Republic of the Philippines
Department of Education
National Capital Region
SCHOOLS DIVISION OFFICE
Calbayog St., Highway Hills
City of Mandaluyong
Tel. no. 625-3263/956-2957 Fax. no.532-71-17
E-Mail Address: [Link]@[Link]
Official Website: [Link]
PARENTAL CONSENT
(for Work Immersion of Students)
I, willingly and voluntarily give consent to the
(Name of Parent/Guardian)
participation of my child in
(Name of the Child)
The Work Immersion Program (School-based) at Eulogio Rodriguez
Integrates School on _____________________, 2023 to ,
2023__, as one of his/her requirements for the completion of Senior High
School Program.
I have considered the benefits of this program for my child that will
derive from his participation in this activity with the understanding that due
care and precaution will be observed to ensure his/her safety and
protection.
Printed Name and Signature of Parent/Guardian
Verified:
Work Immersion Teacher
ROMEO E. BANDAL
School Head/Principal