ACA – OSA – SAO – 02F

S.O. File
University of San Carlos
Cebu City O.S.A. File
STUDENT ACTIVITIES OFFICE
Office of Student Affairs

ACTIVITY FORM 1
(General Activity Form for Student Organizations)

Name of organization: SYBEE [✔] Co-curricular [ ] Extra-curricular

If co-curricular, from what department? Business Administration Department
What college/school? School of Business and Economics

Date of Activity: December 5, 2020 Time: 9:00-11:00 AM Venue: ZOOM Meetings

[ ] in campus [ ] outside campus
Nature of Involvement:
Sponsor/ Organizer: [✔ ] Participant [ ]
Expected Number of Participant(s): 35 Who is the sponsoring organization/ office?
Who are the expected participants: EXRM students,
Faculty, and Alumni
Expected Number of Participant(s)?
Name of the Activity: EXRM ASSEMBLY “Creating Connections-Building Bridges...Together!”

Short Description of the Activity: (Use a separate sheet of paper if the provided space is not enough.)
This event is a requirement of BXM 3110 Events Management of the BS EXRM Cluster. The goal of the event is to
create an atmosphere that gives off fun and intimate vibes. The event aims to promote teamwork and unity
amongst the EXRM cluster.

Objective/Purpose of the Activity: (Use a separate sheet of paper if the provided space is not enough.)
1. To inspire the participants of the importance of establishing communication and teamwork amongst the group.
2. To boost the morale and engagement of the participants amidst the pandemic.

Nature of activity: [✔] Scientia1 [✔ ] Virtus2 [✔ ] Devotio3 [✔] Organizational/Routinal4

1. Recommended by: 4. Approved by:

Lizzaneth Bustillo
Joshvic D. Warque Student Activities Officer
President of the Student Organization *For activities within USC
(Signature over printed name)
2. Endorsed by:
Catherine Algoso
Edgardo L. Albia, E.M.B.A. Head, Office of Student Affairs
Faculty – Adviser *For off- campus activities within Cebu
(Signature over printed name) _________________________
3. Noted by: Director, Student Services
*For off-campus activities outside Cebu
Angelo O. Bordeous, MBA, MM
Dean/ Department Chair
(Signature over printed name)

Attachment(s):
1. Budget schedule and tentative program of activities/itinerary
2. List of Participants with corresponding Parent’s Permits for activities held outside the campus
3. Note of Commitment from the Faculty Adviser for activities held outside the school campus
4. Speaker’s data (for symposia, lectures, fora, leadership trainings, seminar-workshops, etc.)

Note: Submit this form in duplicate at least one week before the activity. Activity permit must be claimed before
the date of activity. Otherwise, this permit will no longer be given to the organization.

1
SCIENTIA: Activities that enhances academic excellence and/or becoming a professionally competent student in the chosen field of study
2
VIRTUS: Activities that will help us achieve good character, leadership, discipline, intrapersonal & interpersonal skills, and well-being.
3
DEVOTIO: Activities that addresses prevailing social realities, activates one’s kindness, compassion, service, being philanthropic etc., allows one to
volunteer one’s expertise,
Revision and gives September
03: Effective back valued 2019
contributions to others or the community.
4
ORGANIZATIONAL/ROUTINAL: Activities that are done to run the organization effectively. E.g. meetings, assemblies
 EXRM ASSEMBLY
 “Creating Connections, Building Bridges Together”.
December 05, 2020 I 9:00 A.M - 11:00 A.M I Saturday

TIME ACTIVITY

9:00 - 9:15 A.M. Registration 

9:15 - 9:20 A.M. Invocation

National Anthem
USC Hymn

9:20 - 9:25 A.M. Welcome Remarks Mr. Rienzi Jay Chan II

Event Vice-Chairman

9:25 - 9:30 A.M. Energizer/Ice Breaker

9:30 - 10:20 A.M. “Team-Building Mr. JustyTuquib

Among Student” Faculty, Senior High School

10:20 - 10:30 A.M. Q and A

10:30 - 10:35 A.M. Intermission Number Ms. DJ Dente

3rd Year BS-EXRM Student

10:35 - 10:55 A.M. Team-Building Activities

Jumbled Words Activity
“Three Words” Activity
Steno Reading and 
Writing Activity

10:55 - 11:00 A.M. Distribution of Certificates Ms. Risha Montehermoso

Closing Remarks Event Chairman

Revision 03: Effective September 2019

SPEAKER:

MR. JUSTY TUQUIB

Faculty, Senior High School Department
University of San Carlos - Talamban Campus    

CREDENTIALS:
 Bachelor of Secondary Education-English University of Cebu-LM 2015
 Master of Arts in Education-English Language Teaching Cebu Normal University 201
 World's Best Research Presenter 2019 Bangkok, Thailand
 Research Presenter Kuala Lumpur, Malaysia 2019
 3 Times Best Research Presenter Teacher Education International Conference
 Founder and Coach of SHS Debating Team-UCLM 
 Former Adviser, the English Club (UCLM-SHS)
 Language Trainer/Assessor for TuTeach Tutorial Services
 Cebu Young Leaders Alumni 2014
 Founder of the Young Dreamer's Project
 Adviser of the Warrior's Ink-USC North School
 Currently enrolled at Cebu Normal University for his doctorate degree in Language.
 SHS Teacher USC SHS STEM teaching languages, literature, and research
 Licensure Examination for Teachers Lecturer at Harvest Review Center
 A Freelance host, writer, speaker, mentor...

Revision 03: Effective September 2019

 Proposed Budget Breakdown

PRICE
Budget Php 5,000
Sponsored by: Snowsheen Restaurant

Expenses
Speaker Php 2,000
Prizes Php 3,000

Remaining Balance Php 0

List of Participants

Revision 03: Effective September 2019

BS EXRM STUDENTS

Student ID Student Name

1 18100162 JHEA MAE OTERO AMANCIO

2 18101696 FLORENCE KAYE BATUIGAS BACULAO
3 17101488 BRUZZ MICHAEL BELLER CABAS
4 16100879 JOHN ARVERT YANGYANG CADIZ
5 18106463 RIENZI JAY CARPILA CHAN
6 18106060 FRANCES JUBETH PADEN DEIPARINE
7 17300020 DJ MAE CABUSAS DENTE
8 18101768 GUIDA LOUISE LABRA DEVEZA
9 06304627 MARIANICA PAOLENE GALLEGO DIAMOS
10 18101077 NIÑA GACO DIAZ
11 18102159 ANGELA VIKKI MORALES GESTA
12 16101780 JOSEPH MICHAEL JACINTO JUANILLO
13 18104159 MEKAILAH MAE VILLANUEVA LISEN
14 18106406 KURT MICHAEL EDRIANNE TABASA MARATA
15 18106493 BILLY SHAWN GERONA MIRAS
16 18100549 RISHA MONCEDA MONTEHERMOSO
17 18105896 PEARLY CUIZON MORIT
18 18105896 CURT SYBILLE LARGO OMANDAM
19 18102327 RAZEL YCOT PAQUIBOT
20 18103803 ISLE ALEJANDRINO RONDINA
21 18100081 SHYNE ALEXIS CONDINO RONQUILLO
22 19100343 THEA ALEXIS FLORDELIZ SANCHEZ
23 18101810 LADY GWENDOLYN ROBLE SENO
24 19100206 MARK JOSEPH LAUDE VALMORES

EXRM FACULTY

25 MS. CARMENCITA ALVIOLA

26 MRS. ODETTE BACUDO
27 MRS. APRIL JOAN BAGANO
28 MRS. EDNA RUBIA

EXRM ALUMNI

29
30
31
32
33
34
35

Revision 03: Effective September 2019