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Application Form For Permit To Teach

The document is an application form for teachers in the Division of El Salvador City to request permission to teach outside of their official work hours. It requires the applicant to provide their name, position, education level, work history, intended university and subjects to be taught, along with certification from a medical officer that they are physically fit to take on additional work. The application must be approved by the Assistant Schools Division Superintendent.

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jefferson pablo
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517 views1 page

Application Form For Permit To Teach

The document is an application form for teachers in the Division of El Salvador City to request permission to teach outside of their official work hours. It requires the applicant to provide their name, position, education level, work history, intended university and subjects to be taught, along with certification from a medical officer that they are physically fit to take on additional work. The application must be approved by the Assistant Schools Division Superintendent.

Uploaded by

jefferson pablo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region X
DIVISION OF EL SALVADOR CITY
Zone 3, Poblacion, El Salvador City
Telefax No: (088) 555-0475| Email Address: elsalvador.city@deped.gov.ph| Website: depedelsalvadorcity.net

APPLICATION FOR PERMISSION TO TEACH OUTSIDE OF OFFICIAL TIME

Name of Applicant: ________________________________Position: _______________


Highest Educational Attainment: ________________________________________________
Official Station: _______________________________________________________________
Performance Ratings for the last 3 Years: __________; ____________; ______________
Length of Service: _________________ Signature _______________
College/University the Applicant Intends to Teach:

School:
Address:
Term: ______ 1st Sem ______ 2nd Sem ______Summer School Year: ____________
___________________________________________________________________________
Subjects to be taught
Subject Time Day Number of Units
________________ ____________ ____________ ______________
________________ ____________ ____________ ______________
________________ ____________ ____________ ______________

_____________________________
Director/Dean

I HEREBY CERTIFY that I have examined Mr/Ms. _____________________________ and found


him/her to be physically fit to carry out additional work beyond the official time of his/her regular function
as shown in the above schedules of work.
________________________________________
DR. GLADYS GRACE CABELTES
Medical officer III
______________________________________________________________________________________

Approved:

JESNAR DEMS S. TORRES, PhD., CESE


Assistant Schools Division Superintendent
OIC- Schools Division Superintendent

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