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ANNEX A

STU CSO Partnership Form 1


STU CSO Partnership Form 1: CSOs/volunteer individuals and groups, and private firms/ institutions engaged in the implementation of COVID-19 response and recovery programs/ projects.

Was the What outcome the


Accrediting Agency of Organization CSO would like its
the Organization implementing Service to Contribute What specific LGU the CSO
identified in column 1 COVID-19 to COVID-19 would like to implement
CSO Focal Person to be Contacted by the LGU (include phone
Name of Organization (e.g. SEC, DOLE, initiatives in Programs? What the the service?
number/s and e-mail addresses)
NO. (CSO, Peoples Org, DSWD, LGU, HLURB, coordination with CSO wants to (Specify the Municipality
Business Org, Informal Org) CDA, etc.) Government Implement/be and Province)
IF informal before September involved from
organizations, please 1, 2020? (Y/N) September to
write NONE December 2020? Name of
Yes (Y) No (N) (See Attached List) Municipality Province Contact Number/s E-mail Addresses
Focal Person

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NOTE: You may use additional sheet, if necessary.


ANNEX B
STU CSO Partnership Form 3
STU CSO Partnership Form 3: CSOs by Type of COVID-19 Service and Location

CSOs by Outcome they Commit to Support

No Name of LGU Increase Contact Tracing Change in People's


Resilient and Healthy Opportunity for Livelihood
Capacity of Local Behavior by Following
Community and Social Enterprise
Government Units (LGUs) Health Protocols

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NOTE: You may use additional sheet, if necessary.


ANNEX C
STU Report Form 4

STU Form 4: Report Template

Indicator: Increase in the number of CSOs/ volunteer groups and private firms/ institutions engaged in the implementation of COVID-19 response and recovery programs/ projects

Agency: _____________________________________________
As of _______________________________________________

Name of CSO/ volunteer groups and Duration of Service to


Estimated No. of Beneficiaries Estimated Cost Remarks
private firms/ institutions/ partners Type of Major Service/ Implementation Period
Areas
involved with the implementation of Activity Conducted (cumulative from include verifiable
No. Families/ Individuals Covered mm/yy mm/yy
COVID-19 response and recovery March 1, 2020 to source* of estimate
HHs Started Ended
programs/ projects Select from pulldown choices Male Female Total reporting date) cost in Column 4
(1) (2.1) (2.2) (2.3) (3) (4) (5) (6) (7)

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NOTE: You may use additional sheet, if necessary.

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