Republic of the Philippines
Department of Education
Region IV-A CALABARZON
City Schools Division of Dasmariñas
ACTIVITY PROPOSAL FORM
Proponent: STEPHANIE TAVANLAR
GENERAL DESCRIPTION (Theme and Title of your Acitivity)
Title of Project/Activity: AMBAG PROGRAM 2022 : PASKONG MAY PUSO
PURPOSE (Reason why you want to have this kind of activity and what do you aim for in this activity)
Rationale : The Project PALS through its Ambag Program promotes the spirit of charity
and humanitarian through. This activity aims to assist the project’s
PALS3 recipients to experience the essence of gift giving and thanksgiving. This also aims to :
Objectives : 1. Value the spirit of sharing and thanksgiving
2. Participate in the activities that advocate social responsibilities.
3. Appreciate and apply the word of God through bible study and fellowship
activities.
INFORMATION
Date : December 10, 2022 Time: 8:30- 11:00 am
Venue/s : Cavite School of Life, Salawag Dasmarinas Ciity
Target Participants : PALS3 Recipients and other Marginalized Learners
Target Number of Participants: 20 Male: 10 Female: 10
Budget Allocation : 10,000.00 Budget Source: PARTNER
Partner/s (if any) : CAVITE SCHOOL OF LIFE – DASMARINAS CAMPUS
ESP DEPARTMENT
Submitted by:
STEPHANIE TAVANLAR 09123456789 December 2, 2022
______________________________ _________________ ______________
Proponent Contact Number Date
NOTED:
LEVY VALDEZ
EsP Adviser
Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115
Telephone No: (046) 432 9355
Email Address: [Link]@[Link] Doc. Ref. Code QMS-HRD-F03 Rev 05
Website: [Link] Effectivity 09.24.21 Page 1 of 9
Page 2 of 9
Attachment No. 1
BUDGET PROPOSAL
(Ano-ano ang mga dapat iprepare na materials sa Activity na inyong gagawin)
Title of the Training/ Activity:
__________________________________________________________________________________
Quantity Unit Particulars Unit Cost Source of Total Cost
Fund
50 PACK GIFT PACKS 500 PARTNER 25,000.00
TOTAL 25,000.00
**Insert more rows if necessary
Prepared by:
STEPHANIE TAVANLAR
____________________________________
Proponent
NOTED:
LEVY VALDEZ
___________________________________
EsP Advser
Page 3 of 9
Attachment No. 2
PROGRAMME/ SCHEDULE OF ACTIVITY
(Mismong Program na gagawin during the activitiy as stated sa baba, provide an attachment ano itsura
ng program ninyo with design)
AMBAG PROGRAM 2022 :
PASKONG CSOL,Pamasko para sa Paltuenos
ACTIVITY TIME PERSONNEL INVOLVED
ASSEMBLY 8- 8:30 Mercury Drug Store All ESP teachers
Paliparan II, Dasmarinas City
Opening Program 9:00 9:30 CSOL Gymnasuim CSOL staff
- Fellowship Activities 9:30- 10:30 CSOL SSG Officers and
teachers
- Bible Sharing 10:30- 10:45 SSG Officers and Staff
- Gift Giving 10:45- 11: 00 CSOL staff and Sponsors
Closing Program 11:00- 11:10
Home sweet Home 12:00 Parents and Learners
Page 4 of 9
Attachment No. 3
LIST OF PARTICIPANTS AND TECHNICAL WORKING COMMITTEE
# NAME ASSIGNED TASK SECTION SEX CONTACT
NUMBER
1 MARISSA S. DORDAS TEACHER III F
2 EVELYN VENTOSA TEACHER II F
3 MARJAY MATILA TEACHER I M
4 MADEZ CONVENTO TEACHER 1 F
5 MARY AHNNE PRADO TEACHER 1 F
6 LERMA DAYRIT TEACHER 1 F
7 JOCELYN DELGADO TEACHER III F
10
TECHNICAL WORKING COMMITTEE (Names ng member at gagawin)
PARTICIPANTS (Names ng Section na nakaassign sainyo)
Page 5 of 9
# NAME SECTION CONTACT NUMBER SEX RELIGION DIFFERENTLY
ABLED? (Y/N)
Page 6 of 9
10
11
12
13
Page 7 of 9
Attachment No. 4
MECHANICS OF THE ACTIVITY
Page 8 of 9
Attachment No. 5
BACK DROP
(At least ganito po kalaki yong example)
Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115
Telephone No: (046) 432 9355
Email Address: [Link]@[Link] Doc. Ref. Code QMS-LRM-F01 Rev 03
Website: [Link] Effectivity 04.01.20 Page 8 of 9
Page 9 of 9
Attachment No. 8 (if applicable)
PHYSICAL APPEARANCE
Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115
Telephone No: (046) 432 9355
Email Address: [Link]@[Link] Doc. Ref. Code QMS-LRM-F01 Rev 03
Website: [Link] Effectivity 04.01.20 Page 9 of 9
