Republic of the Philippines
Department of Education
Regional Office No. VIII (Eastern Visayas)
DIVISION OF LEYTE
Government Center, Candahug, Palo, Leyte
APPLICATION FOR PERMISSION TO STUDY
Name of Applicant: FLORISA G. GRANTOS Position: TEACHER I
Civil Service Eligibility: RA 1080 Civil Status: SINGLE
Name of School where employed:HIBUNAUAN ELEMENTARY SCHOOL
Barrio: HIBUNAWAN BURAUEN. LEYTE Municipality: BURAUEN,
LEYTE Perm/Prov’l: PERMANENT
Distance in kms. between official station and college where enrolled: 53 KMS
ASIAN DEVELOPMENT FOUNDATION COLLEGE
TACLOBAN CITY
(Name and Location of college where applicant wished to enroll)
Course applied for: MASTER OF ARTS IN EDUCATION
Academic Year: 2024 – 2025 Qtr./Sem. Summer: 2ND X
TRIMESTER
Course to be taken this term and the schedule:
COURSE/SUBJECT DAYS OF THE WEEK HOURS OF THE WEEK
METHODS OF RESEARCH SATURDAY 4 HRS.
FOUNDATION OF EDUCATION SATURDAY 4
HRS.
EDUCATIONAL STATISTICS SATURDAY 4 HRS.
Credits or units towards - - - BEED MA
Total number of units previously ________ _____ ___________
Number of units to be earned this Qtr./Sem./Summer ___________ 9_______________
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 affect my efficiency as a
teacher this permission to study shall be revoked.
FLORISA G. GRANTOS
(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: _______________________ REYNALDO P. RENOMERON
District Supervisor/Sec. Sch.
Principal
APPROVED:
This permit expires on ______________________
Date: __________________
Permit No. ______________
MARIZA S. MAGAN EdD, CESO V
Schools Division Superintendent
APPLICATION FOR PERMISSION:
INSTRUCTIONS
1. Application for permission to study in five (5) copies must reach the office not later than two (2)
months before the start of the actual classes. THE TEACHERS JUST FILE REQUEST BEFORE ENROLLING
FOR THE FIRST TIME IN ANY SCHOOL, COLLEGE or UNIVERSITY.
2. The teacher applicant must be doing satisfactory work with an efficient rating of “ABOVE AVERAGE” or
higher.
3. The permission is given until the applicant complete the curriculum towards a degree. He does not
need to file a request for permission every semester.
4. A certificate from the head of the school or college where the teacher is enrolled and the subject to
pursue should be attached with the application.
5. Teachers who are about to finish course, or who have started a course as well as the subject already
completed and those still to be taken all to be certified by the Registrar of the private school
concerned.
6. After each semester every teacher granted permission to study should submit to the Superintendent’s
Office, through channels, a certified true copy of the report on the ratings be obtained in the course
which he took during the semester including the number of units earned. In addition, as soon as he/she
finished a specific curricular towards a degree he/she should submit a complete set of his/her transcript
of grades and special order to the superintendent through his immediate superior for validation and
verification.
7. The Maximum study of nine (9) units per semester or summer should be strictly observed. Teachers
who are candidates for graduation may be allowed to carry from (1) one to three (3) units more than
the nine (9) units authorized provided that those units are the last units that the teachers need to
enable them to graduate. No exemption will be given to the t teachers who do not fall under the above
state condition. Violation of this regulation on the study load shall be sufficient cause for revocation of
the permission to study for administrative action.
8. The college, school or university in which the teacher contemplates enrolling should be accessible to
this official station so that he will not be unduly complied to hurry there from in order to arrive at his
class by time. The teacher should attend to his outside study not earlier than thirty (30) minutes after
the afternoon session in the public school.
9. The immediate superior or supervisor shall be hold responsible for any undue delay in forwarding the
application to the superintendent, if the application to the superintendent has been filed on time.
ASIAN DEVELOPMENT FOUNDATION COLLEGE
TACLOBAN CITY
(Name and location of college where application wishes to enroll)
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that FLORISA G. GRANTOS Teacher I , is seeking admission in this college
to (course) ___MAED with Specialization in Educational Management with the following subjects offered
this _2nd SEMESTER__.
COURSE/SUBJECT DAYS OF THE WEEK HOURS OF THE DAY
MMETHODS OF RESEARCH SATURDAY 4 HRS.
FOUNDATION OF EDUCATION SATURDAY 4 HRS.
EDUCATIONAL STATISTICS SATURDAY 4 HRS.
___________________________ _____________________________
DEAN REGISTRAR
NOTE:
1. Weekdays classes in a semestral terms should not be earlier than 6:00 p.m.
2. Unless superseded by the DECS every term, a 3-unit lecture subject should be taken as follows:
SUMMER TERM – 1 ½ hours daily Monday through Saturday.
Maximum load; 9 units for all courses, 6 units in Law in prescribed
subjects.
SEMESTRAL TERM – A total of three (3) hours a week. Maximum Load: 9 units for
Undergraduate course or 6 units of graduate level course except for
enrollees in Special Saturday Classes for maximum load not more than 6
units.
