Republic of the Philippines

NUEVA VIZCAYA STATE UNIVERSITY

Bayombong, Nueva Vizcaya
WAIVER ON PREFERENCE OF LEARNING MODALITY
WPLM No.:___________________

Directions: Please choose ONE by placing a tick (√) mark on your PREFERRED learning
modality this semester A.Y. 2020 – 2021.

Campus: Bayombong Bambang

FLEXIBLE LEARNING MODALITIES

Learning Modalities Features

• No face-to-face sessions shall take place in this modality.

• Delivery of instructions shall be online.
Online Modality
• Midterm and Final Examinations shall be online.
• Submission of course requirements shall be online.

• Moderate and scheduled face-to-face sessions shall be

employed in this modality.
• Delivery of instructions shall be a combination of online
Blended Modality modality and modular approach.
• Midterm and Final Examinations shall be proctored.
• Submission of course requirements shall be on a modality
preferred by the instructor/professor.
• Limited face-to-face sessions shall be employed with strict
observation on the minimum health standards set by the IATF-
EID.
Modular Approach • Delivery of instruction shall be modular using the learning
package of the University. The learning package shall include
a full self-instructional module with sets of activities, exercises,
readings and handouts.
• Midterm and Final Examinations shall be proctored.
• Submission of course requirements shall be any of the
following:
- The students shall submit the course requirements to
designated strategic places within the university premises.

- In the event that transportation poses a challenge in

submitting the course requirements of a student, the
University shall assist in providing means for the submission
of the course requirements of the student.

WAIVER
Date: __________________

I __________________________________________________________________________
Last Name, First Name, M.I.
Course Year ______________ ID No.___________ promise to accomplish all the course
requirements using my preferred learning modality.
In case I find difficulty in accomplishing the requirements for the said modality, I will inform
immediately my instructor for his / her urgent action to choose a learning modality appropriate
for me.

___________________________
Signature over Printed Name

NVSU-FR-ICD-04-00 (080320)