ACTIVITY DOCUMENTATION FORM

Title of Activity: _ _________________

Name of Organization (if applicable): ____________

Date Implemented: _________ Time Of Implementation: ____________

Place of Implementation: Core Science Academy, Inc.

Participants:

Objectives:

Brief Summary of the Activity:

(Please attach program of activities)

Task Delegation:
Committee(s) Formed Person(s) In charge

Activity Narrative: Please Attach New Page Discussing What Transpires in the Activity (ATTACHMENT A)

Pictures: Please Attach Pictures Depicting the Activity (ATTACHMENT B)

Problems Encountered:
Problems Solutions/Suggested Solution

Expenses: Please Attach New Page Showing Budget and Actual Expenses (ATTACHMENT C)

Benefits:
CONTESTANTS

SCHOOL

COMMUNITY

Conclusions:
Recommendations:

Prepared and Verified by:

Club President
Club Vice President

Noted By:

Club Adviser

Approved By:

School Principal

Date Received Received By:

Original Copy: Academic Head 2nd Copy: DEPED 3rd Copy & Softcopy: Career Adviser 4th Copy: File
(ATTACHMENT A)

(ATTACHMENT B)
 (ATTACHMENT C)

Resources & Budget:

Materials Needed & Estimated Cost; Registration, Solicitation, Donation

Total Estimated Expenses: ____________