STED-INFORMED-CONSENT

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Republic of the Philippines
ISO 9001:2015 QMS CERTIFIED
INFORMED CONSENT
STED LIMITED-FACE-TO-FACE CLASSES
This document contains critical information regarding your
DESIRE/WILLINGNESS to participate in the Biliran Province State
University's (BiPSU) STED Program's Limited-Face-to-Face
classes.
Our decision is based on the recommendations of the Local InterAgency Task Force (IATF) and the Commission on Higher
Education (CHED), in accordance with the provisions of Joint
Memorandum Circular (JMC) No. 001, s. 2021.
Rationale
Mitigation
By participating in the university's limited face-to-face classes, you
agree to take certain precautions to protect yourself and others
from exposure, illness, and possible harm.
If you disregard health and safety protocols, you will be denied
access to the face-to-face classes. Each protocol below should be
read and understood:
1.
2.
3.
The face-to-face modality of instruction was the foundation of
education students training for many years. Despite advancements
in flexible learning education, classroom and hands-on learning
remain important components of the educational experience.
When simulations are conducted in conjunction with actual
demonstrations of pedagogical knowledge and skills in laboratories
and applied or practiced in the real world such as teaching in
actual classrooms in elementary and secondary, then these
competencies are more effectively experienced and absorbed.
4.
5.
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8.
9.
Challenge
Demonstration Teaching is done through the application of the
theories of teaching and learning in a classroom setting. Although
virtual classes can be done synchronously and asynchronously
however students learning and mastery are always hampered by
uncontrolled factors such as slow internet connectivity. The
conduct of assessments is also better implemented during the
face-to-face classes considering that education programs are
subjected to the Licensure Examination for Teachers (LET).
Although participation in face-to-face classes is not mandatory, the
lack of participation in such a modality may result in an education
student's competencies being less developed than those who
participated in and learned through the face-to-face mode of
instruction.
You are fully aware that by attending university and leaving your
house, you are exposing yourself to the risk of coronavirus
infection. This risk is increased if you use shared public
transportation such as tricycle, padyak (sikad2x), V-hire,
motorcycle, multicabs and jeepneys.
10.
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Before I could attend the limited face-to-face classes, I must be
fully vaccinated.
If not from Biliran Province, I must present my Biliran QR Code
and Vaccination Card upon entry into the province.
When I arrive at the university, I must show my School ID,
vaccination card, and QR Code.
I must always wear a face mask.
I am required to bring hygiene kits and present them at the
university's main entrance gate.
I must complete a health declaration form that has been issued or
secured in advance to avoid crowding the main door while filling
out the papers. (All participants are urged to bring their own pens
and utilize them).
My temperatures will be taken upon entering the University’s
main entrance.
I am a dependent or a member of PhilHealth or another medical
insurance that covers COVID-19-related medical expenses.
I am aware that an antigen test is required every two (2) weeks if
I am not fully vaccinated but wish to attend the limited -face-toface classes.
If I have symptoms when I arrive, I will be transferred to the
holding area for evaluation, sent home, or referred to the
MDRRMO.
If I exhibit symptoms during classes or on campus, I will be
transferred to the isolation room for assessment and possible
referral to the MDRRMO, or I will be sent home.
When I'm not feeling well, I'm supposed to stay at home.
When I return to class and after validation from the University
Clinic, I will need to present a medical certificate from the
municipal RHU.
By signing below, | acknowledge that I have read and
comprehended all of the foregoing guidelines, conditions, and that
(please encircle) I WILL PARTICIPATE / WILL NOT
PARTICIPATE in the Limited Face-to-face classes.
Student's Name & Signature: _____________________________
Year & Section: ________________________________________
If other health concerns related to CoViD-19 arise during the
limited face-to-face classes, we will use the online platform or
flexible learning modality. If you have any reservations about using
such a platform and or participation in the limited face-to-face
classes, please address them immediately.
You acknowledge that, if necessary, the school will determine how
flexible learning will be used to ensure the well-being of all
students.
Mobile number: ________________________________________
Parent's/Guardian's Name & Signature: _____________________
Mobile Number: ___________________ Date: _______________
Second Floor Administration Building, Main Campus, P. Inocentes St., P.I. Garcia, Naval, Biliran Province, Phillipines 6560
Tel. (053) 507-8642 ‫ ן‬Telefax. (053) 507-0076
SUC Level III-A (Per DBM-CHED Joint Circular #B dated June 21, 2007)
Website: www.bipsu.edu.ph ‫ ן‬Email: sted@bipsu.edu.ph ‫ ן‬Facebook: School of Teacher Education – The Victorious Bulletin
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