Scribd
Upload
3K views

Waiver Form

This document contains two consent/waiver forms from St. Peter's College in Iligan City, Philippines. The first is an internship consent form signed by a criminology student agreeing to abide by the rules of their placement agency and waiving liability for any accidents or negligent actions during their mandatory 540-hour internship. The second form is a similar parent consent waiving liability for their child's internship placement under the supervision of school instructors and agency personnel.

Uploaded by

Don Jun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
3K views

Waiver Form

This document contains two consent/waiver forms from St. Peter's College in Iligan City, Philippines. The first is an internship consent form signed by a criminology student agreeing to abide by the rules of their placement agency and waiving liability for any accidents or negligent actions during their mandatory 540-hour internship. The second form is a similar parent consent waiving liability for their child's internship placement under the supervision of school instructors and agency personnel.

Uploaded by

Don Jun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

ST.

PETERS COLLEGE
# 042 Sabayle, St., Iligan City
221-5860 or 6247

COLLEGE OF CRIMINOLOGY

OJT/INTERNSHIPS CONSENT/WAIVER

This ON-THE- JOB TRAINING/INTERNSHIPS CONSENT/WAIVER, made by _________________ of ST.


PETERS COLLEGE, COLLEGE OF CRIMINOLOGY, Sabayle St., Iligan City a Filipino and a resident at
________________________ herein after referred to as the on-the-job trainee of any government
offices/agencies.

THAT, the ST. PETERS COLLEGE, COLLEGE OF CRIMINOLOGY which school the on-the-job trainee is a
student, has requested the various agencies / offices of the government to allow on-the-job trainee to
undergo on-the-job training for a minimum of 540 hours as part of his/her academic requirements for
graduation, where I am a graduating student, I do hereby declare and state as follows:

1. During the period of on-the- training/internship, with due diligence and good faith, he/she shall abide
by all rules and regulations observed by the agencies/offices.
2. The agencies/offices shall not be held liable for injury/accident that the on-the-job trainee may suffer
in the course of his/her training/internship.
3. The agencies/offices shall not be held liable for damage or injury to third person cause by the on-the-
job trainee which is due his/her intentional/negligent act.
4. It is clearly understood that during the period of his/her training and presence in the agencies/offices,
no employer-employee relationship exists between the on-the-job trainee and the agencies/offices.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ______, 2017 at Iligan
City, Philippines.

_______________________________
Students Signature over Printed Name

SIGNED IN THE PRESENCE OF:

__________________________ __________________________
Signature over Printed Name Signature over Printed Name

ACKNOWLEDGEMENT

Republic of the Philippines


Iligan City)S.S

SUBSCRIBED AND SWORN to before me this _____ day of ____________ 2017 ___________ at Iligan
City with Res. Cert. No. __________ issued on ________ at __________, Philippines.
ST. PETERS COLLEGE
# 042 Sabayle, St., Iligan City
221-5860 or 6247

COLLEGE OF CRIMINOLOGY

INTERNS PARENT CONSENT/WAIVER

KNOW ALL MEN BY THESE PRESENT:

I, Mr. / Ms. ________________________________, a resident of and with postal address at


______________________________________, Philippines, after having been duly informed regarding the
deployment of Criminology Interns in various agencies / offices of the government and private sectors
bounded by a Memorandum of agreement, which will start from ___________________________ to
_____________________, as a requirement for their On-The-Job Training, do hereby give my consent to my
son/daughter Mr /Ms ________________________________, who shall be under the direct supervision of
the instructor and staff, and agency supervisors.

With all the benefits that our son / daughter /, _____________________________, could derive from
this On-The-Job Training, I shall not hold the party concerned (school, instructor and staff or the personnel of
the government, private agencies) where my son/daughter is assigned for any untoward incident that may
happen beyond their control.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ______, 2016 at Iligan City,
Philippines.

_______________________________________
Signature over Printed Name of Parent/Guardian

Contact Number: _________________________

SIGNED IN THE PRESENCE OF:

__________________________ __________________________
Signature over Printed Name Signature over Printed Name

ACKNOWLEDGEMENT

Republic of the Philippines


Iligan City)S.S

SUBSCRIBED AND SWORN to before me this _____ day of ____________ 2017 ___________ at Iligan
City with Res. Cert. No. __________ issued on ________ at __________, Philippines.

You might also like