OSA-CDSP-ACTPRO

Colegio de San Pedro

Phase 1A Pacita Complex, San Pedro Laguna

OFFICE OF THE STUDENT AFFAIRS

Please check ( ⁄ ) to indicate
NAME OF ORGANIZATION:__________________________________________ the nature of activity:
 Community Services
IN-CHARGE OF ACTIVITY: _____________________________________________  Competition
 Exhibit
CONTACT NUMBER: __________________________________________________  Fund Raising
 General Assembly
TITLE OF THE ACTIVITY: ______________________________________________  Seminar
 Others
TOTAL NUMBER OF EXPECTED PARTICIPANTS: __________________________ __________________
VENUE: _____________________________________________________________ __________________

START (DATE / TIME): ____ ________________ END (DATE / TIME): _________________________

MAIN OBJECTIVE:___________________________________________________________________________
__________________________________________________________________________________________

REMARKS:________________________________________________________________________________

Submitted by: Through:

__________________________________ _________________________________
Signature over Printed Name of President Signature over Printed Name of Adviser

Noted by: Endorsed by:

VIRGILIO D. GUTIERREZ Jr. MA. ELSHA D. DELA PEÑA

Senior High School Coordinator Student Affairs Coordinator

Approved by:

MYLA ROSE E. FERRERIA DR. JOBERT D. BRAVO

Operations Head Academic Director

(To be filled up by the Adviser)

This is to certify that the undersigned will stay with the students for the duration of the aforementioned
activity.

_________________________________
Signature over Printed Name