‘The Universi of Mindanao College/Program: Criminalogy PARENTAL/GUARDIAN CONSENT AND STUDENT UNDERTAKING FOR ATTENDING THE GRADUAL LIMITED FACE-TO-FACE CLASSES Me parent/guardian of __YvoME_LUNGTAD _ IMGUITS a_4et year student of Printed Name of Student the Chiminal Program, College of Criminal Justice 2D. give rnvour full consent and poroal or ah toil 272. him/her to atterldthe gradual limited face-to-face (LF2F) classes this SY z As parents/guardians, we hereby attest/agree on the following, to wit: 1. Fully understand and agree to the school policies in conducting the LF2F classes for final examinations, selected laboratory sessions, and competency appraisal for licensure programs 2. Participating in the LF2F is VOLUNTARY 3. If we opt not to participate in the LF2F, we understand the consequences and shall abide by the existing school policies on the completion of grades 4, Find a secure place for my/our son/daughter to stay in Davao City 5, Provide our contact numbers for emergency calls 6. Provide PhilHealth Member Data Record or Proof of Membership in Health Maintenance Organization (HMO) if available 7. Pay tuition and other school fees 8. Ensure and certify that my son/daughter is fully vaccinated (2 dosage) and provide the university a copy of the vaccination card 9. Help in monitoring the whereabouts of my/our son/daughter 10. Any violation on the policies/protocols will disqualify my son’s/daughter’s attendance to the limited face-to-face classes ‘Asa student, | hereby attest/agree on the following policies to be observed strictly to wit: 1, Attend all college consultations on the conduct of LF2F 2. Fully understand and agree to the school policies in conducting the LF2F classes for final examinations, selected laboratory sessions, and competency appraisal for licensure programs 3. Provide for my sufficient computer and internet facilities for all my lecture sessions and other online classes done through the LMS 4, Pay all my tuition and other financial obligations to the university through the UM Cashier or accredited payment centers; faculty members and employees are prohibited to accept any payment. 5. Attending to the LF2F session is VOLUNTARY, and if | opt out, | understand the consequences and shall abide by the existing school policies on the completion of grades 6. Always bring hygiene kits (extra face mask, 70% alcohol, sanitizer, thermometer, and others deemed necessary) 7. Bring own food (meals and snacks) and drinking water and eat at the designated dining area only (no sharing); students are not allowed to buy food or accept food deliveries while inside the campus 8, Report on time based on the shifting schedule of my college; report only on the dates and time specified 9. Submit a copy of my COVID-19 Vaccination Card (full vaccination) 10. Submit myself for screening procedure upon entry to the university (Daily Health Checklist) 11, Present QR Code, Vaccination Card and Schoo! ID, and failure to do so forfeits my entry to the school premises 12. Wear face masks at all times while inside the campus; face shield is optional but welcome 13. Use the designated entrance and exit gates/stairs (use of elevator is strictly prohibited) 14, No borrowing of ballpens/writing materials/other paraphernalia; bring extra ballpens 1415. Always stay within the designated rooms/laboratories/holding areas 16. Observe physical distancing of at least 1.5 meters all the time 17, Strictly no loitering inside the campus 18. The Learning Information Center (LIC)/Library shall be closed; use e-library resources only 19. Observe proper disposal of wastes/waste segregation 20. Use designated Comfort Room/Washing area in my college only 21. Strictly follow the signages in the campus 22. Practice health protocols as per UM, CHED, DOH, and IATF policies 23. Stay at home during quarantine cycles and when not feeling well 24. Inform the college or the university clinic for any COVID 19 or flu-like signs/symptoms 25. Abide by all other regulations and instructions of the College Omnibus Policies for LF2F 26. Any violation on the policies/protocols will disqualify my attendance to the limited face-to-face classes 27. Submit this Undertaking as a mandatory requirement for attending LF2F classes 28, Tampering of this Undertaking is a grave disciplinary offense subject to disciplinary measures ~fvornt D_INGUITO EVELYN PUN@fAD Mea vITO nature Name of Student ‘Signature over Printed Name, of Parent/Guardian Date: _eril 5, pI Date:__ Apri! 93, Wyo ature over Printed Name of Program Head Signature over Printed Name of Dean Date: Date: NOTARIZATION SUBSCRIBED AND SWORN to before me, this APR 25 0 by. who exhibited to me (his/her) competent proof of identification ued at. - Philippines on ; Notary Public Doc. No. 40 _; PAREL EVERC. Page No._[}__i J a; Public a Book No. sll inl June 3, 2022, er BoM. No. 37%, Series of YW; 27R No, O4dD5A8lan. 3, 2022