Republic of the Philippines
DEPARTMENT OF EDUCATION
Region _
SCHOOLS DIVISION OFFICE
City of _
APPLICATION FOR PERMIT TO TEACH
Name of Teacher:
Applicant’s Assignment:
School:
District:
School where the applicant plans to teach:
School:
Place:
Last Performance Rating:
LIST OF SUBJECTS TO TEACH
[ ] 1st Semester [ ] 2nd Semester [ ] Trimester [ ] Summer SY 2016-2017
| SUBJECT/S | UNITS | DAY | TIME |
| 1. | |||
| 2. | |||
| 3. |
Certified Correct:
Signature of Teacher
University Dean
Recommending Approval:
School Head
Approved:
Schools Division Superintendent
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