Permit To Study: General Quality Form

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Document Code:

SDO-GQF-OSDS-
OASDS-001

General Quality Form Revision: 00

Effectivity date:
11-16-2017
Name of Office:
Office of the Assistant
PERMIT TO STUDY Schools Division
Superintendent
(Elementary)

Date: March 1, 2018


Name: Dianara E. Usi Position/Designation: Teacher I

Office/School: Santol Elementary School Latest Performance Rating:

School Where Applicant Will Take the Study


School: La Consolacion University Philippines
Address: Bulihan, City of Malolos, Bulacan
Course to be Pursued: Master of Arts in Education Major in School Year/Semester: 3RD Trimester 2017-
Early Childhood Education 2018

List of Subjects to be Taken Schedule of Classes


ECE 205 Play Experiences Saturday/ 8:00am-11:30am
ECE 206 Children with Special Needs Saturday/11:30am-3:00pm
ECE 210 Individualized Programming Saturday/3:00pm-6:30pm

Subjects Completed (if any):

Certified Correct: Recommending Approval:

DIANARA E. USI ANGELITA C. BALTAZAR


Applicant District Supervisor

Approved:

CECILIA E. VALDERAMA, Ph.D.


Assistant Schools Division Superintendent
Document Code:
SDO-GQF-OSDS-
OASDS-001

General Quality Form Revision: 00

Effectivity date:
11-16-2017
Name of Office:
Office of the Assistant
PERMIT TO STUDY Schools Division
Superintendent
(Elementary)

Date: June 11, 2018


Name: Dianara E. Usi Position/Designation: Teacher I

Office/School: Santol Elementary School Latest Performance Rating: 4.09

School Where Applicant Will Take the Study


School: La Consolacion University Philippines
Address: Bulihan, City of Malolos, Bulacan
Course to be Pursued: Master of Arts in Education Major in School Year/Semester: 1st
Early Childhood Education Trimester 2018-2019

List of Subjects to be Taken Schedule of Classes


ECE 201 Caring for Infants and Toddlers Saturday/ 8:00am-11:30am
ECE 204 Observations in ECE Saturday/11:30am-3:00pm
ECE 207 Nutrition, Health and Safety Saturday/3:00pm-6:30pm

Subjects Completed (if any):


ECE 205 Play Experiences
ECE 206 Children with Special Needs
ECE 210 Individualized Programming

Certified Correct: Recommending Approval:

DIANARA E. USI ANGELITA C. BALTAZAR


Applicant District Supervisor

Approved:

CECILIA E. VALDERAMA, Ph.D.


Assistant Schools Division Superintendent
Dianara E. Usi MAE ECE-A

ECE 207 Nutrition, Health and ECE 201 Caring for Infants
Safety and Toddlers

ECE 204 Observations in ECE


Dianara E. Usi

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