FM-AA-PPT-01

Rev. 02
07-Feb-2022

GRADES EVALUATION
CHECK
PANGASINAN
San CarlosSTATE UNIVERSITY
Campus

NAME ACOSTA
Last Name
DANICA
First Name
RODELA
Middle Name

CAMPUS
SAN CARLOS CITY CAMPUS
COURSE BACHELOR OF SECONDARY EDUCATION MAJOR SOCIAL STUDIES
COURSES EARNED
PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

GE 1_SS Understanding the Self and the Personality Dev't. 3.0 1.75
GE 2_SS Readings in the Philippine History 3.0 1.75
GE 3_SS Art Appreciation 3.0 2.00
FILIPINO
Kontekstwalisadong Komunikasyon sa Filipino 3.0 2.25
1_SS
FIRST YEAR 1st
Semester LIT 1_SS Society and Literature 3.0 1.75
FSSE 101 Foundation of Social Studies 3.0 1.75
PROFED The Child and Adolescent and Adolescent Learner
3.0 2.50
101A_SS and Learning Principles
Physical Activity Towards Health Fitness 1
PE 1 2.0 1.75
(Movement Patterns: Exercise Based)
NSTP
101/NSTP CWTS 1/ ROTC 1 3.0 1.50
1

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

GEC 4 Purposive Communication 3.0 1.50

GEC 5 The Contemporary World 3.0 2.00
NSTP
102/NSTP ROTC 2 /CWTS 3.0 1.25
102
FIRST YEAR PE 102IT Physical Activity Towards Health and Fitness 2 2.0 2.50
2ND Semester
FIL 2 Filipino sa ibat-ibang Disiplina 3.0 2.25
SSE 101 Geography I - Basic Geography 3.0 1.75
SSE 103 Socio Cultural Anthropology 3.0 2.25
PROFED1
Facilitating Learners Centered Teaching 3.0 2.75
03

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

PROFED
The Teaching Profession 3.0 2.00
102A
PROFED
Foundations of Special and Inclusive Education 3.0 2.25
105A
SSE 102 Geography 2 (Physical Geography) 3.0 2.00
PROFED
SECOND YEAR Technology for Teaching and Learning 1 3.0 2.25
104B
1ST Semester
SSE 106 Micro-Economics 3.0 2.00
SSE 109 World History 1 (Ancient and Medieval Era) 3.0 1.75
GE 6OA Science, Technology and Society 3.0 2.50
LIT 2 Global Current and World Literature 3.0 2.00
PE 3_SC Physical Activity Towards Health and Fitness III 2.0 1.75

LIST
 FM-AA-PPT-01
Rev. 02
07-Feb-2022

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

SST 113 Trends and Issues in Social Studies 3.0 1.50

PROFED
Assessment of Learning 1 3.0 1.75
110
GE 7 BA Mathematics in the Modern World 3.0 2.75
PROF. ED.
The Teacher and the School Curriculum 3.0 2.00
SECOND YEAR 109
2ND Semester GE 8 Rizal's Life and Works 3.0 1.75
PE 4 Physical Activity Towards Health and Fitness 4 2.0 1.75
SSE 103A Geography 3 (Urban Geography) 3.0
SSE 107 Macro-Economics 3.0 2.75
SST 114 Teaching Approaches in Secondary SS 3.0 1.75

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

ELECTIVE
Social Networking for Social Integration 3.0 1.75
1A
PROFED Building and Enhancing New Literacies Across the
3.0 2.25
110A Curriculum
PROFED
Assessment of Student Learning 2 3.0 1.75
111
THIRD YEAR 1ST
SSE 110 World History 2 (Modern and Contemporary Era) 3.0 1.50
Semester
Integrative Methods in Teaching Social Science
SSE 111 3.0 1.75
Discipline in Basic Education
SSE 113 Technology for Teaching and Learning 2 3.0 2.75
SSE 114 Production of Social Studies Instructional Materials 3.0 1.75

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

GE 9 Ethics 3.0 2.50

SC_ELECTI
Basic of School Management and Administration 3.0 1.75
VE 2SS
SC_FSSE
Places and Landscapes in a Changing World 3.0 1.75
103
SC_FSSE
THIRD YEAR 2ND Research in Social Studies 3.0 1.75
104
Semester
SC_PROFE
School Culture and Organizational Leadership 3.0 2.25
D. 106
SC_SSE
Comparative Economic Planning 3.0
108
SC_SSE
Assessment and Evaluation in Social Sciences 3.0 2.75
115
SC_SSE
Comparative Government and Politics 3.0 2.00
116
SC_SSE
Law Related Studies 3.0 1.75
117
SST 105 Asian Studies 3.0

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

MID-YEAR
CLASS
 FM-AA-PPT-01
Rev. 02
07-Feb-2022

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

CBE 1 General Education 2.0 2.75

CBE 2 Professional Education 2.0 2.75

CBE 3 Specialization 2.0 2.00

PROF ED
Field Study 1 3.0 1.25
FOURTH YEAR 115
1st Semester PROF ED
Field Study 2 3.0 1.25
116

PT Registrar’s
YEAR LEVEL /
Course Number Description Units GRADES Coordinator’s Validation
SEMESTER
Remarks Remarks

SC_PROF
Practice Teaching 6.0
ED 115

FOURTH YEAR
2ND Semester

Evaluated by: Validated by: Action Taken:

Proceed to enrollment
Practice Teaching Coordinator Campus Registrar

Need to complete Deficiencies

Date: Date:

CONFORME:

ACOSTA, DANICA R.
Signature over Printed Name of Student
Date: February 18, 2022
 FM-AA-PPT-01
Rev. 02
07-Feb-2022

APPLICATION FOR PRACTICE TEACHING

PANGASINAN STATE UNIVERSITY
San Carlos City Campus

CAMPUS SAN CARLOS CITY CAMPUS ADDRESS ROXAS BOLUEVARD SAN CARLOS CITY, PANGASINAN
PRACTICE TEACHING COORDINATOR CRELEAH R. MENOR,MAEd CONTACT NUMBER O9496057481
ACADEMIC YEAR 2021-2022 PERIOD OF PRACTICE TEACHING School Year 2021-2022
A. PERSONAL PROFILE

NAME ACOSTA DANICA R.

Last Name First Name M. I.

COURSE AND SPECIALIZATION BACHELOR OF SECONDARY EDUCATION MAJOR IN SOCIAL

STUDIES
STUDENT NUMBER 19-SC-0363
HOME ADDRESS #77 Roxas Boulevard, San Carlos City, Pangasinan
LOCAL ADDRESS #77 Roxas Boulevard, San Carlos City, Pangasinan
MOBILE NUMBER 09451886285 EMAIL ADDRESS acostadanicayshen@gmail.com
RECEIPT NO. (ST Fee)
TYPE OF COMMUNITY IN WHICH YOU HAVE LIVED THE MAJOR PART OF YOUR LIFE:

Barrio/ Sitio Town/ Poblacion City

BIRTHDAY December 11, 1999 CIVIL STATUS SINGLE

HEIGHT 5’5 WEIGHT 56kg.
NAME OF FATHER Orlando G. Acosta OCCUPATION US Navy Retiree
HIGHEST EDUCATIONAL ATTAINMENT
Elementary High school College

NAME OF MOTHER Judith R. Acosta OCCUPATION House Wife

HIGHEST EDUCATIONAL ATTAINMENT
Elementary High school College

ANNUAL INCOME OF PARENTS N/A ESTIMATED MONTHLY ALLOWANCE N/A

NUMBER OF SIBLINGS 3 POSITION IN THE FAMILY Youngest
NAME OF SPOUSE

ACOSTA, DANICA R.
Practice Teacher’s Signature over Printed Name
Date: February 18, 2022

C. MEDICAL AND PSYCHOLOGICAL RESULTS (Please submit or attach a copy of the certification/results)

Medical Certificate Vaccination Card or Certificate

D. ACTION TAKEN

Qualified for Practice Teaching Not qualified for Practice Teaching

Reason/s for disapproval:
not physically fit
other reasons (pls. specify):

EVALUATED BY: NOTED BY: APPROVED:

Coordinator, Practice Teaching Chairman, Professional Education Department Dean, College of Teacher Education

Date: Date: Date:

FM-AA-PPT-01
Rev. 02
07-Feb-2022
FM-AA-PPT-01
Rev. 02
07-Feb-2022