Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OFFICE OF PANGASINAN II
(District)
(School)

DATE:___________________

NAME OF PSDS
Public Schools District Supervisor

Sir:

I would like to request permission to conduct a School Learning Action Cell (LAC) entitled,
_____________________________________ on ________________________ to be held at
____________________________________.

Participants in this training are ___________________ with an expected number of _____ attendees via ______
(e.g. Zoom/MS Teams/Google Meet / face to face). The amount of expenses is P_____ charged to (fund
source).

The objectives of this training/activity are:

1.
2.
3.

In view of the Covid-19 situation, we will observe the guidelines pursuant to DepEd Memorandum No. 052,
s. 2020 consistent with the policies set forth by the Inter-Agency Task force for the Management Emerging
Infectious Diseases (AITF) and the Civil Service Commission (CSC).

Attached is the LAC Proposal and Training Matrix for your perusal.
I hope for your favorable action and approval on my request. Thank you very much.

Sincerely yours,
_________________________________
Name and Signature of Proponent

Noted: Checked and Recorded:

________________________ ________________________________

School Head District HRD Coordinator

APPROVED:
_______________________________________
Public Schools District Supervisor