Republic of the Philippines

SULTAN KUDARAT STATE UNIVERSITY

College of Teacher Education
EJC Montilla, Tacurong City, Sultan Kudarat

PARENT’S/GUARDIAN’S CONSENT AND WAIVER

____________________________
____________________________
____________________________
Address
____________________________
Date
TO WHOM IT MAY CONCERN:
This is to certify that I ______________________________________
parent/guardian of _________________________ a student of SULTAN KUDARAT
STATE UNIVERSITY-ACCESS-CTE Campus, EJC Montilla, Tacurong, Sultan Kudarat
grant him/her permission to undergo FIELD STUDY 1 (Observation of Teaching-
Learning in Actual School Environment) and FIELD STUDY 2 (Participation in Teaching
Assistantship).
I understand and agree that this field study is necessary and important
implementation of the technical education being taught in college.
I further affirm that SULTAN KUDARAT STATE UNIVERSITY and the preferred
Cooperating School are in no way responsible nor they pay for accident, harm or injury
happen on the student/trainee during field study and that s/he will undergo the said
actual field study without compensation from either the preferred office/establishment or
the SULTAN KUDARAT STATE UNIVERSITY.
I also certify that I am doing this in my own free will as evidence by my signature
affixed below.
____________________________
Parent/Guardian
___________________________ ___________________________
Contact Number ID Number

Signed in the presence of:

_______________________ _______________________
Witness Witness
_______________________ _______________________
_______________________ _______________________
Address Address

SUBSCRIBED AND SWORN to before me this _____day of ______________2023, at

_______________________

ACKNOWLEDGEMENT RECEIPT
Date: __________________________________
Time: __________________________________
Received by: ____________________________