Documentos de Académico
Documentos de Profesional
Documentos de Cultura
I.
CLUB DETAILS
Name of club
Official date of the
creation of the
club
Address
Telephone
Fax
No.
Street
Barangay
City /
Municipality
Province
Region
Postal Code
(Area code)
(Telephone)
(Area code)
(Telephone)
Email Address
Website
Social media
of the club
Club Category
(please put an X)
Program Sector
(please put an X)
College (or
HEI) Club
Local
Government
Office
Education
Science &
Technology
Social &
Human
Sciences
Logo
Culture
Information &
Communication
Age range of
club members
Male
Femal
e
Total
From
Male
Female
Total
To
Accomplished Activities/Project
Date
dd/ mm/ yy ~
dd/ mm/ yy
Name of activities
that your club organized
last three years
Venue
II.
CONTACT DETAILS
Club Adviser
(Surname)
Mr.
(Given Name)
(M.I.)
Ms.
Date of Birth
Club Designation
Mobile Number
Email Address
Facebook Account
Telephone Number
dd/mm/yy
Area Code
yyyy
Tel. No.
Club Head
(Surname)
Mr.
(Given Name)
(M.I.)
Ms.
Date of Birth
Club Designation
Mobile Number
Email Address
Facebook Account
Telephone Number
dd/mm/yy
Area Code
yyyy
Tel. No.
(Given Name)
(M.I.)
Ms.
Date of Birth
Club Designation
Mobile Number
Email Address
Facebook Account
Telephone Number
dd/mm/yy
Area Code
Tel. No.
yyyy
Designation in
the club
Complete Name
(FN, MI, GN)
Mobile Number
Email Address
* Please include the Club Adviser/s. Do include middle initials of all officials.
Ex)
Club Head
Club vicepresident
Auditor
Treasurer
Secretary
Committee on
Academics &
Committee on
Committee on
Community
3) What kind of positive impacts do you expect to gain by joining UNESCO Clubs?
V.
PLANNED PROJECT/ACTIVITY
UNESCO National Commission of the Philippines has five different sectors; Education, Science
and Technology, Social and Human Sciences, Culture, Information and Communication. Each of
five sectors works to achieve global visions of sustainable development encompassing
observance of human rights, mutual respect and the alleviation of poverty, all of which are at the
heart of UNESCOs mission and activities. Ensure that these plans are aligned with the
abovementioned overarching objectives of UNESCO. For further information on UNESCOs
Medium-Term Strategy, please visit
http://unesdoc.unesco.org/images/0014/001499/149999e.pdf. Further information on five
sectors can be found at the official website for the UNESCO National Commission of the
Philippines, http://www.unesco.gov.ph.
For your reference, please see the UNESCO Calendar of events at http://goo.gl/TmOU41 .
What kind of activity does your club consider undertaking this coming year? Please indicate
particular sector that you wish to work with (Multiple choices are possible.)
Education
Science &
Technology
Social &
Human
Sciences
Culture
Information &
Communication
Planned Project/Activity
Name of activity
Rationale of activity
Brief description
Expected period/
date of
implementation
Target participants/
beneficiaries
Venue
Expected outcome
Date: _________________________
Date: _________________________