Email: casnorsubais1@gmail.

com

PARENT’S WAIVER

This is to certify that I am allowing ______________________________ to go on an

Internship from January 9, 2023 – June 2, 2023, specifically at
________________________ _________________________in partial fulfillment of
the requirements for the degree in Bachelor of Science in
____________________________.

I also allow _________________________________ to go on fieldwork if the

assigned job requires. It is understood that
_______________________________will follow the policies and guidelines set by
the school and abide by the rules and regulations that the internship coordinator may
impose for his welfare and safety.

I fully agree to waive any responsibility on the part of Negros Oriental State
University Bais City Campus, and the internship coordinator in case any untoward
incident may happen to ___________________________________after NORSU
Bais City and the cooperating agencies have undertaken all means within the
duration of the internship.

Signature

Name of Signatory

Relationship of signatory to Student -

Intern
Date Signed