Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA AND BEYOND YEAR 5
January 2, 2026
DR. JENELYN G. SABELLINA
Dean, Institute of Teacher Education
Camiguin Polytechnic State College
Balbagon, Mambajao, Camiguin
Subject: Consent to allow my son/daughter as literacy recipient of the Extension Program of The
Institute of Education of Camiguin Polytechnic State College
Dear Ma’am:
I am _________________________________, Filipino, of legal age, hereby allow my son/daughter,
_________________________________ to be tutored by ________________________, an Education
student of Camiguin Polytechnic State College known to me as literacy volunteer. The said tutorial which
lasts only for two hours weekly is an extension activity of Camiguin Polytechnic State College- Institute of
Teacher Education dubbed as Pakiglambigit sa Edukasyon sa kabataan Sa Panahon sa Pandemya and
Beyond Year 5.
I understand that I have no monetary obligation whatsoever to the literacy volunteer or to
Camiguin Polytechnic State College.
Sincerely,
_____________________________
Signature over printed name of parent
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA
PANDEMYA
and BEYOND YEAR 5
Profile of the Tutee
Insert latest
picture passport
size
Literacy Recipient: ______________________________
Age ____________ Sex ___________ Mobile Number:
_____________________
Address: __________________________________
School Attended: ______________________________ Grade: ___________________________________
Adviser: ______________________________ Mobile Number:
___________________________
Parent/Guardian: ______________________________ Mobile Number:
___________________________
Profile of the Tutor
Insert latest
picture passport
size
Literacy Volunteer: _____________________________________________________
Age ____________ Sex ___________ Mobile Number: __________
Address: _______________________________
Course and Year ________________________________
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Summary
Date and Time of Subject & Topic Signature of Guardian
Session
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Weekly Monitoring
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
Weekly Monitoring
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
Weekly Monitoring
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Weekly Monitoring
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Weekly Monitoring
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Weekly Monitoring
Name of Literacy Volunteer: Date:
Week No: Time:
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
Topic/s tackled:
Attached Proof Here:
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Weekly Monitoring
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
PAKIGLAMBIGIT SA EDUKASYON SA KABATAAN SA PANAHON SA PANDEMYA
and BEYOND YEAR 5
Weekly Monitoring
Name of Literacy Volunteer: Date:
Week No: Time:
Topic/s tackled:
Attached Proof Here:
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
______________________________ ______________________________
Signature of Parent/Guardian Signature of Literacy
Recipient
of Literacy Recipient Over Printed Name Over Printed Name
Challenges Encountered
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
Reflection/ insights after doing the activity after 1 semester
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”
Republic of the Philippines
CAMIGUIN POLYTECHNIC STATE COLLEGE
Balbagon, Mambajao, Camiguin
Institute of Teacher Education
“The effectiveness of the College lies on its ability to produce quality men and women who will attain advancement
in life through arts, sciences, engineering and technology for the service of God, Country and Humanity ”