St.
Scholastica’s College Tacloban
COLLEGE OF NURSING
Maharlika Highway, Brgy. Campetic, Palo, Leyte
____________________________
Chief of Hospital
Leyte Provencial Hospital
Thru:
____________________________
Chief Nurse
Leyte Provencial Hospital
Dear Ma’am,
Greetings!
The 4th year Nursing Students of St. Scholastica’s College Tacloban is requesting to
have their ON-CALL DUTY in your hospital at the Delivery Room. The duty is to complete
their requirements needed for graduation.
In this regard, the undersigned would like to ask permission from ypur office to
allow our students to go on the schedule/s and area/s written below with their assigned
clinical instructor.
AREA:___________________________________________________
DATE:___________________________________________________
TIME:___________________________________________________
CLINICAL INSTRUCTOR:_________________________________
NAME OF STUDENTS:
1. Aragon, Rocky 3. Tiozon, Marveth Rose
2. Maestre, Rustom Jhon 4. Zabala, Jayson
Thank you and we look forward for your positive response on this regard.
Respectfully yours, Recommending Approval
MRS. WILMA M. RUIZ, RN, MAN ______________________________
Level IV Coordinator Chief Nurse
Noted by: Approved by:
DR. CAROLINA D. BARROT, RN, MAN ______________________________
Dean, College of Nursing Chief of Hospital