Community Immersion

Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF BATAAN

Appendix 15.2.2 Permission to Conduct COMMUNITY, ENGAGEMENT, SOLIDAIRTY AND

CITIZENSHIP IMMERSION
January 9, 2024
MELODY P. DEL ROSARIO, EdD

Principal II
Bagac National High School
Ma’am:
Greetings of peace!
One of the goals of the K-12 Basic Education Curriculum is holistic human development. The Grade
12 students of Bagac National High School under the HUMSS Strand are taking up Community
Engagement, Solidarity and Citizenship Immersion. It focuses on the application of initiatives such as
community engagement, solidarity, and citizenship as guided by the core values of human rights, social
justice, empowerment and advocacy, gender equality, and participatory development.
Hence, this letter intends to ask the permission of your good office to please allow us to conduct
community immersion at Sitito Matalangao Brgy. Banawang Bagac, Bataan on January 21, 2024 The
goals of the said activity are to identify the needs of the barangay, to enhance students’ sense of shared
identity and willingness to contribute to the pursuit of the common good of the community and to
enable them to integrate applied social sciences into community-action initiatives.
While waiting for your approval, allow me express my sentiments of high regards and prayerful best
wishes to you and your institution.
Sincerely Yours,
ASHLEY M. GIMARANGAN
HUMSS Class President
Noted:
JAYPEE N.CAIDO
Subject Teacher
Approved:

School Principal II
STUDENT WAIVER
REGION III
I _____________________________________ presently enrolled in ________________________________

(Track and Strand) present myself to participate in the community engagement as part of our school activity and
do hereby pledge that:
1. I will obey and abide the rules and regulations promulgated, enforced by the school, carried by the
teacher-in-charge for the protection and safety of all;
2. I hereby waive and renounce my rights to all damages, hospitalization, and the like. I will not hold the
school, staff and the teacher concerned responsible for any misfortune, injury, or accident be slight or
serious, that may happen in connection with the activities or requirements. The cause of which will be
attributable to my acts of disobedience, negligence, and the offense of my heading to advice, warning,
precaution, and safety rules that were discussed to me by the subject-teacher in charge before the start of
the activity.
The content of this waiver was read and explained to me before I affixed my name and signature this _____th day
of _____________, 20___ freely and voluntarily.
Thank you very much!
Yours truly,
______________________________ _____________________________
Name of Student Name of Parent/ Guardian
(Signature over Printed Name) (Signature over Printed Name)
Appendix E.15.2.4 Parental Consent (Conduct Needs Assessment Survey)
___________________________________________________________________________________
PARENTAL/ GUARDIAN CONSENT
Date:_________________
TO WHOM IT MAY CONCERN:
This is to certify that I allowed my son/ daughter to participate in the COMMUNINTY IMMERSION
requirement in Community Engagement, Solidarity, and Citizenship (CSC).
Name of Son/ Daughter :
Name of Activity :
Inclusive Date/s :
Place(s) to Visit :
Thank you very much!
___________________________
Parent/ Guardian
(Signature over printed name)
January 9, 2024
____________________
REGION III
____________________
____________________
Ma’am/ Sir:
Greetings of peace!
One of the goals of the K-12 Basic Education Curriculum is holistic human development. The
Grade 12 students of Bagaca National High School under the HUMSS Strand are taking up
Community Engagement, Solidarity and Citizenship Immersion. It focuses on the application
of initiatives such as community engagement, solidarity, and citizenship as guided by the core
values of human rights, social justice, empowerment and advocacy, gender equality, and
participatory development.
Hence, this letter intends to ask the permission of your good office to please allow us to
conduct community immesrsion in your barangay, Siito Matalangao on January 21, 2024.
The goals of the said activity are to enhance students’ sense of shared identity and
willingness to contribute to the pursuit of the common good of the community and to enable
them to integrate applied social sciences into community-action initiatives.
While waiting for your approval, allow me to express my sentiments of high regards and
prayerful best wishes to you and your family.
Sincerely Yours,
________________________________
ASHLEY M. GIMARANGAN
HUMSS Class President
Noted:
___________________________________
JAYPEE N.CAIDO
Subject Teacher
Approved:
__________________________________
School Principal II

Community Immersion

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Republic of the Philippines

Appendix 15.2.2 Permission to Conduct COMMUNITY, ENGAGEMENT, SOLIDAIRTY AND

MELODY P. DEL ROSARIO, EdD

MELODY P. DEL ROSARIO, EdD

I _____ presently enrolled in

Thank you very much!

PARENTAL/ GUARDIAN CONSENT

TO WHOM IT MAY CONCERN:

Name of Son/ Daughter :

Thank you very much!

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