Republic of the Philippines

Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

SCHOOL INCIDENT REPORT

TYPE OF INCIDENT:

INCLUSIVEDATE AND TIME INCIDENT:

EXACT LOCATION OF INCIDENT:

INVOLVED PERSONS AND SPECIFIC PARTICIPATION:

NARRATIVE DETAILS INCIDENT:

ACTION/S TAKEN:

RECOMMENDATIONS:

Prepared by : Received by :
________________________________________ __________________________________________
Date :
Date :

Reviewed
by :_________________________________________
Date :

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
Cellphone No. 09514797120
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

HOME VISITATION FORM

A. Pupil’s Profile

Name of Pupil : ______________________________________________ LRN : ____________

Grade/Section : _____________________ Gender : _______________ Age : ____________
Address : ______________________________________________________________________
Name of Father : ____________________________________ Contact No._______________
Name of Mother : ___________________________________ Contact No. _______________

B. Reason for Home Visitation

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

C. Remarks / Agreement :

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

___________________________________________ __________________________________
Parent’s Signature Over Printed Name Pupil’s Signature

Prepared by : :
_________________________________
ADVISER

Noted :
ELEANOR M. SEVILLA
School Guidance Coordinator

Approved :

MARIDEL M. NAVARRO
Elementary School Principal 1

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

CERTIFICATION

This is to certify that GREGORIO MARCELO BANANIA reported to duty in

school from March 15- May 30, 2020.

This certification is issued for reference purposes this 22nd day of June, 2020.

AMELIA T. BOTIN
Elementary School Principal

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

CERTIFICATION

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

This is to certify that the load amounting to One Thousand Pesos, P 1,000.00 was
used by the undersigned for official communication such as monitoring of teachers
working from home, submitting and updating report online to the higher offices,
communicating to parents and other stakeholders online, attending virtual meetings
with the SDO Officials, and hosting virtual meetings with teachers.

This certification is issued for liquidation purposes this 19th day of June, 2020.

AMELIA T. BOTIN
Elementary School Principal 1

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

May 20, 2020

CRESTITO M. MORCILLA, CESO VI

Schools Division Superintendent
Schools Division of Legazpi City
Legazpi City

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

ATTENTION:

JAMIN M. PRIMAVERA
Administrative Officer IV (HRMO II)

Dear Sir Morcilla,

Greetings!

I have the honor to submit the following documents of Mrs. SHERYL E. BEATO for Master Teacher I
position.

A. Original Civil Service Form 212, Revised 2017 (MC) 16, s. 2017)
B. Work Experience Sheet as Attachment to CS Form No. 212
C. Authenticated copy of Certificate of Good Standing from PRC;
D. Authenticated copy of Eligibility Rating from PRC;
E. Authenticated PRC ID;
F. Transcript of Records
G. NBI Clearance
H. Last Approved Appointment; and
I. Position Description Form

Thank you.

Respectfully yours,

AMELIA T. BOTIN
Elementary School Principal I

Noted:

WILSON B. ANZA, EdD

District Supervisor, Legazpi 5

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

TABLE OF CONTENTS

A. Original Civil Service Form 212, Revised 2017

(MC) 16, s. 2017)
B. Work Experience Sheet as Attachment to
CS Form No. 212
C. Authenticated copy of Certificate of Good
Standing from PRC;
D. Authenticated copy of Eligibility Rating from
PRC;
E. Authenticated PRC ID;
F. Transcript of Records
G. NBI Clearance
H. Last Approved Appointment; and
I. Position Description Form

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

REQUIREMENTS
FOR
MASTER
TEACHER I

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

SHERYL E. BEATO
Teacher III
Cabagnan Elementary School

MONTHLY INDIVIDUAL WORKPLAN

for the month of MAY 2020

ACTUAL DAYS OF ASSIGNED TASKS EXPECTED OUTPUT

WORK FROM HOME
May 20, 21 and 22  Prepare and submit reports needed by  Reports prepared and
the higher office/s including surveys submitted
 Consolidate data for submission to  Data consolidated and
concerned office/section submitted
 Receive and disseminate information to  Information received and
concerned personnel disseminated
 Monitor online the compliance of  Compliance of concerned
concerned personnel to personnel to memo/orders
memoranda/orders of the higher office/s monitored
 Assist teachers and other personnel to  Teachers and other
concerns needing attention thru text/call/ personnel’s needs assisted
messenger/fb
 Reply to queries of pupils/parents and
other stakeholders in whatever platform  Queries answered
used
 Coordinate with other agency/ies and or
sections needed help to solve pressing
concerns  Help needed by the school
 Do other tasks that may be assigned from other agency/ies

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OF LEGAZPI CITY
CABAGÑAN ELEMENTARY SCHOOL
CABANGAN, LEGAZPI CITY

coordinated
 Other tasked assigned done

Prepared by: Recommending Approval:

AMELIA T. BOTIN WILSON B. ANZA, EdD

ESP I PSDS
Cabagnan Elementary School Legazpi District 5
May 19, 2020

Approved:

CRESTITO M. MORCILLA, CESO VI

Schools Divison Superintendent

Address: Brgy. 20-Cabagnan, Legazpi City

Email: [email protected]