Attachment to CS Form No.

212

WORK EXPERIENCE SHEET

Instructions: 1. Include only the work experiences relevant to the position being applied to.

2. The duration should include start and finish dates, if known, month in abbreviated form,
if known, and year in full. For the current position, use the word Present, e.g., 1998-
Present. Work experience should be listed from most recent first.

 Duration: June 2018 to July 2022

 Position: Part-time Instructor
 Name of Office/Unit: Laguna State Polytechnic University – Siniloan Campus (assigned to Lopez Satellite
Campus)
 Immediate Supervisor: Florencia L. Capellan – Deputy Campus Director (Lopez Satellite Campus)
 Name of Agency/Organization and Location: Laguna State Polytechnic University – Siniloan Campus
 Summary of Actual Duties
o Responsible in preparing syllabus, visual aids, and other device for instruction. Prepare
necessary forms and reports for class.
o Execute the administration’s policies designed for the welfare of the students
o Conduct the guidance service of her class per course.
o Keep records on student progress
o Maintains membership in professional organization.

 Duration: October 2022 to November 2022

 Position: Teacher I -Substitute
 Name of Office/Unit: Bucal Elementary School
 Immediate Supervisor: Edgar C. Jovellanos – Principal II
 Name of Agency/Organization and Location: Department of Education – Division of Calamba
 Summary of Actual Duties
o Responsible in preparing daily lesson plans and visual aids and other device for
instruction. Prepare necessary forms and reports for advisory class.
o Execute the administration’s policies designed for the welfare of the students
o Conduct the guidance service of his advisory class
o Keep parents informed on student progress
o Maintains membership in professional organization.
 Duration: January 2023 to July 2023
 Position: Teacher I-Substitute
 Name of Office/Unit: Makiling Integrated School
 Immediate Supervisor: Ronaldo M. Canta – Principal II
 Name of Agency/Organization and Location: Department of Education – Division of Calamba
 Summary of Actual Duties
o Responsible in preparing daily lesson plans and visual aids and other device for
instruction. Prepare necessary forms and reports for advisory class.
o Execute the administration’s policies designed for the welfare of the students
o Conduct the guidance service of his advisory class
o Keep parents informed on student progress
o Maintains membership in professional organization.

Maria Victoria E. Carmona

(Signature over Printed Name
of Employee/Applicant)

Date: