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University of San Agustin

General Luna St., 5000 Iloilo City, Philippines


www.usa.edu.ph

COLLEGE OF LIBERAL ARTS, SCIENCES, AND EDUCATION


PRACTICUM LETTER

______________________________
Date

________________________________
Dean, College of Liberal Arts, Sciences, and Education
University of San Agustin
Iloilo City

Dear_______________:

I _________________________________________________, a fourth year student of the College of Liberal Arts,


Name
Sciences, and Education, University of San Agustin, taking up Bachelor of ________________________________

major in _______________________________, would like to ask permission from your good Office to allow me to take
(Ed 161 –Refresher Course 2 & Ed 162- Practice Teaching) this Second Semester, AY ___________________ -
____________________.

I have _________ remaining subject(s) namely:

I am hoping for your approval. Thank you.

Sincerely yours,

______________________________
Remarks:
__________________________________________________________________________________________________
__________________________________________________________________________________________________

Action taken:

_____________ Approved
_____________ Disapproved

Recommending Approval:

_________________________________ ___________________________
Academic Supervisor, Education Programs Dean, CLASE

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