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6.-Screening-Form

The document is a screening form for aspiring candidates to be elected as Learner Government Officers in the Schools Division of Quezon Province, Philippines. It outlines the required qualifications and documents needed for candidates, including the completion of an Election Application Form and submission of an Introductory Profile, among others. The form concludes with a declaration of whether the candidate is qualified or not, verified by a commissioner.

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Jaysan Balunan
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2 views

6.-Screening-Form

The document is a screening form for aspiring candidates to be elected as Learner Government Officers in the Schools Division of Quezon Province, Philippines. It outlines the required qualifications and documents needed for candidates, including the completion of an Election Application Form and submission of an Introductory Profile, among others. The form concludes with a declaration of whether the candidate is qualified or not, verified by a commissioner.

Uploaded by

Jaysan Balunan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

SCREENING FORM
(Note: This Screening Form shall be accomplished by the Screening and Validation Committee.)

Name of Learner: __________________________________________________________________


Grade Level & Section: __________________________
Position: ________________________________

Direction: Please check the appropriate box to determine if the aspiring candidate
possesses all the qualifications to be elected as a Learner Government Officer.

DESCRIPTION REMARKS

Required Documents Yes No


1. The learner completely fills out the
Election Application Form and submits it
on or before the deadline.
2. The learner submits the following documents.
a. Introductory Profile
b. Photocopy of School Form 9
[Learner’s Progress Report Card]
c. Certificate of Good Moral
Qualifications
1. The learner is enrolled in the current
school year.
2. He/She has no failing grades in all
subject areas.
3. He/She is of good moral character.
4. The grade level of the aspiring candidate
is appropriate to the requirement of the
desired elective position.

With all the required documents submitted by the aspiring candidate, the Learner
Government COMEA hereby declares him/her _____ QUALIFIED _____ NOT
QUALIFIED to run for the elections.

Verified by:
____________IVY ROSE C. ALCOS________________
Commissioner on Screening and Validation

DEPEDQUEZON-TM-SDS-04-025-003

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon


Trunkline #: (042) 784-0366, (042) 784-0164,
(042) 784-0391, (042) 784-0321

DepEdTayoQuez www.depedquezon.co quezon@deped.go


on m.ph v.ph
Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Date: ___________________

DEPEDQUEZON-TM-SDS-04-025-003

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon


Trunkline #: (042) 784-0366, (042) 784-0164,
(042) 784-0391, (042) 784-0321

DepEdTayoQuez www.depedquezon.co quezon@deped.go


on m.ph v.ph

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