Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
SCHOOLS DIVISION OF ZAMBOANGA DEL SUR

Appendix A of Annex 3. Template for Expression of Intent as a Volunteer Teacher

Expression of Intent

I, GILBERT E. DALISAY hereby express my intent to be a

(Complete Name)

Learning Camp Volunteer in ________Tugaya Primary School ,

(Name of School)

Tugaya, Lapuyan, Zamboanga del Sur during the implementation of the National
(Address of the School)

Learning Camp for 2024 EOSY break, scheduled this July 1 to July 19, 2024. I am

willing to attend an orientation activity on the program implementation.

Furthermore, I hereby grant the Department of Education the right to collect

and process my personal information and profile as provided below, for purposes

relevant to the hiring of learning camp volunteers in the Department.

Personal Information
Age: 26
Sex: Male
Complete Residential Address: Purok Islam, Pob. Lapuyan, Zamboanga del Sur
Mobile/Telephone Number: 094650004352

Academic and Employment Details

Bachelor’s Degree & Specialization: Bachelor in Elementary Education – General
Master’s Degree & Specialization (if Masters in Educational Management – 27 units
any):
Present Employment (if any): N/A– Teacher Applicant
Present Position (if any): N/A
Grade Level Assignment (if any): N/A
Length of Service as a Teacher (if any): N/A

____GILBERT E. DALISAY____
Signature Over Printed Name
Date Signed: 05-21-2024

Provincial Government Center, Dao, Pagadian City

(062) 214 – 1991
depedzambosur@gmail.com
www.suresasur.net 1