PARENT/GUARDIAN CONSENT FOR TEACHERS INTERNSHIP PROGRAM

This is to certify that I am allowing my son/daughter

__________________________________ to go on a teacher’s internship program for
the whole second semester of the academic year 2019-2020 in partial fulfilment of the
requirements for his/her degree in Bachelor of Secondary/Elementary Education. 

It is understood that he/she should abide by the rules and regulations that may
be imposed by the school authorities of Xavier University - Ateneo de Cagayan and the
respective school/s where he/she will be assigned to. 

I fully agree to waive any responsibility on the part of Xavier University and the
respective school/s, in case of any untoward incident that may happen to my
son/daughter during the duration of the teacher’s internship program.

Sincerely,

____________________________________
Parent/Guardian signature over printed name