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    Semestral Clearance 23

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    Ella Retiza
    This document is a semestral clearance form for a student. It requires signatures from the class mayor and treasurer, as well as the Level II RLE Coordinator and Academic Coordinator to verify the student has met the Level II requirements, which include completing extensions, repeat rotations, and submitting the proper manuals and exam permit. The same information is listed for Level III requirements, but with the Level III RLE and Academic Coordinators listed. The form is signed by the Assistant Dean and Dean.

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    Semestral Clearance 23

    Uploaded by

    Ella Retiza
    11 views1 page
    This document is a semestral clearance form for a student. It requires signatures from the class mayor and treasurer, as well as the Level II RLE Coordinator and Academic Coordinator to verify the student has met the Level II requirements, which include completing extensions, repeat rotations, and submitting the proper manuals and exam permit. The same information is listed for Level III requirements, but with the Level III RLE and Academic Coordinators listed. The form is signed by the Assistant Dean and Dean.

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    This document is a semestral clearance form for a student. It requires signatures from the class mayor and treasurer, as well as the Level II RLE Coordinator and Academic Coordinator to verify the student has met the Level II requirements, which include completing extensions, repeat rotations, and submitting the proper manuals and exam permit. The same information is listed for Level III requirements, but with the Level III RLE and Academic Coordinators listed. The form is signed by the Assistant Dean and Dean.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    11 views1 page

    Semestral Clearance 23

    Uploaded by

    Ella Retiza
    This document is a semestral clearance form for a student. It requires signatures from the class mayor and treasurer, as well as the Level II RLE Coordinator and Academic Coordinator to verify the student has met the Level II requirements, which include completing extensions, repeat rotations, and submitting the proper manuals and exam permit. The same information is listed for Level III requirements, but with the Level III RLE and Academic Coordinators listed. The form is signed by the Assistant Dean and Dean.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    SEMESTRAL CLEARANCE

    Name:_____________________________________________Year & Section___________

    1. CLASS MAYOR

    _______________________________ _________________________________
    Class Treasurer Class Mayor
    (Signature Over Printed Name) (Signature Over Printed Name)

    2. LEVEL II REQUIREMENTS

    □ Extensions Served
    □ Repeat Rotations Served
    □ RLE Clearance Manual
    □ RLE Manual with attached final exam permit
    □ Others:________________________(specify)

    MARIE CHRISTINE N. MERCADO, MAN RISA P. CHUA


    LEVEL II RLE COORDINATOR LEVEL II ACADEMIC COORDINATOR

    JILL MARIE C. HERMOGENES, Ed.D.


    Assistant Dean

    MICHELLE B. YU, DM
    Dean

    SEMESTRAL CLEARANCE

    Name:_____________________________________________Year & Section___________

    1. CLASS MAYOR

    _______________________________ _________________________________
    Class Treasurer Class Mayor
    (Signature Over Printed Name) (Signature Over Printed Name)

    2. LEVEL III REQUIREMENTS

    □ Extensions Served
    □ Repeat Rotations Served
    □ RLE Clearance Manual
    □ RLE Manual with attached final exam permit
    □ Others:________________________(specify)

    MAHLOU S. VILLAFLOR, MAN, RN ROGELIO B. YU, MAN, LPT


    LEVEL III RLE COORDINATOR LEVEL III ACADEMIC COORDINATOR

    JILL MARIE C. HERMOGENES, Ed.D.


    Assistant Dean

    MICHELLE B. YU, DM
    Dean

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