St.
Anthony’s College
Business Education Department
San Jose de Buenavista, 5700 Antique
Tel. No. (036) 5409238; 5400898; 5409971 Tel. No.: (036) 5409196 In SAC, we
Website: www.sac.edu.ph Email: [email protected]; [email protected]
Care!
PARENTAL CONSENT
This is to certify that I, _______________________________________ parent/guardian
(Name of Parent/Guardian)
of _____________________________________, a bonafide student of St. Anthony’s College
(Name of Student)
grant her/him permission to undergo her/his internship/practicum training at the
___________________________________________ with the business address at
(Name of Company)
____________________________________________ from _____________ to ______________.
(Company Address) (Start Date) (End Date)
I understand and agree that this training is necessary and a requirement for the completion of
the degree ___________________________________________________________________.
(Name of Program)
I further agree and affirm that St. Anthony’s College and ______________________________
(Name of Company)
are in no way responsible nor shall they pay any amount for incidents of harm or injury that may be met
by the intern during the period of the internship/practicum training.
I also certify that she/he signified to me her/his decision to undergo the internship/practicum as
evidenced by her/his signature affixed below together with my own signature.
_________________________ _________ ____________________________ __________
Student Date Parent/Guardian Date
Form Code: BusEd 01 Page No.: Page 1 of 1
Revision No.: 0 Date Issued: 6 Sept. 2019