
8. c.) Prizes, Awards, Recognitions, Letters
of Commendation
d.) Certificates or proof of Proficiency
/Recognition/Accreditation from a
duly-recognized body including
guilds and sports organization
Additional Requirements for TVL teacher-applicants:
Valid Technical Education and Skills Development
1.
Authority (TESDA) National Certificate (NC)
Certified photocopy of Trainer’s Methodology
2.
Certificate (TMC), if available
Additional Requirements for Arts and Design and Sports Tracks teacher-applicants:
Certified photocopy of Certification of
1. Proficiency/Recognition from recognized and
respectable relevant associations/guilds, if any

OMNIBUS CERTIFICATION AND WAIVER

This is to certify that all information above are true and correct; and that the documents submitted are authentic. This is also
to authorize the Department of Education – Schools Division Office (SDO), Camarines Norte to use my personal information
for purposes of recruitment, evaluation, selection, and hiring.

Name and Signature of Applicant

Certified as to completeness, veracity, Verified:

accuracy, and authenticity of documents:

Name and Signature of SSC Chair Name and Signature of DSC Chair/Member

Note: Long Folder Color Code: Blue