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    Schools Division Office of Benguet

    Uploaded by

    Ana Conse
    This document is a request form submitted by a teacher to their Schools Division Superintendent seeking permission to take college courses. The form provides details of the teacher such as their name, the school they teach at, the college and subjects they wish to take, and a certification from their principal about their work performance. If approved, the Superintendent will sign to grant permission for the teacher to study outside provided it does not affect their work.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Schools Division Office of Benguet

    Uploaded by

    Ana Conse
    33 views1 page
    This document is a request form submitted by a teacher to their Schools Division Superintendent seeking permission to take college courses. The form provides details of the teacher such as their name, the school they teach at, the college and subjects they wish to take, and a certification from their principal about their work performance. If approved, the Superintendent will sign to grant permission for the teacher to study outside provided it does not affect their work.

    Original Description:

    sample permit

    Original Title

    PERMIT-TO-STUDY

    Copyright

    © © All Rights Reserved

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    This document is a request form submitted by a teacher to their Schools Division Superintendent seeking permission to take college courses. The form provides details of the teacher such as their name, the school they teach at, the college and subjects they wish to take, and a certification from their principal about their work performance. If approved, the Superintendent will sign to grant permission for the teacher to study outside provided it does not affect their work.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    33 views1 page

    Schools Division Office of Benguet

    Uploaded by

    Ana Conse
    This document is a request form submitted by a teacher to their Schools Division Superintendent seeking permission to take college courses. The form provides details of the teacher such as their name, the school they teach at, the college and subjects they wish to take, and a certification from their principal about their work performance. If approved, the Superintendent will sign to grant permission for the teacher to study outside provided it does not affect their work.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    C ordi l l era Admi ni st rat i ve R egi on
    SCHOOLS DIVISION OFFICE OF BENGUET
    Wangal, La Trinidad, Benguet 2601
    Telefax: (074) 422-6570; (074) 422-7501; 422-3790; 422-2001

    __________________________
    Date
    The Schools Division Superintendent
    DepED – Benguet Division
    Wangal, La Trinidad, Benguet

    Thru: Channels

    Sir:
    This is to request permission to attend [1st], [2nd], [3rd] semester/summer classes from ____________to _____________
    encircle the semester applying for month and year started month and year ended

    at _______________________________________, ____________________________________.
    name of school address of school

    The school where I am teaching is _________kms. away and takes _______hours and _______ min. to reach
    the college/university where I intend to study with transportation available every __________hrs./minutes.
    SUBJECTS TO BE TAKEN UNITS TIME DAYS
    1.
    2.
    3.
    (Maximum = 9 units)
    If my outside study affects my performance as a _____________________ permission may be revoked.
    Position/Designation

    Very truly yours,

    __________________________________
    Signature over Printed Name

    1st INDORSEMENT
    _____________________________
    District
    __________________________
    Date

    CERTIFICATE OF THE PRINCIPAL/SUPERVISOR

    I hereby certify that ___________________________ of __________________________ is a _____________


    teacher name of applicant name of school and district permanent/contractual

    and is doing satisfactorily and has a performance rating of [O], [VS], [S], [US], [P]. Last period ends at ______PM.
    encircle the correct descriptive rating

    RECOMMENDING APPROVAL:

    ______________________________________
    Signature over printed name of Immediate Head/Supervisor

    _______________________________________
    Designation

    Study Permit No. _______, s. 20____


    2nd INDORSEMENT
    ___________________

    Date

    Respectfully returned to Mr./Ms.___________________________________thru the School Head/PSDS of


    ___________________________School/District, approving his/her request for permission to attend ______semester
    /summer, SY___________. It is understood that his/her efficiency as a ___________________ will not be affected.

    FEDERICO P. MARTIN, Ed.D., CESO VI


    OIC, Schools Division Superintendent

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