CHECKLIST OF REQUIREMENTS
Name of Applicant: Jessa G. Pactes
Position Applied For: Elementary Teacher I
Office of the Position Applied For: M. H Del Pilar Elementary School
Contact Number: 09100939684
Religion: Roman Catholic
Ethnicity:
Person with Disability: Yes ( ) No ( )
Solo Parent: Yes ( ) No ( )
Status of Verification
Submission
Basic Documentary Requirements (To be filled out by the HRMO)
(To be filled out by
the applicant; Status of
Check if submitted) Submission
Remarks
(Check if
completed)
Letter of intent addressed to Head of office, or to the
highest human resource office/ Schools Division
Superintendent;
Duly accomplished PDS (CS Form No.212, Revised
2017) with Work Experience Sheet
Photocopy of Certificate of Eligibility
/Rating/license/ID
Photocopy of scholastic/academic record, such as but
not limited to Transcript of record (TOR) on
Baccalaureate degree and post-graduate degrees, if
applicable and Diploma
Photocopy of Service Record of Certificate of
Employment duly signed by proper authorities, if
applicable
Photocopy of Certificate of Training
Photocopy of latest Performance Rating covering one
(1) year performance duly signed by proper authorities
Omnibus Sworn Statement
Other documents:
* Means of Verification (MOVs) showing outstanding
accomplishments such as certificates of awards and
recognition, citations, and honors received
* Means of Verification (MOVs) showing specialized
skills relevant to teaching
* Certificate of residency and photocopy of two Valid
IDs with information on the Address of applicant