SCHOOL OF ST. ANTHONY. xc. December 15, 2023 Dear Parents of Grade 12 Learners: This is to inform you that your child will undergo WORK IMMERSION for ten working days from January 8, 2024, to January 19, 2024, within company working hours between 7:00 AM and 5:00 PM. The SSA Work Immersion Program is an ON-SITE DEPLOYMENT program taken in partial fulfillment of the coursework to develop the independent and critical skills of the Grade 12 students in the Academic and Technical-Vocational tracks. In this regard, kindly accomplish the attached SENIOR HIGH SCHOOL WORK IMMERSION PARENT CONSENT FORM. Do send back the reply slip and consent form on or before your child's Pre-deployment Orientation upon the school’s resumption of classes in January. Please take note that a no consent form, no deployment policy will be enforced. ‘Thank you very much. In Saint Anthony Mary Claret, ACKNOWLEDGEMENT |_We have read and understood the contents of this letter. Name of Student: Section: Name of Parent/Guardian: Signature: Parent/Guardian’ Updated Contact No.: Date ed: (Ce: SALOME I. MAMIIT MAEd, Schoo! PrincipalZCHOOL OF SL ST. ANTHONY. inc. SENIOR HIGH SCHOOL WORK IMMERSION PARENT CONSENT FORM. INSTRUCTION: Please complete all the necessary information and return the original form witha photocopy to the Work: Immersion Team on or before the specified deadline. Name of Student: _ Section: Age: Name of Parent/Guardian: Relationship: Complete Home Address: Updated Parent/Guardian's Mobile Number/s: ‘© Does your child have any medical conditions or allergies that the teacher/school/immersion site should know (including any current medication)? No Yes « Ifyes, please do provide the details of the condition and the medication that must be administered, and attach a medical certificate: CONSENT (Please read carefully): 1.1 willingly and voluntarily allow my child to be sent for Work Immersion as part of the requirement set by the Department of Education in the Senior High School. 2. confirm to the best of my knowledge that my child does not suffer from any medical condition other than those listed above. 3. Ihave been made aware, either in person or through a representative, of essential details from the DepEd Order 30 s. 2017 (Guidelines for Work Immersion) as discussed by the Senior High School ‘Administration during the Pre-Work Immersion Orientation for Parents held last December 09,2023, 4, consent to my child traveling by any form of public or private transport to and from the work immersion site if needed, as long as itis within the scope of its activities and training, 5. know that an immediate company superior will take all necessary precautions to keep my child safe. ‘Similarly, the Work Immersion teacher/s and supervisor/s from the school will also periodically ‘monitor the performance and safety of my child and the other immersion students. 6. Lastly, [ indemnify the School of Saint Anthony and its partner company from any claims, demands, or causes of actions arising out of any injury or sickness that might be sustained by my child during the course of his/her Work Immersion, Child's Name: Section: Parent/Guardian’s Signature over Printed Name Contact Number: Date Sign