URDANETA CITY COLLEGE of

UNIVERSITY TEACHER EDUCATION

Owned and operated by the City Government of Urdaneta

Host Training Establishment Acceptance Form

(Date)
To Whom It May Concern:
This is to certify that Marlyn R. Claro, a fourth-year Education student major in
General Science in the College of Teacher Education of Urdaneta City University, has been
officially accepted as OJT Student-Teacher in Anonas National High School (School Name and
Complete Address).
The details for her assignment are as follows:
School Name Anonas Nation High School
Department General Science
Name of Principal Rey C. Valdez (Phd,Principal II)
Name of Rodel B. Madriaga (Head Teacher III)
Department Head
Training Schedule (Hours and Days)
Required Number 8 hour per day/5 days
of Hours
Effective Date to March 13, 2023
Start

Noted by:

Rodalyn M. Soriano Master Teacher 1 09431298138

HTE Representative Position rodalyn.soriano@deped.gov.ph
Signature Over Printed Name Contact No. and Email Address

Conformed:

Marlyn R. Claro Melvin M. Claro

Name of OJT Student-Teacher Name of Parent/Guardian
Signature Over Printed Name Signature Over Printed Name

(075) 600 - 1507

San Vicente West, Urdaneta City, Pangasinan
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