Usc-Ces Form C Ces Ppa For Requests
Usc-Ces Form C Ces Ppa For Requests
Usc-Ces Form C Ces Ppa For Requests
Delivered/
Submitted
By
Received
By
Dat
e
Tim
e
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USC-CES Form C CES Program/Project/Activity
Proposal for
Requests
I.
Program/Project/Activity Profile
A.
Requester (please check/tick the appropriate item and include the specific name of partner or requester)
[
[
[
[
[
] CES Office
[ ] SAS,
] SOED,
[ ] SOE,
] SHCP,
[ ] SOLG,
] Co-Curricular Student Organization
] Extra-Curricular Student Organization
[ ] SAFAD,
[ ] SBE,
[ ] Support Unit,
Mode of request (please check/tick the appropriate item and attach said communication to this proposal)
social services)
D.
[ ] Productivity-Oriented Initiatives
[ ] Literacy, Values Formation and Life-long Learning
[ ] Social Welfare Services
[ ] Environmental Sustainability
[ ] Issue Advocacy and Rights Promotion
II.
[ ] Heritage Conservation
[ ] Rural and Urban Development
This portion will serve as the justification for your proposal. Please provide the following minimum information for the rationale and
introduction of your program/project/activity:
a. Current condition of the community
b. Problem/need identified by the unit that you intend to address
c. Data source as well as the process underwent to generate the data
d. How will the unit respond to the condition? What expertise and competencies from the unit or in collaboration with others
will be useful to address the identified condition?
III.
This part must explicitly provide the specific roles/responsibilities or deliverables as well as benefits of the following:
a. Implementing team from USC/Unit
b. Internal and external partners
c. Beneficiaries and/or partner community/organization/institution
I.
Outline of Activities
Tentative Date
Activities
Participants Needed
Person/s In-charge
B.
Transportation
C.
Materials
Frequency
Quantity
Amount
Total
TOTAL:
Php
RIS No.
III. Signatories
DATES
Amount
RIS Approval
Php
Budget Release
Liquidation
Report
Prepared By:
Date:
Name and Signature of Proponent
(Faculty / Representative / Coordinator )
Noted By:
Date:
Name and Signature of Department/Unit Head
(for department/unit proposals only)
Recommending
Endorsement:
Date:
Name and Signature of School/College CES Coordinator
(for all department and college proposals)
Endorsed By:
Date:
Name and Signature of School/College Dean
(for all department and college proposals)
Recommending Approval:
Date:
Approved By:
Date:
Date:
Name and Signature of USC-CES Staff