Republic of the Philippines

Department of Education
Region III – Central Luzon
Schools Division of San Jose del Monte City

AGREEMENT ON THE 2 HOURS OF TEACHING-RELATED LOADS TO BE

UNDERTAKEN OUTSIDE OF THE SCHOOL CAMPUS
TEACHER: Rivera, Renato Villanueva QUARTER: 3rd MONTH: February
DEPARTMENT: English SCHOOL YEAR: 2023-2024

WEEK 1 WEEK 2 WEEK 3 WEEK 4 WEEK 5

ACTIVITIES Submitted M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F
1. Preparation of daily lesson plans,
action/work plans,
evaluation/assessment tools/rubrics; SAC
initials
2. Preparation of instructional SAC
materials; initials
3.Conduct of research; SAC
initials
4. Checking and recording of exercises,
recording of academic performance SAC
results; initials
5.Performance of coordination
activities and duly recognized SAC
community services; initials
6.Preparation of tool for remediation; SAC
initials

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7.Participation in the maintenance and
improvement of school facilities and
equipment; SAC
initials
8.Counseling,mentoring,coaching of
students including home visits; SAC
initials
9.Consultations and conferences with
parents of the students–at-risk of
dropping out; SAC
initials
10.Coaching/training for contests; and SAC
initials
11. Attendance to seminars,
workshops and similar programs. SAC initials

OTHER TASKS PERFORMED:

1. ICT-Project Management Related
Activities
2.
3.
4.
5.

This is to acknowledge that the undersigned teacher, subject area coordinator, and principal agree that the activities marked ( ) shall be
carried out on the dates indicated in the table above. This agreement likewise serves as the authority for the teacher to be allowed to leave
the campus after rendering 6 hours of actual classroom teaching and spend the two hours outside of the school campus.

VICTORLI A. CION LORNA S. SEGUNIAL ANN LISA R. LEPASANA

SIGNATURE ABOVE THE PRINTED NAME OF TEACHER Subject Area Coordinator Assistant School Principal II

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