Activity Accomplishment Report - Docx Version 1

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ACCOMPLISHMENT REPORT

(School Year: 2018-2019)

This Activity Accomplishment Report should be submitted to the Department Head


five (5) working days after the conduct of the activity.

Activity Permit No.

Title of Activity:
Time Started: Time Ended: Venue:
Date/s of Activity: ___________ ___________ ________________________
[ ] Photo Documentation [ ] Report of Earnings
No. of Participants:
Attachments: [ ] Attendance Sheet/s [ ] Evaluation Results
No. of Beneficiaries: [ ] Minutes of Meeting/s [ ] _____________________
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Over-all accomplishment rating of the activity conducted:
What is your 100% Very Successful; All of the objectives of the activity were met without problems encountered.
over-all rating for 75%-99% Successful; All the objectives of the activity were met with a few problems encountered.
the activity? 26%-74% Fairly successful; Most of the objectives of the activity were met with a few problems encountered.
1%-25% Almost unsuccessful; Few of the objectives of the activity were met due to problems encountered.
________% 0% Unsuccessful: None of the objectives of the activity were met due to problems encountered.
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Narrative Report:
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Problems encountered:
________________________________________________________________________________
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Recommendations to problems encountered:


________________________________________________________________________________
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Signature over Printed Name Position/Designation

Accomplishment Report prepared by:

Accomplishment Report reviewed by:

Accomplishment Report noted by:

Received on: [ ] Early Received by: Remarks:


AR [ ] On-time
___________________ Received: ____________________
[ ] Late

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