ARELLANO UNIVERSITY

Main Campus
Student Activity Request Form (SARF)

REQUESTOR’S INFORMATION Date Submitted: __December 2, 2020_________

COLLEGE OR DEPARTMENT____________AUSSC___________ ORGANIZATION (if applicable) _______________________
Adviser: _______________Mr. Marvin Costales_________________ Number of participants__________________________
(For organizations only—please print name)
Name of activity: ARELLANORIGINALS Date of activity: DECEMBER 18, 2020_____________
___/___ INTERNAL ______EXTERNAL ___/__WITH CONTRACT ______ WITHOUT CONTRACT
 With student fee-- Amount ___________ (Please attach Authority to Collect with name of payee)
 With institutional fund --Amount: __P2,000.00_ Charge to (fund source): ________AUSSC FUND_______________________
 No Fee (if marked, no need for finance approval)
Description of activity: ________A singing and dancing competition that focuses on the talents and creativity of every contestants
with a theme of “New Format in the New Normal” __
Purposes/Objectives: This will showcase and highlight the students’ talents and skill in performing with the rhythm of tune and beats
of the music. this will also challenge their creative side on executing their performances using their gadgets.
Justification, safety & security measures & other comments: ________The AUSSC Officers will make sure that the judging will be
fair to all parties. Any form of cheating found throughout the competition will be given necessary actions____________________
__________________________________________________________________________________________________________
Requested by: _____Roi Vincent Julius F. Laurente_____________________ _______Mr. Marvin C. Costales__________
Adviser/Department Head/Subject Coordinator
Endorsed by: _______________________ ___________________________________
Student Activity Coordinator Principal/Dean/Program Chair /Director

OFFICE FOR STUDENT AFFAIRS (OSA)

OFFICE and
Checklist OF Attachments
STUDENT AFFAIRS (OSA) Post-Activity
Pre-approved in the AU Calendar of Activities Requirements:
Authority to collect fees from students Post-financial report
Waiver of parent/guardian for each participant
Invitations/Proposals/Estimated Expenses/Quotations Post Activity written
Contract/s
Pre & Post Activity Requirements: report, summary of
Risk Management evaluation and
 Profile of the adviser/faculty/consultant/speaker/judges photographic
Transportation documentation & Insurance, Bus/Car Registration, etc. (for Field trips only) documentation
Other Requirements ________________________
With special MANCOM approval (refer to attached approval sheet) submitted
Date of approval:
Confirmed _______________
to be in order:
_____________________ __________ ______________________ _________ __________________ ________
Dean for Student Affairs Date AVP for SPS Date VP for AA Date

_____________________________________ _________________
VP HRD/ Director, Legal Division Date

FACILITIES
Date Needed: _________________________ Time Needed: ____________________
Venue Reservations Facilities/Equipment (OGS) IT Dept.
 Gym (Socio Civic Ctr.) (Athletic Dept./Office of the President))  Overhead Projector  In-focus (IT)
 Little Theater (In-Charge)  VCR & TV  Computer
 Computer Room #_____ (Dean, Com Science)  Slide Projector  Others____________________________
 Class Room#_______ (Dean, Institute)  Public Address System Checked by: ____________Date_________
 A.V.R. (Dean, Nursing)  Others _______________________
 PH Lobby (VP Admin.) Checked by: ________________ Date: ____
 HTM Function Room (Dean, SHTM)
 AU Quadrangle (VP Admin.) OIC, Maintenance
 Others ________________________  Table/Chairs (pls. specify) ___________
Checked by: __________________ Date: __________  Sound System
Vehicle  Podium
 For Educational Tour  Others ____________________________
 For Official Use Checked by: ________________ Date: ______
Type _______________________ Plate # _______________________

Approved by: ______________________________________ _________________

VP ADMINISTRATION Date

FINANCE
Budget Approval
With available funds Amount approved: ___________________________________
No funds available Comment: _________________________________________
___________________ ______________ __________________________ ___________
Comptroller Date VP FINANCE Date
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NOTICE: 1. This form shall be used ONLY for extra-curricular and some specified co-curricular activities.
2. All SARF should be filed with OSA at least 30 working days before the actual activity.
3. SARF must be properly filled-up and necessary documents must be attached before submission.
1st Revision 04-13-2015
4. nd
2OSA should09-07-2015
Revision 3rd Revision
be immediately notified06-27-17
for any changes (venue, date, etc.).
5. One activity only per SARF.