Department of Education

Region VII, Central Visayas

Division of Cebu Province

ROSALINO L. ARREGLADO MAHAWAK ELEMENTARY SCHOOL
Mahawak, Medellin, Cebu, Philippines 6012

Name of Teacher Applicant: Marylaise R. Lepon

CHECKLIST DOCUMENTS

________1. Application Letter

________2. Dully filled up CSC Form 212 (2 copies) with the latest 2x2 ID picture

________3. Certified photocopy of the certificate of registration/ license as a teacher

with the PRC

________4. Certified Photocopy of LET/PBET Rating

________5. Certified copies of baccalaureate transcript of records with the computed

weighted grade included in teacher education degree

________6. Certified copies of service records, performance rating and clearance for
those claiming prior teaching experience

________7. Certified copies of certification in any training courses completed skill

demonstrated by the applicant in specialized areas relevant to teaching

________8. Certified copy of Voter’s ID/ and/ or any proof of residency as deemed
acceptable by the screening committee

________9. NBI Clearance

________10. Omnibus certification (by the applicant) of authenticity and veracity of

the documents submitted

Received and Checked by:

Mrs. Janeth G. Pacifico