PERMIT-TO-STUDY-2021 2nd Sem

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Republic of the Philippines

Department of Education
Region VIII – Eastern Visayas
DIVISION OF BILIRAN
Brgy. Larrazabal, Naval, Biliran
_______________________________________________________________________________________________

APPLICATION FOR PERMIT TO STUDY


Name of Applicant: MELBA S. GARIANDO Position: Principal 1
Civil Service Eligibility: __Licensure Exam. For Teachers_________ Civil Status: __Married____
Name of School/Office where employed: Calumpang Elem. School Barangay: ___Calumpang______
Municipality: _Naval______________________________ Status of Appt.:_Regular Permanent
Distance in kms between official station and college where enrolled: ______.5 km______________

Biliran Province State University - Naval, Biliran


Name and Location of College
Course Applied for: _Education Doctor______________________________________
Academic Year: __2020-2021____________ Qtr./Sem./Summer: Second Sem._____
(1st, 2nd, 3th, 4th)
Course to be taken this term and the schedule:

COURSE DAY OF THE WEEK HOURS OF THE WEEK


Qualitative Reseach _____Saturday__________ _3½ hrs_8:00-11:30AM

Quantitative Research _____Saturday__________ _3 ½ hrs 11:30-2:30PM

Credits or Units towards BSE MA Ed.D/Ph.D.


Total No. of Units previously taken ____________ _______________ _______30_____
No. of units to be earned this Qtr./Sem./Summer
_________________________________________6______

I hereby certify that I have carefully read the instruction & undertakings on the back page of this
form, all the provisions of which I am bound to observe very strictly, I understand that the regulations on
the outside study of teachers are intended to primarily safeguard the health of the teachers as well as to
maintain their efficiency in the service. I also understand that if in the opinion of the Schools Division
Superintendent this study will adversely affect my effectiveness & efficiency as a
teacher/school/head/employee this permission to study shall be revoked.

_______________________________
Signature of Applicant
APPROVED:
This permit expires on _________________________
Date: ______________________________
Permit No. _________________________

MARGARITO A. CADAYONA, JR., PhD


Assistant Schools Division Superintendent
APPLICATION FOR PERMISSION:

INSTRUCTIONS AND UNDERTAKING

1. Application for permit to study in five (5) copies must each the office not later than one (1) month
before the start of the actual classes.

2. The teacher applicant must be doing very satisfactory and the same is valid for one (1) school year.

3. After each semester, every teacher granted permission to study shall submit to the
Superintendent’s Office through channels. A certified true copy of the report on the ratings he/she
obtained in the course which he/she took during the semester including the number of units
earned. In addition, as soon as he/she finished a specific curricular towards a degree, he/she should
submit a complete set of his/her transcript of grades and special order to the Superintendent
through his/her immediate superior for validation and for use in her ERF upgrading or future
promotion and other personnel action.
Republic of the Philippines
Department of Education
Region VIII – Eastern Visayas
DIVISION OF BILIRAN
Brgy. Larrazabal, Naval, Biliran
_______________________________________________________________________________________________

APPLICATION FOR PERMIT TO STUDY


Name of Applicant: CHRIZZA TOŇACAO-BERNADAS Position: Teacher III
Civil Service Eligibility: __Licensure Exam. For Teachers_________ Civil Status: __Married____
Name of School/Office where employed: Calumpang Elem. School Barangay: ___Calumpang______
Municipality: _Naval______________________________ Status of Appt.:_Regular Permanent
Distance in kms between official station and college where enrolled: ______.5 km______________

Biliran Province State University - Naval, Biliran


Name and Location of College
Course Applied for: _Master of Arts in Education______________________________________
Academic Year: __2019-2020____________ Qtr./Sem./Summer: First Sem._____
(1st, 2nd, 3th, 4th)
Course to be taken this term and the schedule:

COURSE DAY OF THE WEEK HOURS OF THE WEEK


MAED- Thesis Writing A_______________ ___________-__________ ________-
_____________

Credits or Units towards BEED MA Ed.D/Ph.D.


Total No. of Units previously taken ____________ _______42________ _______________
No. of units to be earned this Qtr./Sem./Summer _____________________ 3________________________

I hereby certify that I have carefully read the instruction & undertakings on the back page of this
form, all the provisions of which I am bound to observe very strictly, I understand that the regulations on
the outside study of teachers are intended to primarily safeguard the health of the teachers as well as to
maintain their efficiency in the service. I also understand that if in the opinion of the Schools Division
Superintendent this study will adversely affect my effectiveness & efficiency as a
teacher/school/head/employee this permission to study shall be revoked.

_______________________________
Signature of Applicant
APPROVED:
This permit expires on _________________________
Date: ______________________________
Permit No. _________________________

CRISTA JOY A. TORBILA


Assistant Schools Division Superintendent

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