Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF BOHOL
City of Tagbilaran
District of Danao
CANTUBOD NATIONAL HIGH SCHOOL
Cantubod, Danao, Bohol

SHS Work Immersion Program

Orientation Form

Student Agreement:

I, _______________________________________________, hereby agree to abide

by all established Rules and Regulations contained in the Senior High School
Work Immersion Program of Cantubod National High School at the
Municipality of Danao for the period covering from __________________________.

__________________________________________
Signature of Student Over Printed Name
Date Signed:______________________

EMPLOYER ORIENTATION
We/I, _______________________________________________________ have/has
reviewed the rules and regulations of the Senior High School Work Immersion
Program specified in the Memoramdum of Agreement done between the
Municipal Government Unit of Danao and Cantubod National High School
represented by 49 Senior High School students for the period covering from
________________.

_______________________________________________________
Signature of Employer/Representative Over Printed Name
Designation:__________________________________________
Date Signed:______________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF BOHOL
City of Tagbilaran
District of Danao
CANTUBOD NATIONAL HIGH SCHOOL
Cantubod, Danao, Bohol

PARENTAL APPROVAL
As Parent/s or Legal Guardian/s of ______________________, a Grade______
Dressmaking/Tailoring student of Cantubod National High School, Cantubod,
Danao, Bohol, I/We hereby approved of his/her participation in a Four-hour
Pattern Drafting session at _________ Barangay Hall, _________, ________, Bohol,
which will be facilitated by his/her subject teacher, Ms. Maria Lucia C. Donozo.
Prior to the participation of my child, I acknowledge that there are certain
risks associated with the said program of which I may not be presently aware
and the School and Teacher-In-Charge shall not be liable to what may happen
to my child beyond his/her control.
Furthermore, I/We agreed to abide by all the provisions contained in the
program, as well as assumed liability for while he/she travels to and from
his/her designated place of session.

Signature of Father Signature of Mother

Name of Father Name of Mother

Signature of Guardian over Printed name

(Relationship with the Student)

Witness:

_________________________________ ________________________________
Signature Over Printed Name Signature Over Printed Name

Verified By:

MARIA LUCIA C. DONOZO

Subject Teacher

Approved By:

RAMIL A. ESCASO, EdD.

School Head