Scribd Logo
Upload

Welcome to Scribd!

    • 20 views

    Department of Education: Republic of The Philippines

    Uploaded by

    maria criselda baula

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Department of Education: Republic of The Philippines

    Uploaded by

    maria criselda baula
    20 views1 page

    Original Title

    W.E-waiver

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views1 page

    Department of Education: Republic of The Philippines

    Uploaded by

    maria criselda baula

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 1

    Republic of the Philippines

    Department of Education
    REGION V- BICOL
    SCHOOLS DIVISION OF CAMARINES sur
    SIMEON TYCANGCO MEMORIAL HIGH SCHOOL
    (fORMERLY APAD PROVINCIAL HIGH SCHOOL)
    ZONE 3, APAD, RAGAY, CAMARINES SUR

    WORK IMMERSION AGREEMENT AND LIABILITY WAIVER

    I am fully aware of the duties and responsibilities I will undertake through the Work
    Immersion Program with the cooperating school through the request of
    _____________________________________.

    I recognize the authority of my cooperating school which I may be placed and submit
    myself to all the Rules and Regulations that may be imposed upon myself following
    the duties.

    I renounce and waive any claim against the school for any injury that I may
    sustain/suffer/personal/financial in the performance of my duties/ function.

    Name of Student-Trainee: ________________________________


    Signature :_________________________________
    Date : ________________________________

    PARENTAL/ GUARDIAN CONSENT


    And, I, the trainee’s parent and/or legal guardian allow my son/ daughter to undergo
    Work Immersion for 80 hours starting on _____________ until _____________ at
    ___________________________ in partial fulfillment of the requirements for Senior
    High School K-12 Program.

    It is understood that he/she abides the rules and regulations that may be imposed
    by the School/ Principal/ Cooperating Teacher for his/her welfare and safety.

    I fully agree to waive any responsibilities on the part of ________________________


    In case any untoward incident may happen to my son/daughter during the duration of
    the WORK IMMERSION.

    Name of Parent/Guardian: ________________________________


    Signature : ________________________________
    Date : _______________________________

    School ID: 301929


    Address: Zone 3, Apad, Ragay, Camarines Sur
    Email Address: [email protected]
    Contact No. 0966--487-8357

    You might also like