Extracurricular Form

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Republic of the Philippines Department of Education Region V (Bicol) Division of Legazpi City BIGAA ELEMENTARY SCHOOL CO-CURRICULAR PERFORMANCE FORM Name: Section: ____________________ Adviser: S.Y.: ____________________

I. OFFICIAL CONTESTS AND COMPETITIONS

Name of ContestAwards Received Level of ParticipationCoach/ Teacher In-ChargeCompliance with Requirements

NameSignature

II. STUDENT LEADERSHIP (SUPREME PUPIL GOVERNMENT)

SUPREME PUPIL GOVERNMENT (SPG)PositionLevel of ParticipationSPG AdviserCompliance with Requirements

NameSignature

SCHOOL

III. CAMPUS JOURNALISM (SCHOOL PUBLICATION)

PositionLevel of ParticipationSchool Paper Adviser Compliance with Requirements

NameSignature

SCHOOL

IV. OFFICERSHIP AND MEMBERSHIP (ORGANIZATIONS OTHER THAN SPG & SCHOOL PAPER)

Name of OrganizationPositionLevel of ParticipationAdviserCompliance with Requirements

NameSignature

V. PARTICIPATION OR ATTENDANCE

Title of Seminar, Camp, Training, Conference or Workshop and other Similar Activities DateLevel of Participation Teacher-In Charge/ CoordinatorCompliance with Requirements

NameSignature