implementing guidelines on the conduct of off-campus activity

(1)

Revised as of February 8, 2023

IMPLEMENTING GUIDELINES ON THE CONDUCT OF OFF-CAMPUS ACTIVITY

Report of Compliance

Before Any Co-Curricular & Extra-Curricular Off-Campus Activity

(Following DepEd Order No. 66 Series of 2017)

Effective SY 2018-2019

OFFyouGOhigh

STEP 1: General Information About Co-Curricular/Extracurricular Off-Campus Activity

Program Name

Title/Name of Off-Campus Activity

Grade Level Destination/s & Venue

Inclusive Dates

Number of Students

Compute for

Faculty:

Student Ratio

Number of Faculty Members :

(Personnel-in-Charge[PIC])

*Please be reminded to ensure a 1:35/50 PIC-student ratio for the Co-curricular activities. For Extra-curricular, the DLSMHSI-The Student Affairs (TSA) shall adopt an appropriate PIC-student ratio, as it deems fit. (Adopted from CHED CMO No. 63 Series of 2017)

For DepEd: 2 Chaperone per big group in vehicle.

STEP 2: Description of Off-Activity General

Objective: At the end of the off-campus activity, the DLSMHSI-SHSSHS Students must be able to:

Specific

Objectives: 1.

2.

3. Brief Description of Activities

(Please include Desired Projected Outcome)

STEP 3: Specific Information About Off-Campus Activity

*Please mark chosen entry about nature of off-campus activity with check

1. Classification of Off-Campus Activity

Co-Curricular

Refer to off-campus learning activities which are authorized, voluntary, non-graded off-campus learner engagements anchored within the bounds of the standard curriculum and educational competencies organized and coordinated by authorized learner or civic organization.

Extra- Curricular

Refer to off-campus learning activities which are voluntary, non- graded off-campus learner engagements NOT anchored on the standard curriculum and educational; competencies either offered/coordinated by the school, authorized learner or civic organizations that aim to promote the holistic development of learners.

(DepEd Order No. 66 Series of 2017)

(2)

2. Classification of Off-Campus Activity Educational

Tour

Refer to off-campus learning activities which last for more than one (1) day and involve relatively more places of destination than a field trip.

Field Trip

Refer to off-campus learning activities which are of relatively shorter duration usually lasting for only one (1) day and with fewer places of destination.

(Adopted from CHED CMO No. 63 Series of 2017)

 Field Trips and/or Educational Tours are SUPPLEMENTAL ACTIVITIES ONLY and shall NOT in any way replace the learning delivery.

(DepEd Order 66 s. 2017)

3. Conduct of Off-Campus Activity At least One

Day

ACTIVITY PROPOSAL (Requirement #1) shall be submitted to DLSMHSI-TSA (formerly OSS) for review and approval (TSA + VCA + School Head)

Less than One Day

Teachers concerned shall seek the approval of the School Head in writing. The teachers concerned shall exercise utmost diligence in observing the safety and security of the learners throughout the duration of the said activity. NO NEED to submit ACTIVITY PROPOSAL Requirement #1

4. Category of Off-Campus Activity DepEd

Mandated &

DepEd Initiated

DepEd regularly initiates and/or mandates activities that are conducted outside of the school. These activities are organized by the CENTRAL, REGIONAL and DIVISION Offices, and follow existing issuances specific to the activity

Externally Initiated

External stakeholders may involve schools in their activities and programs, which are off-campus in nature. For DLSMHSI-SHSSHS, appropriate school authorities will be in charge of the approval. The planned off-campus activity shall be thoroughly discussed with school management before seeking approval from concerned authorities. This shall follow strictly articulated procedures in this policy.

School Initiated

Schools are allowed to organize filed-trips and/or educational tours provided that these shall not entail huge costs and shall not risk the safety and security of learners.

5. Provision of Alternative Classes/Lessons-Equivalence

YES

Non-Participating learners shall be provided with lessons equivalent to the program of the conducted off-campus activity to ensure that NOTHING is missed in the learning process. Make-up Classes shall be conducted to cover competencies discussed and/or taken up during the conduct of off-campus activity (Lifted form DepEd Order No.

66 Series of 2017)

Must provide mechanisms for the implementation of parallel activities to those students should not be participating in the activity.(Adopted from CHED CMO No. 63 Series of 2017)

NO

HIGHLY NOT ENCOURAGED

If and only if ALL MUST ATTEND

Requires separate sheet explaining WHY ALL MUST-ATTEND

*Subject for approval by DLSMHSI-President; VCA; SHSSHS Director; Year-Level Coordinator/Adviser and TSA Dean ^(HEI’s

Discretion)

Reminder: All Co-curricular and extra-curricular activities shall have

NO grade equivalent.

In the same way, all NON-PARTICIPATING Learners shall not be required with ANY special projects and/or examination or any form

of school requirements (DepEd Order No. 66 Series of 2017)

6. Venue of Off-Campus Activity & Mode of Travel

International*

Require separate letter “Letter Addressed to Parents” & FLIGHT #:

National

By Land: ____ Owned by DLSMHSI or ____ 3^rd party/subcontracting

By Sea: Vessel Name: Voyage No.#

By Air: with FLIGHT #:

Commute

*As much as practicable, destination of off-campus activities should be NEAR the concerned Institution in order to minimize cost.

*National & International educational tours or field trips shall be governed by meeting with the parents/guardians during PLANNING.

7. Mobility of Students

(3)

1. Call DLSMHSI MOTORPOOL through local 1441 look for Sir Larry Pechino

re:

Mobility of Students and assist in Inspection of Vehicles

2. Ask for Possible Proofs listed in table # 10

3. Should Follow: 2:10 if van; 2:50/60 if bus; for NSTP 2:14/18 if jeepney

(We will be implementing the NO Student in-front-passenger’s Seat Policy) 8. Vehicle to be Used: (Chaperone: Learner Ratio)

Van

^ 2:10 ratio

Bus

^ 2:50/60 ratio with NO aisle seats

Jeepney

^ 2:14/18 ratio

Private Car

^ 1or 2:4 ratio and faculty MUST be in passenger seat

(Following Suggested Seating Capacity by DLSMHSI-TSA-OFFyouGOForm and DLSMHSI-MOTORPOOL)

 At least two Chaperons in a vehicle of not more that the seating capacity from DepEd

9. Drop-Off

Would the Director and/or Asst. Director of DLSMHSI-SHSSHS allow Drop-Off?

NO

^ The Organizing/Concerned Teacher prefers

“Designated Waiting Area” in DLSMHSI as final and only Drop-Off Area after off-campus activity and the learners shall be dropped off and picked-up in DLSMHSI ONLY.

 Learners whose fetchers are yet to arrive shall diligently wait in the designated waiting area and shall be supervised by TEACHERS-in-charge.

YES

Set Conditions: like , but not limited to:

 Make it part of the Conforme AND

 Parent/Guardian who wishes their child or children to be dropped-off elsewhere, shall DIRECTLY communicate with the Activity Head or Authorized Personnel re: drop-off details AND

 Learner’s FETCHER MUST already be in the agreed drop-off area by the time the learner is to be dropped-off, Otherwise, the learner shall be dropped off and picked-up in DLSMHSI.

10. Proofs re: Chosen Transportation

Mark with Check

Choices PROOFS Needed

OWNED By the HEI (DLSMHSI-

MOTORPOOL)

1. Updated/valid documents pertaining to registration 2. Insurance coverage

3. Driver’s/s’ license/s

4. Assurance of Roadworthiness 5. Drivers are in good medical condition 6. Specific vehicle

7. Corresponding Plate Number/s to be used 8. Assigned drivers

Lifted from CHED Memo No. 63 s. 2017

Later 3 requirements are from DepEd Order No. 66, s. 2017

Third Party or Sub- Contracting

e.g.

1.Franchisee 2. External Tour &

Transportation Operators 2. Travel & Tour

Operators

1. Memorandum of Agreement with DLSMHSI – signed by both parties beforehand with CLEAR itinerary and activities offered per location

2. Certified True Copy of Accreditation Certificate by the Department of Tourism

3. Certified True Copy of Certification from LTFRB on the validity and scope of franchise of the tour operator’s vehicle/s if applicable.

4. Updated/valid documents pertaining to registration 5. Insurance coverage

6. Driver’s/s’ license/s

7. Assurance of Roadworthiness

8. Certificate of Business Name Registration 9. Mayor’s Permit

10. Certificate of Registration 11. Commercial Vehicle Policy 12. Line of Insurance of 3^rd Party

13. Automobile Passenger Personal Accident Insurance Policy 14. DO Transportation/LTO (Updated Truck Bus Registration) 15. Department of Tourism Accreditation of Travel & Tours

(Should you choose to be assisted by Travel & Tours) 16. Specific vehicle

17. Corresponding Plate Number/s to be used

(4)

18. Assigned drivers

19. Drivers are in good medical condition Lifted from DepEd Order No. 66, s. 2017

 According to DepEd, Specific vehicle; Corresponding Plate Number/s to be used; Assigned drivers must be submitted by OWNED & THIRD PARTY not less than 5 days before off-campus activity to organizing/concerned teacher. ONLY the pre-identified will be permitted during the activity itself.

11. Cost/Fees/Fund Source Part of Enrolment

*The fees to be collected from the students must be duly approved & disseminated to stakeholders concerned.

(Letter of Approved Budget)

*There should be a breakdown of fund sources & other resources properly secured & accounted for. (Approved Breakdown)

Special Collection

Others

^ Any supporting document/s

(Adopted from CHED CMO No. 63 Series of 2017) (DepEd only stipulated choices under this category appropriate for PUBLIC SCHOOLS)

Participation in all Off-Campus activities is VOLUNATRY. Under NO circumstances shall off-campus activities place undue financial burden on the learners and their families. Teachers shall NOT charge their expenses to learners.

(DepEd Order No. 66 s. 2017)

STEP 4a: Nature of Off-Campus Activity if considered part of CO-CURRICULUM

*Please mark chosen entry about nature of off-campus activity with check.

Co-Curricular

Visits to reputable firms or government sites & other areas identified by local government units concerned (LGUs) safe for students; or

Visits which are considered under culture and arts related activities i.e. museums, cultural sites, landmarks, & other related venues; or

Visits to plant industry, host training establishment visit, institution learning visit/benchmarking, hospital visit, & other related visits; or

Participation &/or attendance in degree program-relevant events; or

Field study/Experimental Learning/ related Learning Experience/Community Immersion

Referred to off-campus activities which are congruent to the learning outcomes of the course in terms of time

& context. These activities require substantial off-campus learning as curriculum delivery.

Others: Please specify:

*Gentle Reminder: Should be part of APPROVED CURRICULUM and within bounds of STANDARD CURRICULUM and duly approved by DLSMHSI approving authorities & duly noted by DepEd.

STEP 4b: Nature of Off-Campus Activity if considered NOT part of CURRICULUM

*Please mark chosen entry about nature of off-campus activity with check.

Extra-Curricular

Mission-based activities e.g. retreat, recollection, etc.; or

Conventions, seminars, conferences, symposia, trainings, leadership trainings, &

teambuilding; or

Volunteer work including peer helper programs, relief operations, community outreach, medical-mission

Advocacy projects and campaigns; or Participation in sports activities; or

Culture & arts performances & competition; or Interschool competitions/tournaments; or Research presentation/competitions; or

Activities initiated by recognized various student groups

Others: Please specify:

STEP 5: Instructions from DLSMHSI & TSA (formerly OSS)

as per DepEd Order No. 66 s.2017

this will serve as checklist. Put a check once considered DONE & COMPLETED or OBSERVED.

REMINDER: Do NOT put a mark (Check) if NOT OBSERVED. Such violation shall be dealt with accordingly.

PUT A CHECK IF OBSERVED

PREPARING FOR OFF-CAMPUS ACTIVITIES

A.

PLANNING STAGE

(5)

a. Plan

^ Approval of concerned authorities.

 Should be part of DLSMHSI-SHSSHS Annual Planning

 Presentation of justifications that cover important aspects i.e. relevance to the curriculum, safety and security measures, & accountability of concerned stakeholders.

 ACTIVE involvement of parents in the planning of off- campus activities and during the activity proper.

 PARENTS are encouraged to attend as long as their resources permit.

INSTRUCTION: Submit Minutes of the Meeting with Parent’s Participation.

B.

SAFETY & SECURITY MEASURES a. Buddy

System

 Assigning of a BUDDY per learner except when only one learner is travelling with the teacher concerned.

 Designation of paired learners in a bigger group to any participating adult.

INSTRUCTION: Submit a List of Students with their corresponding Buddies.

b. Medical Kit

(Availability of School Clinic’s Medical Kit)

 Call Local 1440/1445 and look for our School Nurse to borrow our School Clinic’s Medical Kit.

 You may ask our School Doctor &/or School Nurse to assist you in your off-campus Activity.

INSTRUCTION: Create a letter addressed to Dean of TSA (formerly OSS) ALICIA P. CATABAY, RPh, MSc, PhD through Rubilyn C. Nueva España, MD, DPAFP, Chair of Student Health and Safety Department Ask also the Venue-Host if Clinic/Proximal Health Care Provider/Facility is available. At least, 5-minute drive/transit in cases of Medical Emergency (Following Golden Rule in Basic Life Support)

c. Emergency

&

Evacuation Procedures

 This off-campus activity still shall be guided by the principles of emergency & evacuation protocols as per School Disaster Risk Reduction and Management Manual.

 This shall be part of the pre-departure briefing with all the participants.

INSTRUCTIONS: Create a team amongst DLSMHSI-SHSSHS that shall spearhead emergency & evacuation plan. Join CCHTP-NSTP’s Culminating Activity re: Emergency Preparedness Risk Reduction Activity. Ask assistance from DLSMHSI-TSA-SDSD’s Student Fellow (formerly Discipline Officers through a letter addressed to ALICIA P.

CATABAY, RPh, MSc, PhD- DEAN The Student Affairs through Prof.

Roberto Cruz – Chair – Student Discipline & Security Department

d. Food

^ Promotion of the consumption of healthy food and beverages during entire trip pursuant to DepEd Order No. 13, s.2017.

INSTRUCTION: Print a copy to be properly observed.

e. Learner Medical Condition

 Awareness of the teacher concerned of the participating learners’ medical condition.

 As necessary, MEDICAL CLEARANCE shall be required especially if STRENUOUS Physical activities are part of the off-campus program.

INSTRUCTION: With attached names of participating senior high students, create a letter addressed to ALICIA P. CATABAY, RPh, MSc, PhD- DEAN The Student Affairs through Rubilyn C. Nueva España, MD, DPAFP, Chair of Student Health and Safety Department

asking for MEDICAL CLEARANCE of these students prior egress.

f. Learner Emergency Contact Details

 Emergency contact details of every learner joining an off- campus activity. Part of MANIFEST (as Requirement # 2)

 Contact details of the teachers concerned to be given to parents/guardians of learners.

INSTRUCTION: Regarding contact details of Concerned/Accompanying Teacher, it MUST be part of Memo and/or Invitation.

g. Learner Safety and Emergency Card

 Preparation of a safety and emergency card for each learner joining an off-campus activity aside of the wearing of School ID.

Note: NO COST should be incurred by the learners in the preparation of the Learner Safety and Emergency Card.

INSTRUCTION: Issue a customized DLSMHSI-SHSSHS Emergency Card per student which contains the ff: (but not limited to):

 Learner Emergency Contact Details;

 Contact Number of Teacher/s Concerned;

 Allergies and other pertinent Health Info (e.g. pre-existing conditions, dietary restrictions, prescription medications);

 Blood type

h. Traffic Rules

& Convoy

 Observance of the traffic rules and related regulations as set by the law system.

 Observance of the Convoy, in cases where multiple vehicles are used during an off-campus activity.

INSTRUCTION: Ask DLSMHSI-MOTORPOOL photocopy/ies of license/s of assigned driver/s. Call local 1441 look for Mr. Larry Pechino.

(6)

i. Weather Condition

 Monitoring of weather forecasts and patterns 2-3 days before and on the day of the scheduled off-campus activity.

Note: If inclement is expected, the school head shall immediately CANCEL the planned trip.

 NO extra costs in cases wherein rescheduling occurs.

INSTRUCTION: Print 2-3 days weather forecast prior scheduled egress.

C. SITE SELECTION FOR FIELD TRIPS/EDUCATIONAL TOURS a. Site

Selection

 Apart from relevance to the curriculum, LOCAL sites of academics and/or historical relevance should be prioritized to promote local knowledge sources and cost-efficiency in determining the venue.

 Venue MUST be able to comfortably accommodate the expected number of participants at a time.

INSTRUCTION: Conduct an Ocular Visit then present to the parents/guardians and TSA as proof. Make it part of Minutes of the Meeting (with invited parents/guardians during Planning Stage)

D. SERVICE PROVIDER a. Transport

Provider

 Observance of STEP 1 # 7

 Specific vehicle; Corresponding Plate Number/s to be used;

Assigned drivers must be submitted by OWNED & THIRD PARTY not less than 5 days before off-campus activity to organizing/concerned teacher. ONLY the pre-identified will be permitted during the activity itself.

 Transportation Provider shall conduct necessary inspection of the identified vehicle/s in the PRESENCE of the activity head or any authorized personnel.

INSTRUCTION: Relay this to Mr. Larry Pechino of DLSMHSI- MOTORPOOL for assistance.

b. Pre-

Identified Vehicles

 The number of participants per vehicle shall be strictly limited to its seating capacity.

 Should Follow at least: 2:10 if van; 2:50/60 if bus; for NSTP 2:14/18 if jeepney

 Overloading and usage if additional seats in the vehicle aisle shall be strictly prohibited.

INSTRUCTION: Please advise chosen vehicle to be used.

c. Drivers

^ Updated licenses of the drivers

 Certification of good medical condition

INSTRUCTION: Ask for their latest health examination within a year of the scheduled activity.

E. LEARNERS WITH SPECIAL NEEDS a. For PWD’s

or

Differently- Abled SHS Students or Students with Injuries

 Provision of appropriate accommodations and/or modifications for learners with special needs

INSTRUCTION: Ask for Photo documentation/proof if Vehicle & Venue provides area for Special Needs.

F. PARENT/GUARDIAN CONFERENCE a. Convened

Meeting/s

 Discussion and approval of all upcoming off-campus activities.

 The programs, logistical & administrative requirements.

INSTRUCTION: DLSMHSI Approving Authorities and DLSMHSI-SHSSHS shall include this in their MANUAL of RULES & REGULATIONS.

Engagement of PARENTs/GUARDIANs MUST be strictly observed by DLSMHSI-SHSSHS in the conduct of ALL off-campus activities.

b. Discussed Roles of Parents/

Guardians

 Participation in the planning and preparatory activities i.e.

During conference, pre-departure briefing, and other similar preparatory activities;

 Accomplishment and submission of PARENT’s/GUARDIAN’s CONSENT FORM (as REQUIRMENT # 3) to concerned teachers to indicate that they are allowing their child/ren to join the off-campus activity;

 Information to the teachers concerned of the learners’

specific medical needs;

 Provision of the required information stipulated in this policy prior to conduct of off-campus activity;

 Ensuring that necessary arrangements for travel insurance are secured.

INSTRUCTION: Submit and make sure this is part of Minutes of the Meeting (Agenda) during discussion of Proposed Off-Campus Activity Plan (Annual/Quarterly; or Semestral Planning). Photo documentation is required that shall serve as proof of presence of

PARENTs/GUARDFDIANs during Planning Stage.

(7)

c. Failure to Attend Conference

 Sending of “Letter of Information” signed by the Director.

INSTRUCTION: Submit “Letter of Information”

d. Off-campus NOT

initiated by DLSMHSI- SHSSHS

 Attachment of the invitation or memoranda to the “letter of Information”.

Gentle Reminder: Invitations from Barangay, Regional Office, School Division Office, DLSP etc.

e. Consent Forms

(to be checked by our Student Fellow & Generative Assistants [formerly

Discipline Officers])

 Submission of duly accomplished consent Forms to the activity head prior activity.

 As practiced, off-campus activity which requires INTERNATIONAL/ NATIONAL FLIGHTS or VOYAGE or considered by DLSMHSI-MOTORPOOL as “Long Drive” – Notarization is a MUST

 Whereas, as practiced, off-campus activities with CAVITE and MEGA MANILA – Still, Notarized Conforme is highly

recommended, however, if cost will affect learners’

parents/guardians’ resources we advise submission of Conforme with attached Photocopy of Parent’s Government Issued ID with three specimen signatures.

 NOTE: if Dorm-owner/Guardian will sign as “PARENT” please specify relationship to Senior High Student WITH Letter of Authorization and with attached Photocopies of Guardian’s AND Parent’s Government Issued ID with three specimen signatures.

G. PRE-DEPARTURE BRIEFING a. Attendance

^ For all off-campus activities, participants-learners, teachers,

parents/guardians, Director and/or Assistant Director of DLSMHSI-SHSSHS .shall attend the pre-departure briefing.

b. Coverage

To discuss:

 Program/Programme

 Expenses

 Information of Venue/Visit

 Map for pre-determined visit points (for multiple areas to be visited)

 Emergency/Evacuation Protocol

 Safety and Security Measures

 Departure/Arrival Area and/or School’s Strict Conditions of Drop-Offs

 Accident Insurance (Call local 1005 look for Ms. Maura G.

Polmano, CPAre: Malayan Insurance individual/Group Insurance)

c. Important

^ Discussion of some clarifications, concerns, and issues.

 Resolution of the latter prior end of pre-departure briefing.

 GROUPINGS/BUDDY SYSTEM MUST be done during this Stage.

d. Chaperons

^ Identification and provision of list of learners under their care.

e. Attention

^ Failure to attend the PRE-DEPARTURE BRIEFING shall mean no participation to join the activity.

 Lifted from DepEd Order No. 66, s. 2017

STEP 6: Instructions During ACTIVITY PROPER

as per DepEd Order No. 66 s.2017 this will serve as checklist. Put a check once considered DONE & COMPLETED or OBSERVED

to ensure the smooth conduct of off-campus activities, DLSMHSI-SHSSHS must observe the following required due diligence:

PUT A CHECK IF OBSERVED

OFF-CAMPUS ACTIVITY PROPER

A.

SCHOOL RULES a. Institutional

Student Handbook and SHS Handbook shall apply

 Violation/Infraction incurred by SHS Student during off- campus activity must be dealt accordingly using our Institutional Handbook and/or SHS Handbook.

 Checking of MOA/MOU of DLSMHSI and Pre-determined Visiting Point (if available) if incurred case of SHS Student violates rules & regulations of Pre-determined Visit Points.

B.

VEHICLE INSPECTION a. Before

Boarding

 Inspection and ensuring of vehicle if in good condition and crosschecking both the vehicle and the driver before learners’ egress on the day of off-campus activity by the school (DLSMHSI-MOTORPOOL Representative).

C. MANIFEST

(8)

a. Two

Manifests

 A MANIFEST (as REQUIREMENT #2) BEFORE leaving DLSMHSI and UPON RETURN to DLSMHSI must be subscribed by all concerned (participants,

parents/guardians, teachers, learners, staff, school nurse/doctors, student fellow formerly discipline Officers).

D. TRACKING a. Headcount

^ Conduct of headcount shall be administered BEFORE leaving

DLSMHSI and UPON arrival at every off-campus venue.

b. Tracking Vehicles

 Keeping track of the vehicles that LEAVE and RETURN to the school, as well as the learner and teacher as passengers.

 Ensuring transparency to parents or guardians.

E. BRIEFING UPON ARRIVAL a. Contents

^ Full Orientation during Proposed Programme

 Safety and Security Measures

 Emergency and Evacuation Procedures from Host

 Rules and regulations of the Venue

b. ID &

Emergency Cards

 Pining of ID Card at all times

 Checking of Learner Safety and Emergency Card by Teachers-in-Charge

F. CLOSE SUPERVISION OF LEARNERS a. Instructions

^ Observance of the supervision of learners during the ENTIRE

duration of the off-campus activity.

Note: All learners shall be instructed to report their whereabouts to

adult participants.

When lined up with the learners, ONE Chaperone shall be designated at the front of the line, while the OTHER shall be assigned at the back.

b. If initiated by DepEd Division, Region, or External Entity

 Participating-learners are REQUIRED to be accompanied by concerned teacher/s or coach/es from DLSMHSI.

G. EDUCATIONAL TOURISM a. Related

Lecture

 Conduct of related lecture throughout the trip or off-campus activity with an educational component particular to the venue/places to visit.

H. DROP-OFF a. Drop-Off

Instructions

 Observance of STEP 1 # 9 again

 For strict compliance.

I. POST-ACTIVITY VEHICLE CHECK a. Unattended

Items of SHS Students

 Teachers-in-charge MUST & shall inspect the vehicle for ANY items that might have been left behind by

students/participants.

 They shall collect any found items and facilitate the claiming of the said items.

J. PARENT/GUARDIAN CONFORME a. Conforme

^ Bringing of the conforme at all times/during entire duration

of off-campus activity.

 Lifted from DepEd Order No. 66, s. 2017

STEP 7: SPECIAL PROVISIONS from DepEd for Co- & Extra- Curricular Activities

this will serve as checklist. Put a check once considered DONE, COMPLETED or OBSERVED

Participation

^ ^Voluntary

 NO learner shall be required to participate in any off-campus activity.

No Grade Equivalence

 NO grade equivalent.

 In the same way, all NON-PARTICIPATING Learners shall not be required with ANY special projects and/or examination or any form of school requirements.

Class Disruption

^ Ensuring that all off-campus activities will in NO way disrupt classes.

 Arrangements have to be made to ensure that contact time with NON-PARTICPATING learners is observed.

Partnership

^ Schools/SDO’s/ROs may partner with other organizations and government agencies to assist DepEd in the conduct of off- campus activities.

Travel Insurance

^ Securing MANDATORY travel insurance for ALL off-campus activities.

 NO one shall be allowed to join off-campus activities WITHOUT travel insurance.

(9)

Evaluation Tool

^ For review/annual review of the conduct of off-campus activities its effectiveness and efficiency of policy in achieving its objectives.

STEP 8: Student Accident Insurance/Travel Insurance

1. Call Property Unit through local 1005 look for Ms. Maura G. Polmano,

CPA re: Malayan Insurance

2. Confirm receipt of letter (or call) addressed to Property Unit regarding your Off- Campus Activity. Suggestion: Create a letter addressed to Ms. Maura G.

Polmano, CPA (Property Head)

3. Provide list of students (i.e. class list)

4. Ask for “Individual or Group Insurance” for student-attendees

5. Ask for “Individual or Group Insurance” for faculty members & other stakeholders

6. Compile these as single file (GROUP SHORT TERM PERSONAL ACCIDENT Master Policy Contract) which will serve as Proof

at least 4 weeks prior set date of activity

7. May ask for Liability Insurance & Individual Travel Insurance

Please read DLSHSI Institutional Student Handbook S.Y. 2020-2023 page 51; Article X; Under Student Services; Section 2: “Student Accident Insurance”.

(awaiting revised DLSMHSI Institutional Student Handbook for S.Y. 2017-2020)

DepEd Forms

(lifted and modified by DLSMHSI-TSA)

STEP 9: Fill-Up ANNEX-A

(as Requirement #1)

“OFF-CAMPUS ACTIVITY FORM & PROJECT PROPOSAL”

STEP 10: Fill-Up ANNEX-B

(as Requirement #2)

“MANIFEST”

STEP 11: Facilitate ANNEX-C

(as Requirement #3)

“PARENT’S/GUARDIAN”S CONSENT FORM”

STEP 12: Answer ANNEX-D

(as Requirement #4)

“ACTIVITY REPORT”

STEP 13: Personnel-In-Charge (PIC)/Chaperone-In-Charge (CIC)

Reminder: The designated PIC or CIC must be an employee of the Institution &

must have the appropriate qualifications & experiences related to off-campus activities. When necessary, Identify overall leader amongst the PIC’s or CIC’s.

Designation or order from the Administration indicating CIC’s roles and responsibilities before, during, & after the off-campus activities. Relevant certificate on First-Aid Training

Overall SHS Faculty-In-Charge Accompanying SHS Faculty Members

Gentle reminder: follow 1:35/50 according to CHED Or 2 Chaperones per vehicle according to DepEd

1.

2.

3.

4.

5.

6. Accompanying

SHS/Institutional Staff Members

1.

2.

3. Contact Information of Overall SHS Faculty-In-Charge

Name:

(10)

Cellphone #:

Email address:

Secure “Faculty Conforme” at least 2 weeks before set date. Downloadable “Faculty Conforme” Forms through:

http://www.dlshsi.edu.ph/academics/office-of-student-

services/downloadable-forms-oss

Compiled “Faculty Conforme” shall serve as Proof

STEP 14: Probable Areas of Violations

Any Violation or Abuse of this Order shall be reported immediately to the concerned DepEd offices as articulated in Section IV of this Policy. Such violations shall be dealt with accordingly.

STEP 15: Report of Compliance

Name of HEI: De La Salle Medical and Health Science Institute (DLSMHSI) Address: DLSMHSI, Governor D. Mangubat Avenue, City of Dasmariñas, Cavite

Region: IV-A Date Complied:

Program Name

Title/Name of Off-Campus Activity

Grade Level Destination/s & Venue

Inclusive Dates

Number of Students

Compute for

Faculty:

Student Ratio

Number of SHS Faculty :

Members

Overall SHS Faculty-In-Charge Accompanying SHS Faculty

Members/Institutional Staff 1.

2.

3.

4.

5.

6. Report Before The Activity:

REVIEW OF ATTACHEMENTS COMPLIANCE

Requirements YE

S N

O Remarks

1. OffYouGoHigh Form 2. ANNEX-A from DepEd

“Off-Campus Activity Form & Project Proposal”

3. ANNEX-B from DepEd

“Sample Manifest”

4. ANNEX-C from DepEd Compilations of

“Parents’/Guardians’ Consent Forms”

To include Faculty Conforme 5. ANNEX-D from DepEd

“Post-Activity Report” (to follow

after conduct of off-campus activity)

(11)

implementing guidelines on the conduct of off-campus activity