ST Qualifying Requirement 2020 1

Republic of the Philippines
CEBU TECHNOLOGICAL UNIVERSITY

TUBURAN CAMPUS
Brgy. 8, Poblacion Tuburan, Cebu, Philippines
Website: http://www.ctu.edu.ph E-mail: info-tuburan@ctu.edu.ph
el. No.: +6332 463 9313 loc. 102
COLLEGE OF EDUCATION
“Where competent Educators pace towards Global Transformation”
QUALIFYING REQUIREMENT FOR STUDENT TEACHING

(Before Off-campus)
Second Semester – A.Y. 2019-2020
Name of Student Teacher : ____________________________________

Course and Section : ____________________________________
1. Qualifying Assessment
 __________ Completion of all pre-requisite courses specified for the Teacher

Education (BEEd, BSEd or DPE) Curriculum.
2. Other Requirements:
 __________ Letter of Admission

 __________ Letter of Intent
 __________ Resume with Passport sized Picture
 __________ Parent’s Consent
 __________ Insurance
 __________ Certificate in the seminar and Demo Teaching
 __________ Recent Medical Certificate with Photocopy of Medical Result
 __________ School Forms ( DTR, Class Record, and School Register)
 __________ Student Teaching Forms (i.e., Rubrics, ST Evaluation Form)
 __________ Attendance During Seminars and Activities
 __________ Conference Notebook
 __________ Seminar-Workshop Outputs or Narrative Report with Pictures
 __________ Compilation of Detailed Lesson Plan (DLP)
 __________ Materials in IM’s Making (i.e., ball pen, scissors, scotch tape)
 __________ Enrollment Slip
 __________ Photocopy of School Clearance
Prepared and Submitted by:
AGUA BENDITA C. TULING

Student Teacher Applicant
I hereby certify that _________________________________ has submitted all the

necessary requirements for student teaching stated above.
Certified:
JUDE CHARREL B. PAEZ, Ph.D.

Chairperson, Student Teaching
Approved:
LUZVIMINDA T. PATINDOL, Dev.Ed.D.

OIC-Dean, College of Education
“A premier multi-disciplinary technological university”

TUBURAN CAMPUS
el. No.: +6332 463 9313 loc. 102
Dr. LUZVIMINDA T. PATINDOL

OIC-Dean, College of Education
Cebu Technological University
Tuburan Campus
Tuburan, Cebu
Madam:
I have the honor to apply for admission for Student Teaching Internship
Program. I have taken the required subjects to the courses as herein certified by the
Chair of Student Teaching and the University Registrar.
I have also completed the necessary papers or documents required by the

office.
Very truly yours,

Signature over Printed Name
CERTIFIED TRUE AND CORRECT:
JUDE CHARREL B. PAEZ, Ph.D. CRISANNA A. YAP, M. Ed.

Chairperson, Student Teaching University Registrar

TUBURAN CAMPUS
el. No.: +6332 463 9313 loc. 102
PARENT/GUARDIAN’S CONSENT
____________________
Date
To whom it may concern:
I, the parent/guardian of _______________________________ a

___________________ student of Cebu Technological University – Tuburan
Campus, Tuburan, Cebu, do herby authorize and permit my
son/daughter/ward to participate in the Student Teaching Internship
Program to be held on ______________________ at
_________________________________________.
I understand the benefits that my son/daughter/ward can derive from
this activity with the understanding that all instructions and precautionary
measures have been undertaken to insure his/her safety. However, I promise
not to hold the organization, the mentors, the chairpersons, the school nor
the school administrator responsible and liable in case of any untoward
incidents that may happen beyond their control.
To give weight and attest my statements above, I hereto print my name
below and affix my signature this __________ day of ______________, 2018.
Mrs. MA. GUA NGEERS C. TULING

Signature over Printed Name of
Parent /Guardian
Witness:

Father/Sister/Brother
(with Signature)

TUBURAN CAMPUS
el. No.: +6332 463 9313 loc. 102
WEEKLY ACCOMPLISHMENT REPORT

Accomplishment Report No.:______ Date of Submission: _______________
Curriculum/Section: ____________________ Shift No.:___
Field of Specialization: __________________ Subject Taught: _______________
Cooperating School: ___________________________ Address: ___________________________
Year Level & Section: _____________
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
Prepared by:
_______________________________________________
Signature over printed name of Student Teacher
Noted by:
______________________________________
Mentor, Student Teacher

TUBURAN CAMPUS
el. No.: +6332 463 9313 loc. 102
REFLECTION SHEET NO.____
K. Knowledge
As a student teacher, I KNOW...
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________
S. Skills
As a student teacher, I DO...
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________
A. Attitudes
As a student teacher, I FEEL...
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Prepared by:
_______________________________________________
Signature over printed name of Student Teacher
Noted by:
______________________________________
Mentor, Student Teacher

ST Qualifying Requirement 2020 1

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Republic of the Philippines

CEBU TECHNOLOGICAL UNIVERSITY

QUALIFYING REQUIREMENT FOR STUDENT TEACHING

Name of Student Teacher : ____________________________________

 __________ Completion of all pre-requisite courses specified for the Teacher

 __________ Letter of Admission

Prepared and Submitted by:

AGUA BENDITA C. TULING

I hereby certify that _________________________________ has submitted all the

JUDE CHARREL B. PAEZ, Ph.D.

LUZVIMINDA T. PATINDOL, Dev.Ed.D.

“A premier multi-disciplinary technological university”

Dr. LUZVIMINDA T. PATINDOL

I have also completed the necessary papers or documents required by the

Very truly yours,

AGUA BENDITA C. TULING

CERTIFIED TRUE AND CORRECT:

JUDE CHARREL B. PAEZ, Ph.D. CRISANNA A. YAP, M. Ed.

“A premier multi-disciplinary technological university”

To whom it may concern:

I, the parent/guardian of _______________________________ a

Mrs. MA. GUA NGEERS C. TULING

AGUA BENDITA C. TULING

“A premier multi-disciplinary technological university”

WEEKLY ACCOMPLISHMENT REPORT

“A premier multi-disciplinary technological university”

REFLECTION SHEET NO.____

“A premier multi-disciplinary technological university”

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