<INSTITUTION>

<Location>

COMMUNITY EXTENSION PROJECT PROPOSAL

Project Organizer : <state your organization>

Support : <partner of the organization in implementing the project, if

any>

Project Title : <state the project title>

Lead Facilitator : <state the project lead facilitator>

<say for example, CHM-CSC>

Rationale : <state the basis of the project>

A brief introduction about the project. In addition, statements
that would justify the need to conduct the activity must be
highlighted.

Objectives : <state the aim/s>

These are broad intentions and orientation of the project. The
objectives of the program should be stated, observing the
SMART formula.

Intended Learning Outcomes: <state the ILO’s>

These are statements that describe what the students should be
able to do or demonstrate, in terms of particular knowledge,
skills and attitudes, by the end of the project.
A. Volunteers
B. Beneficiaries

Program of Activities : <state the program/activity flow in details>

Monitoring and Follow-up : <define how you will be able to monitor your project after its
implementation>

Budget Requirements : <details of expected expenses, do not define by clustered

expenses. Be specific.>

Food PhP __520.00__

Ex. Soft drinks 20pcs @ Php 10 200.00
Sliced Bread 3 packs @ Php 40 120.00
Water 20 bottles @ Php 10 200.00

Transportation PhP __________

Contingency PhP __________

Source of Budget : Community Extension Fund PhP __________

Donation from Students:
Raffle Tickets:
Solicitation/Sponsorship:

Mechanics : <state the operating guidelines, if necessary>

 Screening of target beneficiaries, etc.

Schedule : <implementation/execution date>

Venue : <project venue of implementation/execution>

Prepared by:

<NAME OF IN-CHARGE>
College/Department ComEx In-Charge

<ADVISER>
College
Noted by:
<NAME OF DEAN>
Dean

Recommending Approval:

<NAME OF IN-CHARGE> <NAME OF IN-CHARGE>

Institutional Coordinator, ComEx Services Director, Marketing & ComEx Services

Approved by:

<NAME OF IN-CHARGE>
Vice President for Academic and Research

<NAME OF IN-CHARGE>
Executive Vice-President