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    Spes Form 2 - Application Form - Dec2016.final

    Uploaded by

    Linette Orense Macato
    This document is an application form for the Special Program for Employment of Students (SPES) run by the Department of Labor and Employment in the Philippines. It collects personal information about applicants such as name, contact details, education history, and parental occupation/income. Applicants must be aged 15-30 and submit documents verifying their age, income status, and student/education status. Those accepted will receive employment placement assistance. The form requires the applicant's signature to attest to the truth and accuracy of the information provided.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Spes Form 2 - Application Form - Dec2016.final

    Uploaded by

    Linette Orense Macato
    595 views1 page
    This document is an application form for the Special Program for Employment of Students (SPES) run by the Department of Labor and Employment in the Philippines. It collects personal information about applicants such as name, contact details, education history, and parental occupation/income. Applicants must be aged 15-30 and submit documents verifying their age, income status, and student/education status. Those accepted will receive employment placement assistance. The form requires the applicant's signature to attest to the truth and accuracy of the information provided.

    Original Description:

    special program

    Original Title

    Spes Form 2 - Application Form_dec2016.Final (1)

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    This document is an application form for the Special Program for Employment of Students (SPES) run by the Department of Labor and Employment in the Philippines. It collects personal information about applicants such as name, contact details, education history, and parental occupation/income. Applicants must be aged 15-30 and submit documents verifying their age, income status, and student/education status. Those accepted will receive employment placement assistance. The form requires the applicant's signature to attest to the truth and accuracy of the information provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    595 views1 page

    Spes Form 2 - Application Form - Dec2016.final

    Uploaded by

    Linette Orense Macato
    This document is an application form for the Special Program for Employment of Students (SPES) run by the Department of Labor and Employment in the Philippines. It collects personal information about applicants such as name, contact details, education history, and parental occupation/income. Applicants must be aged 15-30 and submit documents verifying their age, income status, and student/education status. Those accepted will receive employment placement assistance. The form requires the applicant's signature to attest to the truth and accuracy of the information provided.

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    © All Rights Reserved
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    SPES Form 2

    REPUBLIC OF THE PHILIPPINES


    DEPARTMENT OF LABOR AND EMPLOYMENT
    Regional Office No. _______
    PUBLIC EMPLOYMENT SERVICE OFFICE
    ______________________________
    City/Municipality/Province
    SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS (SPES)
    (RA 7323, as amended by RAs 9547 and 10917)

    APPLICATION FORM Control No.: __________________


    SURNAME FIRST NAME MIDDLE NAME GSIS BENEFICIARY/RELATIONSHIP

    DATE OF BIRTH: (mm/dd/yyyy) PLACE OF BIRTH: CITIZENSHIP:


    Passport Size Picture
    CONTACT DETAILS/CELPHONE NO.: EMAIL ADDRESS: (3.5cm x 4.5 cm)
    SOCIAL MEDIA ACCOUNT (FACEBOOK, TWITTER, INSTAGRAM, ETC.)

    STATUS SEX  Student  ALS student


     Single  Married  Widow/er  Separated  Male  Female  out-of-school (OSY)
    CURRENT STATUS OF PARENTS:  Living together  Solo Parent  Separated  Person With Disability  Senior Citizen
     Sugar Plantation Worker  Indigenous People  Displaced Worker (1)  Local (2)  OFW
    PRESENT ADDRESS:

    PERMANENT ADDRESS:

    FATHER’S NAME /CONTACT NO.: MOTHER’S MAIDEN NAME/CONTACT NO.:

    OCCUPATION: OCCUPATION:

    EDUCATION NAME OF SCHOOL DEGREE EARNED/COURSE YEAR/LEVEL DATE OF ATTENDANCE


    Elementary
    Secondary
    Tertiary
    Tech-Voc
    DOCUMENTARY REQUIREMENTS:
    (Original and other documents, when applicable, should be presented for validation)
    [ ] 1) Photocopy of Birth Certificate or any document indicating date of birth or age (age must be 15-30)
    [ ] 2) Photocopy of the latest Income Tax Return (ITR) of parents/legal guardian OR certification issued by BIR that the
    Parents/guardians are exempted from payment of tax OR original Certificate of Indigence OR original Certificate
    of Low Income issued by the Barangay/DSWD or CSWD where the applicant resides; and
    [ ] 3) For students, any of the following, in addition to requirements no. 1 and 2:
    [ ] a) Photocopy of proof of average passing grade such as (1) class card or (2) Form 138 of the previous semester
    or year immediately preceding the application; OR
    [ ] b) Original copy of Certification by the School Registrar as to passing grade immediately preceding
    semester/year if grades are not yet available
    [ ] 4) For Out of School Youth (OSY), original copy of Certification as OSY issued by DSWD/CSWD or the authorized
    Barangay Official where the OSY resides, in addition to requirements no. 1 and 2.
    SPECIAL SKILLS:

    HISTORY of SPES Availment/ Name of Establishment YEAR SPES ID NO. (if applicable)
    st
    [ ] 1 Availment
    nd
    [ ] 2 Availment-
    rd
    [ ] 3 Availment
    th
    [ ] 4 Availment
    Other related information/ requests/ interventions from DOLE:

    I hereby attest that the information above are true and correct to the best of my knowledge, including the attached documents /
    requirements which I also attest as to their veracity. I agree that any false statement would cause the automatic disqualification/ cancellation
    of the service/ contract/ grant and I shall refund amount received and/or pay damages to DOLE or comply with other sanctions in accordance
    with law. Any material change in my financial status may affect my eligibility to continue the program.
    ____________________________________
    Signature of Applicant
    BLE Revision as of December 2016

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