OFFICE OF THE VICE PRESIDENT FOR ACADEMIC AFFAIRS OFFICE OF THE VICE PRESIDENT FOR STUDENT AFFAIRS FOR ‘ All College Deans and Department Chairs FROM ; The Vice President for Academic Affairs The Vice President for Student Affairs SUBJECT = ‘SUBMISSION OF DOCUMENTARY REQUIREMENTS FOR . ‘CURRICULUM-BASED OFF-CAMPUS ACTIVITIES DATE : August 12, 2016 “ For your guidance and compliance, please be reminded of the following documents to be submitted to CHED in relation to CMO No. 17 s. of 2012, “Policies and Guidelines on Educational Tour and Fleld Trips of Colleges and Graduate Studies” as follows: 1. To be submitted one month before the actual conduct of Tour/Trip {please see attached Item A of Checklist of Requirements, numbers 1 to 16). 2. To be submitted fifteen (15) days after the actual conduct of Tour/Trip (please see attached Items & and C of Checklist of Requirements). Thank you for your cooperation. ClnsTorete” (wud Vice President for Academic Affairs: Vice Prpsident for Student AffairsAnnes A Checklist of Requirements £. Policies and Guidelines on Educational Tours. and Field Trips of College and Graduate Students . Date: Far CMO No. JA" Before th or Fuels Tp. i 1 Educa laciuged in the: [corresponding unit credits and time curnieukyei allotment whether whether fecture or | laboratory hours specity Course tiie and unit eredus 2. Guigelmes of concemed |Updated Guidelines of concemed HEI. 1 HEleciuded i the: included in the stlient's handibaok. | students handbook, {displayed in conspicuo¥s places, and displayed in deluded in the General Orientation of conspiious places Freshmen and saciudes in the : é Generat Orientation ot} Freshmen ig ‘outline of Assessment Report to be fil is by the concemed faculty and students 3 ea Lae Pe So eee oe ‘utly-in-charge Faculty-in-charge i | | ; i Ja. Present cesignatic _ { 1 | ict cerita se is nile af mal (3. with Tetlar of nodiicavion Wem that | | |Aaministration indizaung Facutyene | charge role and resoponsibitites before, | | ? | during and after the educational tours | {and field nips | | [4 Advances ad propeny 1Advance ‘and properly coordinated wit | eae «| : i coordinated tithe ithe Local Government and other | | (oval Gaverunent and /eoncerned non government offices wit! | a | ' | sine concuned non- ftetter request by the sending HE! ang | \ government off cies Bcknowledged/approved by LGUSINGOs | |y Consultshon conducied [Consunaven conducted to GonCanee ta.cancerned students faculty and stakeholders with | Complied 1 No | 400 in jee ise munutes.of consultation and oie | stakenokiers attendee’s signature i | | Gestinalion chosen [Bestination chosen, consWering cost an t Considering cost and /benefit requirements, safety, an atte! denebRyvirements —jrelevance with the subject matter i 7, Fand and othe Fund and other rasourecs properly | fesources properly Secured and accounted for : secured i i Ht | & Erefing to concemed —<{Bristing to Concemed faculty and 1 ‘acuity and stugents | students and provide the needed info 4 |! [materiats | ENS 98 GIES AT ta OY ic ccetica travel f whe lagency (if 2ppropriaté) with attached Ze * <= |Gant Chart dulyzapproved bythe HEI >} | Copy of the itinerary and Travel Agency's or Tour Operators [Accreditation Cerificate issued uiance for Students faculty, and other werned stakeholaers Inaividual or group insurance for i students, faculty, and other concerned ! stakeholders i con 11. Format of Leaming Standard Format of Learning joumels T j umals avon to igiven to students era 7 eel | Stuzienis ! 12, Announcement te [Announcement to student | Students, faculty and foarents made one(1) to two (23 jeeee:| parents JOslore the scheduled date of educational | | i | ftourtield tip I | | aL [Risk Assessment plans and preventive T measures given to students anu |stakeholoor ment plans14, Medical clearance of students edule of fees (cluding its details) 1 i a|Meaical clearance of students and Imedical aid kits are plovided Medical clearance duly signed by the Parent or Physician of Waiver Written schedule of fees disseminated to concerned stakeholders. | complied | Yes | No Remars. cca vigusidian conseni” | duly-netaized be tequiedbatore the [Duly notarized conseitt submitted before |» educational tour or field '|{"e activity be tp. : Fo, dung tne Eaucational | | weld Trip. noe i ‘= | 1 (Seausay of me stadenis | concerned parents of guardians were ad = |property informed of the HEI guidelines | “i per implementation fon the conduct of udaeational tours andor old |Progiam of actvtiosYolowad as planned —— o -gucational visit or. Joractivities adjusted as ine need arises | held trip i Biopeuy coordinated ~~ [Letter or Oa stating the coordination . wih concerned LGU | with concerned LGUS ur NGOs Ceo andiot government or i fon-yowecrment office leoer | [CO ptter the Educational visit’ j rer sole. lai Bil sea 1. Conducted Debiieiing |Documentation af Bebriafing Program} progiam including meng otheis reflection of th exput documented in the or field trip 1 [2 “Assessnientreport oy facully and submitted including details of | amouet expanded 3 Assusdment report by ment report by) facully and submitted including détails of amount Jexpended to be submitted to CHED |Filled-in undertaking form Assessment report by Students [Subinitted to concerned HEL