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  • FM Cec 002 Ceca Form 1 Service Learning Program

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    John Paul Dian
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    This document is an application form for a service-learning program regarding tuberculosis. It provides details of an integrated educational campaign for senior citizens in Cannage, Philippines on October 24-25, 2022. 25 medical technology students will distribute brochures and conduct mass education to increase awareness of tuberculosis prevention and symptoms. The program aims to provide nutrition and health development advocacy for the community. Required attachments include parental waivers, an activity schedule, and an approved research proposal. Supervisory approval signatures are requested from relevant deans, coordinators and directors.

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    Fm Cec 002 Ceca Form 1 Service Learning Program (1)

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    This document is an application form for a service-learning program regarding tuberculosis. It provides details of an integrated educational campaign for senior citizens in Cannage, Philippines on October 24-25, 2022. 25 medical technology students will distribute brochures and conduct mass education to increase awareness of tuberculosis prevention and symptoms. The program aims to provide nutrition and health development advocacy for the community. Required attachments include parental waivers, an activity schedule, and an approved research proposal. Supervisory approval signatures are requested from relevant deans, coordinators and directors.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    3 views2 pages

    FM Cec 002 Ceca Form 1 Service Learning Program

    Uploaded by

    John Paul Dian
    This document is an application form for a service-learning program regarding tuberculosis. It provides details of an integrated educational campaign for senior citizens in Cannage, Philippines on October 24-25, 2022. 25 medical technology students will distribute brochures and conduct mass education to increase awareness of tuberculosis prevention and symptoms. The program aims to provide nutrition and health development advocacy for the community. Required attachments include parental waivers, an activity schedule, and an approved research proposal. Supervisory approval signatures are requested from relevant deans, coordinators and directors.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    Document No.

    FM-CEC-002
    COMMUNITY ENGAGEMENT AND CICM ADVOCACIES
    Revision No: 002
    CECA FORM 1: APPLICATION FORM Effectivity Date: 02 January 2020
    (Service-Learning Program) Page No: 1 of 1

    Date filed: Course No.: MELS 1184 Code No.: 611


    OCTOBER 19, 2022 Course Title: Bachelor of Science in Medical
    Technology
    Department (Please check): No. of participants
    [ ]ELEM [ ]JHS [ ]SHS [ ]NTP Students: Employees:
    [ ]SABH [ ]SEAITE [ ]SEAS 25
    [ / ]SHAS [ ]SGSCPD [ ]Others: ____________

    Title of the activity: INTEGR ATED EDUCATIONAL CAMPAIGN REGARDING TO TUBERCULUSIS

    Objectives of the activity:


    Distribution of Brochure
    To give awareness about Tuberculosis
    Participants will be senior citizen since they are usually immunocompromised
    Mass Education Campaign

    Target client: Residents of Cannage


    Target date: October 24-25, 2022
    Place and venue: Cannagan, Enrile, Cagayan

    Advocacy (Please check):


    [ ] Poverty Alleviation [ ] Indigenous Peoples and Interreligious dialogues
    [ ] Integrity of Creation [ ] Adult Education, and Gender and Development
    [ ] Justice and Human Rights [ ] Youth Empowerment and Responsible Citizenship
    [ ] Peace and Life Education [ ] Disaster Response and Risk Reduction Management
    [ / ] Nutrition and Health Development
    [ ] Others __________________________________

    Note: Please attach the following:


    1. Parents’ waivers;
    2. Provisional program of activities;
    3. Approved proposal for Research Base Program

    REQUESTED BY: NOTED BY:

    Signature over printed name of Program Chair / Subject Dean of Student Affairs & Services
    Instructor / Subject Teacher Area Head (for college students)

    ________________________________ __________________________________
    CECA Coordinator CECA Director

    RECOMMENDING APPROVAL (Supervising EAB) APPROVED BY:

    ___________________________________ ____________________________________
    Academic Dean / Principal VP for Academics
    Document No.FM-CEC-002
    COMMUNITY ENGAGEMENT AND CICM ADVOCACIES
    Revision No: 002
    CECA FORM 1: APPLICATION FORM Effectivity Date: 02 January 2020
    (Service-Learning Program) Page No: 1 of 1

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