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Spes Form 2

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. It collects personal information about applicants such as name, contact details, education history, and parental information. It also lists documentary requirements needed to validate information and determine eligibility, such as proof of age, income status of parents, and student status. Applicants must be between 15-30 years old and come from low-income families. The form is signed by the applicant to attest to the truth and accuracy of the information provided.

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Akhira Ace
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446 views

Spes Form 2

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. It collects personal information about applicants such as name, contact details, education history, and parental information. It also lists documentary requirements needed to validate information and determine eligibility, such as proof of age, income status of parents, and student status. Applicants must be between 15-30 years old and come from low-income families. The form is signed by the applicant to attest to the truth and accuracy of the information provided.

Uploaded by

Akhira Ace
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SPES Form 2

REPUBLIC OF THE PHILIPPINES


DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. _______
PUBLIC EMPLOYMENT SERVICE OFFICE
______________________________
City/Municipality/Province
SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS
(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 Size Picture
CONTACT DETAILS/CELPHONE NO.: EMAIL ADDRESS: (3.5cm x 4.5 cm)
SOCIAL MEDIA ACCOUNT (FACEBOOK, TWITTER, INSTAGRAM, ETC.)

STATUS SEX  Student  ALS student


 Single  Married  Widow/er  Separated  Male  Female  out-of-school (OSY)
CURRENT STATUS OF PARENTS:  Living together  Solo Parent  Separated  Person With Disability  Senior Citizen
 Sugar Plantation Worker  Indigenous People  Displaced Worker (1)  Local (2)  OFW
PRESENT ADDRESS:

PERMANENT ADDRESS:

FATHER’S NAME /CONTACT NO.: MOTHER’S MAIDEN NAME/CONTACT NO.:

OCCUPATION: OCCUPATION:

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


Elementary
Secondary
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 15-30)
[ ] 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 or DSWD/CSWD where the applicant resides; and
[ ] 3) For 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) Form 138 of the previous semester
or year immediately preceding the application; OR
[ ] b) Original copy of Certification by the School Registrar as to passing grade immediately preceding
semester/year if grades are not yet available
[ ] 4) For Out of School Youth (OSY), original copy of Certification as OSY issued by DSWD/CSWD or the authorized
Barangay Official where the OSY resides, in addition to requirements no. 1 and 2.
SPECIAL SKILLS:

HISTORY of SPES Availment/ Name of Establishment YEAR SPES ID NO. (if applicable)
st
[ ] 1 Availment
nd
[ ] 2 Availment
rd
[ ] 3 Availment
th
[ ] 4 Availment
Other related information/ requests/ interventions from 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

T-SHIRT SIZE: ___________ BLE Revision as of December 2016

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