Scribd
Upload
100 views1 page

Department of Education: Republic of The Philippines

The applicant is applying for permission to study at [college/university name and location] for the [academic year] [quarter/semester/summer]. The applicant is requesting to take [course name] which will meet [days of week] and [hours of week]. The applicant has [credits/units] previously earned towards their [BSE/MA/EdD/PhD] and will earn [number] more units this [quarter/semester/summer]. The applicant understands the regulations for outside study and that their permission could be revoked if it negatively impacts their work efficiency. The application is recommended for approval by the Chief Education Supervisor and will expire on [date] if approved by the Schools Division

Uploaded by

Emily Mag-alasin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
100 views1 page

Department of Education: Republic of The Philippines

The applicant is applying for permission to study at [college/university name and location] for the [academic year] [quarter/semester/summer]. The applicant is requesting to take [course name] which will meet [days of week] and [hours of week]. The applicant has [credits/units] previously earned towards their [BSE/MA/EdD/PhD] and will earn [number] more units this [quarter/semester/summer]. The applicant understands the regulations for outside study and that their permission could be revoked if it negatively impacts their work efficiency. The application is recommended for approval by the Chief Education Supervisor and will expire on [date] if approved by the Schools Division

Uploaded by

Emily Mag-alasin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines

Department of Education

APPLICATION FOR PERMISSION TO STUDY


Name of Applicant: Position:
Civil Service Eligibility: Civil Status:
Name of School were Employed: Barangay:
Municipality: Perm/Prov’l:
Distance in Kms between official station and college where enrolled:

__________________________________________________________
(Name and location of college/university where applicant wished to enroll)

Course applied for: _______________________________________________


Academic Year: _______________ Qtr./Sem./Summer: __________

Course to be taken this term and the schedule:


COURSE DAYS OF THE WEEK HOURSE OF THE WEEK

Credits or Units towards BSE MA EdD/PhD


Total Number of Units previously earned
Number of units to be earned this Qtr./Sem./Summer

I hereby certify that I have carefully read the information on the next page of this form, all the
provisions of which I am bound to observe very strictly, I understand that the regulations on the outside
study of teachers are intended to primarily safeguard the health of the teachers as well as of course to
maintain their efficiency in the service. I also understand that if in the opinion of the Division
Superintendent of School this study adversely affects my efficiency as a teacher this permission to study
shall be revoked.

_______________________________
(Signature of Applicant)
Date Submitted: _______________________

APPROVAL RECOMMENDED:
The undersigned shall require strict compliance by the applicant with all the existing rules and
regulations regarding permission to study and should hold responsible for any undue delay in forwarding
the applicant to the office doing satisfactory work with an efficiency rating of “ABOVE AVERAGE” or
higher. The applicant will be required by me to submit through office, to the Division Superintendent a
certified copy of the report rating obtained in the course which should be attended to his/her outside
study not earlier than thirty minutes after the afternoon session in the public school.

Date Submitted: _______________________ MARIA CARMELA T. ABLIN


Chief Education Supervisor
School Governance & Operations Division
APPROVED:
This permit expires on ______________________
Date: __________________
Permit No. ______________

EDILBERTO L. OPLENARIA, CESO V


Schools Division Superintendent

Address: Pigcarangan, Tubod, Lanao del Norte


Telephone No.: [063] 341-51-09

You might also like