REVISION NO.

:
REVISION DATE:

NATIONAL SERVICE TRAINING PROGRAM

COMMUNITY ENGAGEMENT ACCOMPLISHMENT REPORT AND CLEARANCE
IMPORTANT INFORMATION
THIS FORM SHOULD BE ACCOMPLISHED BY STUDENTS (INDIVIDUAL OR GROUP) AFTER THE CONDUCT OF AN NSTP COMMUNITY ENGAGEMENT OR INITIATIVE.
COMPREHENSIVE DETAILS OF THE ACCOMPLISHMENT OF THE COMMUNITY ENGAGEMENT SHOULD BE INCLUDED AS AN ATTACHMENT TO THIS FORM.
AFTER THE CONDUCT OF THE COMMUNITY ENGAGEMENT OR SERVICE , STUDENTS SHOULD ASK A REPRESENTATIVE OF THE HOST ORGANIZATION OR INSTITUTION
TO FILL OUT NECESSARY INFORMATION.
SUBMIT TO THE FACILITATOR AFTER THE COMMUNITY ENGAGEMENT HAS BEEN CONDUCTED.

Community Engagement Accomplishment Report

Details to be included in the proposal are the following:
1. Course Title, Course Code, Term, and School Year
2. Type of Engagement (include title if applicable) – state whether the community engagement is a project or a volunteer work.
3. Date Proposed – date when the proposal was submitted to the facilitator.
4. Name of Proponent(s) – names of the individual or members of the group who did the community engagement.
5. Stakeholders – partner organization / institution / beneficiary / participants.
6. Objectives – expected specific results of the community engagement.
7. Summary Details – actual duration of the implementation, total budget incurred, issues encountered; include photographs.
8. Success Indicators – state the measurements or outcomes that determined the success of the community engagement.
9. Recommendations – for further improvement or development of the community engagement rendered.

Clearance (to be filled out by the representative of the partner organization / institution)
This is to certify that the following student(s) was able to render/deliver the proposed community service or volunteer work at
_ Barangay Almanza Uno
(name and address of organization or institution): Barangay Almanza Uno, Las Pinas, Metro Manila
NAME OF STUDENT(S) STUDENT NO. PROGRAM

Guardiano, Melchizedek B. 2021151715 BSCE

Lacsam, Liancel D. 2021130131 BSME
Legarde, Joshua Brian L. 2021150928 BSA
Makalintal, Miguel Dean C. 2021151924 BSME
Ramos, Alexandrea 2021160222 BMMA
Sabado, Christian Ivan S. 2021151611 BSME
Susano, Lenard Angelo R. 2021150412 BSME

COMMENTS AND SUGGESTIONS:

ORGANIZATION / INSTITUTION REPRESENTATIVE

Bonifacio M. Ramos Barangay Chairman

SIGNATURE OVER PRINTED NAME OFFICIAL DESIGNATION & DEPARTMENT

+632 800-3554, +632 800-3371

CONTACT INFORMATION (E-MAIL, MOBILE NUMBER, LANDLINE)

PREPARED BY NOTED BY

Liancel D. Lacsam Eliezel M. Locriana

STUDENT / GROUP LEADER NSTP FACILITATOR

COPY: (1) STUDENT; (2) HOST ORGANIZATION / INSTITUTION; (3) FACILITATOR; (4) CSCE FORM CSCE-041A

THIS FORM IS AVAILABLE AT CSCE.

 COMMUNITY ENGAGEMENT PROJECT ACCOMPLISHMENT REPORT
TITLE OF PROJECT:
PROJECT TYPE:
DATE PROPOSED:
PROPONENTS:
STAKEHOLDERS:
(specify name of community
and stakeholders)
OBJECTIVES:
SUMMARY DETAILS
(Use a separate sheet if
needed)
Include in this section:
 Actual duration of the
implementation
 Total budget incurred
 Issues encountered
 Photos (each member
should be seen in the photo.
You may use the next page
for photos.)
3rd TERM A.Y. 2021-2022
Distribution of Poster Recommending Proper Disinfection Practices and Cleanliness
Alternative Community Engagement Project
April 27,2022 DATE IMPLEMENTED: May 24 ,2022
Guardino, Melchizedek B.
Legarde, Joshua Brian L.
Susano, Lenard Angelo R.
 Finalization and handling the papers of the project
Lacsam, Liancel D.
Ramos, Alexandrea
Sabado, Christian Ivan S.
 Handling and finishing materials of the project
Makalintal, Miguel Dean C.
 Representative member to talk with the Barangay
NSTP02-P (B36 Group )
Barangay Almanza Uno, Las Piñas, Metro Manila
To provide a printed info graphic poster to the community that aims to:
 Teach the community to take crucial precautions to keep themselves and
those around them safe.
 Prevent the virus infection from spreading
 Remind health Protocols for the designated place
Tasks
 Project Implementation
1. Group meeting 4 hrs.
2. Task Distribution 4 hrs.
 Infographic Design and Layout
1. Design and content 4 hrs.
2. Infographic editing 3 hrs.
 Poster Approval
1. Submission of the digital 4 hrs.
infographics
 Materials
1. The amount of funding 2 hrs.
designated to each
member
2. Buying Supplies 2 hrs.
Received:____________________________
  Final Output 10 hrs.
1. Consulting with the
Facilitator 7 hrs.
2. Explaining details of the
project to the chosen
barangay

 Approval and finishing touch 5 hrs.

1. Submission of the final
output 5 hrs.
2. The assigned member
to deliver the materials
to the barangay

TOTAL HRS. 50 hrs.

Materials Quantity Total Amount

 Frames 3 pieces 660php

 A3 Papers 4 pieces 360php

Transportation Location

 Frames Frame shop to Makalintal 200php

Residence

 DF poster MNLA to Alabang 120php

1340php

SUCCESS INDICATORS: The purchased essential supplies are turned over to the barangay by
(Check your objectives) one of our members.

 This was considered effective as the partner community said thanks to the
proponents after we execute and propose to the community for their safety
protocols

Issues Encountered:
RECOMMENDATIONS:
Communication with the stakeholders

 Throughout the project, we had difficulties in reaching out the community

partner through online communication platform.
 Due to lack of communication, we have trouble on updating, approving,
and confirming our project to the community

Received:____________________________
Time management and problems of the group

 During our project we are having a hard time to communicate with each
other since it was a group project.
 Each one of us have different course that had conflicts with other subject.
 In the end, we manage to understand each other and make this project
completed.

Received:____________________________
 Finishing touch before turning it over to the Barangay

Our poster after we gave it to the barangay was seen one of the terminal spots

Received:____________________________
 REVISION NO.: 01 REVISION NO.: 01
REVISION DATE: MAR. 10, 2017 REVISION DATE: MAR. 10, 2017

GENERAL COMMUNITY FEEDBACK GENERAL COMMUNITY FEEDBACK

IMPORTANT INFORMATION / MAHALAGANG IMPORMASYON
 THIS FORM MUST BE FILLED OUT AFTER A COMMUNITY ENGAGEMENT OR SERVICE-LEARNING ACTIVITY.
(Ang fo rm na ito ay dapat lag daan pagkatapos ng gawain sa komunidad o akt ibidad ng service learning).
 A REPRESENTATIVE OF THE STAKEHOLDERS OR BENEFICIARI ES MUST FILL-OUT THIS FEEDBACK FO RM.
(Ang kinatawan ng mg a parokyano o benepisyaryo ay dapat lagdaan ang feedback fo rm na ito).
 A SPACE IS PROVIDED BELOW FOR COMMENTS AND SUGGESTIONS REGARDING THE ACTIVITY THAT WAS CARRIED -OUT.
(Ang patlang sa ibaba ay para sa mg a ko mento o suhestiyon ukol sa mga aktibidad na isinasaagawa ).
IMPORTANT INFORMATION / MAHALAGANG IMPORMASYON
 THIS FORM MUST BE FILLED OUT AFTER A COMMUNITY ENGAGEMENT OR SERVICE-LEARNING ACTIVITY.
(Ang fo rm na ito ay dapat lag daan pagkatapos ng gawain sa komunidad o akt ibidad ng service learning).
 A REPRESENTATIVE OF THE STAKEHOLDERS OR BENEFICIARI ES MUST FILL-OUT THIS FEEDBACK FO RM.
(Ang kinatawan ng mg a parokyano o benepisyaryo ay dapat lagdaan ang feedback fo rm na ito).
 A SPACE IS PROVIDED BELOW FOR COMMENTS AND SUGGESTIONS REGARDING THE ACTIVITY THAT WAS CARRIED -OUT.
(Ang patlang sa ibaba ay para sa mg a ko mento o suhestiyon ukol sa mga aktibidad na isinasaagawa ).

INSTRUCTION: Use the ratings below to complete the questionnaire to facilitate the assessment of our INSTRUCTION: Use the ratings below to complete the questionnaire to facilitate the assessment of our
program/ project/ activity (Gamitin ang mga grado sa ibaba para makumpleto ang kuwestyonaryo upang program/ project/ activity (Gamitin ang mga grado sa ibaba para makumpleto ang kuwestyonaryo upang
matuunan ang assessment ng aming programa / proyekto / aktibidad): matuunan ang assessment ng aming programa / proyekto / aktibidad):

Rating Key: A – Excellent B – Good C – Average D – Poor E – Not Applicable Rating Key: A – Excellent B – Good C – Average D – Poor E – Not Applicable
(Napakahusay) (Mahusay) (Pangkaraniwan) (Hindi Mahusay) (Hindi Nauukol) (Napakahusay) (Mahusay) (Pangkaraniwan) (Hindi Mahusay) (Hindi Nauukol)

Criteria / Basehan Rating Criteria / Basehan Rating

Relevance of the program / projects/ activity to the needs of the community
(Kaugnayan ng programa / proyekto / aktibidad sa mga pangangailangan ng komunidad.) A
Relevance of the program / projects/ activity to the needs of the community
(Kaugnayan ng programa / proyekto / aktibidad sa mga pangangailangan ng komunidad.) B
Overall organization (time management, program / project / activity flow, etc.) Overall organization (time management, program / project / activity flow, etc.)
(Pangkalahatang organisasyon [Pamamahala ng oras, programa, proyekto / daloy ng aktibidad,
atbp.])
B (Pangkalahatang organisasyon [Pamamahala ng oras, programa, proyekto / daloy ng aktibidad,
atbp.])
C
Quality of service rendered (clearly defined goals, focused assistance, etc.)
(Kalidad ng serbisyong binigay [Malinaw na layunin, pagdalo, atbp.] A Quality of service rendered (clearly defined goals, focused assistance, etc.)
(Kalidad ng serbisyong binigay [Malinaw na layunin, pagdalo, atbp.] B
Opportunity for questions / discussions / participation
(Pagkakataon para sa mga katanungan / diskusyon / partisipasyon.) C Opportunity for questions / discussions / participation
(Pagkakataon para sa mga katanungan / diskusyon / partisipasyon.) C
Handouts or materials containing relevant information
(Handout o mga materyales na naglalaman ng mga kaugnay na impormasyon.) A
Handouts or materials containing relevant information
(Handout o mga materyales na naglalaman ng mga kaugnay na impormasyon.) A
Continuity and Improvement, possibility of repeating the program / project / activity or continuing Continuity and Improvement, possibility of repeating the program / project / activity or continuing
in the future. (Pagpatuloy at pagpapabuti, posibilidad sa pag ulit ng programa / proyekto /
aktibidad or pagpatuloy sa hinaharap.)
C in the future. (Pagpatuloy at pagpapabuti, posibilidad sa pag ulit ng programa / proyekto /
aktibidad or pagpatuloy sa hinaharap.)
C
Other Comments or Suggestions / Iba pang komento o suhestiyon: Other Comments or Suggestions / Iba pang komento o suhestiyon:

Optional: Optional:
Name and SIgnature of Rater / Pangalan at Lagda ng Sumagot
CARLOS DOMINIC T. INFANTE Name and SIgnature of Rater / Pangalan at Lagda ng Sumagot

FORM CSCE-040A/040B-07 FORM CSCE-040A/040B-07

COPY: (1) CSCE; (2) PROPONENT COPY: (1) CSCE; (2) PROPONENT
THIS FORM IS AVAILABLE AT THE CENTER FOR SERVICE-LEARNING AND COMMUNITY ENGAGEMENT. THIS FORM IS AVAILABLE AT THE CENTER FOR SERVICE-LEARNING AND COMMUNITY ENGAGEMENT.