THREE OUTSTANDING STUDENT ORGANIZATIONS OF BULACAN STATE UNIVERSITY For S. Y.

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ENTRY FORM
Please Type or Print Legibly

ORGANIZATIONAL PROFILE Name of Organization Official Date of Formation Type of Organization University-Wide Name of Adviser(s) No. of Members

Office telephone (if any)

College/Institute Based Organizations Website & E-mail address (if any) CONTACT PERSON DATA

Family Name Home Address Date of Birth (Month/day/year)

First Name Position in the Organization

Middle Initial E-mail Address

Contact Numbers (landline and/or cell phone) Title Brief Description Objectives QUALIFICATIONS Open to all groups, organizations, clubs & societies recognized by the Office of Student Organizations. Organizations shall be judged on the basis of recent school year program or project that made an impact on the campus/community and which best reflects the efforts of young people as partners in nation-building. Project/Program must either be completed, or a major portion must have been undertaken. CRITERIA LONG TERM IMPACT of the Program/Project to the campus/community. SOCIAL MOBILITY (Involvement of the campus/community, especially the youth in planning, implementing & evaluating the program or project) SUSTAINABILITY AND PROBABILITY OF DUPLICATION RULES AND GUIDELINES Organizations shall be judged on the basis of the submitted project/program entry. Recipients of other awards are eligible. Lack or non-compliance of search requirements will result in automatic disqualification. All decisions of the Screening Committee and Panel of judges are final. No correspondence pertaining to these decisions shall be entertained. When necessary, the OSO secretariat will request for additional data. PROJECT/PROGRAM Project Launch Date & Target Date of Completion

REQUIREMENTS The organization shall submit five(3) copies of the following: Accomplished Entry Form. Do not leave any items in the entry form blank. A minimum of one page short profile of the Project Entry, featuring a brief but descriptive account or narrative that will illustrate the program/project. The description of the project should include the following: (1) its site (2) timetable (start and ending dates of program/project (3) process of implementation (4) level of community involvement (5) profile and number of beneficiaries/resources used. 3-page project documentation (photos, testimonies or partners or beneficiaries, certificates, etc.)
Deadline for Submission of Entries is _________________. I hereby certify upon my honor that all facts and information indicated herein are true and correct to the best of my knowledge. I further declare that any information given that proves to be untrue may, constitute a ground for disqualification in the search. __________________________ Signature Over Printed Name