000000TIPM-OSA-015

Revision Status/Date: 2 / 2016 June 1

APPLICATION NO: _______________

TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES

APPLICATION FOR THE USE OF SCHOOL FACILITIES
Please tick the appropriate circle of the school facility you want to use:
Casal Seminar Room

Arlegui Seminar Room

PE Center

Congregating Area

Others:

Princess Dianne L. Delica

Name of Applying Student/Employee: ____________________________________________________________

Designation: ___________________

Organization/Department: _______________________________________________________________________
Date Filed: ____________________
Alliamce of United Electronics Communication Engineering
Technical Seminar: "Basic ELectronics and Workshop"
Title of Activity: ____________________________________________________________
Date/s of the Activity:____________________________
8:00am
3:00pm
Time Duration of Activity: From:___________________________To:________________________________

Expected Attendance: ___________

Reminders:
1. Parties who wish to use any of the school facilities shall first check with the

6. No nails, screws, or bolts shall be driven through the floors of the venue

OSA for the availability of the venue before accomplishing this form.

in putting up decorations or announcements. All decorations shall be set-up

Accomplished form must be submitted in five (5) copies one (1) week

in coordination with the Maintenance Supervisor or his/her staff. The

before the event. Attach the following documents:

organization/department shall assume responsibility in preparing the place.

a.) Approved application to conduct activity

Removal of posters, streamers, and other similar items and cleaning up the

b.) Approved project proposal

venue is likewise the responsibility of the organization/department as stated

c.) Program flow

in item number five (5).

d.) Evaluation form measuring the objectives of the activity.

7. The Seminar Room shall be occupied by not more than 150 persons

2. The event must be limited to a minimum of two (2) hours and a maximum of

for P. Casal Campus and 130 persons for Arlegui Campus.

eight (8) hours.

The organization/department MUST observe the maximum capacity.

3. The venue MUST NOT be used other than the purpose stated in the

8. No pyrotechniques and/or flammable materials (e.g. candles, firecrackers,

Title of Activity above.

etc.) will be allowed as "props" in the duration of the activity.

4. The organization/department shall be held responsible for any damage to the

9. Activity Report and/or Liquidation report must be submitted not later than

venue.

one (1) week after the event.

5. 5S must be observed at all times in the conduct of the activity in the venue.

10. Only accredited caterers will serve food during school events. The school
cafeteria concessionaire is one of the accredited caterers of school events.

I will abide by the above guidelines on using the school facilities.

Princess Dianne L. Delica
Signature over Printed Name of the Student/Employee
Please check the appropriate box of the equipment needed:
Equipment:

Tables

Chairs

Microphone

Sound System

Projector

Podium

Philippine Flag

T.I.P. Flag

Quantity:
3
130
2

Others:
(Please separate with a comma and specify the quantity.)

________________________________________
________________________________________
________________________________________
________________________________________

Recommending Approval:
Engr. Marjorie B. Villanueva
Faculty Adviser / Date
Signature over Printed Name

Department Officer / Date

Signature over Printed Name

APPROVED
DISAPPROVED

Head, Office of Student Affairs

Date: ______________

Head, PE Department / date

Signature over Printed Name
(for PE Center reservation)

NOTED:
Head, Maintenance Department
_____________

NOTED:
Head, SOHAS
_____________

NOTED:
Head, MDS (for sports activities)

Date: ______

______________

000000TIPM-OSA-015
Revision Status/Date: 2 / 2016 June 1

APPLICATION NO: _______________

President
signation: __________________________
August 30, 2016
te Filed: ___________________________

September 8, 2016
______________________________

130
pected Attendance: __________________

ough the floors of the venue

REMINDER FROM OSA:

INSTRUCTIONS:
Click the OPTIONS button above the address bar to
enable Macros.
Please fill-out the form without changing any of its
format. Click the radio button of the venue you
want to reserve.
Type the appropriate entry on the
<text goes here> portion. Click the
<text goes here>, delete it and you can start typing
the appropriate entry.

ll decorations shall be set-up

or or his/her staff. The

sibility in preparing the place.

ar items and cleaning up the

Please be reminded of the text in red. It should be

deleted if it is not applicable for the reservation
being made. Click the red text and delete it using
the BACKSPACE or DELETE key.

ization/department as stated

more than 150 persons

Please click the checkboxes of the equipment you

need for the event.

e maximum capacity.

Upon completing the form, print five (5) copies of it

for signature approval of all the applicable unit
heads.

als (e.g. candles, firecrackers,

t be submitted not later than

This form is best suitable for MS Excel 2003 and

2007.

ing school events. The school

OSA would appreciate your feedback pursuant to

TIP's Quality Policy of improving our processes.

d caterers of school events.

Thanks.

APPROVED
DISAPPROVED

Head, Office of Student Affairs

Date: ______________

NOTED:
Head, Maintenance Department:
_____________

Date: ______

NOTED:
Head, MDS (for sports activities)
______________

Date: ______

ss bar to

any of its
e you

art typing

hould be
vation
it using

ent you

opies of it
e unit

3 and

uant to
sses.

APPLICATION NO: _______________

000000TIPM-OSA-015
Revision Status/Date: 2 / 2016 June 1