Uploaded by Ticala, Carl Edward M.

NSTP Form

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NSTP 102 dox # 2022-01uml
Sample of the NSTP-CWTS 102 Activity Design
I.
II.
Title of Activity #
___________________________________________________
Rationale
____________________________________________
___________________________________________________
III.
Objectives
General objectives
______________________________________________
______________________________________________
Specific Objectives
______________________________________________
______________________________________________
IV.
Proponents
Leader: (Your name) _____________________________
Asst. Leader: (from the community)_________________
Members: _______-do-___________________________
: _____________________________________
Respondents
Name of the community: ________________________
Address
: ________________________
Barangay Chairman
: ________________________
Contact Number
: ________________________
V.
Location Map
Draw the map of the community/barangay
(adjust the size of the square)
VI.
Sponsoring College or Department
College or Department: CAS/NSTP
Dean:
Dr. Gil Nicetas B. Villarino
NSTP Director:
NSTP Facilitator:
Prof. Rogelio T. Negros
Dr. Ursula M. Labita
VII. Strategy/Methodology/process
________________________________________________
________________________________________________
VIII. Let’s reflect
Reflection(guide)
1. Think of the program in line with (see list) for its effective
implementation
2. Note the best practices in the implementation of the
program
3. Describe your learnings on the implementation of the
program
4. Given the chance to prepare a development plan to sustain
this program, recommend certain strategies
IX. Develop values and concepts during the implementation of the
program.
X.
Documentation: Pictures, attendance, evaluation
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