PAMANTASAN NG LUNGSOD NG MUNTINLUPA

College of Criminal Justice

University Road, Brgy. Poblacion, Muntinlupa City

CCJ-OJT Class “Tanglaw Diwa” 2021

______________
(Date)

WAIVER

I, _________________________________, a 4th Year BS Criminology Student,

officially enrolled in Practicum (On-the-Job Training and Community Immersion)
personally waives my rights and privileges as Criminology Intern while I am performing
my Practicum/OJT with HEI and the Accredited Partner Agencies (APAs) and promise
to follow, adhere and conform to the rules and regulations, policies and standards
provided by the PLMUN Student Handbook, Memorandum of Agreement (MOA),
Memorandum of Understanding (MOU), CCJ-OJT Standard Operational Procedures
and Affidavit of Undertakings.
That I will follow and observe the safety protocols imposed by concerned
government agencies and school authorities to avoid the risk of transmission of the
coronavirus 2019 (COVID-19) in case of deployment will be allowed.
That I will voluntarily submit myself for any administrative/school inquiry for
violation of the aforementioned rules and regulations, policies, and guidelines in relation
with OJT/Internship.

___________________________
(Printed Name and Signature)

=====================================

Parental Consent

We, ________________________________, the parents and/or guardians of

__________________________________, concur/agree on the aforementioned
statements and we promise to be in close coordination with the school authorities and
monitor the attitude/conduct/behavior of my/our child/ward while undergoing
JT/Internship with Accredited Partner Agencies (APAs).
 That the Higher Education Institution (HEI) and the Accredited Partner Agency
(APA) shall NOT be held liable/accountable/ responsible for any
wrongdoings/misdemeanor of our child/ward and/or any untoward incident that may
happen during the whole duration of his/her Practicum (On-the-Job Training and
Community Immersion).

That in case deployment with Accredited Partner Agencies (APAs) be permitted,

we will voluntary allowing our child/ward to join, participate and complete the Internship
hours. Further, we will advise our child/ward to follow the safety protocols being
imposed and the HEI and the APAs has no liability thereof.

___________________________ _________________________
(Father’s Name and Signature) (Mother’s Name and Signature)