A student from the College of Education at Northwest Samar State University has completed their field study course at an assigned school. This certificate clears the student of any monetary or property responsibilities from their time at the school. It is signed by the cooperating teachers and school principal to verify the student has been cleared of all accountabilities from their field study placement.

1. Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
COLLEGE OF EDUCATION
C L E A R A N C E
To whom it may concern:
THIS IS TO CERTIFY THAT, __________________________________________ a Field
Study Student of the College of Education, Northwest Samar State University, Main Campus
assigned at ________________________________________ has been cleared for monetary
and property accountabilities for which he / she is responsible as of this date in connection with
his / her completion of the Field Study Course.
This is issued for whatever purpose it may serve.
Given this _______ day of ______________, 2015.
Cooperating Teacher 1st
Shift
(Signature over Printed Name)
Cooperating Teacher 2nd
Shift
(Signature over Printed Name)
School Principal
(Signature over Printed Name)