Republic of the Philippines

Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF ROMBLON
ROMBLON, ROMBLON
TAMBAC, ROMBLON, ROMBLON

Appendix A of Annex 3. Template for Expression of Intent as Volunteer Teacher

Expression of Intent

I, hereby express my intent to be a

Learning Camp Volunteer in Macario Molina National High School at Brgy. Tambac,
Romblon, Romblon during the implementation of the National Learning Camp for 2024
EOSY break, scheduled this July 1 to July 19, 2024. I am willing to attend an orientation
activity on the program implementation.

Furthermore, I hereby grant the Department of Education the right to collect and
process my personal information and profile as provided below, for the purposes relevant to
the hiring of learning camp volunteers in the Department.

Personal Information
Age:
Sex:
Complete Residential Address:
Mobile Number:

Academic and Employment Details:

Bachelor’s Degree and
Specialization:
Master’s Degree & Specialization (if
any):
Present Employment (if any):
Present Position (if any):
Grade Level Assignment (if any):
Length of Service as a Teacher (if
any):

Signature over Printed Name

Date Signed:

301767 MACARIO MOLINA NATIONAL HIGH SCHOOL

Tambac, Romblon, Romblon

https://facebook.com/MacarioMolinaNHS 301767@deped.gov.ph
The School where optimum learning is ensured.
 Republic of the Philippines
Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF ROMBLON
ROMBLON, ROMBLON
TAMBAC, ROMBLON, ROMBLON

April 22, 2024

NOE P. MAGDATO JR.

Principal III
Macario Molina National High School

Sir:

I have the honor to express my intent and submit the documentary requirements for my
application as Learning Camp Volunteer on July 1 to July 19,2024.

Attached herewith are the documentary requirements:

1. Duly accomplished PDS (CS Form 212, Revised 2017):

2. Photocopy of Certificate of LET Eligibility /Rating/License/ID;
3. Photocopy of scholastic / academic record (TOR/True copy of grades);
4. Photocopy of Service Record or Certificate of Employment;
5. Photocopy of Certificate of Training; and
6. Latest Performance Rating.

Thank you.

Very truly yours,

301767 MACARIO MOLINA NATIONAL HIGH SCHOOL

Tambac, Romblon, Romblon

https://facebook.com/MacarioMolinaNHS 301767@deped.gov.ph
The School where optimum learning is ensured.