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NATIONAL SERVICE TRAINING PROGRAM

CIVIC WELFARE TRAINING SERVICE II


COMMUNITY SERVICE WORKSHEET
SCHOOL YEAR 2021-2022

NAME: ____________________COURSE/YEAR:___________________

BIRTHDATE:_______________ SCHEDULE: ___________________

COMPLETE ADDRESS :______________________________________

CONTACT NO._________________ EMAIL: _____________________

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TABLE OF CONTENTS

Page

CIVIC WELFARE TRAINING SERVICE FIELD WORK CHECKLIST


A. Things To Do In Actual Community Field Work of CWTS Classes ........................
B. Worksheet to be Accomplished...........................................................................
C. CWTS Project Proposal Topics Based on Dimension of Development................

CWTS FIELD WORKSHEET


Preparation of Project Proposal................................................................................

CWTS Work Plan Activities.........................................................................................

Action Plan Matrix......................................................................................................

Questionnaire............................................................................................................

Evaluation Sheet For Nstp Project Accomplishment.............................................................

Community Project Evaluation..............................................................................................

Worksheet 1...............................................................................................................
Worksheet 2...............................................................................................................

Worksheet 3...............................................................................................................

Evaluation Sheet For Nstp Project Accomplishment(Faculty)...............................................

Community Project Evaluation..............................................................................................

Worksheet 4...............................................................................................................

Evaluation Sheet For Nstp Project Accomplishment.............................................................

Community Project Evaluation..............................................................................................

Worksheet 5...............................................................................................................

Evaluation Sheet For Nstp Project Accomplishment.............................................................

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Community Project Evaluation..............................................................................................
NSRC APPLICATION FORM.....................................................................................................
GUIDELINES AND PROCEDURES IN THE ADMINISTRATION OF THE SCHOOL-BASED
COMPONENT OF THE NATIONAL SERVICE RESERVE CORPS (NSRC)………………

CIVIC WELFARE TRAINING SERVICE FIELD WORK CHECKLIST

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Worksheet to be Accomplished
1. CWTS-CO/CD Plan of Activities
2. CWTS Work Plan (Gantt Chart)
3. Action Plan Matrix
4. Questionnaire
5. Evaluation Survey Form
6. Post-Community Outreach Narrative Report
7. Community Evaluation

CWTS Project Proposal Topics Based on Dimension of Development

 Community health care services


 Disaster preparedness
 First aid and emergency safety measures
 Family planning
 HIV-AIDS/STD Prevention
 Environmental Education
 Livelihood programs
 Literacy and Numeracy Education
 Campus-based projects
 Entrepreneurship
 Religious ethics ,Morality, and Values Education
 Political advocacy and Patriotism/nationalism

Questionnaire

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A. Spiritual Information

Family Members Baptism Confirmation Marriage


Church Not Yet Church Not Yet Church Civil NA

1. How often do family members go to mass on Sundays/holidays of obligation?

( ) Regularly ( ) Not at all

( ) Seldom ( ) Others; please specify: _________________

2. How often do family members avail of the Sacrament of Reconciliation?

( ) Regularly ( ) Not at all

( ) Seldom ( ) Others; please specify: _________________

3. How often do family members receive Jesus Christ in the Blessed Eucharist?

( ) Regularly ( ) Not at all

( ) Seldom ( ) Others; please specify: _________________

4. Is there a family member who is active in any civic/religious organization in your parish?

( ) None

( ) Yes, a member of the __________________________________________ and the


position held is___________________________________________________________

B. Socio-economic Information
1. Do you have any of the following?
a. House (specify the type) Lot (Specify the type)
( ) Owned ( ) Owned
( ) Rented ( ) Rented
( ) Free stay ( ) Leased
( ) None
b. Appliances
( ) Radio ( ) Electric flat iron

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( ) T.V ( ) Washing machine
( ) Refrigerator ( ) Beta/VHS player
( ) Electric fan ( ) Oven/Toaster
( ) Electric Stove ( ) Others; please
specify:_______________
c. Furniture and Fixtures
( ) Sala set ( ) Curtains and draperies
( ) Aparador ( ) Other chairs and tables
( ) Cabinets ( ) Others; please specify
( ) Dining tables and chairs
d. Recreational/Educational Facilities
( ) Playground ( ) Barangay Library
( ) Basketball court ( ) Others; please specify
2. Have you attended seminars?
( ) Yes
( ) No
3. Who is the proponent/sponsor of these seminars you have attended?
( ) Government ( ) Organizations in your community
( ) NGO ( ) Others; please specify: ___________
4. What kind of seminars have you attended? Please indicate the title, place and the date
conducted.
Seminar Title Sponsor Inclusive Dates Venue

5. What did you learn from these seminars? (Please answer as honestly as you can).
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
6. Do you think that what you have learned from the seminar/s was were enough or do
you want something more?
( ) Enough

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( ) Want something more
( ) No comment
7. If given the chance to choose the kind of training/seminar/workshop to be provided,
what would you prioritize?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

B. Transportation and Communication Information

1. Transportation available in the area

( ) PUJ ( ) Taxi
( ) PUB ( ) LRT/MRT
( ) Pedicab ( ) Own a car/jeep
( ) Others; please specify: __________________
2. Communication system available in the area

( ) Telephone ( ) Beeper
( ) Letter ( ) Telegram
( ) Cell phone ( ) Others; please specify:

C. Health and Sanitation

1. Please describe the health condition of the family.

Did you buy the


Family members Type of medical
prescribed
who got sick Type of illness attention availed of
medicine? If not,
recently (doctor, clinic, etc.)
why?

2. Source of drinking water and distance from residence:

( ) Nawasa/Water district ( ) None


( ) Deep well ( ) Pumpwell dynamo
( ) Pitcher type ( ) Others; please specify:
( ) Rationed (bought commercially) Distance is ____________

3. How do you dispose of your garbage?


( ) Plastic bags ( ) Trash cans ( ) Open pit ( ) River/estero

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4. Describe the type of toilet used

( ) Flushed ( ) Water-sealed ( ) Open pit ( ) River/estero

D. Literacy Information

1. Do you read: ( ) Newspapers ( ) Magazines ( ) Comics


( ) Books ( ) Others; please specify:
_____________________

2. What information/news do you prefer?

( ) About government ( ) About crimes ( ) About job placements


( ) Showbiz ( ) Gossips/hearsays ( ) Other; please specify:
____________

E. Misdemeanors in the Community

1. In your honest opinion, what social problems do you observe and see in your
community?

( ) Drug addiction ( ) Drug-pushing


( ) Alcoholism ( ) Gambling
( ) Theft ( ) Robbery
( ) Murder ( ) Prostitution
( ) Neighborhood quarrels ( ) Wife-beating with serious physical
injuries
( ) Staffa ( ) Child abuse and exploitation
( ) Abortion ( ) Others; please specify:
_________________

2. Who are directly involved in these misdemeanors?

( ) Parents ( ) Children
( ) Outsiders ( ) Goons
( ) Authorities themselves ( ) Others; please specify: ___________

3. Have you been a direct witness or have you heard of any information about a
misdemeanor committed in your community? If YES, please specify the details.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4. Have you barangays officials or the police acted upon these misdemeanors committed
in your community? If YES, please specify the result. If NO, why?

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________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

5. What do you think is the cause or causes of these problems?

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

6. What can you recommend to minimize at least or to eradicate completely these


problems?

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7. To whom would you address these recommendations?

( ) Government ( ) NGO’s ( ) Church


( ) Barangay Officials ( ) Rich people ( ) Politicians
( ) Others; please specify: ______________________

8. Do you feel that these problems in your community can be solved if assistance will be
provided by any of those you selected in item # 7?

( ) YES ( ) NO. Why?


Interviewed by:

__________________________

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CWTS Work Plan of Activities

(GANTT CHART)

IMPLEMENTOR’S NAME:
SECTIONS:
GROUP NAME

PROJECT/ OBJECTIVES STRATEGIC MONTH: IMPLEMENTORS/PERSON INVOLVED


ACTIVITIES PLAN WEEK NO.:
1 2 3 4 1 2 3 4 1 2 3 4

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ACTION PLAN MATRIX
CIVIC WELFARE TRAINING SERVICES (CWTS)
SY:____________
NAME OF PROGRAM:
OBJECTIVE:

AREAS OF OBJECTIVE SITUATIONER/ ACTIVITY/ DATE VENUE CLIENTELE RESOURCES PERSON EXPECT EVALUATING
CONCERN PROBLEMS STRATEGY BENEFICIARY BUDGET RESPOSIBILITIES OUTCOME

PREPARED BY:

NOTED BY:

APPROVED BY:

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EVALUATION SHEET FOR NSTP PROJECT ACCOMPLISHMENT

(EVALUATION FOR INSTRUCTOR & COORDINATOR)

NAME OF PRESENTER / REPORTER: ____________________________________________

1. DOCUMENTATION & PRESENTATION (20%) RATING REMARKS

• PROJECT PROPOSAL (8%) ________ ________

• MONITORING & EVALUATION DOCUMENTS (7%) ________ ________

• ORAL PRESENTATION (5%) ________ ________

2. IMPLEMENTATION OF PROJECT/S (20%)


 PREPARATORY AND PLANNING ACTIVITIES (10%) ________ ________
 COMPLETION AND EVALUATION (10%) ________ ________
3. SOCIAL ENTREPRENUERSHIP / SYNERGY (20%) ________ ________
 EVIDENCE OF COMMUNITY / PARTNERS INVOLVEMENT

AND NATURE OF INVOLVEMENT (10%) ________ ________

 RESOURCES UTILIZED / CONTRIBUTED (5%) ________ ________


 ACTUAL ATTENDANCE OF PARTICIPANTS

DURING PROJECT IMPLEMENTATION (5%) ________ ________

4. SOCIAL IMPACT (40%)


 NEEDS RESPONSIVENESS (15%) ________ ________
 SUSTAINABILITY (15%) ________ ________
 DOCUMENTARY EVIDENCE (10%) ________ ________

RATING: ____________________

REMARKS:

______________________________________________________________________________

EVALUATED BY: ______________________________________

ATTESTED BY: ______________________________________

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COMMUNITY PROJECT EVALUATION

(EVALUATION FOR COMMUNITY MEMBERS)

Project Title: ____________________________________

Date Accomplished: ______________________________

Name of Evaluator (Optional): ______________________________ Contact No.: ____________________________

Instruction: Please assess the effectiveness of our project by encircling the number that presents your response. (Lagyan ng grado
ang aming proyekto kong ito ay epektibo o hindi sa pamamagitan ng pagpili ng numero na nakikita sa ibaba na naayon sa inyo).

EXCELLENT AVERAGE POOR

A. Project Objective (Layunin ng Proyekto) 5 4 3 2 1


B. Suitability of Project Location (Kaangkupan ng Proyekto sa Lugar) 5 4 3 2 1
C. Physical Arrangement of Location (Kaayusan sa Kaganapang Lugar) 5 4 3 2 1
D. Coordination of Activities (Pagkasunod-sunod ng mga Gawain o aktibidades) 5 4 3 2 1
E. Public Awareness (Kaalaman ng Publiko) 5 4 3 2 1
F. Duration of Activities (Panahong nasakupan ng Programa) 5 4 3 2 1
G. Overall Effectiveness (Pang kalahatang Kahalagahan) 5 4 3 2 1

Total: ___________________

Any suggestions that you can recommend to improve the project (Suhestyon na maibibigay para mapabuti ang proyekto):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

=============================================THANK YOU=================================================

13
WORKSHEET 1

Group Name: _______________________ Date:_____________

Position: _________________________ Venue: ___________

I. Instruction:

1. Fill-up the questionnaire below based on the tally/result of your interview.


2. Based on the result write your recommendation or proposed activity that will
best resolve/improve the community.
3. Give your short observation during the conduct of community assessment.

II. Questionnaire
A. Spiritual Information

Family Members Baptism Confirmation Marriage


Church Not Yet Church Not Yet Church Civil NA

2. How often do family members go to mass on Sundays/holidays of obligation?

( ) Regularly ( ) Not at all

( ) Seldom ( ) Others; please specify:


___________________

2. How often do family members avail of the Sacrament of Reconciliation?

( ) Regularly ( ) Not at all

( ) Seldom ( ) Others; please specify:


___________________

3. How often do family members receive Jesus Christ in the Blessed Eucharist?

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( ) Regularly ( ) Not at all

( ) Seldom ( ) Others; please specify:


___________________

4. Is there a family member who is active in any civic/religious organization in your parish?

( ) None

( ) Yes, a member of the __________________________________________ and the


position held is___________________________________________________________

B. Socio-economic Information
8. Do you have any of the following?
a. House (specify the type) Lot (Specify the type)
( ) Owned ( ) Owned
( ) Rented ( ) Rented
( ) Free stay ( ) Leased
( ) None
b. Appliances
( ) Radio ( ) Electric flat iron
( ) T.V ( ) Washing machine
( ) Refrigerator ( ) Beta/VHS player
( ) Electric fan ( ) Oven/Toaster
( ) Electric Stove ( ) Others; please
specify:_______________

c. Furniture and Fixtures


( ) Sala set ( ) Curtains and draperies
( ) Aparador ( ) Other chairs and tables
( ) Cabinets ( ) Others; please specify
( ) Dining tables and chairs

d. Recreational/Educational Facilities
( ) Playground ( ) Barangay Library
( ) Basketball court ( ) Others; please specify

9. Have you attended seminars?


( ) Yes
( ) No

10. Who is the proponent/sponsor of these seminars you have attended?


( ) Government ( ) Organizations in your community

15
( ) NGO ( ) Others; please specify:
________________

11. What kind of seminars have you attended? Please indicate the title, place and the date
conducted.
Seminar Title Sponsor Inclusive Dates Venue

12. What did you learn from these seminars? (Please answer as honestly as you can).

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
13. Do you think that what you have learned from the seminar/s was were enough or do
you want something more?
( ) Enough
( ) Want something more
( ) No comment

14. If given the chance to choose the kind of training/seminar/workshop to be provided,


what would you prioritize?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

C. . Transportation and Communication Information

1. Transportation available in the area

( ) PUJ ( ) Taxi
( ) PUB ( ) LRT/MRT

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( ) Pedicab ( ) Own a car/jeep
( ) Others; please specify: __________________

2. Communication system available in the area

( ) Telephone ( ) Beeper
( ) Letter ( ) Telegram
( ) Cell phone ( ) Others; please specify:

D. Health and Sanitation

2. Please describe the health condition of the family.

Did you buy the


Family members Type of medical
prescribed
who got sick Type of illness attention availed of
medicine? If not,
recently (doctor, clinic, etc.)
why?

2. Source of drinking water and distance from residence:

( ) Nawasa/Water district ( ) None


( ) Deep well ( ) Pumpwell dynamo
( ) Pitcher type ( ) Others; please specify:
( ) Rationed (bought commercially) Distance is ____________

3. How do you dispose of your garbage?


( ) Plastic bags ( ) Trash cans ( ) Open pit ( ) River/estero

4. Describe the type of toilet used

( ) Flushed ( ) Water-sealed ( ) Open pit ( ) River/estero

E. Literacy Information

3. Do you read: ( ) Newspapers ( ) Magazines ( ) Comics


( ) Books ( ) Others; please specify:
_____________________

4. What information/news do you prefer?

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( ) About government ( ) About crimes ( ) About job placements
( ) Showbiz ( ) Gossips/hearsays ( ) Other; please specify:
____________

F. Misdemeanors in the Community

9. In your honest opinion, what social problems do you observe and see in your
community?

( ) Drug addiction ( ) Drug-pushing


( ) Alcoholism ( ) Gambling
( ) Theft ( ) Robbery
( ) Murder ( ) Prostitution
( ) Neighborhood quarrels ( ) Wife-beating with serious physical
injuries
( ) Staffa ( ) Child abuse and exploitation
( ) Abortion ( ) Others; please specify:
_________________

10. Who are directly involved in these misdemeanors?

( ) Parents ( ) Children
( ) Outsiders ( ) Goons
( ) Authorities themselves ( ) Others; please specify: ___________

11. Have you been a direct witness or have you heard of any information about a
misdemeanor committed in your community? If YES, please specify the details.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
12. Have you barangays officials or the police acted upon these misdemeanors committed
in your community? If YES, please specify the result. If NO, why?

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

13. What do you think is the cause or causes of these problems?

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

14. What can you recommend to minimize at least or to eradicate completely these
problems?

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________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
15. To whom would you address these recommendations?

( ) Government ( ) NGO’s ( ) Church


( ) Barangay Officials ( ) Rich people ( ) Politicians
( ) Others; please specify: ______________________

16. Do you feel that these problems in your community can be solved if assistance will be
provided by any of those you selected in item # 7?

( ) YES ( ) NO. Why?

III. Based on the result write your recommendation or proposed activity that will best
resolve/improve the community.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____________________________________________________

IV. Give your short observation during the conduct of community assessment.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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WORKSHEET 2

Group Name: _______________________ Date:_____________

Position: _________________________ Venue: ___________

I. Instruction:

1. Formulate your project proposal, work plan and action plan.


2. Paste your project proposal, work plan and action plan on the given page
below.

II. Give a short reflection while doing the said activity.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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Project Proposal 1

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Project Proposal 1

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Action Plan 1

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Work Plan 1

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Project Proposal 2

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Project Proposal 2

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Action Plan 2

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Work Plan 2

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Project Proposal 3

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Project Proposal 3

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Action Plan 3

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Work Plan 3

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Project Proposal 4

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Project Proposal 4

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Action Plan 4

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Work Plan 4

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WORKSHEET 3

Group Name: _______________________ Date:_____________

Position: _________________________ Venue: ___________

I. Instruction:

1. Paste your project proposal, work plan and action plan for your first project on
the given page below.
2. Write your contributions, lesson learned, problem encountered and attach at
least 2 pictures Before and During the community project.

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Approved Project Proposal 1

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Approved Project Proposal 1

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Approved Action Plan 1

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Approved Work Plan 1

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Week 1 During Activity

Paste your picture here

1. Write your short narration during the delivery of project/program.

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Week 1 After Activity

Paste your picture here

1. Write your short narration after the delivery of project/program.

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1. Problem encountered before and during the implementation of
project/program.

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1. Lesson learned on the delivery of project/program.

_____________________________________________________________________
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Week 2 During Activity

Paste your picture here

2. Write your short narration during the delivery of project/program.

_____________________________________________________________________
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Week 2 After Activity

Paste your picture here

2. Write your short narration after the delivery of project/program.

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2. Problem encountered before and during the implementation of
project/program.

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2. Lesson learned on the delivery of project/program.

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Week 3 During Activity

Paste your picture here

3. Write your short narration during the delivery of project/program.

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Week 3 After Activity

Paste your picture here

3. Write your short narration after the delivery of project/program.

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3. Problem encountered before and during the implementation of
project/program.

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3. Lesson learned on the delivery of project/program.

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Week 4 During Activity

Paste your picture here

4. Write your short narration during the delivery of project/program.

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Week 4 After Activity

Paste your picture here

4. Write your short narration after the delivery of project/program.

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4. Problem encountered before and during the implementation of
project/program.

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4. Lesson learned on the delivery of project/program.

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EVALUATION SHEET FOR NSTP PROJECT ACCOMPLISHMENT

(EVALUATION FOR INSTRUCTOR & COORDINATOR)

NAME OF PRESENTER / REPORTER: ____________________________________________

DOCUMENTATION & PRESENTATION (20%) RATING REMARKS

• PROJECT PROPOSAL (8%) ________ ________

• MONITORING & EVALUATION DOCUMENTS (7%) ________ ________

• ORAL PRESENTATION (5%) ________ ________

IMPLEMENTATION OF PROJECT/S (20%)


 PREPARATORY AND PLANNING ACTIVITIES (10%) ________ ________
 COMPLETION AND EVALUATION (10%) ________ ________
SOCIAL ENTREPRENUERSHIP / SYNERGY (20%) ________ ________
 EVIDENCE OF COMMUNITY / PARTNERS INVOLVEMENT

AND NATURE OF INVOLVEMENT (10%) ________ ________

 RESOURCES UTILIZED / CONTRIBUTED (5%) ________ ________


 ACTUAL ATTENDANCE OF PARTICIPANTS

DURING PROJECT IMPLEMENTATION (5%) ________ ________

SOCIAL IMPACT (40%)


 NEEDS RESPONSIVENESS (15%) ________ ________
 SUSTAINABILITY (15%) ________ ________
 DOCUMENTARY EVIDENCE (10%) ________ ________

RATING: ____________________

REMARKS:

______________________________________________________________________________

EVALUATED BY: ______________________________________

ATTESTED BY: ______________________________________

54
COMMUNITY PROJECT EVALUATION

(EVALUATION FOR COMMUNITY MEMBERS)

Project Title: ____________________________________

Date Accomplished: ______________________________

Name of Evaluator (Optional): ______________________________ Contact No.: ____________________________

Instruction: Please assess the effectiveness of our project by encircling the number that presents your response. (Lagyan ng grado
ang aming proyekto kong ito ay epektibo o hindi sa pamamagitan ng pagpili ng numero na nakikita sa ibaba na naayon sa inyo).

EXCELLENT AVERAGE POOR

A. Project Objective (Layunin ng Proyekto) 5 4 3 2 1


B. Suitability of Project Location (Kaangkupan ng Proyekto sa Lugar) 5 4 3 2 1
C. Physical Arrangement of Location (Kaayusan sa Kaganapang Lugar) 5 4 3 2 1
D. Coordination of Activities (Pagkasunod-sunod ng mga Gawain o aktibidades) 5 4 3 2 1
E. Public Awareness (Kaalaman ng Publiko) 5 4 3 2 1
F. Duration of Activities (Panahong nasakupan ng Programa) 5 4 3 2 1
G. Overall Effectiveness (Pang kalahatang Kahalagahan) 5 4 3 2 1

Total: ___________________

Any suggestions that you can recommend to improve the project (Suhestyon na maibibigay para mapabuti ang proyekto):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

=============================================THANK YOU=================================================
55
WORKSHEET 4

Group Name: _______________________ Date:_____________

Position: _________________________ Venue: ___________

I. Instruction:

1. Paste your project proposal, work plan and action plan for second project on
the given page below.
2. Write your contributions, lesson learned, problem encountered and attach at
least 2 pictures Before and During the community project.

56
Approved Project Proposal 2

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Approved Project Proposal 2

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Approved Action Plan 2

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Approved Work Plan 2

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Week 1 During Activity

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1. Write your short narration during the delivery of project/program.

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Week 1 After Activity

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1. Problem encountered before and during the implementation of
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Week 2 During Activity

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2. Write your short narration during the delivery of project/program.

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Week 2 After Activity

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2. Write your short narration after the delivery of project/program.

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2. Problem encountered before and during the implementation of
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Week 3 During Activity

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3. Write your short narration during the delivery of project/program.

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Week 3 After Activity

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3. Write your short narration after the delivery of project/program.

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3. Problem encountered before and during the implementation of
project/program.

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3. Lesson learned on the delivery of project/program.

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Week 4 During Activity

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4. Write your short narration during the delivery of project/program.

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Week 4 After Activity

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4. Write your short narration after the delivery of project/program.

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4. Problem encountered before and during the implementation of
project/program.

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4. Lesson learned on the delivery of project/program.

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EVALUATION SHEET FOR NSTP PROJECT ACCOMPLISHMENT

(EVALUATION FOR INSTRUCTOR & COORDINATOR)

NAME OF PRESENTER / REPORTER: ____________________________________________

1. DOCUMENTATION & PRESENTATION (20%) RATING REMARKS

• PROJECT PROPOSAL (8%) ________ ________

• MONITORING & EVALUATION DOCUMENTS (7%) ________ ________

• ORAL PRESENTATION (5%) ________ ________

2. IMPLEMENTATION OF PROJECT/S (20%)


 PREPARATORY AND PLANNING ACTIVITIES (10%) ________ ________
 COMPLETION AND EVALUATION (10%) ________ ________
3. SOCIAL ENTREPRENUERSHIP / SYNERGY (20%) ________ ________
 EVIDENCE OF COMMUNITY / PARTNERS INVOLVEMENT

AND NATURE OF INVOLVEMENT (10%) ________ ________

 RESOURCES UTILIZED / CONTRIBUTED (5%) ________ ________


 ACTUAL ATTENDANCE OF PARTICIPANTS

DURING PROJECT IMPLEMENTATION (5%) ________ ________

4. SOCIAL IMPACT (40%)


 NEEDS RESPONSIVENESS (15%) ________ ________
 SUSTAINABILITY (15%) ________ ________
 DOCUMENTARY EVIDENCE (10%) ________ ________

RATING: ____________________

REMARKS:

______________________________________________________________________________

EVALUATED BY: ______________________________________

ATTESTED BY: ______________________________________

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COMMUNITY PROJECT EVALUATION

(EVALUATION FOR COMMUNITY MEMBERS)

Project Title: ____________________________________

Date Accomplished: ______________________________

Name of Evaluator (Optional): ______________________________ Contact No.: ____________________________

Instruction: Please assess the effectiveness of our project by encircling the number that presents your response. (Lagyan ng grado
ang aming proyekto kong ito ay epektibo o hindi sa pamamagitan ng pagpili ng numero na nakikita sa ibaba na naayon sa inyo).

EXCELLENT AVERAGE POOR

A. Project Objective (Layunin ng Proyekto) 5 4 3 2 1


B. Suitability of Project Location (Kaangkupan ng Proyekto sa Lugar) 5 4 3 2 1
C. Physical Arrangement of Location (Kaayusan sa Kaganapang Lugar) 5 4 3 2 1
D. Coordination of Activities (Pagkasunod-sunod ng mga Gawain o aktibidades) 5 4 3 2 1
E. Public Awareness (Kaalaman ng Publiko) 5 4 3 2 1
F. Duration of Activities (Panahong nasakupan ng Programa) 5 4 3 2 1
G. Overall Effectiveness (Pang kalahatang Kahalagahan) 5 4 3 2 1

Total: ___________________

Any suggestions that you can recommend to improve the project (Suhestyon na maibibigay para mapabuti ang proyekto):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

=============================================THANK YOU=================================================
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WORKSHEET 5

Group Name: _______________________ Date:_____________

Position: _________________________ Venue: ___________

I. Instruction:

1. Paste your project proposal, work plan and action plan for FINAL on the given
page below.
2. Write your contributions, lesson learned, problem encountered and attach at
least 2 pictures Before and During the community project.

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Approved Project Proposal 3

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Approved Project Proposal 3

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Approved Project Proposal 3

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Approved Action Plan 3

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Approved Work Plan 3

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Week 1 During Activity

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1. Write your short narration during the delivery of project/program.

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Week 1 After Activity

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1. Write your short narration after the delivery of project/program.

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1. Problem encountered before and during the implementation of
project/program.

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1. Lesson learned on the delivery of project/program.

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Week 2 During Activity

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2. Write your short narration during the delivery of project/program.

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Week 2 After Activity

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2. Write your short narration after the delivery of project/program.

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2. Problem encountered before and during the implementation of
project/program.

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2. Lesson learned on the delivery of project/program.

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Week 3 During Activity

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3. Write your short narration during the delivery of project/program.

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Week 3 After Activity

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3. Write your short narration after the delivery of project/program.

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3. Problem encountered before and during the implementation of
project/program.

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3. Lesson learned on the delivery of project/program.

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Week 4 During Activity

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4. Write your short narration during the delivery of project/program.

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Week 4 After Activity

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4. Write your short narration after the delivery of project/program.

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4. Problem encountered before and during the implementation of
project/program.

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4. Lesson learned on the delivery of project/program.

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EVALUATION SHEET FOR NSTP PROJECT ACCOMPLISHMENT FOR FINALS

(EVALUATION FOR INSTRUCTOR & COORDINATOR)

GROUP/TEAM NAME:__________________________________________

OFFICERS NAME & POSITION:

NAME OF PRESENTER / REPORTER: ____________________________________________

DESIGNATION: _____________________________________________________________

1. DOCUMENTATION & PRESENTATION (20%) RATING REMARKS

• PROJECT PROPOSAL (8%) ________ ________

• MONITORING & EVALUATION DOCUMENTS (7%) ________ ________

• ORAL PRESENTATION (5%) ________ ________

2. IMPLEMENTATION OF PROJECT/S (20%)


 PREPARATORY AND PLANNING ACTIVITIES (10%) ________ ________
 COMPLETION AND EVALUATION (10%) ________ ________
3. SOCIAL ENTREPRENUERSHIP / SYNERGY (20%) ________ ________
 EVIDENCE OF COMMUNITY / PARTNERS INVOLVEMENT

AND NATURE OF INVOLVEMENT (10%) ________ ________

 RESOURCES UTILIZED / CONTRIBUTED (5%) ________ ________


 ACTUAL ATTENDANCE OF PARTICIPANTS

DURING PROJECT IMPLEMENTATION (5%) ________ ________

4. SOCIAL IMPACT (40%)


 NEEDS RESPONSIVENESS (15%) ________ ________
 SUSTAINABILITY (15%) ________ ________
 DOCUMENTARY EVIDENCE (10%) ________ ________

RATING: ____________________

REMARKS:

______________________________________________________________________________

EVALUATED BY: ______________________________________

ATTESTED BY: ______________________________________

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COMMUNITY PROJECT EVALUATION

(EVALUATION FOR COMMUNITY MEMBERS)

Project Title: ____________________________________

Date Accomplished: ______________________________

Name of Evaluator (Optional): ______________________________ Contact No.: ____________________________

Instruction: Please assess the effectiveness of our project by encircling the number that presents your response. (Lagyan ng grado
ang aming proyekto kong ito ay epektibo o hindi sa pamamagitan ng pagpili ng numero na nakikita sa ibaba na naayon sa inyo).

EXCELLENT AVERAGE POOR

A. Project Objective (Layunin ng Proyekto) 5 4 3 2 1


B. Suitability of Project Location (Kaangkupan ng Proyekto sa Lugar) 5 4 3 2 1
C. Physical Arrangement of Location (Kaayusan sa Kaganapang Lugar) 5 4 3 2 1
D. Coordination of Activities (Pagkasunod-sunod ng mga Gawain o aktibidades) 5 4 3 2 1
E. Public Awareness (Kaalaman ng Publiko) 5 4 3 2 1
F. Duration of Activities (Panahong nasakupan ng Programa) 5 4 3 2 1
G. Overall Effectiveness (Pang kalahatang Kahalagahan) 5 4 3 2 1

Total: ___________________

Any suggestions that you can recommend to improve the project (Suhestyon na maibibigay para mapabuti ang proyekto):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

=============================================THANK YOU=================================================

94
NATIONAL SERVICE RESERVE CORPS

1x1 photo

Application Form:

Name: _________________________________________

Date of Birth: ___________________________________

Place of Birth: ___________________________________

Age: __________ Height: __________Weight: __________Religion:


________________

Blood Type: ______Marital Status: ___________Academic Course: ________________

Home Address:
___________________________________________________________

Contact No.: ____________________Email Address: ____________________________

Parents/Guardian Name: _________________________Contact No.:


_______________

NSTP Program Taken: ____________________ NSTP Serial No:____________________

Signature: ________________________

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Republic of the Philippines

Office of the President

COMMISSION ON HIGHER EDUCATION

Office of Student Services

Guidelines and Procedures in the Administration of the School-based Component

of the National Service Reserve Corps (NSRC)

Legal Basis

The implementation of the school-based component of the NSRC is based on the


following legal mandates:

a. Implementing Guidelines and Procedures on the Development, Organization,


Training, Administration, Utilization, Mobilization, Operation, Accreditation, Protection and
Funding of the National Service Reserve Corps (NSRC)

b. RA 10121 otherwise known as the Philippine Disaster Risk Reduction and


Management (PDRRM) Act of 2010 and Rule 9 of its Implementing Rules and Regulations

c. Section 11 of RA 9163 otherwise known as the National Service Training


Program (NSTP) Act of 2001 which provides for the creation of the National Service Reserve
Corp (NSRC)

Section 1. Title – This publication shall be known as the Guidelines and Procedures (GP)
on the administration of the school-based component of the NSRC which shall include its
development, organization, training, administration, utilization, mobilization, operation,
accreditation, protection and funding of the said component.

Section 2. Purpose – These guidelines are hereby promulgated to prescribe the


procedures for the development, organization, training, administration, utilization, mobilization,
operation, accreditation, protection and funding of the school-based NSRC.

Section 3. Definition of Terms:

a. Accreditation – The process of determining the suitability and capability of an


individual or organization to perform DRRM tasks, based on the criteria and procedures to be

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issued by the OCD in consultation with other concerned agencies, offices, organization and
entities.

b. Community-Based NSRC Units (CBNU) – NSRC units established in different localities


from the provincial down to the barangay level.

c. Mobilization – In the context of NSRC organization for DRRM, mobilization is the


official act of calling upon NSRC reservists and NSRC units to report to their respective
designated mobilization centers and organized to perform duty as disaster responders and
other DRRM tasks.

d. National Service Reserve Corps (NSRC) – An organization composed of graduates of


the Civic Welfare Training Service (CWTS) and Literacy Training Service (LTS) components of the
National Service Training Program (NSTP) as mandated by Republic Act 9163 (NSTP Act of 2001)

e. NSRC Community Directorate Office (NCDO) - The Office established under the
LGU/Local DRRMCs that has responsibility over the development, organization, training,
administration, utilization, mobilization, accreditation and operation of the NSRC at the
community level.

f. NSRC National Directorate Center (NNDC) – The Office under OCD that has
responsibility over the development, organization, training, administration, utilization,
mobilization, accreditation and operation of the NSRC.

g. NSRC Reserve Group (NRG) – The highest level of organization of NSRC reservists
composed of at least five (5) or more NSRC Sections organized at the provincial level and highly-
urbanized cities, as well as in Higher Education Institutions (HEIs), and Technical-Vocational
Education and Training Institutions (TVETs).

h. NSRC Reserve Section (NRS) – A subordinate unit of the NSRC Reserve Group
composed of at least five (5) or more teams.

i. NSRC Reserve Team (NRT) – A subordinate unit of the NSRC Reserve Section
composed of at least eight (8) but not more than twelve (12) members. Team composition is
discussed under Section 5 (Organization).

j. NSRC Reserve Unit (NRU) – A generic term which refers to any level or size of NSRC
organization.

k. NSRC Reservist – A person who is a graduate of the CWTS and LTS components of
the NSTP program and designated an NSRC serial number.

l. NSRC School Directorate Office (NSDO) – The Office established under the HEIs and
TVETs that has responsibility over the development, organization, training, administration,
utilization, mobilization, accreditation and operation of the NSRC.

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m. School-Based NSRC Units (SBNU) – NSRC units established in different HEIs under
CHED and TVETs under TESDA.

Section 4. Responsibility:

a. The Chairperson, Commission on Higher Education (CHED) thru the Higher


Education Institutions (HEIs) shall be responsible for the development, organization, training,
administration, utilization, mobilization, operation, accreditation, and protection of School-
Based NSRC Reservists and Reservist Units in HEIs under jurisdiction. Funding shall be a joint
responsibility of the school and the local government unit (LGU) covering the place where the
school is situated.

b. The Director General, Technical Education Services and Development


Authority (TESDA) thru the Technical-Vocational Education and Training Institutions (TVETS)
shall be responsible for the development, organization, training, administration, utilization,
mobilization, operation, accreditation, and protection of the School-Based NSRC Reservists and
Reservist Units in TVETs under its jurisdiction. They may be tasked to assist in the formulation
or conduct of training for skills needed in DRRM such as Emergency Medical Services (EMS)
Trainings and other related services. Funding shall be a joint responsibility of the school and the
local government unit (LGU) covering the place where the school is situated.

Section 5. Mission, Functions and .composition of the School-based Component of


the NSRC

a. Mission: To provide a trained, motivated and organized manpower reserve


that can be tapped by the State for DRRM, civic welfare, literacy, national emergency,
environmental protection and other similar endeavors in the service of the nation.

b. Functions:

1). To assist in the disaster preparedness, mitigation, response and rehabilitation


programs;

2). To serve as an auxiliary to the Disaster Risk Reduction and Management Councils
(DRRMCs) response units;

3). To assist in the promotion of civic welfare activities;

4). To assist in the implementation of literacy programs;

5). To assist in socio-economic development;

6). To respond in case of mobilization for local or national emergency;

7). To assist in environmental protection; and

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8). To perform other similar endeavors as directed by higher DRRM authorities.

c. Composition: The school-based component of the NSRC shall be composed of


the graduates of the Civic Welfare Training Service (CWTS) and the Literacy Training Service (LTS)
components of the NSTP who are enrolled and still residing in the same school as students
normally in the second, third, fourth and fifth year in college. Membership shall also include
NSTP implementers and faculty members who are themselves graduates of the CWTS/LTS.

Section 6. Organization:

a. The NSRC School Directorate Office (NSDO) shall be responsible for the
development, organization, training, administration and utilization of the School-based NSRC.
The NSDO will be placed under the Office of the School President. This shall be headed by the
NSDO Director who shall have direct supervision over the SBNUs.

b. School-Based NSRC Units: The OCD thru the HEIs and TVETs shall issue the
Activation orders of the SBNUs. These reserve units shall be placed under control of the NSDO
Director. Their training and operations shall be facilitated by the designated College/University
Disaster Control Group Chairperson working under the supervision of the NSDO Director.

c. Designation and Organization of SBNUs. The SBNU numerical designation shall


be based on the year level in college. Second year students shall compose the 1SBNU, third year
for 2SBNU, fourth year for the 3SBNU and fifth year for the 4SBNU. These units shall carry the
name of the school and its address as its station. SBNUs shall be composed of corresponding
SBNU Sections and SBNU Teams respectively. Leaders for respective units shall be designated
accordingly.

Section 7. Administration of the SNBUs – The SNBU shall:

a. Maintain a centralized Reservist database that shall include, among others, the
following information: Full name, date and place of birth, serial number, date graduated from
NSTP, present residence and permanent home address. This database shall be updated
periodically. For purposes of simplicity and compatibility, the computer program shall be the
same as that of the one being used by CHED and OCD.

b. Issue orders for assignment, reassignment, designation and awards for its
members.

c. Facilitate and practice a system of morale and welfare enhancement that will
include but not limited to the following: Awards, Ranks, Promotions, Training/Schooling.

d. Registration: Graduating SBNU Reservists shall physically register in their


respective barangays of residence and shall secure a barangay certification that he/she is
registered and accounted for. Said Certification is a requirement for college/program
graduation.

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Section 8. Training:

a. In coordination with the local DRRMC, SBNU members shall undergo periodic
individual and unit training in line with the skills and experience required for their utilization.
This shall include advance and special type training.

b. Leadership and Specialized Training shall be given to enhance their capability to


deliver the needed services.

c. Individual skills and unit trainings shall include but not limited to Health and
Emergency Management Staff training in coordination with the Department of Health (DOH),
high angle and water rescue training, fire and earthquake drills and other similar trainings that
will enhance the accomplishment of the SBNU mission.

Section 9. Utilization:

a. The SBNU shall be utilized in accordance to the PDRRM Act of 2010 (R.A.10121)
and the NSTP Act of 2001 (R.A. 9163) which include but not limited to the following:

1. DRRM: Mitigation; Preparedness; Prevention; Response; Relief and


Rehabilitation;
2. Environmental Protection/preservation and rehabilitation;
3. Civic Welfare and Literacy Activities; and
4. Other tasks needed to address emergencies/calamities/crises.
b. Members of the SBNU shall be utilized in accordance with the system and
procedures set forth by the CHED and OCD.

Section 10. Mobilization

a. The designated mobilization center for the members of the SBNU is their
respective schools. Requirements other than that of a calamity situation shall be supported in
accordance with the school policies and that of the local government unit (LGU) in the area.

b. SBNUs, in case of disaster, may be mobilized by the OCD in coordination with


HEIs under CHED and TVETs under TESDA provided that all NSRC reservists who are mobilized
are of legal age. Mobilized SBNUs shall be placed under their respective HEIs/TVETs Disaster
Control Group (DCG) and shall be placed further under control and supervision of the LDRRMC
for deployment.

c. The controlling school shall provide the necessary administrative and logistics
requirement such as insurance, food and other benefits covered under R.A. 10121. In the event
the school-based NSRC unit is deployed or utilized outside the immediate vicinity of the school,
the LDRRMC provide additional logistics, protection and insurance requirements.

Section 11. Operation

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a. The SBNU shall be utilized as the first disaster responder in their respective
school campuses and their immediate vicinities. As such, they should be appropriately
organized, trained and equipped.

b. Deployment outside of the schools and immediate vicinity shall be in


accordance with the policies and procedures as prescribed by the OCD.

Section 12. Protection of NSRC Reservists:

The protection of SBNU reservists during their mobilization, deployment and utilization
including DRRM Practical Training and Exercises shall be the responsibility of the concerned
HEIs/TVETs. They shall be responsible for providing the insurances, logistics, and other
necessary benefits, including hospitalization for SBNU reservists who are undergoing practical
exercises/mobilization in their respective school campuses/localities/communities.

Section 13. Funding of the NSRC Reservist/Units:

Funds needed for the organization and utilization of SBNU shall be charged from school
training funds or the funds intended for their corporate social responsibility allotment. For
other training requirements, they may be supported by the LDRRMC.

Section 14. Evaluation and Submission of Reports:

a. The SBNU shall undergo periodic evaluation to be conducted by the LDRRMOs


in coordination with CHED/TESDA to insure their operational capability for DRRM response.

b. The NSDO shall submit to OCD, the list of graduating members as a basis for
their transfer of mobilization centers.

Section 15. Separability Clause: Any provision of these Rules inconsistent with existing
laws shall be held invalid. The other provisions not otherwise affected shall remain in full force
and in effect.

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NAME: __________________________ DATE:___________________
COURSE:_________________________ RATING:_________________
CLASS SCHEDULE:_________________ TEAM:___________________
Make a Brief Reflection Paper Based on the Delivered Online Discussion using
the format below (Minimum of 80 words per area).

Introduction
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Body
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Conclusion
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