OFF-CAMPUS ACTIVITY CHECKLIST

Name of Activity: Surveying Fieldwork Exercises Participants: 2nd Year Civil Engineering Students (BSCE2A)
Time and Date: As scheduled Venue: As scheduled
REQUIREMENTS Curricular Non-Curricular Remarks
 Curriculum specifying course
 Letter of Invitation from
title, unit credits and time-
Organizer
allotment of the Off-campus
 Order from the
Activity
Administration
a. Nature and Purpose of Off-  Course Syllabus reflecting
 Proposal for the Off-campus
campus Activity relevance of educational
Activity
tour/field trip
 Alternate Activities
 Parallel activities
 Conduct of Orientation
 Conduct of Orientation
Meeting
Meeting
 Itinerary and schedule of trip  Itinerary and schedule of trip
b. Destination  Coordination with LGU (as  Coordination with LGU (as
needed) needed)
 Owned by the HEI  Owned by the HEI

Updated /valid documents Updated /valid documents

a. Registration g. Registration
C. Transportation b. Insurance Coverage h. Insurance Coverage
c. Driver’s license i. Driver’s license
d. Assurance of roadworthiness j. Assurance of roadworthiness

 Third party or sub-contracting  Third party or sub-contracting

Updated /valid documents Updated /valid documents

a. Registration e. Registration
b. Insurance Coverage f. Insurance Coverage
c. Driver’s license g. Driver’s license
d. Assurance of roadworthiness h. Assurance of roadworthiness

Name of Activity: Surveying Fieldwork Exercises
Time and Date: As scheduled
d. Parent’s Consent
e. Medical Clearance
f. Personnel in Charge (PIC)
- For many PICs, the leader
must be a regular employee
of the college
- PIC – Student Ratio must be
1 : 30-50
g. First-Aid Kit
Post-Activity
Checked BY:
______________________________________
Date:
OFF-CAMPUS ACTIVITY CHECKLIST
Participants: 2nd Year Civil Engineering Students (BSCE2A)
Venue: As scheduled
e. Updated/valid franchise w/
LTFRB
f. Travel and Tour Operator
duly accredited by DOT
written consent of the parents
or the student’s guardian duly
notarized/subscribed
Medical clearance from School Doctor
 Designation or order from
Administration indicating
PIC’s role and responsibilities
before, during, and after the
off-campus activities.
 Relevant certificate on first-
aid training
First-Aid Kit
Cash Advance Liquidation
/Reimbursement Report
Learning journal/paper reflecting
student’s observations, learning,
findings, and noteworthy
experiences.
k. Updated/valid franchise w/
LTFRB
l. Travel and Tour Operator
duly accredited by DOT
written consent of the parents
or the student’s guardian duly
notarized/subscribed
Medical clearance from School Doctor
• Designation or order from
Administration indicating
PIC’s role and responsibilities
before, during, and after the
off-campus activities.
• Relevant certificate on first-
aid training
First-Aid Kit
Cash Advance Liquidation
/Reimbursement Report
Activity Accomplishment Report
(Hard and Soft copy documentation)
Reviewed By:
________________________________________
Date:
 OFF-CAMPUS ACTIVITY CHECKLIST
Name of Activity: Surveying Fieldwork Exercises Participants: 2nd Year Civil Engineering Students (BSCE2A)
Time and Date: As scheduled Venue: As scheduled
Additional Notes:

 In consideration of the Semestral requirement that students may only be allowed to incur absences not more than 20% of the total number of
prescribed class meetings,
o Class disruptions due to activities by student organization will be limited to 5 days within the semester
o Individual student’s leave from classes due to attendance to various external activities will be limited to 7 days within the semester
Exemptions:
- Attendance to activities sponsored or required by the BISCAST Administration