BHC EDUCATIONAL INSTITUTION, INC.

Sevilla Center, City of San Fernando, TOTAL

2500 La Union
Tel. No. (072) 700-0638; bhc_one@yahoo.com
The School of Excellence
HIGH SCHOOL DEPARTMENT
________________________________________________________________________________________________________embracing excellence!
LIST OF CO- & EXTRA CURRICULAR ACTIVITIES
Name: _________________________________________ Grade/Year and Section: ____________________ Over-all Co & Extra Curricular Points:
A. MEMORANDIZED/OFFICIAL CONTESTS (Academic, Sports, Others, NGO Sponsored Contests)
per DepEd Order No. 92 s. 2009. Please fill in the appropriate table.
Coach/Trainer
Contest/Activity Venue Date Award Points
with Signature
International

National

Regional

Provincial/Division

School

Total
 B. STUDENT LEADERSHIP (Supreme Student Government – SSG). Please check the appropriate cell.
Position International National Regional Division School Points
President/Mayor
Vice President/
Vice Mayor
Secretary/
Treasurer
Auditor, Peace
Officer, Public
Information
Officer
Representative
Councilor
COMELEC and
Committee
Member
Homeroom
President
Other
Homeroom
Officers
Other Officers
Total
___________________________________________________________________
Name and Signature of SSG Adviser/Homeroom Adviser

C. OFFICERSHIP AND MEMBERSHIP in DepEd established or recognized organizations or clubs

Please write the name of the club in the appropriate cell.
Position International National Regional Division School Points
President/Mayor
Vice President/
Vice Mayor
Secretary/
Treasurer and
Other Officers or
Equivalent
Member
Total
___________________________________________________________________
Name and Signature of Club Adviser

D. CAMPUS JOURNALISM
Position Please CHECK the appropriate cell below. Points
Editor – in - Chief
Associate Editor
Managing Editor
Section Editor
Contributor
Other
Total

E. PARTICIPATION OR ATTENDANCE in DepEd recognized seminar, camp, exchange programs, trainings, conference or
workshops and other similar activities.
Teacher-in- Please check the appropriate cell below.
Area/Activity Charge with Provincial/ Points
International National Regional School
Signature Division

Total