Name : GABINO E.

SANTOS
Email Address : pam@student.fatima.edu.ph
Mobile No. : 09177001688
Current Address : MAHARLIKA ST. BRGY, SINDALAN, CITY OF SAN FERNANDO, PAMPANGA

In 2019, the Coronavirus Disease (COVID -19) was declared as a global health crisis and the Philippines was
put in a state of public health emergency in 2009 in order to mitigate the transmission of the disease.

To ensure continuity of learning, the Department of Education (DepEd) mandated both private and public
education institutions to shift to Face-to-face classes (DM ) no34, s. 2022 on "Guidelines on the Implementation
of Face-to-face classes” was issued for AY 2022-2023..

Flexible learning currently is the most appropriate and safest learning approach during this pandemic. However,
there are certain competencies where face-to-face instruction would be necessary. As such, a well-planned,
gradual, and safe re-opening of campuses would be essential, following strict protocols and guidelines as set
forth by the CHED, IATF, DOH, and in collaboration with the local government units.

Cognizant of the needs and based on the survey conducted among students of Our Lady of Fatima University –
Quezon City Campus wherein 93% of the students manifested a willingness to undergo limited face-to-face
instruction for their courses, the University has embarked on retrofitting its facilities as well as crafted a
recalibrated learning continuity plan for its students.

As a grade 11/grade 12 Senior High School student of Our Lady of Fatima University, I have been oriented
and duly informed about the face-to-face guidelines, requirements, and protocols of the university.

As such, I voluntarily give this informed consent and signify my willingness to participate in the limited face-
to-face instruction program and abide by all the health protocols as mandated by the university.

Student’s Signature over Printed Name Date

Parent’s Signature over Printed Name Date

Students' Health Requirements for Face-to-face Classes

An OLFU student will only be allowed to physically attend his/her laboratory classes after satisfying the
following:

A.1
Must have submitted an informed consent
A.2
Must have submitted the filled-out OLFU Health Assessment Form and clearance
from the Health and Wellness Center.