Professional Documents
Culture Documents
Department of Education
Region VIII (Eastern Visayas)
Division of Leyte
Dagami North District
Dagami North Central School
Instruction: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee members. “For the last
column, indicate if masonry, carpentry, plumbing, painting, electrical, gardening/landscaping, ordinary labors or others
TIME NATURE OF
ADDRESS/ TOTAL VOLUNTEER
NAME POSITION/ ORGANIZATION CONTACT SIGNATURE NUMBERS SERVICES
DESIGNATION / AFFILIATION NUMBER OF HOURS RENDERED
SERVED
IN OUT
Noted:
MERCEDITA B. MASUBAY ___________________
School Head Date