Name jtephen Khar S. Agdamag Email Address ssagdamag03911lag@student fatima.edu.ph Mobile No. 999591115752 Current Address: BLOCK 41 LOT 3 PHASE 3 CARNATION STREET GARDEN VILLAS Ill BRGY IBABA SANTA ROSA LAGUNA in 2019. the Coronavirus Disease (COVID -19) was deciared as a global health crisis and the Philippines was put in a state of public health emergency in 2009 in ‘order to mitigate the transmission of the disease. To ensure continuity of leaming, the Department of Education (DepEd) mandated both private and public education institutions to shift to Face-to-face classes (DM ) no34, s. 2022 on "Guidelines on the Implementation of Face-to-face classes" was issued for AY 2022-2023. Flexible learning currently is the most appropriate and safest leaming approach during this pandemic. However, there are certain competencies where face-to-face instruction would be necessary. As such, awell-planned, gradual, and safe re- opening of campuses would be essential, following strict protocols and guidelines as set forth by the CHED, IATF, DOH, and in collaboration with the local government units, Cognizant of the needs and based on the survey conducted among students of Our Lady of Fatima University - Quezon City Campus wherein 93% of the students manifested a willingness to undergo limited face-to-face instruction for their courses, the University has embarked on retrofitting its facilities as well as crafted a recalibrated leaming continuity plan for its students. ‘As a grade 11/grade 12 Senior High School student of Our Lady of Fatima University, | have been oriented and duly informed about the face-to-face guidelines, requirements, and protocols of the university. ‘As such, | voluntarily give this informed consent and signify my willingness to Participate in the limited face-to-face instruction’ program “andabide by all the health protocols as mandated by the university. ( Stefhen Kine Agdawacy Beet 146 20% Student's Signature over Printed Name pam 20 toe — October 26 2022 inte Name Parent's Signature’ Date Students' Health Requirements for Face-to-face Classes An OLFU student will only be allowed to physically attend his/her laboratory lasses after satisfying the following: * Must have submitted an informed consent * Must have submitted the filled-out OLFU Health Assessment Form and clearance from the Health and Wellness Center.