ARELLANO UNIVERSITY

Branch: Jose Rizal Campus

Student Activity Request Form (SARF)

REQUESTOR’S INFORMATION Date submitted: __December ,2020

NAME OF CAMPUS: AU - Jose Rizal Campus COLLEGE/DEPARTMENT: _ELEMENTARY__
ORGANIZATION (if applicable): Mathematics Club/ Young Mathematician Club _____________________
Name of Activity: MATH WEEK: Mathematics for a Better World Date of Activity: __January 11 – 15, 2020

Adviser: _RAYMOND A. BAUTISTA Number of Participants All the Elementary Pupils

(For organizations only – please print name)

___/___ INTERNAL ______EXTERNAL _____WITH CONTRACT ___/___ WITHOUT CONTRACT

 With student fee – Amount ___________ (Please attach Authority to Collect with name of payee)
 With institutional fund – Amount: _ P 3,000.00 Charge to (fund source): Student Development Fund (SDF)
 No Fee (if marked, no need for finance approval)
Description of activity: It is a week-long online activity to be participated by all elementary pupils and monitored by the Math club
officers and adviser.
Purposes/ Objectives To showcase the talents and skills of students in making creative geometric human, logo and poster
making using different shapes.
Justification, safety & security measures & other comments: The faculty together with the Adviser of mathematics club and officer will
secure the safety of the event. Any means of bullying mean comments or any form of harassment will be noted. We will supervise the
whole event for it to be successful and not traumatic to anyone.

Requested by: _RAYMOND A. BAUTISTA_ _____Mr. ROBERTO B. ALCIDO_________

Adviser/Department Head/Subject Coordinator

Endorsed by: Mr. BENJAR A. MATINING JR Dr. EMMA S. SALUMBRE Dr. EMMA S. SALUMBRE
Head, Office of the Student Affairs Principal/Dean/Program Chair Branch AVP
___________________________________________________________________________________________________________

OFFICE FOR STUDENT AFFAIRS (OSA)

Post-Activity Requirements:
Checklist and Attachments
Pre-approved in the AU Calendar of Activity
Authority to collect fees from students Post-financial report
Waiver of parent/guardian for each participant
Pre & Post Activity Requirements: Post Activity written
Invitations/Proposals/Estimated Expenses/Quotations
report, summary of
Contract/s
evaluation and
Risk Management
photographic
 Profile of the adviser/faculty/consultant/speaker/judges documentation
Transportation documentation on insurance, bus/car registration, etc. (for field trips
only)
Other Requirements ________________________
With special MANCOM approval (refer to attached approval sheet) Date of
approval: _______________
Confirmed to be in order:

_____________________ __________ ______________________ _________ __________________ ________

Dean for Student Affairs Date AVP for SPS Date VP for AA Date

______________________________________ _________________
VP HRD / Director, Legal Division Date

FINANCE

BUDGET APPROVAL
With available funds Amount Approved: ________________________________

No funds available Comment: _______________________________________

_________________________ ___________ __________________________ ___________

Comptroller Date
VP FINANCE Date

NOTICE: 1. This form shall be used ONLY for extra-curricular and some specified co-curricular activities.
2. All SARF should be filed with OSA at least 30 working days before the actual activity.
3. SARF must be properly filled-up and necessary documents must be attached before submission.
4. OSA should be immediately notified for any changes (venue, date, etc.)