[STAPLE] This document shall be stapled in the left side of the green folder.

[STAPLE]
DOCUMENTS SUBMITTED FOR EVALUATION

Janella Rose S. Edaga

Name: ___________________________________ BEED / BSED: Major ________
Mathematics
Kasuga National High School
School Applied: ___________________________ BTTE/Earning Units
1st District
District: __________________________________ Major: ___________________
Purok ONBukang
THE PROOF Liway-way,
Applicant’s Address: ________________________
BASED OF RESIDENCY PRESENTED For Secondary Applicants:
Did you apply in the Elementary Level?
Rizal,
OFBansalan,
RESIDENCYDavao del Sur
_________________________________________
BASED ON THE PROOF PRESENTED / Yes No
This Column shall be
filled out by the This Column shall
ATTACHMENTS Schools/District be filled out by the
(Arrange the documents in Chronological Order) Screening Committee. Division Selection
(Put check ✔ if the Committee.
document is present)
Application Letter
Personal Data Sheet (Revised 2017) CSC Form 212
Certified copy of transcript of records
 Bachelor Degree
 Earning Units (for applicants who earned
education units)
 Master’s Degree(if available)
General Weighted Average (GWA) Education (20)
 Bachelor Degree
 Earning Units (for applicants who earned
education units)
 Master’s Degree (if available)
Certified photocopy of ratings obtained in the LET Rating (15)
Licensure Examination for Teachers (LET) /
Professional Board Examination for Teachers (PBET)
Certified photocopy of PRC professional identification
card or a PRC
certification showing the teacher's name
Copies of service records, performance rating, and Teaching Experience
school clearance for those (15)
with teaching experience.
Certificates of specialized training (if any)
 Training certificates Specialized Training
Note: Certificate of at least ten (10) days training only and Skills (10)
 TESDA National Certificate
Certified copy of the Voter's ID and/or any proof of
residency as deemed acceptable by the School
Screening Committee
NBI Clearance
Omnibus certification of authenticity and veracity of
all documents submitted, signed by the applicant

SCHOOL SELECTION COMMITTEE

We, therefore, certify to the correctness and conformity of the above mentioned Rated by:
documents

_______________ _______________ _______________

Member Member Member

___________________
(School Head)
Chairperson
*Personal information (e.g. name, address, major, etc.) shall be filled out by the applicant.

Based on DO 7, s.2015 Based on DO 7, s.2015 Based on DO 7, s.2015