3 Community Service
3 Community Service
3 Community Service
Department of Education
Region III- Central Luzon
Schools Division of Tarlac Province
___________________ District
_________________________________ School
_________________________________________
Date: _______________________
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.
Hoping that this request will merit your kind consideration and approval.
Project Proponent/Organizer
Republic of the Philippines
Department of Education
Region III- Central Luzon
Schools Division of Tarlac Province
___________________ District
_________________________________ School
_________________________________________
Date: _______________________
Madam:
I have the honor to submit from your good office the accomplishment report of my
community service entitled, “____________________________________________________”
at Barangay _________________________________________________________________.
Project Proponent/Organizer
Republic of the Philippines
Department of Education
Region III- Central Luzon
Schools Division of Tarlac Province
___________________ District
_________________________________ School
_________________________________________
II. BACKGROUND/RATIONALE
III. OBJECTIVES
1.
2.
3.
4.
5.
IV. PROPONENT
V. TARGET CLIENTELES
A. Planning:
B. Implementation:
C. Evaluation:
A. Number of Participants:
B. Budget/Activity
Activity Budget
C. Total Budget:
VIII. FUNDING SOURCE:
XIII. DOCUMENTATION
Prepared by:
Proponent
Noted:
School Head
Reviewed by:
Recommending Approval:
Date: _______________________
________________________________________________
Teacher __ of ____________________ Elementary School
__________________________________________, Tarlac
Sir/Mdm:
1.
2.
3.
4.
5.
______________________________
Punong Barangay