Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Batangas

GOV. FELICIANO LEVISTE MEMORIAL NATIONAL HIGH SCHOOL

Lemery, Batangas
CO-CURRICULAR PERFORMANCE VERIFICATION AND CLASSIFICATION FORM
S.Y. 2014 - 2015
NAME OF CANDIDATE: SURNAME, FIRST NAME, MIDDLE INITIAL
COMPLIANCE W/
LEVEL OF
REQUIREMENTS OF
CO-CURRICULAR
AREA /
PARTICIPATI
POSITION PARAGRAPHS 1-8 OF
ENCLOSURE NO.2 TO DEPED
PERFORMANCE
ACTIVITY
ORDER NO. 92 S. 2009
ON
I. CONTESTS AND COMPETITIONS

POINT
S
GIVEN

II. STUDENT LEADERSHIP (SSG or Homeroom Officers)

III. CAMPUS JOURNALISM

IV. OFFICERSHIP AND MEMBERSHIP (STEP, YES-O, SCOUTING)

V. PARTICIPATION OR ATTENDANCE (Seminar, Camps, Exchange Program, Training,

Conference or Workshop)

ADELFO J. MORILLO
(Adviser)
Checked and Verified by:
School Checking Committee
__________________________
___________________________
Member
Member
__________________________
___________________________
Member
Member
_________________________
Chairman