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    Letter of Intent in Learning Camp

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    Vicky Rance Catubig

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    © All Rights Reserved
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    Letter of Intent in Learning Camp

    Uploaded by

    Vicky Rance Catubig
    12 views4 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12 views4 pages

    Letter of Intent in Learning Camp

    Uploaded by

    Vicky Rance Catubig

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    lOMoARcPSD|16629464

    Republic of the Philippines


    Department of Education
    REGION VIII
    SCHOOLS DIVISION OF NORTHERN SAMAR
    FRANCISCA DOMINICE NATIONAL HIGH SCHOOL

    May 7, 2024

    GAUDENCIO C. ALJIBE JR., PhD, CESO VI


    Schools Division Superintendent
    Northern Samar Division

    Thru: MARIA ELENA A. JARITO, DALL


    Secondary School Principal I
    Francisca Dominice National High School
    Bugko, Mondragon III District
    Sir:

    I, VICKY RANCE-CATUBIG, hereby express my intent to be a Learning Camp Volunteer


    (LCV) in FRANCISCA DOMINICE NATIONAL HIGH SCHOOL, BUGKO
    MONDRAGON III DISTRICT during the implementation of the National Learning Camp for
    the 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 purposes relevant to the hiring of
    learning camp volunteers in the Department.

    Personal Information
    Age: 48
    Sex: FEMALE
    Complete Residential Address: MAKIWALO MONDRAGON N. SMAR
    Mobile/Telephone Number: 09062520075

    Academic and Employment Details


    Bachelor’s Degree & Specialization: BSED - FILIPINO
    Master’s Degree & Specialization (if any): MAED – FILIPINO / PHD-EM
    Present Employment (if any): DEPED
    Present Position (if any): SST-III
    Grade Level Assignment (if any): 7
    Length of Service as a Teacher (if any): 9

    VICKY RANCE-CATUBIG, PhD


    Signature Over Printed Name
    Date Signed: ___________

    Downloaded by Vicky Catubig ([email protected])


    lOMoARcPSD|16629464

    Annex D. Registry of Learning Camp Volunteers

    Annex 1: The Learning Camp Registration Template

    Name: _______________________________________

    Grade Level: _______________________

    Section: ____________________

    Age: _________________

    Residential Address: ________________________ Parent/Guardian:

    Name: _________________________________

    Contact Number: ________________________

    ______________________________________________

    To be 昀椀 lled out by the Teacher Adviser:

    Most Recent Grade in:

    English: _____________

    Science: _____________

    Mathematics: ________

    Teacher Adviser in the currently enrolled Grade Level:

    Name: _____________________________

    Contact Number: ______________________

    School: _____________________________________

    School ID: ________________________

    District: ________________________________

    Division: ______________________________

    Downloaded by Vicky Catubig ([email protected])


    lOMoARcPSD|16629464

    Annex 2. Parent/Legal Guardian Consent Form

    Republic of the Philippines


    DEPARTMENT OF EDUCATION
    ________________________
    (Region)
    ______________________________
    (Division)
    ______________________________
    (School)
    ______________________________
    (School Address)

    ___________
    Date

    PARENTAL CONSENT

    I/We hereby willingly and voluntarily give consent to the participation of my/our
    son/daughter ____________(name of learner)_______________ in the Learning Camp from
    ___________(dates of attendance)___________.

    I have considered the bene 昀椀 ts that my son/daughter will get from his/her
    participation in this activity provided that due care and precaution will be observed to ensure the
    comfort and safety of my son/daughter and that DepEd employees and personnel may not be
    held responsible for any untoward incident that may happen beyond their control.
    ______________________ _____________________
    Signature of Father over Signature of Mother over
    Printed Name/Date Printed Name/Date
    __________________________
    Signature of Guardian over
    Printed Name/Date

    ________________________________
    Relationship with the Learner

    Veri 昀椀 ed By:
    ________________________________________ Date: ___________
    Teacher

    Note: If No Parent/s, submit an A 昀케 davit of Guardianship duly veri 昀椀 ed by the teacher. If


    parents are abroad, Special Power of Attorney (SPA) is needed.

    Downloaded by Vicky Catubig ([email protected])

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