CS Form 122
CS Form 122
REPUBLIKA NG PILIPINAS
ESPLANA, JELF O.
New (
Existing (
3.
Salary
4.
P 222,588.00
5. Department Occupation Agency ( Write in Full Name)
TEACHER
DEPARTMENT OF EDUCATION
6. Bureau of Office ( Write in Full Name) 7. Department, Branch, Division, etc.
BAAO DISTRICT
10. For Local Government Position (Check the Proper Unit and Unit Class) Municipality ( Class ) 1st ( ) 2nd ( ) City ( 3rd ( ) ) 4th ( )
BAAO,CAMARINES SUR
Describe the work which you are appointed to do. List your duties in the order of importance and number each. Must have separate paragraph for each duty. Make your description clear. Be specific. Indicate the percentage of the time spent on the day.
75% 1% 3%
10%
2%
1.5% 2%
1. Teaches in elementary level all the learning areas. 2. Enrolls pupils in the elementary level. 3. Evaluates pupils progress and provides various experiences for their continuous development. 4. Keeps pupils and school records updated and prepares required reports on time. 5. Supervises curricular and co-curricular projects and activities of the pupils in and outside the school. 6. Provides guidance services to pupils. 7. Works with other school personnel, parents, and the community for the total development of the pupils. 8. Coordinates with stakeholders, and cooperates with other teachers in the school projects or activities. 9. Conducts academic monitoring and coaching of pupils. 10. Participates in the maintenance and improvement of instructional classroom, school grounds, facilities, and equipment.
2.5%
1.5% 1.5%
16. Machines, equipment, tools, etc. used regularly in the Performance of Work:
17.
Working Condition: Normal Work Condition Field Work Field Trip Exposed to varied Weather ( ( ) ( ( ) )
Pupils / Parents
18.
____________________
Date
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Signature To be filled by Immediate Supervisor
Teach all subjects in any grade level with higher pupil learning performance level.
21. Comment / s or any exception or additions to any Statement of the Employees.
____________________
Date
____________________
Signature CERTIFIED CORRECT
_____________________ Date
REPUBLIKA NG PILIPINAS
32. For Local Government Position (Check the Proper Unit and Unit Class) Municipality ( Class ) 1st ( ) 2nd ( ) City ( 3rd ( ) ) 4th ( ) 5th ( ) Province( 6th ( ) )
Describe the work which you are appointed to do. List your duties in the order of importance and number each. Must have separate paragraph for each duty. Make your description clear. Be specific. Indicate the percentage of the time spent on the day.
37. Employee under your immediate Supervision and Number of Employee under each Class
( List only the Position Title. Use separate sheet if necessary)
38. Machines, equipment, tools, etc. used regularly in the Performance of Work:
Working Condition: Normal Work Condition Field Work Field Trip Exposed to varied Weather ( ( ) ( ( ) )
Specify : 40. Certify that the above answer are accurate and complete
_____________________
Date
____________________
Signature To be filled by Immediate Supervisor
44. I HEREBY CERTIFY that the entries on these pages are accurate and correct.
_____________________
Date
____________________
Signature
CERTIFIED CORRECT
_____________________ Date