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Spes Blank Form

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. The first page collects personal information about the applicant such as name, contact details, citizenship, education history, and parental status. The second page lists the documentary requirements to submit along with the application such as proof of age, income certification, and school records. It also includes spaces for the applicant to disclose their special skills, history of previous SPES availments, and a statement agreeing to the terms of the program.

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458 views2 pages

Spes Blank Form

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. The first page collects personal information about the applicant such as name, contact details, citizenship, education history, and parental status. The second page lists the documentary requirements to submit along with the application such as proof of age, income certification, and school records. It also includes spaces for the applicant to disclose their special skills, history of previous SPES availments, and a statement agreeing to the terms of the program.

Uploaded by

cmcb624
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF LABOR AND EMPLOYMENT SPES Form 2


Regional Office No. _______
DEPARTMENT OF EDUCATION
______________________________
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 ize Picture
CONTACT DETAILS/CELPHONE NO.: EMAIL ADDRESS: (3 5cm x 4 5 cm)
SOCIAL MEDIA ACCOUNT OO T TT NST G M T .

STATUS SEX tudent AL student


Single Married Widow/er Separated Male emale out-of-school (O Y)
CURRENT STATUS OF PARENTS: Living togethe Solo Pa ent Sepa ated Pe son With Disability Senio Citi en
Suga Plantation Wo ke Indigenous People Displa ed Wo ke (1) Lo al (2) OFW
PRESENT ADDRESS:

PERMANENT ADDRESS:

FATHERS NAME /CONTACT NO.: MOTHERS MAIDEN NAME/CONTACT NO.:

OCCUPATION: OCCUPATION:

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


Elementary
econdary
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 15-24)
[ ] 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/D WD or C WD where the applicant resides; and
[ ] 3) Fo 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) orm 138 of the previous semester
or year immediately preceding the application; OR
[ ] b) Original copy of Certification by the chool Registrar as to passing grade immediately preceding
semester/year if grades are not yet available
[ ] 4) Fo Out o S hool Youth (OSY), original copy of Certification as O Y issued by D WD/C WD or the authorized
Barangay Official where the O Y resides, in addition to requirements no 1 and 2
SPECIAL SKILLS:

HISTORY o SPES Availment / Name o Establishment YEAR SPES ID NO. (if applicable)
[ ] 1stAvailment
[ ] 2ndAvailment-
[ ] 3rdAvailment
[ ] 4thAvailment
Othe elated in o mation/ equests/ inte ventions om 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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