Checklist Enclosure 2
Checklist Enclosure 2
Checklist Enclosure 2
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL SUR
(Enclosure 2)
CHECKLIST OF REQUIREMENTS
Status of Verification
Submission Status of Remarks
(to be filled out by the Submission (to be filled out by the
Basic Documentary Requirements applicant: check if HRMO)
(to be filled out by the
submitted) School Head; check if
complied)
1 Checklist of Requirements with Omnibus
Certification and Waiver (Enclosure 2)
2 Written application addressed to the
Schools Division Superintendent
3 Duly accomplished Personal Data Sheet
(CSC Form 212, Revised 2017 with
passport size ID picture and Work
Experience Sheet
4 Photocopy of LET/PBET Rating and
Photocopy of Valid and Updated PRC
License/ID and if expired, proof of
renewal
5 Photocopy of Performance Evaluation for
those with teaching experience
6 Photocopy of School Clearance for those
with teaching experience
7 Duly signed Service Record or Certificate
of Employment if any
8 Certified true copy of Transcript of
Records (TOR) with computed average
rating
9 Certified true copy of Certificate(s) of
Training attended (10 day or more), if any
10 Photocopy of Certification of
Proficiency/Recognition from recognized
and respectable relevant
associations/organizations/guild, if any
11 Photocopy of Voter’s ID and / or proof of
residency
Checked by:
_________________________________________
Name and Signature of School Head
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This is to certify that all information above are true and correct; and documents submitted are authentic.
This is also to authorize the Department of Education – Schools Division of Surigao del Sur to use my
personal information for purpose of recruitment, selection, and hiring.
________________________________________
Name and Signature of Applicant
JUNE C. GUERRA, AO IV
HRMO