PST Registration Form For Practice Teaching

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Western Mindanao State University

COLLEGE OF TEACHER EDUCATION


Zamboanga City

Name: ________________________________________________ Date: _______________________


Present Address: _______________________________________Semester: ___________________
Current Year & Section: __________________________________School Year: _________________
PSTs FORM FOR PRACTICE TEACHING

PED COURSES UNITS GRADE AS/MAJOR COURSE DESCRIPTION UNIT GRADE


S

PED 100 AS1

PED 101 AS2

PED 102 AS3

PED 103 AS4

PED 104 AS5

PED 105 TTL1 AS6

PED 106 AS7

PED 107 AS8

PED 108 AS9

PED 109 AS10

PED 110 AS11

PED 111 FS1 AS12

PED 112 FS2 AS13

PED 113 FS3 AS14

AS15

AS16

AS17

AS18

AS19

AS20

AS21

AVERAGE : ___________ AVERAGE : ______


GENERAL AVERAGE (PED & AS):___________
Approved AR Title :
_________________________________________________________________________________
Co- Researchers :
___________________________________________________________________________________
Applicant’s Signature: __________________________

CERTIFICATION
This is to certify that _____________________________________ has satisfactorily completed
all courses necessary for Teaching Internship and has proved this committee his/her readiness and
competence to this course.

___________________________
Academic Adviser
Approved by:

Note: PLEASE ATTACH A COPY OF THE FOLLOWING:

1. Evaluated Grades 3. COR & OR


2. Medical Certificate 4. Insurance Receipt

WMSU-CTE-FR-017-00 Effective Date: 16-Dec.-2016

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