CRIM-PARENTAL-CONSENT

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`` Initao College

P-2A, Jampason, Initao


Misamis Oriental, 9022 Philippines
CRIMINAL JUSTICE EDUCATION PROGRAM
PARENT’S / GUARDIAN CONSENT FORM FOR INTERNSHIP TRAINING
January 20, 2025

TO ALL CONCERNED:

I, ________________________________________, a parent/legal guardian of my child/ward ____________________,a 4 th Year


graduating student of the Criminal Justice Education Program of Initao College, to undergo internship training in the HTE stipulated
below to acquire work experience related to the academic training.

 Municipal Fire Stations (Lugait, Manticao, Naawan, Initao, Libertad, Gitagum, Laguindingan, Alubijid)
 Municipal Police Stations (Lugait, Manticao, Naawan, Initao, Libertad, Gitagum, Laguindingan, Alubijid)
 LTO-Initao District, DRRMO-Initao ;and
 Civil Aviation Authority of the Philippines (CAAP)

I fully understand that my son/ daughter/ ward will be assigned to 8 different stations or departments to help him/ her be fully equipped
and experience actual on-the-job training in the different law enforcement agencies. Furthermore, I his/ her parent or guardian allows
him or her to render 80 hours per agency that my son/ daughter/ ward will be assigned.

In addition, as the Parent/Legal guardian, I also recognize that there may be risks attributed to the internship training which can only
be avoided through my son’s/daughter’s/ward’s extra diligence and due care, which I fully explained to my son/daughter/ward.

By signing this document, it is understood that my child/ward:


a) has been properly oriented with all the rules and regulations in the conduct of internship training and that there may be
additional rules and regulations that may be given from time to time. It is further understood that he/she must comply
with the rules, regulations, and instructions stipulated in the internship contract and internship plan; otherwise, he/she
shall be excluded from further participation.
b) shall abide by all the school/establishment’s rules and regulations and shall comply with those imposed in the contract;
otherwise, he/she shall be excluded from further participation;
c) shall exercise care and diligence in any task assigned to him/her;
d) shall be made answerable for any liabilities for damages for property or injury to the third person, which may be
occasioned by his/her intentional or negligent act while in the course of his/her training.
e) fully understand that failure to complete the number of hours of the training and poor evaluation rating would mean that
my child/ ward cannot be given a certificate of completion and may re-take the subject.

Therefore, signing this consent signifies my approval to allow my son/daughter/ward to undergo the aforementioned training.

I further give my full support to my son/ daughter/ ward and the institution to help fully implement the program and for its success.

________________________________________
(Parent’s/Guardian’s signature over printed name)
Contact Number: ____________________
Home Address: ___________________________
________________________________________

Conforme:
_______________________________
(Student’s signature over printed name)

Subscribe and sworn to before me this ___________, 2025 at Initao, Misamis Oriental, Philippines.

Doc no:_______
Page no:______
Book No:______
Series of 2025

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