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SOU Form 01

Republic of the PhilippinesCENTRAL LUZON STATE UNIVERSITY

Science City of Muñoz, Nueva Ecija

OFFICE OF STUDENT AFFAIRSStudent Organizations Unit

APPLICATION FOR RECOGNITION/RENEWAL

Recognition : ________ Date and Semester Filed : _____________Renewal : ________I. Basic Information

Name of Organization : _____________________________________________________________________ President/s : ______________________________________________________________________________ Adviser/s :_____________________________________________________ College/Unit:________________ Date of 1st Recognition/Anniversary : __________________________________________________________ No. of Members :

2nd Year No. of Males :3rd Year No. of Females :4th Year5th Year6th YearTOTAL

II. Organizational Objectives

III. Activities Performed - Preceding School Year(For Renewing Organization Only)

Date Title of ActivityClients/ Total Number Of Attendees

Type of Activity

(Use additional sheet, if necessary)

I hereby certify that all information stated herein are true and correct to the best of my knowledge and belief as President of the organization. I pledge to abide by the policies and rules of the organizations.

_____________________________ President/Head

Attested by :____________________________________ Adviser/s

SOU Form 02

Republic of the Philippines

CENTRAL LUZON STATE UNIVERSITYScience City of Muñoz, Nueva Ecija

CONFIDENTIALOFFICE OF STUDENT AFFAIRS

Student Organizations Unit

________________________________________Name of Organization

Directory of Student Organization President Name Course/YrAgeSexReligionNationalityBirthdateBirthplacePresent AddressHome Address

Street Barangay Municipality/City Province

Parents/Guardian Last Name First Name Middle/Maiden Name

Name of Father:Name of Mother:Source of Financial SupportTalents/SkillsCelphone no./Contact no.

CLASS SCHEDULESubject Place/Room Time Day

______________________________ Signature Over Printed Name

Date and Semester Filed : _____________

2x2 picture

SOU Form 03




JOINT STATEMENT OF INVOLVEMENT/COMMITMENT

BY ADVISER AND PRESIDENT OF STUDENT ORGANIZATION

We, __________________________________________ and _____________________________Adviser/sand President respectively of the _____________________________________________ Central Luzon State University, Science City of Muñoz, Nueva Ecija shall abide the following :

As PRESIDENT:a. Manage the operation of the organization.b. Liable for any misconduct committed/ engaged in by the organization or its members; and for

violation of the rules and regulations of the school as well as the Constitution and By-Laws of the organization.

c. Presides in the meetings of our organization and spearhead its activitiesd. Work with the Student Organizations Unit under the supervision of the Office of Student

Affairs.As ADVISER/S:

a. That we shall supervise/regulate and manage the election of officers of the organization b. Certify as to the correctness of the financial statement and report of collection and

disbursement of funds of the organizationc. Attend meetings and activities of our organizationsd. Liable for any misconduct committed/ engaged in by the organization or its members; and for

violation of the rules and regulations of the school as well as the Constitution and By-Laws of the organization.

e. Work with the Student Organizations Unit under the supervision of the Office of Student Affairs.

__________________________________ President/Head

(Signature over Printed Name)

____________________________________ Adviser


____________________________________ Adviser



SOU Form 04





THE CHAIRMANStudent Organization Board of ManagementCentral Luzon State UniversityScience City of Muñoz, Nueva Ecija

Sir/Madam :

We,___________________________________and______________________________________president and adviser/s of __________________________________________________ will be held liable for violation of the university rule prohibiting Fraternities and Sororities, College Based Organization and Non College Based Organizations Campus Ministry from recruiting first year students and hazing activities. Violating this rule will be sanctioned accordingly as stipulated in the section 6, e of the CLSU Student Code of Conduct and Discipline and R.A. No. 8049 also known as the Anti Hazing Act.

___________________________________President

__________________________________Adviser

__________________________________Adviser

SOU Form 05




PROGRAM OF WORK

Organization _________________________________ Date and Semester Filed : _____________

Activities Clientele Date Venue

( Use of additional sheet if necessary)

Prepared by : (Secretary)

______________________________ Printed Name and Signature

Attested by

______________________________ (President)

Printed Name and Signature

_______________________________ (Adviser)


SOU Form 06




Roster of Officers and Members

_______________________________________________________Name of Organization


NAME POSITION CUR./YR. CONTACT NUMBERCLSU ADD./

HOME ADDRESS

(Include the Adviser in this list)(Use of additional sheet if necessary)

Prepared by : (Secretary)

______________________________ Printed Name and Signature

Attested by:

______________________________ (President)


_______________________________

(Adviser) Printed Name and Signature

SOU Form 07






Annual Financial Report : Academic Year 20____ - 20 ____

Cash Balance : ___________________________________________ P________________

(month) (year)Receipts :

Amount

Total Receipts ............................................................... P _______________

Less Expenses :

Total Expenses ........................................................ P___________________

Cash Balance as of ___________________________ P __________________ (month) (Year)

Prepared by : (Treasurer) Audited by : (Auditor)_______________________________ ________________________________ Printed Name and Signature Printed Name and Signature

Noted by : (President) Attested by : (Adviser/s)

_________________________________ ________________________________ Printed Name and Signature Printed Name and Signature

SOU Form 08






CONFIDENTIALAFFILIATION TO OTHER ORGANIZATIONS

(Positions held/Membership)

NAME POSITION ORGANIZATION/S AFFILIATED

Attested by :_________________________________

President

_______________________________Adviser/s

__________________________Date Signed

SOU Form 9




MEMORANDUM OF AGREEMENT


In order to prevent any untoward incident such as mauling, physical assault, rumble and verbal assault or uttering insulting and derogatory remarks or any other provocation that would result to trouble between student organizations, we, the officers and members of _______________________________ agree to abide to the following that:

a) we will cooperate with the officials of the university in ensuring peace and order in the campus.

b) we will not engage and/or involve in any tumults or other untoward incidences or disturbances stated above.

c) we will not involve our alumni members in complicating matters (stated above) instead, facilitate the peaceful resolution of problems or conflicts.

d) in case of violation of this agreement by any member of our organization, the Board of Management for Student Organization (BMSO) and the CLSU administration is empowered to enforce disciplinary measures such as: suspension of our members or expulsion from the university, suspension of the organizations and revocation or rescission of its official recognition, plus other disciplinary measures which may deem appropriate.

Name SignaturePresidentVice PresidentSecretaryTreasurerAuditorOther Officers & Members

Conforme:

___________________________________________________ Adviser/s

SOU Form 10Republic of the Philippines

CENTRAL LUZON STATE UNIVERSITYScience City of Muñoz, Nueva Ecija

________________________________________________Name of Organization

Date filed:________________________

A C T I V I T Y P E R M I T

_____________________________________________________________________Title of Activity/Program

Date (s) : Category :Guest (s) if any : Venue :Rationale:

Objectives:

Methodology/Mechanics:

Equipment(s) to be used :Clientele :

BUDGETARY PLAN :Existing Fund of the Organization : P _________________Gross Receipt : Source ___________________________ P ______________________________________________ ______________________________________________ ___________________ P _______________Less Expenses :___________________________ P ______________________________________________ ______________________________________________ _____________ ______ P ________________Net Income (loss) P

===============

1. SO President 2. SO Adviser______________________ ______________________Printed Name and Signature Printed Name and Signature

______________________3. SO Treasurer 4. SO Auditor

______________________ ______________________Printed Name and Signature Printed Name and Signature

5. Security Head 6. Audio Visual Head______________________ ______________________Printed Name and Signature Printed Name and Signature

Recommending Approval :

ERNESTO T. JIMENEZ, JR. SOU Officer

APPROVED :ELIZABETH S. SUBA Dean of Students

SOU Form 11




Report of Activity Completed

_____________________________________________Organization

Date of Filing : _____________________

Title of Activity/Program : ______________________________________________________________________Date Started : ______________________________ Date completed : __________________________Detailed Account of accomplishments :

Financial Statement :

Gross receipt : P

P

Less Expenses : P

PNet Income (loss) P_________________ Total Fund of the Organization (Existing Fund + Net Income) P _________________

Prepared by :

____________________________ ___________________________ SO President Secretary

Printed Name and Signature Printed Name and SignatureAttested by :

__________________________ Adviser/s

Reviewed by : (SOU Office) Printed Name and Signature

_____________________________ Printed Name and Signature __________________________

Date

Note : Must be submitted within 10 working days after the completion of the project/program accompanied with proper documentation and certification

Implementing Guidelines

1. All permits to conduct activity shall be made of this form, to be filled at least 3 days before the date of proposed activity

2. The use of available school facilities shall be limited to recognized student organizations.

3. Notice of postponement, cancellation or alteration shall be forwarded to the concerned offices two days before the date of proposed activity.

4. The Officers of the Student Organizations concerned shall be responsible for (the maintenance) any damage of the school property or facilities arising from the use by the organization.

5. Project or completion reports must be filed within 10 working days after the activity has been completed with proper documentation and certification (i.e. pictures, signatories, attendance, communications, programs, receipts, requests and the like)

6. All cases involving student activities shall be subject to applicable university rules and regulations.

7. Advisers of student organizations should be present in every activity/project meeting of his/her advisory student organizations.

8. Other student activities not mentioned in these guidelines may only be allowed to conduct upon approval by the Dean of Students or his/her duly authorized representative.

SOU Form 6-A




MEMBERSHIP PROFILE

______________________________________Name of Organization`


Name: _______________________________ __________________________ __________________Last Name First Name Middle Name

Course/Year: ____________________________ Age: ____________________ Sex: ________________

Birthday: _________________________ Birthplace: _________________________________________

Position in the Organization: _____________________________________________________________

Address while in CLSU: ________________________________________________________________

Home Address: _______________________________________________________________________ Street Barangay Municipality/City ProvinceParents:

Father _________________________________________________________________________Last Name First Name Middle Name

Mother: ________________________________________________________________________Last Name First Name Middle Name

Talents/Skills: ________________________________________________________________________

Date Entered in the Organization: _________________________________________________________

Membership to Other Organizations: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________ Signature

_____________________________________ Contact Number/s

Attested by:

_______________________________________ ______________________________________ President Adviser/s

2x2 IDPicture

SOU Form 12




APPLICATION FORM FOR S.O ADVISER

Name: Sex: Age: Civil Status:Birth Place: Birth Date:Position/Designation: Major Field/Specialization:Status of Appointment: No. of Yrs. In Service:College/Unit: Dept: No. of Yrs. In Campus Advising:Home Address:

CLSU Address:

This is to signify my intention to serve as adviser of __________________________________________(Organization). That I am aware of my responsibilities /roles and functions as adviser. As an adviser, I am expected to:

a) Attend meetings and other activities of the organization.b) Attend meetings, seminars, training to be sponsored by the SOU – OSA and off-campus

seminars, training as requested.c) Supervise/regulate and manage the election of officers of the organization.d) Be responsible for any misconduct committed or any prohibited activity engaged in by the

organizations of the school as well as the Constitution and By-laws of the organization.e) Certify as to the correctness of the financial statement and a report of collections and

disbursements of funds of the organization.f) Work with the Student Organizations Unit under the supervision of the Office of Student

Affairs.

___________________________________ Signature Over Printed Name

Contact #: __________________________

Date and Semester Filed : ________________

-----------------------------------------------------------------------------------------------------------------

For BMSO Approval:

ELIZABETH S. SUBA, Ph D Dean of Students

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