Office of The Director of Student Affairs: Student Organization Activity Form

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

University of Negros Occidental-Recoletos

51 Lizares Avenue, Bacolod City, Negros Occidental

Office of the Director of Student Affairs


Student Organization Activity Form

ORGANIZATION: ___________________________________________________________________

CP Number: _____________________________ Budget: __________________________

ACTIVITY TITLE: __________________________________________________________________

Date: _________________________ Day:______________


___insiders
Time : ___________________________________________ ___outsiders

Venue: ________________________________________________________ ___ticketed

___fund raising
Details / Notable Information ( if any)
__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Learning Outcomes: At the end of the activity, the students will be able to:

1. ____________________________________________________________________

2. ____________________________________________________________________

3. ____________________________________________________________________

Target Core Value/s: __________________________


for DSA use only
Check mark indicates that it should be complied

_____Booking Form
_____Letter to VP-Finance
_____Letter to VP-Academics
_____Letter to VP-Acad (Excuse letter)
_____Entry Permit
Prepared by: ____________________________________ _____Special Permit
President/Governor/Person in Charge _____Parent’s Consent
_____Orientation on Safety
Recommended by: ___________________________________
_____Voluntary Involvement
Adviser
_____Teacher’s Presence
_____Ask for First Aid Assistance
___________________________________
COF Adviser/Dean/University Chaplain _____Ask for Security Personnel
_____Compliance with CMO 63
Approved by:
Others:_____________________________
__________________________________ ___________________________________
Dexter Paul D. Dioso, PhD ___________________________________
Director of Student Affairs ___________________________________
___________________________________
___________________________________
___________________________________
___________________________________

Note: This form shall be the first page of every activity to be presented in the accomplishment report.

You might also like