SAINT LOUIS UNIVERSITY

COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE

NATIONAL SERVICE TRAINING PROGRAM

SERVICE LEARNING PROGRAM

NAME OF YOUR PROJECT
(GIVE THE NAME OF YOUR PROJECT)
(THIS PROJECT IS A HOME BASED PROJECT THAT CAN BE DONE IN YOUR HOME OR IN YOUR OWN COMMUNITY/
AREA – YOU CAN DO THIS PROJECT AS A GROUP – 5 MEMBERS IN ONE GROUP)

I. SLU’S VMO STATEMENT

Saint Louis University is an excellent missionary and transformative educational institution that is
zealous in developing human resources to be creative, competent, socially involved and imbued with
the Christian spirit.

II. CORE VALUES (PLEASE CHECK IF THE FOLLOWING DESCRIPTION IS APPLICABLE FOR YOUR PROPOSED
PROJECT, IF SO, YOU CAN MAINTAIN THE DESCRIPTION BUT IF NOT, LOOK AT YOUR PROGRAM LEARNING
OUTCOMES IF WHAT PLO THAT IS APPLICABLE THAT YOU CAN ADOPT)
▪ COMPETENCE - To provide a broad and professional education necessary for principles and
methods of modern scientific Nursing.
▪ CREATIVITY – To develop the students’ faculty’s and staff’s innovate potential so that they
can adapt to real life situations; To hone the faculty and students’ creativity in dealing with
current trends, issues and problems in Nursing practice through the development of
Research skills.
▪ SOCIAL INVOLVEMENT – To harness the expertise and resources of the School through the
Community Organizing Participatory Action Research (COPAR) and the mobile nursing clinic
 to help alleviate the state of health care system in depressed or neglected communities and
barangays.
▪ CHRISTIAN SPIRIT – To develop the personal qualities that would enable the students, faculty
and staff to live a wholesome, satisfying life as a Christian and instill the values of
humanitarian dedication.

III. School: School of Accountancy, Management, Computing and Information Studies

IV. Program: BS Accountancy/ BS Financial Management/ BSTourism/ etc.

V. Partner Community: Choose from the Nexus (Choose from the explain part or from the Nexus article)

VI. Profile of Partner Community: (You will be the one to describe the profile of the partner community, please see the
example of SLP in the elaborate part)

VII. Matrix of Service Learning Program Activities

MATRIX OF SERVICE LEARNING PROGRAM ACTIVITIES
PROGRAM OUTCOME NEXUS ACTIVITIES COMPETENCIES PERSONS IN-CHARGE AND
THEIR RESPONSIBILITIES
Choose ONE OR TWO PLO (CHOOSE ONE WHAT WILL YOU DO? WHAT SKILLS WILL BE YOU CAN INCLUDE
based in the list of program ONLY FROM THE General activities for UTILIZED? YOUR FAMILY MEMBERS
outcome according to your NEXUS the project
course. EXAMPLES –
WHAT CAN YOU
 DO)
Demonstrate technical Louisian Cares Preliminaries: ●Proper ●BSMLS NSTP 2 Students
competence (safe, ●Create plan on coordination and – responsible in
appropriate, and accurate proposed project on collaboration facilitating the project
testing) in the performance blood donation according to
of laboratory tests to aid in approved plans,
the diagnosis treatment,
and management of
disease

VIII. Appendices
A. Plant Design / Program of Activities (Activity – Competencies – Date and Venue – Assessment)
YOU CAN ADAPT FROM THE GIVEN EXAMPLE IF YOU THINK NECESSARY
– YOU CAN SET THE DATES IN THIS SHORT TERM/ SEMESTER TERM
- SEE THE EXAMPLE BUT DO NOT FORGET THAT THIS IS A HOMEBASED PROJECT
- YOUR VENUE CAN BE YOUR HOME OR YOUR BARANGAY

Plant Design / Program of Activities

Date and Venue
● Dates in the actual activity
– you will set your date
August 18-August 30, 2019
SC05, NSTP Office
Activity Competencies Assessment
● Specific activity on that day ● Specific skill that gain from the
activity
● Project planning and possible Proper planning and organizing Approved SLP
troubleshooting of problems and collaborative working
encounter to the project
 ●

B. Consent from Partner Community (IF YOU THINK THIS IS APPLICABLE, MAINTAIN THE FORM AND ENCODE THE
NECESSARY INFORMATION BUT IF NOT, THEN REMOVE THIS PART)
SAINT LOUIS UNIVERSITY
OFFICE OF THE VICE PRESIDENT FOR MISSION AND IDENTITY
COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE
NATIONAL SERVICE TRAINING PROGRAM

SERVICE LEARNING PROGRAM

Consent from Partner Community

____________________
Date
To the University President:

May I inform your office of our willingness to enter into a partnership with (name of group)________________________, a Service
Learning Program of the National Service Training Program of Saint Louis University from _________________ to __________.

_____________________________________ _____________________________
Signature above Printed Name Designation

_____________________________________
Community/Barangay/Organization

Contact Information:
Address: _____________________________________________________________________________________________________________
CP/Landline: _________________________________________________________________________________________________________
 C. Budget Proposal

SAINT LOUIS UNIVERSITY

COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE
NATIONAL SERVICE TRAINING PROGRAM

SERVICE LEARNING PROGRAM

BUDGET PROPOSAL

Approved by:

BRANDON B. CADINGPAL
Project/Supervising Instructor

ERMILYN P. RAMOS CHARMAINE P. MENDOZA LPT, MAED

Department Head, NSTP Director, CEOPO
IX. Impact Assessment Plan (BEFORE THE IMPLEMENTATION OF THE PROJECT – READ AND RECONSTRUCT
DEPENDING ON YOUR PROPOSED PROJECT. BELOW IS AN EXAMPLE ONLY – 250 TO 500 CONTENT WORDS
ONLY)
There are a number of benefits concerning blood donation, not only to the recipient but also to the
donor. The impact of this knowledge may lead to more positive effects for one's physical and emotional
health. Research studies have shown evidence that donating blood can reduce stress, improve emotional
 well-being and overall physical health. With this information disseminated properly, a student's life is
activated to reduce the possible health risks associated with a lack of health care for one's self.
Another important impact of this activity is the possible promotion of community health through the
knowledge of the students who will participate. This helps to promote a healthy lifestyle for the said
communities.

Endorsed by:

BRANDON B. CADINGPAL
Project/Supervising Instructor

ERMILYN P. RAMOS, LPT, MAED FIL ED

Department Head, NSTP

CHARMAINE P. MENDOZA, LPT MAED

Director, CEOPO

FELINA P. ESPIQUE, PhD

Dean

REV. FR. MACWAYNE N. MANIWANG, CICM, PhD

VPMI