2nd Semester CTWS 2 Adoption of PArents Consent
2nd Semester CTWS 2 Adoption of PArents Consent
2nd Semester CTWS 2 Adoption of PArents Consent
Vision: An advanced and adaptive university pursuing quality education, lifelong gender-sensitive learning environment, responsive research-
based community programs and transparent governance with sustainable resource generation by 2025.
Mission: To provide excellence in instruction, research, extension and production that magnifies WISDOM in leadership through Total Quality Management
System responsive to the challenges of the 21st century education.
Educating People, Enriching Lives and Expanding Opportunities with WISDOM!
ONE SAS for MarSU: Working Working together for an Exceptional Students Affairs and Services
Endeavors
Obedience, Neutrality, Excellence, Service, Actions, Solutions
Republic of the Philippines
MARINDUQUE STATE COLLEGE
Main Campus: Boac / Branches: Santa Cruz • Torrijos • Gasan
Panfilo P. Manguera Sr. Rd., Tanza, Boac, Marinduque 4900
Tel. No.: (042) 332-2028/2028 Email Address: osas_studentservices21@gmail.com
Trunkline: (042) 332-0662 Website: www.marinduquestatecollege.edu.ph
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OFFICE OF THE VICE PRESIDENT FOR STUDENT AFFAIRS AND SERVICES
PARENT’S/GUARDIAN’S CONSENT AND WAIVER FOR IN-CAMPUS AND OTHER
LOCAL-OFF CAMPUS ACTIVITIES (CURRICULAR/CO-CURRICULAR/NON-
CURRICULAR) NSTP-CWTS 2 - COMMUNITY IMMERSION PROGRAMS
& ACTIVITES
TO WHOM IT MAY CONCERN:
This is to certify that I willingly gave child, consent to my
, (Course) student
of MSC (College) to undergo a to
participate in In-Campus and Local-Off Campus (Curricular/Co-curricular/Non-Curricular)
within and outside the Province which will be implemented by the faculty members and
administrators of Marinduque State College for the fulfillment of the requirements for his/her
Program which may include: seminars/symposium, community outreach, sports events,
community immersion, research and extension activities, field trips, plant visits, tours other
similar activities as stated in CMO No. 63, series 2017. Provided that the details of such
activities are included in the Approved Course Syllabi of the faculty member, approved by the
head of agency or authorized representative or CHED (for activities to be conducted outside the
College per MSC Policy & CMO 63 series
2017 and CHED-DOH Joint Memorandum Circular No. 2021-001; 2021-04 and other relative
CHED issuances) and that I shall be informed of such activities prior to its implementation.
It is understood that my child will be monitored and reminded to abide by the rules and
regulations that may be imposed before, during and after the activity by the Marinduque State
College as Higher Education Institution (HEI) and the MSC partners and organizers for his/her
welfare, safety and security.
I fully agree to waive any responsibility on the part of the student-organizers, faculty
members and administrators of the Marinduque State College, the Partner Communities and
Organizers (for academic-related/in-campus/local-off campus activities), in case of untoward
incident/accident which may happen during the conduct of In-campus and Local-Off Campus
Activities (Curricular/Co-curricular/Non-Curricular which is/are due to the negligence of my
child and/or force majeure circumstances.
WITNESSES:
NOTARY PUBLIC
Vision: An advanced and adaptive university pursuing quality education, lifelong gender-sensitive learning environment, responsive research-
based community programs and transparent governance with sustainable resource generation by 2025.
Mission: To provide excellence in instruction, research, extension and production that magnifies WISDOM in leadership through Total Quality Management
System responsive to the challenges of the 21st century education.
Educating People, Enriching Lives and Expanding Opportunities with WISDOM!
ONE SAS for MarSU: Working Working together for an Exceptional Students Affairs and Services
Endeavors
Obedience, Neutrality, Excellence, Service, Actions, Solutions