spes

REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. _______
PUBLIC EMPLOYMENT SERVICE OFFICE
______________________________
City/Municipality/Province
SPECIAL PROGRAM FOR EMPLOYMENT OF STUDENTS (SPES)
(RA 7323, as amended by RA 9547)

SPES Form 2

Control No. __________
GENDER
SURNAME

FIRST NAME,

Date of Birth:
(mm/dd/yyyy)
Address:

MIDDLE NAME

o Male o Female

CIVIL STATUS o Single o Married
Citizenship:

Place of Birth:

o Widower o Separated

o Student o OSY

Contact No.

Name of Father:

Name of Mother:

Occupation:

Occupation

EDUCATION

NAME OF SCHOOL

DEGREE
EARNED/COURSE

NO. OF UNITS
COMPLETED
COURSE/TITLE

INCLUSIVE DATE OF
ATTENDANCE

Secondary
Tertiary
Technical/
Vocational
Documentary Requirements:
(Original and other documents, when applicable, should be presented for validation)
[ ] 1. Duly accomplished SPES Application Form;
[ ] 2. Copy of Birth Certificate or any document that shows his/her date of birth
[ ] 3. Certification by the School Registrar as to:
[ ] a) his/her last enrollment; and
[ ] b) his/her average passing grade or a copy of the original class card or Form 138
[ ] 4. Copy of the latest Income Tax Return (ITR) of his/her parents or certification issued by BIR that the parents are exempted from payment of tax;
[ ] 5. For Out of School Youth (OSY), certificate of good moral character issued by the authorized Barangay
Official where the OSY resides.
SPECIAL SKILLS:
HISTORY of SPES Availment
(if applicable) st [ ] 1 Availment

YEAR

SPES ID NO.
(if applicable)

nd

[ ] 2 Availment rd [ ] 3 Availment th [ ] 4 Availment
Other related information/ requests/ interventions from DOLE
I hereby attest that the information above are true and correct to the best of my knowledge, including the attached documents/requirements which I also attest as to their veracity. I agree that any false statement would cause the