English Tutor
Resume:
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZAT
INCLUSIVE DATES
31. NAME & ADDRESS OF ORGANIZATION NUMBER OF
POSITION / NATURE OF WORK
(Write in full) HOURS
(mm/dd/yyyy)
From To
PRSDRSTDEA 11/02/2004
CPSTAERA 2004 PRESENT
(Continue on separate sheet if necessary)
VII. TRAINING PROGRAMS (Start from the most recent training.)
INCLUSIVE DATES OF
ATTENDANCE
32. TITLE OF SEMINAR/CONFERENCE/WORKSHOP/SHORT COURSES NUMBER OF CONDUCTED/ SPONSORED BY
(Write in full) HOURS (Write in full)
(mm/dd/yyyy)
From To
SCHOOL-BASED MANAGEMENT, CFSS AND
9/20/2000 9/21/2010 16 DIVISION
ALTERNATIVE DELIVERY MODE
23RD DISTRICT CAMPORAL & CAMPORAL 12/10/2007 10/13/2007 16 DIVISION
20TH BSP-GSP JOINT DISTRICT CAMPORAL &
10/15/2004 10/16/2014 16 DISTRICT
ENCAMPMENT
RE-ECHO SEMINAR WORKSHOP IN ENGLISH AND
9/13/2004 7 DISTRICT
MATHEMATICS
DIV. LEVEL TRAINING OF TRAINERS ON THE
INTEGRATION OF BASIC MESSAGES/CONCEPTS ON 02/08/2004 6 DISTRICT
SALT IODIZATION
BASIC COMPUTER AND INTERNET LITERACY 10/25/2011 6 DISTRICT
LEVEL 3 DIVISION ROLL OUT ON EBEIS 8/23/2011 6 DIVISION
1ST DISTRICT LEVEL LEADERSHIP TRAINING OF SPG 5/23/2011 6 DISTRICT
(Continue on separate sheet if necessary)
VIII. OTHER INFORMATION MEMBERSHIP IN
ASSOCIATION/ORGANIZATION
NON-ACADEMIC DISTINCTIONS / RECOGNITION:
33. SPECIAL SKILLS / HOBBIES: 34. 35.
(Write in full)
(Write in
full)
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 3 of 4
36. Are you related by consanguinity or affinity to any of the following :
a. Within the third degree (for National Government Employees): YES NO
appointing authority, recommending authority, chief of If YES, give details:
office/bureau/department or person who has immediate supervision over you
in the Office, Bureau or Department where you will be appointed?
b. Within the fourth degree (for Local Government Employees): YES NO
appointing authority or recommending authority where If YES, give details:
you will be appointed?
37 a. Have you ever been formally charged? YES NO
If YES, give details:
YES NO
b. Have you ever been guilty of any administrative offense?
If YES, give details:
38. Have you ever been convicted of any crime or violation of any law, decree, YES NO
ordinance or regulation by any court or tribunal? If YES, give details:
39. Have you ever been separated from the service in any of the following modes: YES NO
resignation, retirement, dropped from the rolls, dismissal, termination, end of
term, finished contract, AWOL or phased out, in the public or private sector? If YES, give details:
40. Have you ever been a candidate in a national or local election (except YES NO
Barangay election)?
If YES, give details:
41. Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for
Disabled Persons (RA 7277); and (c) Solo Parents Welfare Act of 2000 (RA
8972), please answer the following items:
a. Are you a member of any indigenous group? YES NO
If YES, please specify:
b. Are you differently abled? YES NO
If YES, please specify:
c. Are you a solo parent? YES NO
If YES, please specify:
42. REFERENCES (Person not related by consanguinity or affinity to applicant / appointee)
NAME ADDRESS TEL. NO.
TERESITA SULIGUIN POBLACION, PRES. ROXAS NONE
ID picture taken within
the last 6 months
GLORIA IRIG KIDAPAWAN CITY NONE 3.5 cm. X 4.5 cm
(passport size)
ALFREDO LUZON LABU-O, PRES. ROXAS NONE
Computer generated
43. I declare under oath that this Personal Data Sheet has been accomplished by me, and is a or xerox copy of picture
true, correct and complete statement pursuant to the provisions of pertinent laws, rules and is not acceptable
regulations of the Republic of the Philippines.
I also authorize the agency head / authorized representative to verify / validate the contents
stated herein. I trust that this information shall remain confidential. PHOTO
COMMUNITY TAX CERTIFICATE NO.
ISSUED AT SIGNATURE (Sign inside the box)
ISSUED ON (mm/dd/yyyy) DATE ACCOMPLISHED RIGHT THUMBMARK
CS FORM 212 (Revised 2005), Page 4 of 4
IV. CIVIL SERVICE ELIGIBILITY
LICENSE (if applicable)
29. DATE OF
CAREER SERVICE/ RA 1080 (BOARD/ BAR) DATE OF
RATING EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
UNDER SPECIAL LAWS/ CES/ CSEE RELEAS
NUMBER
CONFERMENT
E
AUG. 25,
RA 1080 79.40% DAVAO CITY
2002
(Continue on separate sheet if necessary) GOV'T
SERVICE
V. WORK EXPERIENCE (Include private employment. Start from your current work)
POSITION TITLE SALARY GRADE
INCLUSIVE DATES
30. DEPARTMENT / AGENCY / OFFICE / & STEP
MONTHLY STATUS OF
(mm/dd/yyyy) COMPANY INCREMENT
(Write in SALARY (Format "00- APPOINTMENT
(Write in full)
full) 0")
From To
6/24/2010 PRESENT TEACHER 1 DEPARTMENT OF EDUCATION YES /
(Yes
PERMANENT
No)
01/01/201
6/23/2010 TEACHER 1 DEPARTMENT OF EDUCATION YES
PERMANENT
0
01/07/200
12/31/2009 TEACHER 1 DEPARTMENT OF EDUCATION YES
PERMANENT
9
01/07/200
6/30/2009 TEACHER 1 DEPARTMENT OF EDUCATION YES
PERMANENT
8
07/01/200
12/31/2007 TEACHER 1 DEPARTMENT OF EDUCATION YES
PERMANENT
7
2/8/2004 6/30/2007 TEACHER 1 DEPARTMENT OF EDUCATION YES
PERMANENT
11/17/200
12/16/2003 TEACHER 1 DEPARTMENT OF EDUCATION YES
PERMANENT
3
8/11/2003 09/09/2003 TEACHER 1 SUBSTITUTE YES
SUBSTITUTE
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 2 of 4
CS FORM 212 (Revised 2005)
PERSONAL DATA SHEET
1. CS ID No.
Print legibly. Mark appropriate boxes with " " and use separate sheet if necessary. (to be filled up by CSC)
I. PERSONAL INFORMATION
2. SURNAME V I R G I N I A
FIRST NAME C H R I S T I N E
l I 3. NAME EXTENSION (e.g. Jr., Sr.)
MIDDLE NAME
16. RESIDENTIAL ADDRESS
4. DATE OF BIRTH (mm/dd/yyyy) 12/19/1981
5. PLACE OF BIRTH KIDAPAWAN CITY ARC 2, PACO, KIDAPAWAN CITY
Male Female
6. SEX
7. CIVIL STATUS Widowed ZIP CODE 9400
Single
Married Separated 17. TELEPHONE NO. N/A
Others, specify 18. PERMANENT ADDRESS
Annulled
8. CITIZENSHIP FILIPINO ARC 2, PACO, KIDAPAWAN CITY
9. HEIGHT (m) 1.62
10. WEIGHT (kg) 62 ZIP CODE 9400
11. BLOOD TYPE O 19. TELEPHONE NO. NONE
*********@*****.***.**
12. GSIS ID NO. 191********-**. E-MAIL ADDRESS (if any)
13. PAG-IBIG ID NO. 194*-****-**** 21. CELLPHONE NO. (if any)
14. PHILHEALTH NO. 17-000******-*-**. AGENCY EMPLOYEE NO. Ed
Dep
15. SSS NO. 23. TIN 929-656-998
II. FAMILY BACKGROUND
24. SPOUSE'S SURNAME 25. NAME OF CHILD (Write full name and list all) (mm/dd/yyyy)
DATE OF BIRTH
VIRGINIA
FIRST NAME KERZTEN SKY SKY VIRGINIA 04/07/2009
CHRISTINE
MIDDLE NAME / /
RACHO
OCCUPATION TEACHING / /
EMPLOYER/BUS. NAMEDEPARTMENT OF EDUCATION / /
BUSINESS ADDRESS / /
TELEPHONE NO. / /
(Continue on separate sheet if necessary) / /
26. FATHER'S SURNAME RACHO / /
FIRST NAME AQUILLIO / /
MIDDLE NAME RESERVA / /
27. MOTHER'S MAIDEN NAME / /
SURNAME PAJUTA / /
FIRST NAME CELSA / /
YEAR
MIDDLE NAME BUGAHOD (Continue on separate sheet if necessary)
GRADUATE
III. EDUCATIONAL BACKGROUND D HIGHEST SCHOLA
DEGREE GRADE/ RSHIP/
INCLUSIVE DATES OF
NAME OF SCHOOL COURSE LEVEL/ ACADEMI
28.
ATTENDANCE
LEVEL (Write in UNITS C
(Write in full) full) EARNED HONORS
From To
(if not RECEIVE
1993- graduated) D
LABU-O ELEM. SCHOOL
ELEMENTARY
1994
(if
graduated)
NOTRE DAME OF KIDAPAWAN FOR 1997-
SECONDARY
GIRLS 1998
VOCATIONAL/
TRADE COURSE
TERTIARY NOTRE DAME OF KIDAPAWAN MA ENGLISH 2001 2010
GRADUATED
GRADUATE STUDIES NOTRE DAME OF KIDAPAWAN MAED 24 UNITS 2002 2006
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