ERESERVE # 82082

Submit to OSA on/before:

UNIVERSITY OF SANTO TOMAS
APR-26-2021
STUDENT ACTIVITY APPROVAL FORM NOTE: Failure to submit the accomplished
form and other requirements on or before the
date specified above will automatically cancel
the event reservation.
Organization: Student Council - CONSERVATORY OF MUSIC
University-Wide Faculty/College/School based
Curricular ACTIVITY WILL BE
In coordination with: Co-Curricular HELD
Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER AND XYLOPHONE Extra-Curricular In-Campus
Off-Campus
Objective: Help improve their acquired skills from the past community development activities.
Teach them the right fundamentals and techniques
Have music students be teachers of the children.

Venue/Destination: Online (Google Meet) No. of Participants: 9

Type of Participants: Students, Others (Non-Thomasians) Contact Person: SABADO, KARL DOMINIQUE RICO

(FOR OFF-CAMPUS) ESTIMATED TIME OF DEPARTURE

Contact No.: 09178107884
ESTIMATED TIME OF ARRIVAL
E-Mail Address: karldominique.sabado.music@ust.edu.ph

INGRESS: SCHEDULE: EGRESS:

DATE FROM TO DATE FROM TO DATE FROM TO
APR-30-2021 FRI 08:00 AM 09:00 AM APR-30-2021 FRI 09:00 AM 03:00 PM APR-30-2021 FRI 03:00 PM 04:00 PM
MAY-01-2021 SAT 09:00 AM 10:00 AM MAY-01-2021 SAT 10:00 AM 11:00 AM MAY-01-2021 SAT 11:00 AM 12:00 PM
MAY-14-2021 FRI 08:00 AM 09:00 AM MAY-14-2021 FRI 09:00 AM 03:00 PM MAY-14-2021 FRI 03:00 PM 04:00 PM
MAY-15-2021 SAT 09:00 AM 10:00 AM MAY-15-2021 SAT 10:00 AM 11:00 AM MAY-15-2021 SAT 11:00 AM 12:00 PM

Nature of Activity: Workshop

Remarks:

REQUIREMENTS SUBMITTED

List of Requirements:
Emergency Project Proposal, List of Participants, 2 Cover Letters (OSA & Simbahayan), Endorsement & Aprroval Form

best
Others/Remarks:

CERTIFICATION/ENDORSEMENT/NOTATION

Krista Clarise B. Del Rosario

Asst. Prof. Thea P. Prosia
SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME
OF PRESIDENT/FACULTY MEMBER OF PRESIDENT/FACULTY MEMBER

COMMITMENT TO ACCOMPANY OF ADVISER/PERSONNEL-IN-CHARGE (PIC)

Asst. Prof. Thea P. Prosia Contact Number: 0906593705

SIGNATURE OVER PRINTED NAME OF THE FACULTY MEMBER/PIC

Contact Number:
SIGNATURE OVER PRINTED NAME OF THE FACULTY MEMBER/PIC

Contact Number:
SIGNATURE OVER PRINTED NAME OF THE FACULTY MEMBER/PIC
NOTE: For additional accompanying Faculty Members, please attach another sheet. Faculty Member in-charge is accountable in the collection of reply slips and medical certificates.

ACTION TAKEN

Noted: Asst. Prof. Emmanuel Jeric A. Albela Date April 20, 2021
SIGNATURE OVER PRINTED NAME OF THE SWDB COORDINATOR

Endorsed/Approved: Assoc. Prof. Antonio P. Africa, Ph.D. Date 20 April 2021

SIGNATURE OVER PRINTED NAME OF THE DEAN
SGD.
Endorsed/Approved: Rev. Fr. Jose Ma. B. Tinoko, O.P., JCD Date 20 April 2021
SIGNATURE OVER PRINTED NAME OF THE REGENT
VENUE ENDORSEMENT REQUIREMENT (if applicable)

Office/Department: NOT APPLICABLE

Approved: Date

ACTION TAKEN BY THE OFFICE FOR STUDENT AFFAIRS

Organization: Student Council - CONSERVATORY OF MUSIC

Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER AND XYLOPHONE

Noted / Endorsed / Approved: Date

19/04/2021 15.13.26 Page 1 of 1 UST:S006-00-FO02

Project Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
Lead Organization: CONSERVATORY OF MUSIC STUDENTS

University of Santo Tomas

Simbahayan Community Development Office

Room 101, Tan Yan Kee Student Center

Emergency
España, Response Project Proposal
Manila 1015, PHILIPPINES
Organization Information
Lead
Organization:
Conservatory of Music Students

£ University-wide Student R Local Student Organization

Affiliation (check Organization
Faculty/College (Please write inside the box
only one): £ NSTP below):
£ Others __________________
09060593705
theaprosia@ymail.com
Prosia Thea P.
Contact Account#0159-0415-49 (BPI
Person: Espana Branch)
Contact Number, Email &
Last Name First Name M.I.
Bank Account
Collaborating
Organizations Sitio Malasa
(write NA if none):
General Project Overview
Project Title (not
more than 15 MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
words):
£ Health and Wellness Development £ Socio-pastoral Ministry and Evangelization

£ Equitable and Inclusive Education R Heritage, Culture and Sports and

Program Area for Development
Development £ Leadership, Organizational Development
(check only one): £ Environmental Sustainability and Action
and Good Governance
£ Employability and Social Enterprise £ Disaster Risk Reduction and Management
Development
Target
Community/ Sitio Malasa 29 Participants / Sitio Malasa
Institution
Participants: Community(ies) or Institution(s) Number of Participants/ Sector
Date(s) and April 22-24,April
202130; May 1, 2021 Online Sitio Malasa
Venue(s) of
Project
May 13-15, 2021 May 14-15, 2021 Online Sitio Malasa
Implementation Month. Date. Year Room No. / Building Name / Village or Barangay / City or
(add rows when Street Address Province
necessary):
Php 4, 256.00 Php 0.00 Php 0.00
Proposed Project
Budget in Php:

_______________________________________________________________________________________
UST SIMBAHAYAN Emergency Response Project Proposal Form UST:S040-00-FO44 Page 1 of 5
Project Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
Lead Organization: CONSERVATORY OF MUSIC STUDENTS

Community Service Fund Organizational Counterpart Community Counterpart

Project Details
PROJECT BACKGROUND AND GENERAL OBJECTIVE:

Why was the project conceptualized? (State the need/s of the community/ies that would be addressed by
this project)

Our target community has been our past partner for our project. They expressed their sincere desire to learn
music.

What is the overall intention/objective of your community development project?

• Help improve their acquired skills from the past community development activities.
• Teach them the right fundamentals and techniques.
• Have music students be teachers of the children.

EXPECTED RESULTS: What are the expected results that need to be fulfilled in order to achieve the general
objective of your community development project? Identify at least three expected results specifically in
project, organizational, community. (Please fill out the matrix provided below)

Aspects Expected Results

1. Project Further knowledge in music and acquire advanced skills from what they
had learned before.

2. Organizational The facilitators are anticipated to become more adept in their chosen
field which is music

3. Community To develop the participants’ skill in music while providing enjoyment as

part of their leisure

PROJECT DETAILS: What are the basic details of the project that needs to be followed in order to guide the
successful implementation and completion of your community development project? (Please fill out the matrix
provided below.)

_______________________________________________________________________________________
UST SIMBAHAYAN Emergency Response Project Proposal Form UST:S040-00-FO44 Page 2 of 5
Project Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
Lead Organization: CONSERVATORY OF MUSIC STUDENTS

PROPOSED BUDGET: State the approximate or anticipated cost of the project. Please note that Simbahayan’s policy is to make a contribution to your project, but
not to provide 100% of the cost. Therefore, it is important that you record the extent of funding counterparts to the project. Please prepare one budget proposal per date
of implementation. Create a new table per project phase and provide a summary table.
Date of Implementation:
Item Description Community Service Organization Community
(Quantity x Monetary Value x No. of Fund Counterpart Counterpart
Days)
1. Operations and Logistics (please add or delete sub-items and corresponding rows when necessary)
Transportation (identify if bus, coaster, PhP 00.00 x 6 days PhP 00.00 PhP 00.00 PhP 00.00
canter, or van)
Communications PhP 00.00 x 6 days PhP 00.00 PhP 00.00 PhP 00.00
Sub-Total 1: PhP 00.00 PhP 00.00 PhP 00.00
2. Materials and Supplies (please add or delete sub-items and corresponding rows when necessary)
Pieces 45 x PhP 00.00 PhP 00.00 PhP 00.00 PhP 00.00
DRM Flute Recorder 7 x PhP 90.00 PhP 630.00 PhP 00.00 PhP 00.00
Lazer 5A Drumsticks 3 x PhP 80.00 PhP 240.00 PhP 00.00 PhP 00.00
Alice Classical Guitar String 1 x PhP 120.00 PhP 120.00 PhP 00.00 PhP 00.00
Fender Acoustic Guitar Strings 1 x PhP 70.00 PhP 70.00 PhP 00.00 PhP 00.00
Multifunctional Tuner 2 x PhP 150.00 PhP 300.00 PhP 00.00 PhP 00.00
Guitar Picks Plectrum (10 pcs) 1 pack x PhP 40.00 PhP 40.00 PhP 00.00 PhP 00.00
Type C to HDMI cable 1 x PhP 600.00 PhP 600.0 PhP 00.00 PhP 00.00
Sub-Total 2: PhP 2,000.00 PhP 00.00 PhP 00.00
3. Others (please add or delete sub-items and corresponding rows when necessary)
WIFI Load 2 x PhP 120.00 PhP 240.00 PhP 00.00 PhP 00.00
Delivery Fee (LBC) 1 box x Php 1,500.00 PhP 1,500.00 PhP 00.00 PhP 00.00
Shipping Fee (Shopee/Lazada) 1 x PhP 400.00 PhP 400.00 PhP 00.00 PhP 00.00
Evaluation forms (printing 29 x PhP 1.00 PhP 29.00 PhP 00.00 PhP 00.00
Certificates (printing) 29 x PhP 3.00 PhP 87.00 PhP 00.00 PhP 00.00
Sub-Total 3: PhP 2,256.00 PhP 00.00 PhP 00.00
Overall Total: PhP 4,256.00 PhP 00.00 PhP 00.00
* Toll Fee shall be shouldered by the requesting organization.

_______________________________________________________________________________________
UST SIMBAHAYAN Emergency Response Project Proposal Form UST:S040-00-FO44 Page 3 of 5
Project Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
Lead Organization: CONSERVATORY OF MUSIC STUDENTS

PROJECT EVALUATION:

How will the project's achievements be evaluated?

We will be culminating activities at the end of each session to see their learning progress from our
workshops.

What needs to be done in the long term in order for the community to be able to own and manage the
community development project initiated/facilitated by your organization?

The community participants should be able to truly understand and remember all of the things that
we will teach them in order for them to be able to manage own their own.

x
PROJECT ENVIRONMENTAL SUSTAINABILITY:

How can your project ensure that care for creation and environmental sustainability is observed this project?

No materials will be wasted because our workshop will be held on an online platform and all of the
participants just need to listen and to use their instruments as they are being instructed.

_______________________________________________________________________________________
UST SIMBAHAYAN Emergency Response Project Proposal Form UST:S040-00-FO44 Page 4 of 5
Project Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
Lead Organization: CONSERVATORY OF MUSIC STUDENTS

pig
Krista Clarise B. Del Rosario
Project Head
UST Conservatory of Music

Asst. Prof. Thea Perez-Prosia

Community Development Coordinator
UST Conservatory of Music

SGD.
Asst. Prof. Antonio P. Africa, Ph.D. Rev. Fr. Jose Ma. B. Tinoko, O.P.
Dean Regent
UST Conservatory of Music UST Conservatory of Music

_______________________________________________________________________________________
UST SIMBAHAYAN Emergency Response Project Proposal Form UST:S040-00-FO44 Page 5 of 5
 University of Santo Tomas
Simbahayan Community Development Office
Room 101, Tan Yan Kee Student Center
España, Manila 1015, PHILIPPINES

Community Development Endorsement and Approval Form

Project Title: MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER
Proponent: Conservatory of Music students Affiliation: Local Student Organization
Program Area: Online Platform (Google Meets)
Target Community(ies) /
Sitio Malasa
Institution(s):

April 20; May 1, 2021 Proposed

Date(s) of Implementation: May 13-15, 2021 CSF PhP 4, 256.00
Budget:
Endorsement from the Community Development Coordinator (only for local student organizations)
Comments:
______________________________________________
The requesting organization above have accomplished
_
the following requirements in order to be considered for
funding support: (Please mark ü if accomplished and û if ______________________________________________
otherwise): _
______________________________________________
£✓ Terminal and £ Presence of Profile of the
_
Expense Reports of chosen partner community
Previous Projects ______________________________________________
or institution _
£ Attendance in £ Presence of MOA/MOU I
£ I have thoroughly reviewed the community
Community with the chosen partner development project /research proposal stated above;
Development community or institution hence, I hereby endorse it for processing.
Orientation
The assigned Budget Code is: ____________________

Asst. Prof. Thea P. Prosia

Signature over Printed Name / Date

Endorsement from the Program Area Coordinator Approval from the Director
Comments: Comments:
______________________________________________ ______________________________________________
_ _
______________________________________________ ______________________________________________
_ _
______________________________________________ ______________________________________________
_ _
______________________________________________ ______________________________________________
_ _
______________________________________________ ______________________________________________
_ _
______________________________________________ ______________________________________________
_ _
______________________________________________ ______________________________________________
_ _
Please put a üin the box for the statement of your choice:
Cash Requisition Number: ___________________________________________ Date: ______________

UST:S040-00F022 rev03 08/23/16

______________________________________________ £ I hereby approve the abovementioned community
_ development project/research proposal.
______________________________________________ £ I hereby disapprove the abovementioned community
_ development project/research proposal.
Please put a üin the box for the statement of your choice:
£ I hereby recommend for approval the abovementioned Approved Budget: _____________________________
community development project/research proposal. Final Budget Code is:___________________________
£ I do not recommend for approval the stated community
development project/research proposal above.

Budget to be approved: ________________________ Signature over Printed Name / Date

Signature over Printed Name / Date

Cash Requisition Number: ___________________________________________ Date: ______________

UST:S040-00F022 rev03 08/23/16

February 21, 2020

ASST. PROF. FROILAN A. ALIPAO, MCD

Director, Simbahayan
University of Santo Tomas

Dear Asst. Prof. Alipao,

Greetings in the name of St. Thomas Aquinas!

The Conservatory of Music Student Council and the MUS9072 class would like to conduct our annual community
development activity entitled: “MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER” to our partner
community, Sitio Malasa in Tarlac. This aims to share the talents of the students to the target community, and to develop
and extend the skills that the community had learned during the previous workshops.

With your permission and blessing, we will have this event on April 30 and May 1, 14, 15 2021 via Google Meet.

Thank you and God bless!

Yours in Thomasian leadership,

pp
Krista Clarise B. Del Rosario
Project Head
UST Conservatory of Music Student Council

Noted by:

Asst. Prof. Thea Perez – Prosia

Community Development Head, Conservatory of Music
University of Santo Tomas
February 21, 2020

ASST. PROF. MARIA CECILIA A. TIO CUISON, MEd

Director, Office for Student Affairs
University of Santo Tomas

Dear Asst. Prof. Tio Cuison,

Greetings in the name of St. Thomas Aquinas!

The Conservatory of Music Student Council and the MUS9072 class would like to conduct our annual community
development activity entitled: “MUSIC WORKSHOPS: CHOIR, DRUMS, GUITAR, RECORDER” to our partner
community, Sitio Malasa in Tarlac. This aims to share the talents of the students to the target community, and to develop
and extend the skills that the community had learned during the previous workshops.

With your permission and blessing, we will have this event on April 30 and May 1, 14,15,2021 via Google Meet.

Thank you and God bless!

Yours in Thomasian leadership,

pf
Krista Clarise B. Del Rosario
Project Head
UST Conservatory of Music Student Council

Noted by:

Asst. Prof. Thea Perez – Prosia

Community Development Head, Conservatory of Music
University of Santo Tomas
LIST OF PARTICIPANTS
● UST STUDENT PARTICIPANTS
○ Richmond O. Aviles
○ Aron Gabriel V. Abuedo
○ Joshua Emmanuel A. Bolusa
○ Gwyneth R. Bruno
○ Fiona Mae F. Bugay
○ Kimberly Anne P. Camiling
○ Krista Clarise B. Del Rosario
○ Raphael B. Resurrecion

● RECORDER GROUP
○ Richard Acosta
○ Darcel Busa
○ Anlie Caridad
○ Hazel Anne Cuyo
○ Roben Daria
○ Margielyn Garcia
○ Ma. Cassandra Ramos
● GUITAR GROUP
○ James Cairo Abisia
○ Bryler John Busa
○ Jenesis Busa
○ Beni Rose Daria
○ Ferden A. Ramos
○ Hyrish Tinaypan
● CHOIR GROUP
○ Bryler John Busa
○ Bea Rose Daria
○ Beni Rose Daria
○ Princess Esquerra
 ○ Jay-ann Garcia
○ Ma. Lusia Ramos
○ Herson Sumawang
● DRUMS GROUP
○ Christine Cuyo
○ Berni Daria
○ Jerry Boy Sumawang

Signed by:

Asst. Prof. Thea Perez-Prosia

Community Development Coordinator
UST Conservatory of Music