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    Waiverpracticum Form 1

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    protaciojaneth64
    The document is a practicum training form and agreement for a student named Clarice D. Claro to undergo teaching internship at Ragay Central School. It provides details of the student, trainer, and supervisor. The agreement outlines terms and conditions for the student to abide by rules of the training institution and waive liability claims against PUP.

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

    Waiverpracticum Form 1

    Uploaded by

    protaciojaneth64
    16 views2 pages
    The document is a practicum training form and agreement for a student named Clarice D. Claro to undergo teaching internship at Ragay Central School. It provides details of the student, trainer, and supervisor. The agreement outlines terms and conditions for the student to abide by rules of the training institution and waive liability claims against PUP.

    Original Title

    WAIVERPRACTICUM-FORM-1

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    The document is a practicum training form and agreement for a student named Clarice D. Claro to undergo teaching internship at Ragay Central School. It provides details of the student, trainer, and supervisor. The agreement outlines terms and conditions for the student to abide by rules of the training institution and waive liability claims against PUP.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views2 pages

    Waiverpracticum Form 1

    Uploaded by

    protaciojaneth64
    The document is a practicum training form and agreement for a student named Clarice D. Claro to undergo teaching internship at Ragay Central School. It provides details of the student, trainer, and supervisor. The agreement outlines terms and conditions for the student to abide by rules of the training institution and waive liability claims against PUP.

    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 2

    Republic of the Philippines

    POLYTECHNIC UNIVERSITY OF THE PHILIPPINES


    OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
    RAGAY, CAMARINES SUR CAMPUS

    BACHELOR OF ELEMENTARY EDUCATION

    PRACTICUM TRAINING FORM

    Name of Student: CLARICE D. CLARO Course/Year/Section: BEED 4-1

    Present Address: APAD, RAGAY, CAMARINES SUR

    CP#: 09389538662

    Practicum Institute/Company: RAGAY CENTRAL SCHOOL

    Address: POBLACION ILAOD, RAGAY, CAMARINES SUR

    Function / Business of Institution / Company: EDUCATION SECTOR

    _____________________________________________________________________________

    Name of Trainer: LYRA G. GORECHO Supervisor: NORAYDA T. PARDIÑAS

    Position: MASTER TEACHER II Position: PRINCIPAL II

    Tel. #: 09077201713 Tel. #: _______________

    Allowance / stipend (please check Yes: _____________ No: ✔

    If yes, how much? N/A

    If no, why? IT IS STATED ON THE MEMORANDUM OF AGREEMENT

    _____________________________
    Signature over printed name

    PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
    Contact No.: 0917 620 8721
    Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

    THE COUNTRY’S 1st POLYTECHNICU


    Republic of the Philippines
    POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
    OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
    RAGAY, CAMARINES SUR CAMPUS

    BACHELOR OF ELEMENTARY EDUCATION

    TRAINING AGREEMENT AND LIABILITY WAIVER

    I, CLARICE D. CLARO a student of the Polytechnic University of the Philippines


    Ragay Campus, Ragay, Camarines Sur, hereby voluntarily agree to undergo Practicum which is
    an academic requirement in the subject TEACHING INTERNSHIP under the curriculum of the
    Bachelor of Elementary Education under the following terms and conditions:

     That I shall abide by all corporation/agency/office’s rules and regulations imposed by


    the training institution otherwise I shall be executed from further participation;
     That there is no labor-management relationship between me and the
    agency/company/firm;
     That I shall exercise care and diligence in any task assigned to me;
     That I shall renounce and waive any claim against the Polytechnic University of the
    Philippines for any loss that I sustain or loss that I suffer, personal pecuniary in the
    performance of my duties or function while under training; and
     That I shall be made answerable for any and all liabilities for damage to property or
    injury in third persons, which may be occasioned, by my intentional or negligent acts
    while in the course of the training.

    Signed this _______ day of March 2024 at Polytechnic University of the Philippines, Ragay,
    Camarines Sur Campus, Ragay, Camarines Sur, Philippines.

    _______________________
    Signature of Applicant

    __________________________ Res. Cert. No: _________


    Name and Signature of Parent/Guardian Issued at: _____________
    Res. Cert. No: ____________ Issued On: ____________
    Issued On: _______________

    MAY V. NEGRITE JOERWIN N. BALUTE, MBA


    OJT Coordinator Head, Student Services/OSFA

    ASSOC. PROF. VERONICA S. ALMASE, DBA


    Director, PUP-Ragay Campus

    SUBSCRIBED AND SWORN TO BEFORE ME this ______ day of March, 2024, at


    the__________________________________________________________________________.

    PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
    Contact No.: 0917 620 8721
    Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

    THE COUNTRY’S 1st POLYTECHNICU

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