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Parental Consent

This document provides parental consent for a student named Heidi D. Cayobit to participate in a 540-hour practice teaching program at MacArthur National High School from September 9 to December 13, 2019 to fulfill her Bachelor of Secondary Education degree requirements. The parent agrees to the rules of the school and program and understands that the student teaching coordinator will monitor performance. In an emergency, the school may secure treatment for the student. The parent has read and agrees to the information letter and consent.

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0% found this document useful (0 votes)
1K views

Parental Consent

This document provides parental consent for a student named Heidi D. Cayobit to participate in a 540-hour practice teaching program at MacArthur National High School from September 9 to December 13, 2019 to fulfill her Bachelor of Secondary Education degree requirements. The parent agrees to the rules of the school and program and understands that the student teaching coordinator will monitor performance. In an emergency, the school may secure treatment for the student. The parent has read and agrees to the information letter and consent.

Uploaded by

Heidi Dizon
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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PARENTAL CONSENT

This is to certify that I am granting my son/daughter HEIDI D. CAYOBIT permission to


participate in the Practice Teaching Program for a total of Five Hundred and Forty (540) Hours
starting on September 9 until December 13, 2019 at MacArthur National High School
(McNHS) in partial fulfillment of the requirements of Bachelor of Secondary Education
(BSED).

I understand that the son/daughter should strictly observe the rules and regulations of
MacArthur National High School (McNHS) and Abuyog Community College (ACC) in relation
to the Internship Program and to follow all class policies implemented by the Student
Teaching Coordinator in relation to the same.

I am aware that the Student Teaching Coordinator will conduct visitation and monitor the
performance of the student and the Immediate Supervisor will take all the necessary
precautions to keep my son/daughter safe. I am also aware that I can be called should there
be any violations that my son/daughter has committed during the duration of the internship
program.

In the event of an emergency, I hereby give permission to the staff of MacArthur National
High School (McNHS) to secure proper treatment of my son/daughter.

I have likewise read the Informational Letter and Parental Consent and is fully agreeable with
all the provisions stated thereon.

RENE MORENO CAYOBIT _________________ August 30, 2019


Printed Name of Parent Signature Date

Contact Number: 09495093355

Witness:

SHEILA V. POSAS MYRNA T. PERAS


Student Teaching Coordinator Dean, College of Arts & Sciences and Education

Name of Student: HEIDI DIZON CAYOBIT


Home Address: 6509 REAL STREET, POBLACION DISTRICT 1, MACARTHUR, LEYTE,
PHILIPPINES
Contact Number: 09673389565
PARENTAL CONSENT

This is to certify that I am granting my son/daughter RENALOU M. ANGANA permission to


participate in the Practice Teaching Program for a total of Five Hundred and Forty (540) Hours
starting on September 9 until December 13, 2019 at MacArthur National High School
(McNHS) in partial fulfillment of the requirements of Bachelor of Secondary Education
(BSED).

I understand that the son/daughter should strictly observe the rules and regulations of
MacArthur National High School (McNHS) and Abuyog Community College (ACC) in relation
to the Internship Program and to follow all class policies implemented by the Student
Teaching Coordinator in relation to the same.

I am aware that the Student Teaching Coordinator will conduct visitation and monitor the
performance of the student and the Immediate Supervisor will take all the necessary
precautions to keep my son/daughter safe. I am also aware that I can be called should there
be any violations that my son/daughter has committed during the duration of the internship
program.

In the event of an emergency, I hereby give permission to the staff of MacArthur National
High School (McNHS) to secure proper treatment of my son/daughter.

I have likewise read the Informational Letter and Parental Consent and is fully agreeable with
all the provisions stated thereon.

______________________ _______________ August 30, 2019


Printed Name of Parent Signature Date

Contact Number: ___________

Witness:

SHEILA V. POSAS MYRNA T. PERAS


Student Teaching Coordinator Dean, College of Arts & Sciences and Education

Name of Student: RENALOU MELO ANGANA


Home Address: BRGY. TUYO MACARTHUR, LEYTE, PHILIPPINES
Contact Number: _______________
Republic of the Philippines
MUNICIPALITY OF ABUYOG
Province of Leyte
)(
Municipality of Abuyog
ABUYOG COMMUNITY COLLEGE
Abuyog, Leyte

INTERNSHIP INFORMATIONAL LETTER AND PARENTAL CONSENT FORM FOR


STUDENT TEACHING PROGRAM

Abuyog Community College, as part of the Teacher Education Curriculum, offers a Practice
Teaching Program that offers the opportunity for students a first-hand experience in their
chosen specialization. Practice Teachers work with a professional community to gain
experience and insight about the realization and demands of the Teaching Profession.

Participation in this program requires the student to work at the Cooperating School and
will be required to:

a. Report to the internship site and complete at the 540 hours required internship
schedule
b. Provide his/her own transportation to and from the internship site
c. Submit a notarized Parental Consent and Internship Contract/Agreement
d. Submit an Internship Plan and Internship Portfolio
e. Must have a Medical Clearance and Insurance Coverage

The student intern must be dependable, responsible, punctual and exhibit a high standard
of professionalism and decorum. Success in the program will depend upon their
commitment as well as parent’s support.

In the event that the student fails to comply with the organizational and program
standards, policies and regulations, the students may be dismissed from the program
without receiving the course credit.

The Parent/Guardian must indicate approval of his/her son or daughter to participate in


the internship program by written consent (separate form).

If there are any questions or concerns regarding the internship program, please call or
see Sheila V. Posas at Abuyog Community College. Reasonable accommodations will be
provided to persons with disabilities or pregnant women if requested.

Good luck with your Student Teaching Internship!

SHEILA V. POSAS
Student Teaching Coordinator
Republic of the Philippines
MUNICIPALITY OF ABUYOG
Province of Leyte
)(
Municipality of Abuyog
ABUYOG COMMUNITY COLLEGE
Abuyog, Leyte

STUDENT TEACHING INTERNSHIP CONTRACT

KNOW ALL MEN BY THESE PRESENTS:


This internship contract entered into by and between:

HEIDI D. CAYOBIT, Filipino, 20 years of age, a bonafide student of Abuyog Community


College and a resident of 6509 Real Street, Poblacion District 1, MacArthur, Leyte, Philippines
herein referred to as the FIRST PARTY/STUDENT TEACHER.

AND

MACARTHUR NATIONAL HIGH SCHOOL, a local government-owned learning institution,


under the registry of the Department of Education, with office address at 6509 Real Street,
Poblacion District 1, MacArthur, Leyte, Philippines, herein represented by GILDA P. CANO,
School Principal, herein referred to as the SECOND PARTY/COOPERATING SCHOOL:

AND

ABUYOG COMMUNITY COLLEGE, a local community college located at Brgy.


Guintagbucan, Abuyog, Leyte, Philippines, represented by its OIC-College President,
ASUNCION M. VILLOTE, herein referred to as the THIRD PARTY.

WITNESSETH

Pursuant to its charter, the THIRD PARTY is mandated to provide technical and professional
assistance to its students, and in compliance to the approved curriculum by the Commission on
Higher Education for the for the Teacher Education Program, the third party is necessitated

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