3 Community Service

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Republic of the Philippines

Department of Education
Region III- Central Luzon
Schools Division of Tarlac Province
___________________ District
_________________________________ School
_________________________________________

Date: _______________________

DR. IMELDA P. MACASPAC


OIC- Schools Division Superintendent
Dep Ed - Tarlac Province
Macabulos Drive, San Roque, Tarlac City

Madam:

I have the honor to request permission from your good office to conduct a community
service entitled, “_______________________________________________________________”
at Barangay _________________________________________________________________
upon the approval of the division office.

This endeavor aims ________________________________________________________


______________________________________________________________________________
______________________________________________________________________________

Hoping that this request will merit your kind consideration and approval.

Very truly yours,

Project Proponent/Organizer
Republic of the Philippines
Department of Education
Region III- Central Luzon
Schools Division of Tarlac Province
___________________ District
_________________________________ School
_________________________________________

Date: _______________________

DR. IMELDA P. MACASPAC


OIC- Schools Division Superintendent
Dep Ed - Tarlac Province
Macabulos Drive, San Roque, Tarlac City

Madam:

I have the honor to submit from your good office the accomplishment report of my
community service entitled, “____________________________________________________”
at Barangay _________________________________________________________________.

This endeavor resulted to ___________________________________________________


______________________________________________________________________________
______________________________________________________________________________

Thank you and God bless.

Very truly yours,

Project Proponent/Organizer
Republic of the Philippines
Department of Education
Region III- Central Luzon
Schools Division of Tarlac Province
___________________ District
_________________________________ School
_________________________________________

COMMUNITY SERVICE PROJECT PRPOSAL


Calendar Year _____________

I. TITLE AND THEME:

II. BACKGROUND/RATIONALE

III. OBJECTIVES

1.

2.

3.

4.

5.

IV. PROPONENT

V. TARGET CLIENTELES

VI. SCHEDULE OF ACTIVITIES

A. Planning:

B. Implementation:

C. Evaluation:

VII. BUDGETARY REQUIREMENTS:

A. Number of Participants:

B. Budget/Activity

Activity Budget

C. Total Budget:
VIII. FUNDING SOURCE:

IX. ACTION PLAN

THREE (3) YEAR COMMUNITY SERVICE ACTION PLAN


Calendar Year _____________

Activities Objective/s Strategies Persons Involved Time Frame

X. MONITORING AND EVALUATION

XI. EXPECTED OUTCOMES

XII. IMPACT (to be submitted upon its full implementation)

First Year of Implementation


Second Year Implementation
Third Year Implementation

XIII. DOCUMENTATION

Prepared by:

Proponent

Noted:

School Head

Reviewed by:

ROLANDO Z. CARREON EMMANUEL C. REGANIT, Ph. D.


SEPS-School Mobilization & Network Education Program Supervisor - EsP

Recommending Approval:

Dr. NOEL L. LINSAO


Chief Education Supervisor
School Governance and Operations Division
Approved:

DR. IMELDA P. MAGASPAC


OIC-Schools Division Superintendent
Republic of the Philippines
Department of Education
Region III- Central Luzon
OFFICE OF PUNONG BARANGAY
Barangay ___________________________
_____________________________, Tarlac

Date: _______________________

________________________________________________
Teacher __ of ____________________ Elementary School
__________________________________________, Tarlac

Sir/Mdm:

You are hereby designated as the Chairman of Barangay __________________________

on Project ________________________________ effective ____________________________.

Your duties and responsibilities include among the following:

1.

2.

3.

4.

5.

God bless you.

______________________________
Punong Barangay

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