Republic of the Philippines

Department of Education
Cordillera Administrative Region
Schools Division of Benguet
SABLAN DISTRICT
Poblacion, Sablan, Benguet

ELEMENTARY SCHOOL
, Sablan, Benguet

Annex A

Expression of Intent

I, _______________________________________ hereby express my intent to be a Learning

Camp
(Complete Name)

Volunteer in _______________________________, ______________________________________

(Name of School) (Address of the School)

during the implementation of the National 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:
Sex:
Complete Residential Address:
Mobile/Telephone:

Academic and Employment Details

Bachelor’s Degree & Specialization:
Master’s Degree & Specialization (if any):
Present Employment (If any):
Present Position (if any):
Grade Level Assignment (if any):
Length of Service as a Teacher (if any):

_________________________________
Signature Over Printed Name

Date Signed: ________________________

 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Benguet
SABLAN DISTRICT
Poblacion, Sablan, Benguet

ELEMENTARY SCHOOL
, Sablan, Benguet
Annex B
ASSESSMENT AND SELECTION REPORT OF HIRING LEARNING CAMP VOLUNTEERS

Name of Schools Division: __________________________________

Name of School: _____________________________
Date of Final Deliberation: ___________________________
Total Number of Applicants: __________________________

PART A. List of Applicants Recommended for Hiring and Assessment Results

Name Basic QUALIFICATIONS AASESS REMA SSC FUND APPRO

of Information MENT RKS RECCOMEN SOU VAL
Applic RESULTS DATION RCE
ant Addr Se LET/ EDUCA TRAIN EXPERI PERFORM OTH INTERVIE
ess x PBET TION ING ENCE ANCE ERS W
(M/ (Indic (Indicate (Indicate
F) ate Highest Score)
Yes educatio
or nal
No) Attainm
ent)
1.
2.

Republic of the Philippines

Department of Education
Cordillera Administrative Region
Schools Division of Benguet
Annex C

JOB ORDER CONTRACT

KNOW ALL MEN BY THESE PRESENTS:

This Contract, made and entered into by and between:

The Department of Education- Schools Division of Benguet, DepEd CAR, a government agency with office address at
Stockfarm, Wangal, La Trinidad, Benguet, represented by SALLY L. BANAKEN-ULLALIM, CESO V, herein referred to
as the “First Party”,

-and-

____________________________, of legal age, Filipino and with residence address at

______________________________________________, hereinafter referred to a the “Second Party”.

-WITHNESSETH-

1. That the First Party, in the exigency of the service, engages the services of the Second Party to facilitate the
effective and efficient implementation of the Learning Camp;
2. That the Second Party has signified his/her intention to which the First Party has accepted, to provide the
services needed by the latter;
3. That the Second Party hereby possesses the education, experience, training, skills and other qualifications
and/or skills required to perform the job as described herein, as represented by the Second Party in his/her
Personal Data Sheet, interview, and other qualification documents submitted to the First Party;
4. That the Second Ps=arty hereby attests that he/she has not been previously dismissed from government by any
reason of an administrative offense; and that he/she has not already reached the compulsory retirement age of
sixty-five (65);
5. That in view of the Second Party is hereby contracted to render service as Learning Camp Volunteer for the
period of July 1-July 19, 2024, in consideration of the monthly rate of Two hundred Forty-two pesos (242.00 for
4.5 hours/day.

(ijay memo awan tuloy na meten)

Republic of the Philippines

Department of Education
Cordillera Administrative Region
Annex D. Registry of Learning Camp Volunteers

School: _______________________________________ SDO: ____________ Region: _________

School ID: ____________________________ Complete School Address: ___________________________

Registry of Volunteer Teachers for Reading Graded 1 to 3

Name Specialization Tick (/) the Volunteer Category
Non-DepEd DepEd

Registry of Volunteers for Mathematics Grades 1 to 3

Name Specialization Tick (/) the Volunteer Category
Non-DepEd DepEd
 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Benguet
SABLAN DISTRICT
Poblacion, Sablan, Benguet

ELEMENTARY SCHOOL
, Sablan, Benguet

NATIONAL LEARNING CAMP REGISTRATION

Name: ________________________________________________
Grade Level: ________________________________________________
Age: ________________________________________________
Address: ________________________________________________
Parent/Legal Guardian ________________________________________________
Contact Number ________________________________________________
 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Benguet
SABLAN DISTRICT
Poblacion, Sablan, Benguet

ELEMENTARY SCHOOL
, Sablan, Benguet

PARENT’S CONSENT

Name: ______________________________________________________________________________________
Date of Birth:_____________________________________________________ Sex: ________________________
Parent’s/Guardian’s Name: ______________________________________________________________________
Relationship to the Learner______________________________________________________________________
Home Address: _______________________________________________________________________________
Contact Number: ______________________________________________________________________________
Title of the Activity: National Learning Camp/Other EOSY Break Activities
School:_____________________________________________ Duration of the Activity: July 1-19, 2024_________

As the parent/guardian of the abovementioned learner, I hereby acknowledge that I have

been informed of the details of the National Learning Camp/Other EOSY Break Activities and
voluntarily and freely elect to participate in this activity. Furthermore, I understand the risks
associated with the activity and agree that the rules and regulations established for the said
activity are for the safety and security of the participants, and thus agree to instruct my child to
obey them.

Having understood all the aforementioned, I hereby consent to allow my child to participate,
acknowledging all of the foregoing.

________________________________ ________________
Parent/Guardian’s Name and Signature Date

Annex 4-A: Names of Recommended Learners for NLC, Per Camp

 (Grades 1 to 3)

School: _Tableo Barrio School__ Grade Level: _1-3_

Teacher: ___ Section: _______________

Names of Recommended NLC Learners

Learning Area: READING

Intervention Camp Consolidation Camp Enhancement Camp
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
6. 6. 6.
7. 7. 7.
8. 8. 8.
9. 9. 9.
10. 10. 10.
11. 11. 11.
12. 12. 12.
13. 13. 13.
14. 14. 14.
15. 15. 15.
Total Total Total

Names of Recommended NLC Learners

Learning Area: MATHEMATICS
Intervention Camp Consolidation Camp Enhancement Camp
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
6. 6. 6.
7. 7. 7.
8. 8. 8.
9. 9. 9.
10. 10. 10.
11. 11. 11.
12. 12. 12.
13. 13. 13.
14. 14. 14.
15 15 15
Total Total Total

Prepared by:

_______________________
Learning Area/s Teacher

Annex 4-B: Names of Recommended Learners for NLC, Per Camp

 (Grades 7,8,9,10)

School: _____________ Grade Level: _____________

Teacher: _________________ Section: _______________

Names of Recommended NLC Learners

Learning Area: __________________

Intervention Camp Consolidation Camp Enhancement Camp

(For English & Mathematics only)
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
6. 6. 6.
7. 7. 7.
8. 8. 8.
9. 9. 9.
10. 10. 10.
11. 11. 11.
12. 12. 12.
13. 13. 13.
14. 14. 14.
15. 15. 15.
1. 16. 16.
17. 17. 17.
18. 18. 18.
19. 19. 19.
20. 20. 20.
21. 21. 21.
22. 22. 22.
23. 23. 23.
24. 24. 24.
25. 25. 25.
Total Total Total

Prepared by:

_______________________
Learning Area Teacher

Annex 4-C: School Consolidated Data on the Number of NLC Learners

School: ________________ School ID:________
School Head: ____________________ District: ________________

Number of Learners

CAMPS
Grade Learning Area Intervention Consolidation Enhancement
Level Camp Camp Camp
(For Reading/English &
Mathematics only)
1 Reading
Mathematics
2 Reading
Mathematics
3 Reading
Mathematics
English
7 Science
Mathematics
English
8 Science
Mathematics
English
9 Science
Mathematics
English
10 Science
Mathematics
Reading
Grades 1 to 3
Mathematics
Grades 1 to 3
English
Total Grades 7 to 10
Science
Grades 7 to 10
Mathematics
Grades 7 to 10

Prepared by:
________________ School
Head