ACTIVITY PROPOSAL FORM

REQUESTING SHS Pixels

CLUB/ SHS CLASS
PERSON-IN-CHARGE Restly Alyssis S. Tañamor
FOR THE ACTIVITY
TITLE OF THE Exhibit
ACTIVITY
RATIONALE OF THE As the club has conducted various art workshops within the School Year, it has
ACTIVITY been deemed necessary for the members to demonstrate their learnings through
an exhibit.

The exhibit serves as a culmination of the various workshops held within the
club, and is meant to showcase the members’ skills, knowledge, and artistic style
in the form of an artwork and/or photograph.

OBJECTIVES OF THE To showcase the members’ skills, knowledge, and artistic style
ACTIVITY

TYPE OF ACTIVITY [ ] Minor [ / ] Major

[ ] Others: _________________________________(Please specify)

DATE OF THE February 11-22 VENUE Ground

ACTIVITY
REACH OF ACTIVITY [ ] School wide
[/] Within the club
[ ] Within subject/ class
[ ] Others: _________________________________(Please specify)

BUDGET PROPOSAL Attach the budget proposal (If there’s any)

Submitted by: Endorsed by:

Ronald A. Gallano Restly Alyssis S. Tañamor

Signature over Printed Name Signature over Printed Name
Club/Class Secretary/President Club moderator/ SHS Subject teacher
Date & Time Date & Time

Noted by: Recommending Approval:

MR. RUIZ P. ESPAÑOL ENGR. ANN GILYN B. PREMARION

Signature over Printed Name Signature over Printed Name
Assistant Principal Academic Head (Principal)
Date & Time Date & Time

MR. BRITZ BRETANO JR.

Signature over Printed Name
OSA Director
Date & Time

--------------------------------------------------------- For DSA/ SA Use only---------------------------------------------------

STATUS [ ] Approved
[ ] Disapproved
[ ] Pending
[ ] In Need of Additional
Attachments/ Documents

COMMENTS

Approved by:

MS. GLAIZA MAE M. AGUILAR

Deputy School Administrator/Date & Time

-----------------------------------------------To be filled out by the Assistant Principal ---------------------------------

POST ACTIVITY DOCUMENTS

[ ] Narrative Report with Pictures

[ ] Attendance Sheet
[ ] Minutes of the Meeting
[ ] Evaluation Report <For Major Events>
[ ] Financial Report <if there’s any>

Due Date

Submitted by:
_____________________________________
<Signature over Printed Name/Date/ Time>

IN CASE OF CHANGE
DATE

TIME

VENUE

NOTED BY:

MR. RUIZ P. ESPAÑOL

<Signature over Printed Name of the Assistant Principal/ Date/ Time>
CHANGES
APPROVED BY:
MS. GLAIZA MAE M. AGUILAR
<Signature over Printed Name of the Deputy School Administrator/ Date/ Time>