Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna

College of ____________________

PARENT’S CONSENT

_____________________________
(Date)

I, _____________________________________, the undersigned, of legal age and a resident of

________________________________________, hereby authorize the Dean/Associate Dean of the
College of _____________________of Laguna State Polytechnic University to let my son/ daughter
_______________________________________________ to undergo Practice Teaching / OJT this
______ Semester of Academic Year 20___–20___ at
____________________________________________ in compliance with the requirements of the
Degree ____________________________________ which s/he is completing.

_______________________________________
(Signature of over printed name of parent)

__________________________
(Date)

_________________________________________ _________________________________________
(Signature over printed name of a witness) (Signature over printed name of a witness)

_______________________________ _______________________________
(Date) (Date)

LSPU-ACAD-SF-020 Rev. 0 10 Aug 2016