Osa Activity Request Form

OFFICE OF STUDENT ACTIVITIES Vinzons Hall Annex, UP Diliman, QC

STUDENT ORGANIZATION ACTIVITY REQUEST FORM Name of the Organization

Date Filed

Title of the Activity

Date of the Activity

Brief Description of the Activity

REQUESTS



Posting of Streamers & Posters



Police Assistance



Use of University Facilities as Venue for Activities



FOOD SALE



TIANGGE, Etc.



Other Requests

Venue / Designated Area

Inclusive Time & Date

Request forwarded by OFFICER of the organization:

Noted by the FACULTY-ADVISER of the Organization:

Signature:

Signature:

Name:

Name:

Contact #:

Unit/College:

Officially Recognized College-Based Student Organization

Officially Recognized University-Wide Student Organization

____________________ College Secretary

____________________________________ Coordinator, Office of Student Activities

Recommending Approval: ________________________________ Vice-Chancellor for Student Affairs Date:

APPROVAL: ____: Vice-Chancellor for Community Affairs ____: Dean, _________________________ ____: Manager, Business Concessions Office