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This document is a certification from Pamela Balagtas' parents permitting her to undergo a field study at Concepcion Ecumenical School Foundation Inc. from October 11, 2022 to December 02, 2022. Her parents agree not to hold the university or school liable for any accidents during her field study. The document includes Pamela's profile information such as her address, education history, emergency contacts, and the request from the university dean to the school principal to accept Pamela and two others for their field study.

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Shenna Lim
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97 views7 pages

Ilovepdf Merged

This document is a certification from Pamela Balagtas' parents permitting her to undergo a field study at Concepcion Ecumenical School Foundation Inc. from October 11, 2022 to December 02, 2022. Her parents agree not to hold the university or school liable for any accidents during her field study. The document includes Pamela's profile information such as her address, education history, emergency contacts, and the request from the university dean to the school principal to accept Pamela and two others for their field study.

Uploaded by

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

Tarlac State University


COLLEGE OF TEACHER EDUCATION
CENTER OF DEVELOPMENT
Lucinda Campus, Tarlac City
Tel. No. (045) 982-6062; fax No. (045) 982-0110
Re-Accredited Level III by the Accrediting Agency of Chartered Colleges and Universities of the Philippines

Date:

DR. ARNOLD E. VELASCO


President
This University

CERTIFICATION TO UNDERGO FIELD STUDY/ PRACTICE TEACHING

SIR:

This is to certify that the undersigned, parent(s)/ guardian(s) of Pamela M. Balagtas a student enrolled
in the Bachelor of Elementary Education Program of the College of Teacher Education, Tarlac State
University, Lucinda Campus, Tarlac City, hereby permit him/her to undergo Field Study in Concepcion
Ecumenical School Foundation Inc., from _October 11, 2022 to December 02, 2022_ this 1st semester
of the academic year 2022-2023.

We shall not hold you and the cooperating school authorities liable for whatever accidents or responsible
for any untoward incident that may befall on him/her in the course of his/her field study observation/
student teaching activities.

Very Truly Yours,

MS. EVA M. BALAGTAS_


Signature over printed Name of Father/Guardian
Contact No. _09461167219_

MRS. BERNA M. BALUYUT _


Signature over printed Name of Mother/Guardian
Contact No. 09815724528___

Affirmed:

PAMELA M. BALAGTAS
Name and Signature of Student

BEED 4A
Year and Section

FIELD STUDY 1 & 2


Subject
MS. NIÑA ARCIGA
Supervisor/Principal

CONCEPCION ECUMENICAL SCHOOL FOUNDATION INC.


District/School

Form No.: TSU-COD-SF- 02 Revision No.: 02 Effectivity Date: August 13,2019 Page 1 of 1

Form No.: TSU-CTE-SF- 02 Revision No.: 02 Effectivity Date: August 13, 2019 Page 1 of 1
Tarlac State University
COLLEGE OF TEACHER EDUCATION
CENTER OF DEVELOPMENT
Lucinda Extension Campus, Tarlac City

FIELD STUDY STUDENT/


PRACTICE TEACHER PROFILE

PERSONAL INFORMATION

Name BALAGTAS_______PAMELA___________MACASAQUIT_____________
(Surname) (First) (Middle) (Name Extension)

Address ___#724 Sitio Sepu Brgy. Talaga, Capas, Tarlac_____________________________

Age _21____ Sex ___F_________ Height _160__(cm) Weight _55__(kg) Civil Status __Single__________

Contact No. _09266892035_________ E-mail address (if any) [email protected]____

Spouse’s Name (if married) _____________N/A_______________________________________________________

Number of Children ___________________N/A________________________________________________________

Assigned Division/ District _______APSTAP________________________________________________________

Assigned School _______________Concepcion Ecumenical School Foundation Inc.___________________________

Inclusive Dates of Deployment __October 11, 2022 to December 02, 2022_

EDUCATION

Elementary _ Talaga Elementary School________________________ Year _____2007-2013_______

Junior High School _______Capas National High School_______________________ Year ____ 2013-2017_______

Senior High School _______Capas National High School ______________________ Year _____2017-2019_______

Trade Technical Course (if any) __N/A______________________________________ Year _____N/A____________

Tertiary _ Tarlac State University __________________________________________ Year _____2019-Present_____

College __ Teacher Education______ Course Program Bachelor of Elementary Education_______

Specialization _Major in General Education_______

CHARACTER REFERENCES

_Karen Joy D. Arceo____________________________ Address Brgy. San Juan, Concepcion, Tarlac_________


Contact Number _09669314778___________________
_Kathleen B. Lopez_____________________________ Address Brgy. Dolores, Capas, Tarlac______________
Contact Number _09468474356___________________

PERSONS TO BE NOTIFIED IN CASE OF EMERGENCY

__Eva M. Balagtas______________________________ Address _Brgy. Talaga, Capas, Tarlac______________


Contact Number __09461167219__________________
__Berna M. Baluyut_____________________________ Address _ Brgy. Talaga, Capas, Tarlac______________
Contact Number: __09815724528_________________

October 4, 2022
Date Accomplished Signature

Form No.: TSU-CTE-SF-15 Revision No.: 01 Effectivity Date: October 1, 2022 Page 1 of 1
Tarlac State University
COLLEGE OF TEACHER EDUCATION
CENTER OF DEVELOPMENT
Lucinda Extension Campus, Tarlac City

Date: _September 29, 2022__

MS. NIÑA ARCIGA


PRINCIPAL
CONCEPCION ECUMENICAL SCHOOL FOUNDATION INC.

SUBJECT: REQUEST APPROVAL FROM THE SCHOOL PRINCIPAL TO DEPLOY


FIELD STUDY STUDENTS/PRACTICE TEACHERS

Madam/Sir:

Warmest greetings from the College of Teacher Education!

This is to request your good office to allow us deploy field study students/practice teachers of
Tarlac State University, College of Teacher Education under the program of _Bachelor of
Elementary Education_ specializing in General Education, in your esteemed school for
Experiential Learning. If granted, they are expected to report to you on October 11, 2022 and will
end their training on December 02, 2022.

The field study students/practice teachers who will be deployed in your school are:

1. PAMELA M. BALAGTAS from Brgy. Talaga, Capas, Tarlac


2. KIMBERLY S. MANUGUE from Brgy. Dolores, Capas, Tarlac
3. BRIAN M. PAGADUAN from Brgy. Burot, Tarlac City

It is hoped and prayed that this request will merit your support and favorable response.
Thank you so much and God bless!

Very truly yours,

DR. JASPER JAY N. MENDOZA


Dean

Approved:

MS. NIÑA ARCIGA_


School Principal

Form No.: TSU-CTE-SF-17 Revision No.: 01 Effectivity Date: October 1, 2022 Page 1 of 1

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