Page 80 - BESSHS-FACULTY-MANUAL

Annex 3

GUIDELINES for CONDUCTING EXTENSION SERVICES

A. EXTENSION ACTIVITY PROPOSAL FORM
Values Formation and Leadership Development Program (ICC-CAREs)
Community Development, Training and Education Program (ICC-HELPs)
Health and Nutrition Program (ICC-HEALs)
Environmental Program (ICC-RISE)
Implementing Department (s):

Short Project Description
Target Outputs :
This refers to the objectives
that the project intends to accomplish.
Values Formation and Leadership Development Program Community Development, Training and Education Program
Nature of Activity : Nature of Activity :

Health and Nutrition Program Environmental Program
Nature of Activity : Nature of Activity :

Location: Team Composition Needed:
Date of Activity:

Number of Participants : Nature of Participants: (e.g. out of school youth, women, etc.)

B. PROJECT TEAM COMPOSITION

Role
Related Qualification (e.g. Guest Trainer or Number of *Nature of
Name of School Resource Speaker ; Hours/ Service
Personnel and Recent Trainer ; Tutor; Days to be S /V/ Signature
Experience/s
Consultant; Facilitator, rendered H/OTS
etc.)

*Nature of Service Legend: S – w/ Service Credit (beyond official time) V – Voluntary (beyond official; no honoraria)
H – w/ Honoraria (beyond official time) OTS – Official Time & w/ Service Credit (no honoraria)

C. BUDGET FORM (SAMPLE)

BUDGET ITEM PARTICULARS SUB-TOTAL ESTIMATED COST

Operating Cost

1.1 Supplies

1.2 Communication

1.3 Documentation

1.4 Etc.

Travel Costs and Food Expense

Faculty Manual (BES and SHS) 2021ed.icc
Prepared by: AdminServQ Page 80