Republic of the Philippines

Department of Education
Region VIII – Eastern Visayas
Division of Leyte
Province of Leyte

January 30, 2017

OFELIA N. ALCOBER, Ph.D.

Principal II
Sta. Fe National High School
Department of Education
Division of Leyte
Leyte Province

Respected Madame:

Greetings of peace & serenity!

It is with great pride and honour to convey my interest in seeking a full time Senior High School
teacher position with specialization in Humanities & Social Sciences (HUMMS) in your remarkable
institution for School Year 2017-2018.

My formal education includes a Bachelor of Science degree in Psychology which I earned from
Samar State University. I humbly graduated Magna Cum Laude and held a top graduate of our batch,
on March 25, 2010, through my dedication & passion in psychology so as the guidance of my former
professors. I have already acquired 30 units in my Master’s degree in Education specializing in
Guidance & Counseling. I also passed the recently Licensure Examination for Teachers (LET)
Secondary Level last September 25, 2013. At present, I am delegated as the Head of the Office of the
Guidance Services of Eastern Visayas State University which significantly contributes to my
interpersonal, leadership, skills in my field of specialization & organizational competencies.

As a teacher, I am optimistic that students will discover their real potentials and capabilities as I
provide a learning environment that engages their eagerness to discover things, to learn
independently, to be a scientific and critical thinker, and to trust their personal opinions while
fostering solidarity among their classmates.

I believe that my instructional abilities combined with my work ethics, skills, and strong devotion to
educate our millennial students would greatly benefit the school/institution.

Attached herewith are pertinent papers for your perusal and evaluation. I hope you find my
education and experience worthwhile as a possible candidate to be a molder of today’s youth.
Please feel free to contact me at 09985324625 or by email at counselorthesa_evsu@yahoo.com.

Thank you for your time and consideration, and I look forward to speaking with you in the near
future.

Very sincerely yours,

MARIA THERESA M. HERBOLINGO, LPT

Teacher Applicant
 Republic of the Philippines
Department of Education
Region VIII – Eastern Visayas
Division of Leyte
Province of Leyte

January 30, 2017

JANE CODILA, Ph.D.

Principal
Leyte National High School
Department of Education
Tacloban City Division
Tacloban, Leyte

Respected Madame:

Greetings of peace & serenity!

It is with great pride and honour to convey my interest in seeking a full time Senior High School
teacher position with specialization in Humanities & Social Sciences (HUMMS) in your remarkable
institution for School Year 2017-2018.

My formal education includes a Bachelor of Science degree in Psychology which I earned from
Samar State University. I humbly graduated Magna Cum Laude and held a top graduate of our batch,
on March 25, 2010, through my dedication & passion in psychology so as the guidance of my former
professors. I have already acquired 30 units in my Master’s degree in Education specializing in
Guidance & Counseling. I also passed the recently Licensure Examination for Teachers (LET)
Secondary Level last September 25, 2013. At present, I am delegated as the Head of the Office of the
Guidance Services of Eastern Visayas State University which significantly contributes to my
interpersonal, leadership, skills in my field of specialization & organizational competencies.

As a teacher, I am optimistic that students will discover their real potentials and capabilities as I
provide a learning environment that engages their eagerness to discover things, to learn
independently, to be a scientific and critical thinker, and to trust their personal opinions while
fostering solidarity among their classmates.

I believe that my instructional abilities combined with my work ethics, skills, and strong devotion to
educate our millennial students would greatly benefit the school/institution.

Attached herewith are pertinent papers for your perusal and evaluation. I hope you find my
education and experience worthwhile as a possible candidate to be a molder of today’s youth.
Please feel free to contact me at 09985324625 or by email
at counselorthesa_evsu@yahoo.com.

Thank you for your time and consideration, and I look forward to speaking with you in the near
future.

Very sincerely yours,

MARIA THERESA M. HERBOLINGO, LPT

Teacher Applicant
 Republic of the Philippines
Department of Education
Region VIII – Eastern Visayas
Division of Leyte
Province of Leyte

OMNIBUS SWORN CERTIFICATION

Republic of the Philippines )

Division of Leyte )
Sta. Fe National High School )
Sta. Fe, Leyte )

A F F I D A V I T

I, MARIA THERESA M. HERBOLINGO, of legal age, married, Filipino, and residing at Block
13, Lot 82, Montview Residences, GE Palanog, Brgy. Tigbao, Tacloban City, after having been duly
sworn in accordance with law, do hereby depose and state that:
1.) I am applying for Senior High School Teacher at Sta. Fe National High School, Sta.
Fe, Leyte.
2.) I have submitted the following documents:
2.1 CSC Form 212 (revised 2005)in two copies with the latest 2x2 ID
picture
2.2 Certified photocopy of PRC professional identification card
2.3 Certified photocopy of ratings obtained in the Licensure Examination
for Teachers/ Professional Board Examination for Teachers
2.4 Certified copy of transcript of records
2.5 Copies of service record /certificate of employment, performance
rating, and school clearance for those with teaching experience
2.6 Certificates of specialized training, if any
2.7 Certified copy of Voter’s ID and /or any proof of residency as deemed
acceptable by the School Screening Committee
2.8 NBI Clearance
2.9. All additional requirements stipulated
1.) I am executing this omnibus sworn certification to assure authenticity and veracity of all
documents submitted;
2.) I assure full responsibility and accountability on the validity and authenticity of the
documents submitted and I understand that any violation will automatically disqualify
me from the selection process.

IN WITNESS WHEREOF, I have hereunto set my hand this 10th day of February, 2017 at
Tacloban City, Leyte, Philippines.

____________________________________________
Printed Name and Signature of Applicant

SUBSCRIBED AND SWORN TO before me this 10th day of February, 2017. Affiant exhibiting to me
his/her Community Tax Certificate No. 06052968 issued on January 20, 2017, at Tacloban City,
Philippines.

_______________________________
 Republic of the Philippines
Department of Education
Region VIII – Eastern Visayas
Division of Leyte
Province of Leyte

ACKNOWLEDGEMENT RECEIPT

This is to acknowledge receipt of the following documents for Senior High School
Teacher position submitted by Mrs. MARIA THERESA M. HERBOLINGO, LPT, and an
applicant of Leyte National High School, Tacloban City, Leyte.

_____ CSC Form 212 (Revised 2005) in two copies with latest 2x2 ID picture.
_____ Certified photocopy of PRC Certificate of Registration/License.
_____ Certified photocopy of rating obtained in the Licensure Examination for Teachers/
Professional Board Examination for Teachers.
_____ Certified true copy of Transcript of Record for Baccalaureate.
_____ Copies of Service Record, Performance Ratings and School Clearance for those
with teaching experience
_____ Certificates of specialized trainings, if any
_____ Certified copy of Voter’s ID
_____ NBI Clearance
_____ Omnibus Certification of Authenticity and Veracity of all documents submitted

Issued this ______ day of ______________, 2017 at Sta. Fe National High School, Sta.
Fe, Leyte, Philippines.

___________________________________________
Chairman/Member of the School Selection Committee
 Republic of the Philippines
Department of Education
Region VIII – Eastern Visayas
Division of Leyte
Province of Leyte

TABLE OF CONTENTS

Content Page

I. Mandatory Requirements
I.1. Letter of intent 1
I.2. Personal Data Sheet 2-5
I.3. Specialized Trainings 6-21
I.4. Barangay Certificate/Proof of Residency 22
I.5. NBI Clearance 23
I.6. Omnibus Sworn Certification 24

II. Additional Requirements

A. Education
a.1.) Transcript of Records (Undergraduate Degree) 25-26
a.2.) Transcript of Records (18 Professional Education units) 27
a.3.) Transcript of Records (30 units MAEd Guidance & Counseling) 28-29
a.4.) Diploma (Degree in BS Psychology) 30

B. Professional Licences

b.1. Certified True Copy of PRC Professional Teacher’s License 32

b.2. Certificate of Rating 32
b.3. Certificate of CSC Eligibility 33

C. Teaching /Industry Experience

c.1. Service Record (Guidance Counselor I & II) – DNHS/EVSU 34
c.2. Appointment (Guidance Counselor II)- EVSU 35
c.3. Certification of Employment (GC II)- EVSU 36
c.4. Service Record (Guidance Counselor I) –DNHS 37
c.5. Certificate of Teaching (EVSU – 1 year) 38
c.6. Certificate of Teaching (DNHS – 1 year) 39
c.7. PAST Performance Appraisal System for Teachers 40
c.8. Certificate of Teaching/Employment (SC – 1 year) 41
c.9. Clearance Sheet – Samar College 42
c.10. Certification ( Chairman, Child Protection Committee) 43
c.11. Endorsement Letter as OIC Head, EVSU Guidance Office 44-45
c.12. Special Order (Member, Health & Wellness Committee) 46-47
c.13. Memorandum ( DNV Recertification Audit ISO 9001-2015) 48-49
c.14. Special Order (Co-Chairman, Working Committees for 50-51
the EVSU 110th Founding Anniversary)

D. Portfolio/Outstanding
d.1. Certificates of Recognition & Appreciation 52-67
as Resource Person, Guest Speaker & Facilitator
d.2. Certificate of Academic Awards & Service 68-73
d.3. Membership Identification Card
(Psychology Professional Organizations) 74-78
d.4. Other relevant document of efficient work performance 79-112