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Annexes

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Annex A.

Template for Expression of Intent as a Volunteer Teacher

Expression of Intent

I, Francisco C. Yap hereby express my intent to be a Learning Camp


(Complete Name)

Volunteer in Lual National High School, Brgy. Lual, Casiguran, Aurora


(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: 32
Sex: Male
Complete Residential Address: 140 Calangcuasan, Casiguran, Aurora
Mobile/Telephone Number: 09510007937

Academic and Employment Details


Bachelor’s Degree & Specialization: BSN, BSED
Master’s Degree & Specialization (if any):
Present Employment (if any): Lual National High School
Present Position (if any): JHS Teacher 1
Grade Level Assignment (if any): 7,9,11
Length of Service as a Teacher (if any): 5 years

laws, rules, and regulations being implemented by the Civil Service Commission

___________________________
Signature Over Printed Name
Date Signed: 02/04/2024

Annex D. Registry of Learning Camp Volunteers


Annex 1: The Learning Camp Registration Template

Name: _______________________________________

Grade Level: _______________________

Section: ____________________

Age: _________________

Residential Address: ________________________

Parent/Guardian:

Name: _________________________________

Contact Number: ________________________

______________________________________________

To be filled out by the Teacher Adviser:

Most Recent Grade in:

English: _____________

Science: _____________

Mathematics: ________

Teacher Adviser in the currently enrolled Grade Level:

Name: _____________________________

Contact Number: ______________________

School: _____________________________________

School ID: ________________________

District: ________________________________

Division: ______________________________
Annex 2. Parent/Legal Guardian Consent Form

Republic of the Philippines


DEPARTMENT OF EDUCATION
________________________
(Region)
______________________________
(Division)
______________________________
(School)
______________________________
(School Address)

___________
Date

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent to the participation of


my/our son/daughter ____________(name of learner)_______________ in the Learning
Camp from ___________(dates of attendance)___________.

I have considered the benefits that my son/daughter will get from his/her
participation in this activity provided that due care and precaution will be observed to
ensure the comfort and safety of my son/daughter and that DepEd employees and
personnel may not be held responsible for any untoward incident that may happen
beyond their control.

______________________ _____________________
Signature of Father over Signature of Mother over
Printed Name/Date Printed Name/Date

__________________________
Signature of Guardian over
Printed Name/Date

________________________________
Relationship with the Learner

Verified By:
________________________________________ Date: ___________
Teacher

Note: If No Parent/s, submit an Affidavit of Guardianship duly verified by the teacher. If


parents are abroad, Special Power of Attorney (SPA) is needed.

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