OVCA FORM 128: EXPRESSION OF INTENT Date: _________________________
For: Juanito O. Cabanias, LPT, MAE, PhD Vice Chancellor for Academics
Attention: Academic Services Operations Committee/ Academic Operations Committee From: ___________________________________________
Signature of Academic Administrator over Printed Name (__) Probationary (__) Permanent
Status
_______________________________________________
College/Department Subject: Expression of Intent
Dear Dr. Cabanias:
Greetings in St. La Salle!
I would like to inform you that I:
( ) intend to renew my appointment as the ( ) Dean /( ) Director/ of the ________________________
(College/Department) for SY ____________.
( ) intend to accept any other administrative appointments in Academics for SY ____________.
( ) do not intend to renew my appointment as the ( ) Dean /( ) Director/ of the___________________
(College/Department) for SY ___________.
( ) do not intend to accept any other administrative appointments in Academics for SY ___________
for the following reasons:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________.
Thank you very much.
cc: HRMD, PMO, File
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By DE LA SALLE HEALTH SCIENCES INSTITUTE, DR. J.O.C All Rights Reserved
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