OFFICE OF THE STUDENT SERVICES

Student Development and Activities Office

Gregoria Montoya Hall Room 115
(046) 481 1900 local 3019
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ACCOMPLISHMENT REPORT
ORGANIZATIONAL COUNCIL/COLLEGIATE IN-CAMPUS INVITATION FUND RAISING INSTITUTIONAL
OFF-CAMPUS
OFF-CAMPUS ACTIVITY
ACTIVITY OFF-CAMPUS IVITATION OUTREACH ACTIVITY

Main Proponent: ______________________________________Co-Proponent(s):____________________________

TITLE OF THE ACTIVITY: ___________________________________________________________________________

Venue: ________________________________________________________________________________________

Date of the Activity: _____________________________________Time: Started: _____________ Ended: _________

Participants: Target # - _______ Actual # - _______ Expenditure Estimated – (PHP) _______ Actual – (PHP) ________

Name of Guest Speaker(s): (if any) __________________________________________________________________

Ranking/Recognition/Awards(s) achieved: (if any) ______________________________________________________

Accompanying Adviser/Faculty: _____________________________________________________________________

EVALUATION MARK: (General Mean Score) ___________ (*check activity evaluation form)
Table No.1 USE EXTRA SHEET FOR ADDITIONAL DETAIL(s).

Success Indicators Output

Table No. 2 USE EXTRA SHEET FOR ADDITIONAL DETAIL(S).

Problems Encountered Solutions Made Recommendation

Prepared: ATTACHMENT NEEDED:

Name: __________________________________ Evaluation Report (from Evaluation Meeting)
Position: ________________________________ Evaluation Report (from Participants)
Summary of Attendance
Noted: Photo Documentation

Important! Please attach photocopy of:

Copy of Financial Report (FS) for Fund Raising Activity
President Copy of After Activity Report (AAR) for Outreach Activities
(signature over printed name) Evaluation as Participants (1 page article) for invitational
activities

Adviser
(signature over printed name)