Enclosure 1

SCHOOL HEADING

To the OFFICE OF THE SUPREME PUPIL/STUDENT GOVERNMENT:

We, the organization stated below, hereby file an

APPLICATION FOR RECOGNITION

in accordance with Article VI Section II of the DepEd Order No. 47, s. 2014 entitled
Constitution and By-Laws of the Supreme Pupil Government and Supreme Student
Government in Elementary and Secondary Schools
Date Submitted:
Official Name of Organization/Club:
Type: Organization: with existing
Constitution and By-Laws mandated by
the Department of Education.

Club: a group of students with a

designated purpose and a common
interest which may or may not be
specifically regulated by the Department.

Statement of Purpose/Objectives:

Teacher-Adviser’s Name:
Designation/Position:
E-mail Address:
Contact Number:

We declare that we will respect and comply with the Constitution and By-Laws and
other regulations and policies set forth by the Supreme Pupil/Student Government and
by the school. Further, we agree to implement a Youth Formation qualification
procedure which shall be open to all students from the school we represent.

Organization/Club President Organization/Club Adviser

(Signature Over Printed Name) (Signature Over Printed Name)

Enclosure 2
 SCHOOL HEADING

LIST OF OFFICERS FOR S.Y. 2022-2023

Level: Elementary Secondary

Name of School: ________________________________________________ District: ____________

Name of Organization/Club: _________________________________________________________

School Address: _____________________________________________________________________

Email Address: ______________________________________________________________________

MOBILE
NAME POSITION EMAIL ADDRESS
NUMBER
President
Vice-President
Secretary
Treasurer
Auditor
Public Information
Officer
Protocol Officer

Number of Official Members (as of filing):

GRADE LEVEL MALE FEMALE

Prepared by:

Organization/Club Teacher-Adviser School Head

(Signature Over Printed Name) (Signature Over Printed Name)

Enclosure 3
 SCHOOL HEADING

ACTION PLAN S.Y. 2022-2023

EXPECTED EXPECTED REMARKS

ACTIVITY OBJECTIVES
OUTCOME PARTICIPANTS (ongoing/conducted)

Prepared by:

Organization/Club President Organization/Club Adviser

(Signature Over Printed Name) (Signature Over Printed Name)

Noted by:

School Head
(Signature Over Printed Name)