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Parents Consent 2

Parent Consent

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Joseph Montain
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807 views

Parents Consent 2

Parent Consent

Uploaded by

Joseph Montain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GENERAL INSTRUCTIONS

Please have this form filled out by your parent or legal guardian and have it notarized by a
lawyer/notary public.

Republic of the
Philippines] C I T Y O F D
A V A O ] ss.
**********************
PARENTAL CONSENT FORM

I, , of legal age, Filipino, single, or married


(please check) a resident of , after having been duly
sworn in accordance with law, hereby depose and say:

1. I am the (please check)


Parent
Legal Guardian
of based on the records of the University.

2. My child/ward is presently enrolled at the University of Southeastern Philippines this


First Semester
Second Semester
Summer
of SY ;

3. In the course of his/her stay at the University of Southeastern Philippines, he/she will
be attending various school activities, both academic and non-academic and which
will bring him/her outside the campus, such as but not limited to:
a. Sports and Recreational Activities;
b. Research and Extension;
c. Community and Outreach Programs;
d. Field study/On-the-Job Training/Internship;
e. Educational Tours and Field Trips;
f. Clubs and Organizations;
g. ROTC/CWTS related activities;
h. Other school-related activities.

In compliance with CHED Memorandum No. 63, I hereby declare that I am allowing
him/her to attend such activity provided that the same is sanctioned by the University of
Southeastern Philippines and provided further that I am subsequently provided a Parent’s
Consent Form per activity which need not anymore be notarized;

I am executing this affidavit to attest to the veracity of the foregoing facts, in compliance
with the requirements of the Commission on Higher Education, and for whatever legal purpose
this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this at


City, Philippines.

Signature over Printed Name

SUBSCRIBE AND SWORN to before me this at


, Philippines, affiant exhibited
to me his/her Valid ID issued in
City.

Doc. No. ;
Page No.
;
Book No. ;
Series of 2023.
Republic of the Philippines
University of Southeastern Philippines
Bo. Obrero St., Davao City

Letter to the Parents/Guardian


Dear Parents or Guardian,
This is to inform you that Kheven Jay C. Amihan, a BTLEd-HE 4B student, will
participate in the teaching internship which will happen in Davao City National High School.
This activity aims to comply FS 411- Observation of Teaching-Learning in Actual School
Environment, and FS 412- Participation and Teaching Assistantship.

Off Campus Activity Information:

Goal: *Conduct FS 411- Observation of Teaching-Learning in Actual School Environment

*Conduct of FS 412- Participation and Teaching Assistantship

Objectives: This is the first experiential course, which will immerse a future teacher to
actual classroom situation and learning environment where direct observation of
teaching learning episodes that focuses on the application of education theories learned
in content and pedagogy courses will be made. Observations
on earner's behavior, motivation, teacher's strategies of teaching, classroom
management, assessment in learning among others shall be given emphasis. A portfolio
shall be required in the course.
Activities: Field and Classroom observation.
Date: September – December 2024
Destination: Davao City National High School
Cost and Breakdown: Care of University of Southeastern Philippines
Mode of Payment: Care of University of Southeastern Philippines
Route: F. Torres St, Poblacion District, Davao City, 8000 Davao del Sur
Departure Time from USeP: N / A
Recommendation (If Necessary): Medical Certificate Attached

Respectfully yours,

JEAN L. BEJANO, Ed.D.


Subject Teacher

Parental Consent
Agreement
I/We, Joenalin Amihan allow my son/daughterKheven Jay Amihan to
participate in the Teaching Internship which requires transportation away from the
University of Southeastern Philippines (USeP) campus. I/We am/are aware that the activity will
Obrero
be under the guidance and direction Dr. Jean L. Bejano
of Mr./Ms.
Education faculty/adviser of the College of
.

As parent (s) /guardian (s), I/We acknowledge that Mr./Ms.Dr. Jean L. Bejano ,
Kheven
subject teacher/adviser of Jay Amihan provided me/us with necessary information
pertaining to the planned activity, duration, location, participants and supervision.

I/We am/are aware that there are inherent risks of injury to participate in this activity
outside the school. These injuries may be minor or serious and may result from one’s actions, or
the actions or inaction of others, or a combination of both.

I/We have read and understood the rules and guidelines for activities outside USeP
activities and thereby agree to the conditions set for the safety and protection of my
son/daughter. I/We shall inform my son/daughter to abide by the guidelines crafted by USeP.
I/We declare having read and understood the above Parental Consent Agreement in its
entirely and hereby consent to allow my/our child to participate, acknowledging all of the
foregoing.

Joenalin Amihan September 19, 2024


Parent/Guardian Signature Date

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