Republic of the Philippines

Department of Education
REGION XII
DIVISION OF GENERAL SANTOS CITY
H.N. CAHILSOT CENTRAL ELEMENTARY SCHOOL II

SUBSTITUTION REQUEST FORM

Instruction: Please fill out this form in case you will be absent or cannot attend your class/ classes.
If possible, this should be accomplished before the day or time of your absence. However, for
emergency absences, the school head may fill out this form and assign a substitute teacher.

Date of Filing: _________________

TO: SCHOOL HEAD

Sir/Madam:

The undersigned would like to request a substitute teacher during my absence

on ________________ due to __________________________________.
(Indicate date) (Indicate reason/s)

Please click: ____personal _____on Official time ____on Official Business

Time Subject Grade Level Name of Substitute Signature

and Section Teacher

Please indicate your instructions to the substitute teacher:

Subject Activities/Instructions/Learning Materials to be used

Area

___________________________
Signature Over Printed Name of
Teacher Requesting for Substitute

Noted:
ROWENA M. ACANA
Principal I

_________________________________________________________________________________

Address: Rizal St. Calumpang, General Santos City

Email: cahilsot2@hotmail.ph / 552-3125 or 552-5971