PoP Form 18 List of School Club/Organization Officers and Members MAFI - HSFAP

IDENTIFYING DATA
Name of High School Prepared By

_________________________ ___________
Name Date
Location of High School Submitted to MAFI By

_________________________ ___________
Name Date
School Year Received by MAFI
No. of PoP Students : ____________
Total No. of All Enrolled Students: ____________ _________________________ ___________
Name Date

NAME OF SCHOOL CLUB/ ORGANIZATION: _____________________________________________________________

Mark applicable club/organization:
[ ] Parents-Teachers Association (PTA);
[ ] Student Body Organization (SBO);
[ ] Home Room Organization (HRO)
[ ] Araling Panlipunan Student Club Organization(SCO)
[ ] English Student Club Organizations (SCO)
State formal name of School Club/Organization
[ ] MAPEH Student Club Organizations (SCO) in the school;
[ ] Math Student Club Organizations (SCO) in the school;
[ ] Pilipino Student Club Organizations (SCO) in the school;
[ ] Science Student Club Organizations (SCO) in the school;
[ ] TLE Student Club Organizations (SCO) in the school;

CLUB/ORGANIZATION OFFICERS FOR THE CURRENT SCHOOL YEAR:

Position /Title Name of Officer

President ______________________________________
Vice President ______________________________________
Secretary ______________________________________
Treasurer ______________________________________
Auditor ______________________________________
Business Manager ______________________________________
Other Positions: (Add and identify)
_____________________________ ______________________________________
_____________________________ ______________________________________

CLUB/ORGANIZATION MEMBERS WHO ARE PoP STUDENTS FOR THE CURRENT SCHOOL YEAR:

No. Name of PoP Members Year Level No. Name of PoP Members Year Level

1 ____________________________ _________ 11 ________________________________ _________

2 ____________________________ _________ 12 ________________________________ _________
3 ____________________________ _________ 13 ________________________________ _________
4 ____________________________ _________ 14 ________________________________ _________
5 ____________________________ _________ 15 ________________________________ _________
6 ____________________________ _________ 16 ________________________________ _________
7 ____________________________ _________ 17 ________________________________ _________
8 ____________________________ _________ 18 ________________________________ _________
9 ____________________________ _________ 19 ________________________________ _________
10 ____________________________ _________ 20 ________________________________ _________
(Use another sheet of paper, if necessary)

TOTAL NO. OF CLUB/ORGANIZATION MEMBERS WHO ARE NOT PoP: ______________________________________

NAME OF CLUB/ ORGANIZATION ADVISER: _____________________________________________________________

CERTIFICATION

I hereby certify that the above list of school/organization officers and members for school year 20-____- 20 _____ is true and
correct.

Name and Signature of High School Principal/TIC

Date Signed_____________________________