Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Banbanan Elementary School No. 1 2 Name BALLADARES, ROSE MYRTHEL O. CALUNOD, JUVILYN B. Prepared: JOJI T. RECAMARA, EMD Associate Dean Program BEED BEED Vaccination Status PhilHealth /MDR (Optional) Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness Vaccinated / / / / Vaccinated / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Sinonoc Elementary School No. 1 2 Name MAGHANOY, ART M. SARDANE, KIMBERLY B. Prepared: JOJI T. RECAMARA, EMD Associate Dean Program Vaccination Status PhilHealth /MDR (Optional) Liability Waiver and Notarized Parents’ Consent BEED BEED Vaccinated Vaccinated / / / / Medical Certificate Certificate of Physical and Emotional Readiness / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Larayan Elementary School No. 1 2 3 Name DAGPIN, ANAMARIE T. SALCEDO, ANA MIE Z. TANO, MARICOR M. Prepared: JOJI T. RECAMARA, EMD Associate Dean Program Vaccination Status PhilHealth /MDR (Optional) BEED BEED BEED Vaccinated Vaccinated Vaccinated / / / Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness / / / / / / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Sulangon Central School No. 1 2 3 Name RECAMARA, KEVIN A. QUIZO, GERALDINE I. BAHIAN, CATHERINE Prepared: JOJI T. RECAMARA, EMD Associate Dean Program Vaccination Status PhilHealth /MDR (Optional) BEED BEED BEED Vaccinated Vaccinated Vaccinated / / / Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness / / / / / / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Dapitan City SPED Center Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness No. Name Program Vaccination Status PhilHealth /MDR (Optional) 1 2 3 4 PALON, JOANNA JANE S. BUCOL, CHARIZ F. ANINON, ERIKA E. LOPEZ, JOYCE MENCHIE M. MEDEQUISO, HEINRICH PEARL S. BEED BEED BEED BEED Vaccinated Vaccinated Vaccinated Vaccinated / / / / / / / / / / / / / / / / BEED Vaccinated / / / / 5 Prepared: JOJI T. RECAMARA, EMD Associate Dean Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: San Nicolas Elementary School No. 1 2 3 4 Name AMEMONG, CONNIE CHEN S. GORDO, JEANI LOU S. BAGOLBOC, CHELOU J. BEZAR, JANRY MAE C. Prepared: JOJI T. RECAMARA, EMD Associate Dean Program BEED BEED BEED BEED Vaccination Status PhilHealth /MDR (Optional) Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness Vaccinated / / / / Vaccinated Vaccinated Vaccinated / / / / / / / / / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Dapitan City Central School No. 1 2 3 4 5 6 7 Name SOLATORIO, LARRA MAYE O. DAGUING, APRIL JOY G. ELUMBA, RITCHEL D. COLALJO, CHRISTINE JEAN M. DELA TORRE, EDEZA O. RECAMARA, APPLE D. ALAMAN,ASHIERA KHYZETTE B. Prepared: JOJI T. RECAMARA, EMD Associate Dean Vaccination Status PhilHealth /MDR (Optional) Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness BEED BEED BEED Vaccinated / / / / Vaccinated Vaccinated / / / / / / / / BEED BEED BEED Vaccinated / / / / Vaccinated Vaccinated / / / / / / / / BEED Vaccinated / / / / Program Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Dapitan City Experimental School No. Name Program Vaccination Status PhilHealth /MDR (Optional) 1 2 3 4 5 6 7 BAJE, DAISY C. ATAY, ARLENE ANTONIK IBNO, DIANARA G. ADALIN, JUSTINE JOY P. GALABIN, HARVEY PAUL S. GALAY, NHUELA E. CASTILLO, JILAICA BENZ S. BEED BEED BEED BEED BEED BEED BEED Vaccinated Vaccinated Vaccinated Vaccinated Vaccinated Vaccinated Vaccinated / / / / / / / Prepared: JOJI T. RECAMARA, EMD Associate Dean Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness / / / / / / / / / / / / / / / / / / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Owaon Elementary School No. 1 2 3 4 Name CASTE, JOCELYN A. MAWILE, CHERRY MAE B. BADINAS, YASMIN D. CALIO, MELISSA D. Prepared: JOJI T. RECAMARA, EMD Associate Dean Program Vaccination Status PhilHealth /MDR (Optional) BEED BEED BEED BEED Vaccinated Vaccinated Vaccinated Vaccinated / / / / Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness / / / / / / / / / / / / Republic of the Philippines JOSE RIZAL MEMORIAL STATE UNIVERSITY The Premier University in Zamboanga del Norte Gov. Guading Adaza St., Sta. Cruz, Dapitan City Province of Zamboanga del Norte COLLEGE OF EDUCATION OFFICE OF THE ASSOCIATE DEAN List of Pre-Service Teachers Teaching Internship AY 2021-2022 School Assignment: Polo Elementary School Liability Waiver and Notarized Parents’ Consent Medical Certificate Certificate of Physical and Emotional Readiness No. Name Program Vaccination Status PhilHealth /MDR (Optional) 1 2 JAPAY, RUFA MAE T. GIMAN, ALICE B. PARADELA, JENNIFER KAYE A. TAGHAP, RIZALENE S. PABUTAWAN, ARJEL A. ISIG, RINA L. BEED BEED Vaccinated Vaccinated / / / / / / / / BEED BEED BEED BEED Vaccinated / / / / Vaccinated Vaccinated Vaccinated / / / / / / / / / / / / 3 4 5 6 Prepared: JOJI T. RECAMARA, EMD Associate Dean
