PSHS 00 F DSA 01 Ver02 Rev02 Activity Proposal Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

PHILIPPINE SCIENCE HIGH SCHOOL SYSTEM

CAMPUS: ___________________________

ACTIVITY PROPOSAL FORM

AP NO.: _______________________
(EC/CC-YYYY-NNN-VVV)

TITLE OF ACTIVITY:

RATIONALE:

BRIEF DESCRIPTION OF ACTIVITY:

VENUE:

DURATION AND SCHEDULE:

INTENDED PARTICIPANTS: (specify the number of male and female participants)

TARGET ACCOMPLISHMENT:

PSHS-00-F-DSA-01-Ver02-Rev02-03/05/22 Page 1 of 2
LINE-ITEM BUDGET:

Source of Funds
Items Quantity Total Remarks
PSHS Other sources*

TOTAL

* Note: <Indicate source of funds for outside funding; indicate if there is contribution/collection
from students.>

OTHER SCHOOL RESOURCES NEEDED:

Prepared by: Noted by:

____________________________________ ____________________________________
Organizer Adviser/Sponsor/Coordinator
Date: Date:

Recommending Approval:

__________________________________ _____________________________
DSA Chief RPAD Chief (For OED-initiated activity)

Certificate of Availability of Fund:

________________________ _________
Accountant/Budget Officer Date

________________________ _________
FAD Chief Date

Approving Authority: Approving Authority:

________________________ ________________________
Campus Director (For campus-initiated activity) Executive Director (For OED-initiated activity)
Date: Date:

PSHS-00-F-DSA-01-Ver02-Rev02-03/05/22 Page 2 of 2

You might also like