MANUEL S.

ENVERGA UNIVERSITY FOUNDATION Document Code: OSA-OSO-F-AFSO

An Autonomous University Document Title: Application Form – Student
LUCENA CITY Organization
Page No: 1 of 1
OFFICE OF STUDENT AFFAIRS Revision No.: 2
OFFICE OF STUDENT ORGANIZATION Effectivity Date: March 2014
Prepared by: Office of Student Organization
QUALITY FORM Reviewed by: QMR
Approved by: President

A. Name of Organization: Dr. Neils Mulder Scholarship Foundation

B.Nature of Organization:

Academic Sorority/Fraternity
Religious/Social Soro-Fraternity
Community Based Other (Please specify) Co-Curricular

C. Nature of Application:
Accreditation Reaccreditation
Reactivation Probationary

D. Number of ACTIVE Members: ______ Number of INACTIVE Members:

ACTIVITIES IMPLEMENTED IN THE LAST SCHOOL YEAR ______

Instruction: Attach the summary of activities implemented last school year following the format
below.

Nature of Activity Date/Venue Objectives Results/Outco

me
Sponsored Activities e.g. e.g. Number of
regular activities, beneficiaries,
wellness project result of
evaluation
Participation/Involvement
in University’s Activities
e.g. Student Assembly,
General Orientation for
Freshmen etc.
Community
Outreach/Community
Extension Services

PLAN OF ACTIVITIES FOR SCHOOL YEAR ____________

Instruction: Attach the plan of activities following the format below.

Dat Activity Venue Objectives People Budgetar Source of

e Involved y Rqmt Fund

OTHER REQUIRED DOCUMENTS

 New Set of Officers and their contact details (mobile numbers and
email address)
 List of Members
 Financial Report duly signed by Treasurer, Auditor and Advisers
 Annual Report

Date Filed: ____________________

MANUEL S. ENVERGA UNIVERSITY FOUNDATION
An Autonomous University
LUCENA CITY
OFFICE OF STUDENT AFFAIRS
OFFICE OF STUDENT ORGANIZATION
QUALITY FORM
Document Code: OSA-OSO-F-AFSO
Document Title: Application Form – Student
Organization
Page No: 2 of 1
Revision No.: 2
Effectivity Date: March 2014
Prepared by: Office of Student Organization
Reviewed by: QMR
Approved by: President
Received
by:___________________