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OFFICE OF STUDENT AFFAIRS AND SERVICES

SDO Rm S-217, Science Building (074) 442-


3316 local 163

Date and Time Received


STUDENT ACTIVITY REQUEST FORM (SARF)
This SARF is to be used by OSAS, USC, The Alternative, ISO and SARF Control Number
PF for requesting approval of student activities beyond the regular
classroom activities. Submit SARF in two (2) weeks prior to start date of Remarks/ Conditions
activity with the attachments.

 Name of Organization/Office
Guidance and Counseling Office
 Title of Activity/Program
W.A.T.C.H. (We Advocate and Act Towards Changes in
Humanity)
LIABILITY WAIVER
(To be accomplished by the Adviser/Coordinator)
 Nature of Activity
I certify that the undersigned will stay with the student-organizers and
Meeting/Assembly Sports
participants for the duration of the aforementioned activity. Further,
Webinar/Forum Cultural/Musical/Concert
I acknowledge that as an Adviser of the organizing body, I am fully
Outreach/Community Competition/Contest
liable to any untoward events that may arise during the conduct of
Exhibits Fellowship/Socials Others: (pls
the above activity. My signature below indicates that I have read the
Workshop specify)
policy stated in this Liability Waiver Form, and that I agree to abide by
Film Viewing this policy.

1. Activity Objective/s


Name: Nathanielle Sithanathan
To develop the students’ soft skills
2. Contact Number: (074) 442-3316 loc. 209
To build social connections between students Signature:
3.
To let students be aware of the different social concerns through various Date: January 4, 2022
films

 Activity Date/Time: (for activities in series, attach a schedule)


Dates: Time
Start February 9, 2022 8:30 AM
End February 24, 2022 5:30 PM

 Mode of Delivery
Face-to-face

 Participants:
UC Students and Personnel
Open to public/outsiders
Estimated Total No of Participants: 40
 Source of Budget:

None


Office/OSAS (GCO-Student Activities)
Organization
USC/The Alternative Fund
Shared by:
Estimated Total Budget: ₱ 600.00

 SIGNATURES:

UC-SDWO-Form-02
April 12, 2021 Rev.01(Test Run)
Reviewed by:

Ms. Gladys R. Corpuz Date


SOA Coordinator
Endorsed by:

Date
Ms. Jennifer P. Malayo
SDWO Head
Recommending Approval:

Mr. Eldon Harris B. Soriano


Date
Student Affairs Officer

Approved by:

Dr. Rhodora A. Ngolob Date


VP for Administration and
Academic Services

UC-SDWO-Form-02
April 12, 2021 Rev.01(Test Run)
Checklist: (For Reviewer Use Only)
List of Organizing Committee Invitation Letter/ MOA
List of Participants Excuse Letter
Cash Advance Form (If Applicable) Certificate for the Participants
Budget Request Form (If Applicable) Certificate for the Committee
USC/ The Alternative Resolution Certificate for the Speaker
Concept Paper Speaker/Facilitator Resume
Program/Schedule of Activities Invitation Letter to the Speaker/Facilitator
Promotional Materials/ E-posters Organization’s/Institution’s Profile

UC-SDWO-Form-02
April 12, 2021 Rev.01(Test Run)

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