This document is a liability waiver for a work immersion program. It releases a cooperating company from liability if a student is injured during their work placement. Students and their parents must sign agreeing to the waiver and consenting to the student participating in the program.
This document is a liability waiver for a work immersion program. It releases a cooperating company from liability if a student is injured during their work placement. Students and their parents must sign agreeing to the waiver and consenting to the student participating in the program.
This document is a liability waiver for a work immersion program. It releases a cooperating company from liability if a student is injured during their work placement. Students and their parents must sign agreeing to the waiver and consenting to the student participating in the program.
This document is a liability waiver for a work immersion program. It releases a cooperating company from liability if a student is injured during their work placement. Students and their parents must sign agreeing to the waiver and consenting to the student participating in the program.
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ACLC College of Tacloban
Senior High School Department
Tacloban City
WORK IMMERSION AGREEMENT AND LIABILITY WAIVER
I am fully aware of the duties and responsibilities I will undertake through the Work Immersion Program with the cooperating company through the request of ________________________________________ .
I recognize the authority of my cooperating company/agency/industry which I may be
placed and submit myself to all the Rules and Regulations that may be imposed upon myself following the duties.
I renounce and waive any claim against the cooperating company/agency/industry and ______________________________ for any injury that I may sustain/suffer, personal/financial in the performance of my duties/function.
Name of the Student-Trainee : ____________________________
Signature: ____________________________
Date: ____________________________
PARENTAL/GUARDIAN’S CONSENT
And I, the trainee’s parent and/or legal guardian, allow my son/daughter to undergo Work Immersion for 80 hours starting on _____________________ until ____________________ at ___________________________________ in partial fulfilment of the requirements for Senior High School K-12 Program.
It is understood that he/she abides by the rules and regulations that may be imposed by the Supervisor/Staff-in-Charge for his/her welfare and safety.
I fully agree to waive any responsibility on the part of
_________________________________ in case of any untoward incident that may happen to my son/daughter during the duration of the WORK IMMERSION.
Name of the Parent/Guardian: ____________________________
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