IMMACULATE CONCEPTION ACADEMY

___________________ CAMPUS
City of Dasmariñas, Cavite
1
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contests 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
City Meet, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)
ICA INTER-CAMPUS Q-BEE -(school level) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Math 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- General Information 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Science 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Spelling 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Mardunong Spelling Bee ( Division) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Math and Science Olympiad (DepEd) (Division) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Mar Dunong Historical Quiz Bee (Division) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Mathscore contest - /Regional/ National 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Paruparo Festival - Division 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Division Science Qbee 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Makabayan DepEd Quiz Bee -Division 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Metrobank Challenge- DepEd (Division) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Gov. Remulla Swimming contest - Provincial 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Science Survivor Wizards- DLSUD-HSI (Provincial) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Physics Challenge -DLSUD-HIS (Provincial) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Cheering competition (Elem. & High School) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Best costume ( Cheering- Elem. & HS) cheerers only 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
note: points for ICA- Inter campus Q-Bee participant is based on top 3 finalists .
( for SHS - points for Q-Bee participant is based on top 5 finalists for GRADE 7 - 4th yr. TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
2
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)
Most Organized Group(for grades 4-4th yr only) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Most Creative ( for grades 4-4th year only) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
INTRAMS OVER ALL AWARDS (for grades 4-4th yr only) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Basketball MVP 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Basketball Mythical 5 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Volleyball MVP 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Volleyball Mythical 6 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Best Spiker 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Best Tosser 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Most Defensive Player 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
ALLSTAR (International) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
ALLSTAR NCC - national 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
other awards in NCAA 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
3
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)
Games for ICA Intramurals - School Level
Basketball 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Volleyball 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Table Tennis 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Badminton 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Chess 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Scrabble 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Swimming 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Throwing Events 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Track and Field 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
4
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
City Meet - Division 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
NCAA -National 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
STCAA -Regional 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Palarong Pambansa -National 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
MS ICA awards - School level
- Filipiniana 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Sportswear 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Talent 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Long Gown/Formal Wear 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Charity 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Congeniality 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- I-white 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- Photogenic 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
-Little, Junior, Mr/Ms ICA 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50

Note: Congeniality, I-white, photogenic - one winner only, the rest are participants TOTAL POINTS
Note: Filipiniana, sportswear,talent,gown/formal wear, charity - 1st, 2nd, 3rd place , for points system and the rest are participants
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
5
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)

ASMEPPS Qbee and other contests

ASMEPPS Regional Science and Math Wizards
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
ASMEPPS Science Camp ( all contests) - Regional 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
ASMEPPS Battle of champions - National 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
6
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)

ASMEPPS Regional Marathon of Skills and Talents

Math Qbee 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Science Qbee 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Drawing 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Coloring 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Jigsaw Puzzle 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Bricks Design 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Search for Mr and Ms YES O 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
ASMEPPS others 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- winners in sci-dama ( regional) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- winners in inves. research ( regional) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
- winners in sudoku ( regional) 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
7
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)
BSP/GSP ACTIVITIES ( Intnl, Ntnl, Reg, Div.)
camping outside ica 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
8
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Provincial Division School SIGNATURE
1. Memorandized/Official Contest 1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rdParticipants1st 2nd 3rd Participants 1st 2nd 3rd Participants
( Academic, Sports, others-NGO sponsored
contest, Quiz Bee, Intramurals, DAPSAA,
CISAA, STCAA, SECSU, NCAA, MS ICA ,
PALARONG PAMBANSA)

MEDIA CONVERGENCE -Division

Pagsulat ng Balita / News Writing 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Pagsulat ng Lathalain / Features Writing 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Pagsulat ng Balitang Isports / Sports Writing 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Pagsulat ng Editoryal / Editorial Writing 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Kartung Editoryal / Editorial Cartooning 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Pagwawasto ng Sipi / Copyreading and Headlining 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Larawang Pampahayagan / Photojournalism 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
Radio Broadcasting 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
RSPC - Regional 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
NSPC- National 15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50
15 10 8 6 10 8 6 4 8 6 4 2 7 5 3 1.5 6 4 2 1 2 1 0.75 0.50

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 9
_______ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES POSITION / POINTS POINTS TEACHER'S

2. School Paper Editor-in-chief Associate Editor Managing Editor Other Section Editors Contributor/Reporter Others SIGNATURE
(Sports,Features, (published)
Literary, News)

ICAZETTE 6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
6 5
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2
5 4 3 2

TOTAL POINTS
Note: Contribution should be published in ICAZETTE
 IMMACULATE CONCEPTION ACADEMY
_______ CAMPUS
City of Dasmariñas, Cavite
10
CO-CURRICULAR AND EXTRA ACTIVITIES
S.Y. 2016-2017

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINT TEACHER'S

International National Regional Division School SIGNATURE
3. Officership and Membership Pres VP Sec MembersPres VP Sec MembersPres VP Sec MembersPres VP Sec Members Pres VP Sec Members
in DepEd established or Trea Trea Trea Trea Trea
recognized organizations other other other other other
(such as STEP, YECS, YES-O,
Scouting) & school clubs

YES-O officers - school /regional if elected 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75

SCIMATH CLUB - school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
STUDENT GOVERNMENT - school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Juniors'Night ASSEMBLY - school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Patrol Leader (same as Pres) 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Asst Patrol Leader ( same as vice pres ) 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Patrol Scribe ( same as Sec and Trea) 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Patrol Grub ( same as Sec and Trea) 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
(same as other officers)
Treasurer 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Patrol Quarter Leader/Housekeeper 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Hike Leader 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Song and Cheer Leader 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
CLASSROOM OFFICERS - school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
Sports Club - school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
MUSCICAL( Sci high) - school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75
School Choir member -school level 10 8 6 4 8 6 4 3 6 4 3 2 4 3 2 1.5 2 1.5 1 0.75

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 11
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS TEACHER'S

4. Attendance in Seminar, Camp activities, Performing Arts International National Regional Division School SIGNATURE
( School's Official Entry/ Properly Endorsed by the School)

Sports Summer workshop- school level 8 6 4 3 1

Reading Camp- school level 8 6 4 3 1
Math Camp- school level 8 6 4 3 1
8 6 4 3 1
Drum and Lyre - school level 8 6 4 3 1
Yes-O Conference - regional level 8 6 4 3 1
8 6 4 3 1
Sci-Dama Seminar- regional level 8 6 4 3 1
Sudoku Training- regional level 8 6 4 3 1
Investigative Research Seminar- regional level 8 6 4 3 1
Media Convergence/ Journalism Seminar - Division 8 6 4 3 1
8 6 4 3 1
ICA BSP-GSP, Rover-Roverette Camping -School level 8 6 4 3 1
Patrol Leader/ Crew Leader Training Course - 8 6 4 3 1
8 6 4 3 1
8 6 4 3 1
Refresher Course - school level 8 6 4 3 1
Survival - school level 8 6 4 3 1
8 6 4 3 1
ASMEPP Science Camp - regional level 8 6 4 3 1
8 6 4 3 1
ICA Varsity (school level only) 8 6 4 3 1
Historical (School Level only) 8 6 4 3 1
Tree Planting - school level 8 6 4 3 1
 IMMACULATE CONCEPTION ACADEMY
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS

5. Research International National Regional Division School
Leader/Chair Member Leader/Chair Member Leader/Chair Member Leader/Chair Member Leader/Chair Member

6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1
6 5 5 4 4 3 3 2 2 1

TOTAL POINTS
 12

POINTS Teacher's Sign.

 IMMACULATE CONCEPTION ACADEMY 13
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS Teacher's

6. Memorandized Campus Activities 1st place 2nd place 3rd place Participant only Signature
( Family Day, Nutrition Month, Buwan ng Wika, Individual Group Individual Group Individual Group Individual Group
Teacher's Day, Living Rosary, Welcome Program
ICA BSP/GSP Camping, Historical Trail, JS, etc.)

HISTORICAL TRAIL - all contests and activities, facilitator

1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
NUTRITION MONTH - all contests and activities
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 14
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS Teacher's

6. Memorandized Campus Activities 1st place 2nd place 3rd place Participant only Signature
( Family Day, Nutrition Month, Buwan ng Wika, Individual Group Individual Group Individual Group Individual Group
Teacher's Day, Living Rosary, Welcome Program
ICA BSP/GSP Camping, Historical Trail, JS, etc.)

Living Rosary participants - group 1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
JS Prom King 1.5 1 1 0.75 0.75 0.50 0.50 0.25
JS Prom Queen 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Star of the Night 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Most fabulous Pair 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Couple of the Night 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Best Dressed Female/Male 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Reading of Last Will and Testament participants 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Rigodon Dancers 1.5 1 1 0.75 0.75 0.50 0.50 0.25
JS Turn-Over Ceremony participants 1.5 1 1 0.75 0.75 0.50 0.50 0.25
JS invocation 1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 15
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS Teacher's

6. Memorandized Campus Activities 1st place 2nd place 3rd place Participant only Signature
( Family Day, Nutrition Month, Buwan ng Wika, Individual Group Individual Group Individual Group Individual Group
Teacher's Day, Living Rosary, Welcome Program
ICA BSP/GSP Camping, Historical Trail, JS, etc.)

BSP/GSP , Rover/Roverette Camping at ICA SOUTH

all contests and activities, facilitator
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 16
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS Teacher's

6. Memorandized Campus Activities 1st place 2nd place 3rd place Participant only Signature
( Family Day, Nutrition Month, Buwan ng Wika, Individual Group Individual Group Individual Group Individual Group
Teacher's Day, Living Rosary, Welcome Program
ICA BSP/GSP Camping, Historical Trail, JS, etc.)

EMCEE in school programs 1.5 1 1 0.75 0.75 0.50 0.50 0.25

INVOCATION / DOXOLOGY 1.5 1 1 0.75 0.75 0.50 0.50 0.25
ENTRANCE OF COLORS 1.5 1 1 0.75 0.75 0.50 0.50 0.25
NATIONAL ANTHEM / TABLEAU 1.5 1 1 0.75 0.75 0.50 0.50 0.25
OPENING REMARKS / CLOSING REMARKS 1.5 1 1 0.75 0.75 0.50 0.50 0.25
INTERMISSION NUMBER in school programs 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Buwan ng Wika intermission 1.5 1 1 0.75 0.75 0.50 0.50 0.25
Ms. ICA program intermission 1.5 1 1 0.75 0.75 0.50 0.50 0.25

DRUM AND LYRE INTERMISSION ( ICA HOMECOMING - ICA south) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION ( ICA INTRAMS program proper) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION ( ICA INTRAMS- parade only) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION (Tree Planting) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION (Buwan ng Wika) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION (Teachers Day , Lasalle) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION (Family Day ica South) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION (Recognition Day -Last year) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
DRUM AND LYRE INTERMISSION (Moving-Up last year) 1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
family day dance number of selected students 1.5 1 1 0.75 0.75 0.50 0.50 0.25
1.5 1 1 0.75 0.75 0.50 0.50 0.25
TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 17
________ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES POSITION / POINTS POINTS Teacher's Signature

7-a Others ( Community) President/ Vice President/ Other Officers/ Member
(SK,YFC/KFC,Knights of the Altar) Chairman Vice Chairman Committee

3 2
YFC 3 2
KFC 3 2
KNIGHTS OF THE ALTAR 3 2
Choir member of a Parish Church 3 2
others: 3 2
3 2
3 2
3 2
3 2
3 2
3 2
3 2
3 2
3 2
3 2
3 2
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5
1 0.5

Note: should be properly endorsed by the Campus Principal and School Director.

TOTAL POINTS
 IMMACULATE CONCEPTION ACADEMY 18
_______ CAMPUS
City of Dasmariñas, Cavite

CO-CURRICULAR AND EXTRA ACTIVITIES

S.Y. 20__ - 20__

Name of Student: ______________________

Grade / Year Level: ______________________

ACTIVITIES LEVEL / POINTS POINTS TEACHER'S

7-b (Others/Community) Participation/ Attendance International National Regional Provincial Barangay/ SIGNATURE
Parish

Alay Lakad (District) 5 4 3 2 1

Cheering (Invitational Performance) 5 4 3 2 1
DRUM AND LYRE (Invitational Performance) 5 4 3 2 1
(Alay Lakad - district level) 5 4 3 2 1
Outreach Program - December Attendance - Barangay Level 5 4 3 2 1
5 4 3 2 1
YFC conferences and seminars 5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1
5 4 3 2 1

Note: should be properly endorsed by the Campus Principal and School Director.