waiver form

1
NATIONAL BOARD OF DIRECTORS FISCAL YEAR 2015-2016 AIRON J. SAMAC, uapsaa-mit NATIONAL PRESIDENT MARK ANTHONY M. MADO, uapsa-uecal NATIONAL EXECUTIVE VICE-PRESIDENT MARICAR M. SARMIENTO, uapsa-bpsu VICE-PRESIDENT FOR AREA A JOHN FEDERICK C. MEJIA, uapsa-feu VICE-PRESIDENT FOR AREA B MIKKA ANGELA T. MENDOZA, uapsa-evsu VICE-PRESIDENT FOR AREA C PATRICIA NICOLE D. DALISAY, uapsa-addu VICE-PRESIDENT FOR AREA D MELDUARD L. HERNANDEZ, uapsa-tup SECRETARY-GENERAL JASLINE A. REYES, uapsa-dhvtsu NATIONAL TREASURER JET LEVI L. JOSON, uapsa-bulsu NATIONAL AUDITOR SHARLEEN MAE M. ESTEVES, uapsa-feu IMMEDIATE PAST NATIONAL PRESIDENT GENALD ALEXIS V. HIDALGO, uapsa-slu DISTRICT DIRECTOR A-1A MELMAR G. GUDOY, uapsa-nwu DISTRICT DIRECTOR A-1B JESUS D. SEBASTIAN JR., uapsa-isu DISTRICT DIRECTOR A-1C JOHN DARWIN E. TIMOTEO, uapsa-hau DISTRICT DIRECTOR A-2 AURIEL NICOLE G. SORIANO, uapsa-uecal DISTRICT DIRECTOR A-3,4,5 JOHN BENEDICT L. SANTIAGO, uapsa-pup DISTRICT DIRECTOR B-1 CHARMAINE ANNE L. COMANDAO, uapsa-tup DISTRICT DIRECTOR B-2 NIKO A. VILLAPANDO, uapsa-cvsu DISTRICT DIRECTOR B-3 JELINA MAE F. VILLAREAL, uapsa-palsu DISTRICT DIRECTOR B-4 JOHN JOSEPH S. FLORENDO, uapsa-biscast DISTRICT DIRECTOR B-5 CLARK ALEXANDER M. ONG, uapsa-usc DISTRICT DIRECTOR C-1 GLYNDELL P. SELOSA, uapsa-lccb DISTRICT DIRECTOR C-2 MAURICE DIVINE C. CUBIO, uapsa-evsu DISTRICT DIRECTOR C-3 WYETH G. PINUELA, uapsa-usa DISTRICT DIRECTOR C-4 ANTHONY ROBERT Y. ALACAPA, uapsa-addu DISTRICT DIRECTOR D-1 CHARMAINE MAE M. TORIBIO, uapsa-wmsu DISTRICT DIRECTOR D-2 ROSELLE MAR E. DAGAHOYA, uapsa-must DISTRICT DIRECTOR D-3 ISAIAH G ZALSOS, uapsa-lif DISTRICT DIRECTOR D-4 WINONALYN C. CORCUERA, uapsa-tsu COMMISSION ON EXTERNAL AFFAIRS DANIELLE L. POBLETE, uapsa-dhvtsu COMMISSION ON EXTERNAL AFFAIRS CARLA ANGELOU C. DE TORRES, uapsa-pup COMMISSION ON NATIONAL MEMBERSHIP VERMONT LANCE L. PAYAWAL, uapsa-mit COMMISSION ON CONGRESS AND ASSEMBLIES KIM ANZELLI G. ASUNTO, uapsa-tup COMMISSION ON SPECIALTY COUNCIL UNDER THE SUPERVISION OF: ARCHITECT JOCELYN R. LUTAP, uap UAPSA CHAIRPERSON ARCHITECT NORMA ALARCON, fuap UAP EXECUTIVE DIRECTOR ON EDUCATION ARCHITECT REY S GABITAN, uap UAP NATIONAL EXECUTIVE VICE PRESIDENT ARCHITECT MA. BENITA O REGALA, fuap UAP NATIONAL PRESIDENT |A-1a| LYCEUM NORTHWESTERN UNIVERSITY, PANGASINAN STATE UNIVERSITY – URDANETA, SAINT LOUIS UNIVERSITY – BAGUIO, UNIVERSITY OF LUZON, SAINT LOUIS COLLEGE, UNIVERSITY OF THE CORDILLERAS |A-1b| DIVINE WORD COLLEGE OF LAOAG, NORTHWESTERN UNIVERSITY, UNIVERSITY OF THE NORTHERN PHILIPPINES |A-1c| ISABELA STATE UNIVERSITY – ILAGAN, ST. MARY'S UNIVERSITY- BAYOMBONG, UNIVERSITY OF SAINT LOUIS – TUGUEGARAO, UNIVERSITY OF LA SALETTE - SANTIAGO |A-2| BULACAN STATE UNIVERSITY, NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY, BATAAN PENINSULA STATE UNIVERSITY, COLUMBAN COLLEGE, DON HONORIO VENTURA TECHNOLOGICAL STATE UNIVERSITY, HOLY ANGEL UNIVERSITY, TARLAC STATE UNIVERSITY, UNIVERSITY OF THE ASSUMPTION. |A-3,4,5 | CENTRAL COLLEGES OF THE PHILIPPINES, TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES – QUEZON CITY. UNIVERSITY OF THE EAST-CALOOCAN, UNIVERSITY OF THE PHILIPPINES – DILIMAN, DON BOSCO TECHNICAL COLLEGE, RIZAL TECHNOLOGICAL UNIVERSITY. |B-1| EULOGIO “AMANG” RODRIGUEZ INSTITUTE OF SCIENCE AND TECHNOLOGY, FAR EASTERN UNIVERSITY, MANUEL L. QUEZON UNIVERSITY, NATIONAL UNIVERSITY, POLYTECHNIC UNIVERSITY OF THE PHILIPPINES, TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES – MANILA, UNIVERSITY OF SANTO TOMAS. |B-2| ADAMSON UNIVERSITY, MAPÚA INSTITUTE OF TECHNOLOGY, PAMANTASAN NG LUNGSOD NG MAYNILA, TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES – MANILA. |B-3| CAVITE STATE UNIVERSITY, DE LA SALLE – DASMARIÑAS, NATIONAL COLLEGE OF SCIENCE AND TECHNOLOGY, UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA-MOLINO |B-4| BATANGAS STATE UNIVERSITY, DIVINE WORD COLLEGES OF CALAPAN, MANUEL S. ENVERGA UNIVERSITY FOUNDATION, PALAWAN STATE UNIVERSITY, UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA-CALAMBA. |B-5| AQUINAS UNIVERSITY OF LEGASPI, BICOL UNIVERSITY, BICOL STATE COLLEGE OF APPLIED SCIENCES AND TECHNOLOGY, SORSOGON STATE COLLEGE , UNIVERSITY OF NUEVA CACERES, UNIVERSITY OF NORTHEASTERN PHILIPPINES, UNIVERSITY OF SAINT ANTHONY. |C- 1| BOHOL ISLAND STATE UNIVERSITY, CEBU INSTITUTE OF TECHNOLOGY-UNIVERSITY, UNIVERSITY OF BOHOL, UNIVERSITY OF SAN CARLOS, UNIVERSITY OF SOUTHERN PHILIPPINES FOUNDATION |C-2| FOUNDATION UNIVERSITY, LA CONSOLACION COLLEGE-BACOLOD, NEGROS ORIENTAL STATE UNIVERSITY. |C-3| EASTERN VISAYAS STATE UNIVERSITY. |C-4| UNIVERSITY OF VISAYAS, AKLAN STATE UNIVERSITY, CAPIZ STATE UNIVERSITY, UNIVERSITY OF ANTIQUE, UNIVERSITY OF SAN AGUSTIN, WESTERN VISAYAS COLLEGE OF SCIENCE AND TECHNOLOGY |D-1| ATENEO DE DAVAO UNIVERSITY, NOTRE DAME OF DADIANGAS UNIVERSITY, UNIVERSITY OF MINDANAO, UNIVERSITY OF THE PHILIPPINES – MINDANAO. |D-2| WESTERN MINDANAO STATE UNIVERSITY. |D-3| CAGAYAN DE ORO COLLEGE – PHINMA EDUCATION NETWORK, MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY, SURIGAO EDUCATION CENTER, SAINT JOSEPH INSTITUTE OF TECHNOLOGY – BUTUAN. |D-4| LYCEUM OF ILIGAN FOUNDATION, LA SALLE UNIVERSITY-OZAMIS 26 th Year of Excellence: Crafting ASEAN Builders towards Global Competence Dear Sir/ Madame: Mabuhay! The United Architects of the Philippines Student Auxiliary (UAPSA), the duly recognized student organization of the United Architects of the Philippines (UAP), will be having its series of activities to formally open the fiscal year 2015 – 2016 entitled QUADRIPARTITE 2015 with the theme: “REFULGENCE : Embracing Pristine Rays of Professional Luster A New". Held annually, this event will be participated by architectural schools with UAPSA chapters all over the nation. The event aims to introduce the organization itself and also to help train the forthcoming architects of the country into leadership development, self-improvement and team coordination. The National Leadership Development Program (LDP) 7am-4pm, at the Wildlife and Parks, Quezon City and Architectural Tour, 7am-4:30pm (itinerary to follow) will be on August 28, Friday. This activity aims to build teamwork and leadership among all incoming UAPSA chapter officers, and strengthen the camaraderie of all UAPSA chapters. The Seminar and Workshop, 7am-1pm and Acquaintance Party, 7pm-12mn will be on August 29, Saturday. The seminar and workshop will tackle the latest and up-to-the-minute trends in the architectural and construction sector to help edify the aspiring architects about the current topics. The event will be followed by an acquaintance party which intends to gather all the chapters including its members to promote familiarity as UAPSA unites differences. The UAPSA ’15-‘16 Board Induction Ceremony, 7am-2:30pm, will be on August 30, Sunday, This is the induction of the members of the UAPSA National Board, as well as the chapter presidents and chapter officers. In line with this, we invite your chapter to attend the said activities on the given dates. Attached herewith are the activity guidelines and pre-registration form. The latter shall be submitted on or before August 15,2015 to the National Mail: [email protected]. Should you have any queries, just contact the undersigned through the details provided below. We are hoping for your participation in the said events. On behalf of UAPSA National Board, thank you and God bless! Respectfully yours, Noted by: Jasline A. Reyes, uapsa-dhvtsu Airon J. Samac, uapsa-mit National Treasurer National President Event Head, Quadripartite 2015 (0917) 877 7359 (0927) 138 3904 [email protected] [email protected] Endorsed by: Ar. Michael Angelo J. Baruiz, uap Ar. Jocelyn R. Lutap, uap UAPSA Chairperson for Operations UAPSA Chairperson for Planning and Development W A I V E R F O R M Yes, I am allowing my son/daughter to attend the Quadripartite 2015 activities and hereby relieve the event organizers and the UAPSA National Board of Directors of any liability on the duration of the said activity. ______________________________________________________________ SIGNATURE OVER PRINTED NAME OF PARENT/ GUARDIAN FULL NAME: CHAPTER: CONTACT NUMBER:

Upload: lindsay-ann-clarin-cimeni

Post on 26-Jan-2016

73 views

Category:

Documents


3 download

DESCRIPTION

uapsa quadri

TRANSCRIPT

Page 1: Waiver Form

NATIONAL BOARD OF DIRECTORS FISCAL YEAR 2015-2016 AIRON J. SAMAC, uapsaa-mit NATIONAL PRESIDENT

MARK ANTHONY M. MADO, uapsa-uecal NATIONAL EXECUTIVE VICE-PRESIDENT

MARICAR M. SARMIENTO, uapsa-bpsu VICE-PRESIDENT FOR AREA A

JOHN FEDERICK C. MEJIA, uapsa-feu VICE-PRESIDENT FOR AREA B

MIKKA ANGELA T. MENDOZA, uapsa-evsu VICE-PRESIDENT FOR AREA C

PATRICIA NICOLE D. DALISAY, uapsa-addu VICE-PRESIDENT FOR AREA D

MELDUARD L. HERNANDEZ, uapsa-tup SECRETARY-GENERAL

JASLINE A. REYES, uapsa-dhvtsu NATIONAL TREASURER

JET LEVI L. JOSON, uapsa-bulsu NATIONAL AUDITOR

SHARLEEN MAE M. ESTEVES, uapsa-feu IMMEDIATE PAST NATIONAL PRESIDENT

GENALD ALEXIS V. HIDALGO, uapsa-slu DISTRICT DIRECTOR A-1A

MELMAR G. GUDOY, uapsa-nwu DISTRICT DIRECTOR A-1B

JESUS D. SEBASTIAN JR., uapsa-isu DISTRICT DIRECTOR A-1C

JOHN DARWIN E. TIMOTEO, uapsa-hau DISTRICT DIRECTOR A-2

AURIEL NICOLE G. SORIANO, uapsa-uecal DISTRICT DIRECTOR A-3,4,5

JOHN BENEDICT L. SANTIAGO, uapsa-pup DISTRICT DIRECTOR B-1

CHARMAINE ANNE L. COMANDAO, uapsa-tup DISTRICT DIRECTOR B-2

NIKO A. VILLAPANDO, uapsa-cvsu DISTRICT DIRECTOR B-3

JELINA MAE F. VILLAREAL, uapsa-palsu DISTRICT DIRECTOR B-4

JOHN JOSEPH S. FLORENDO, uapsa-biscast DISTRICT DIRECTOR B-5

CLARK ALEXANDER M. ONG, uapsa-usc DISTRICT DIRECTOR C-1

GLYNDELL P. SELOSA, uapsa-lccb DISTRICT DIRECTOR C-2

MAURICE DIVINE C. CUBIO, uapsa-evsu DISTRICT DIRECTOR C-3

WYETH G. PINUELA, uapsa-usa DISTRICT DIRECTOR C-4

ANTHONY ROBERT Y. ALACAPA, uapsa-addu DISTRICT DIRECTOR D-1

CHARMAINE MAE M. TORIBIO, uapsa-wmsu DISTRICT DIRECTOR D-2

ROSELLE MAR E. DAGAHOYA, uapsa-must DISTRICT DIRECTOR D-3

ISAIAH G ZALSOS, uapsa-lif DISTRICT DIRECTOR D-4

WINONALYN C. CORCUERA, uapsa-tsu COMMISSION ON EXTERNAL AFFAIRS

DANIELLE L. POBLETE, uapsa-dhvtsu COMMISSION ON EXTERNAL AFFAIRS CARLA ANGELOU C. DE TORRES, uapsa-pup COMMISSION ON NATIONAL MEMBERSHIP VERMONT LANCE L. PAYAWAL, uapsa-mit COMMISSION ON CONGRESS AND ASSEMBLIES

KIM ANZELLI G. ASUNTO, uapsa-tup COMMISSION ON SPECIALTY COUNCIL UNDER THE SUPERVISION OF:

ARCHITECT JOCELYN R. LUTAP, uap UAPSA CHAIRPERSON

ARCHITECT NORMA ALARCON, fuap UAP EXECUTIVE DIRECTOR ON EDUCATION

ARCHITECT REY S GABITAN, uap UAP NATIONAL EXECUTIVE VICE PRESIDENT

ARCHITECT MA. BENITA O REGALA, fuap UAP NATIONAL PRESIDENT

|A-1a| LYCEUM NORTHWESTERN UNIVERSITY, PANGASINAN STATE UNIVERSITY – URDANETA, SAINT LOUIS UNIVERSITY – BAGUIO, UNIVERSITY OF LUZON, SAINT LOUIS COLLEGE, UNIVERSITY

OF THE CORDILLERAS |A-1b| DIVINE WORD COLLEGE OF LAOAG, NORTHWESTERN UNIVERSITY, UNIVERSITY OF THE NORTHERN PHILIPPINES |A-1c| ISABELA STATE UNIVERSITY – ILAGAN,

ST. MARY'S UNIVERSITY- BAYOMBONG, UNIVERSITY OF SAINT LOUIS – TUGUEGARAO, UNIVERSITY OF LA SALETTE - SANTIAGO |A-2| BULACAN STATE UNIVERSITY, NUEVA ECIJA UNIVERSITY

OF SCIENCE AND TECHNOLOGY, BATAAN PENINSULA STATE UNIVERSITY, COLUMBAN COLLEGE, DON HONORIO VENTURA TECHNOLOGICAL STATE UNIVERSITY, HOLY ANGEL UNIVERSITY,

TARLAC STATE UNIVERSITY, UNIVERSITY OF THE ASSUMPTION. |A-3,4,5 | CENTRAL COLLEGES OF THE PHILIPPINES, TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES – QUEZON CITY.

UNIVERSITY OF THE EAST-CALOOCAN, UNIVERSITY OF THE PHILIPPINES – DILIMAN, DON BOSCO TECHNICAL COLLEGE, RIZAL TECHNOLOGICAL UNIVERSITY. |B-1| EULOGIO “AMANG”

RODRIGUEZ INSTITUTE OF SCIENCE AND TECHNOLOGY, FAR EASTERN UNIVERSITY, MANUEL L. QUEZON UNIVERSITY, NATIONAL UNIVERSITY, POLYTECHNIC UNIVERSITY OF THE PHILIPPINES,

TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES – MANILA, UNIVERSITY OF SANTO TOMAS. |B-2| ADAMSON UNIVERSITY, MAPÚA INSTITUTE OF TECHNOLOGY, PAMANTASAN NG LUNGSOD

NG MAYNILA, TECHNOLOGICAL UNIVERSITY OF THE PHILIPPINES – MANILA. |B-3| CAVITE STATE UNIVERSITY, DE LA SALLE – DASMARIÑAS, NATIONAL COLLEGE OF SCIENCE AND

TECHNOLOGY, UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA-MOLINO |B-4| BATANGAS STATE UNIVERSITY, DIVINE WORD COLLEGES OF CALAPAN, MANUEL S. ENVERGA UNIVERSITY

FOUNDATION, PALAWAN STATE UNIVERSITY, UNIVERSITY OF PERPETUAL HELP SYSTEM DALTA-CALAMBA. |B-5| AQUINAS UNIVERSITY OF LEGASPI, BICOL UNIVERSITY, BICOL STATE COLLEGE

OF APPLIED SCIENCES AND TECHNOLOGY, SORSOGON STATE COLLEGE , UNIVERSITY OF NUEVA CACERES, UNIVERSITY OF NORTHEASTERN PHILIPPINES, UNIVERSITY OF SAINT ANTHONY. |C-

1| BOHOL ISLAND STATE UNIVERSITY, CEBU INSTITUTE OF TECHNOLOGY-UNIVERSITY, UNIVERSITY OF BOHOL, UNIVERSITY OF SAN CARLOS, UNIVERSITY OF SOUTHERN PHILIPPINES

FOUNDATION |C-2| FOUNDATION UNIVERSITY, LA CONSOLACION COLLEGE-BACOLOD, NEGROS ORIENTAL STATE UNIVERSITY. |C-3| EASTERN VISAYAS STATE UNIVERSITY. |C-4|

UNIVERSITY OF VISAYAS, AKLAN STATE UNIVERSITY, CAPIZ STATE UNIVERSITY, UNIVERSITY OF ANTIQUE, UNIVERSITY OF SAN AGUSTIN, WESTERN VISAYAS COLLEGE OF SCIENCE AND

TECHNOLOGY |D-1| ATENEO DE DAVAO UNIVERSITY, NOTRE DAME OF DADIANGAS UNIVERSITY, UNIVERSITY OF MINDANAO, UNIVERSITY OF THE PHILIPPINES – MINDANAO. |D-2|

WESTERN MINDANAO STATE UNIVERSITY. |D-3| CAGAYAN DE ORO COLLEGE – PHINMA EDUCATION NETWORK, MINDANAO UNIVERSITY OF SCIENCE AND TECHNOLOGY, SURIGAO

EDUCATION CENTER, SAINT JOSEPH INSTITUTE OF TECHNOLOGY – BUTUAN. |D-4| LYCEUM OF ILIGAN FOUNDATION, LA SALLE UNIVERSITY-OZAMIS

26th Year of Excellence: Crafting ASEAN Builders towards Global Competence

Dear Sir/ Madame:

Mabuhay!

The United Architects of the Philippines Student Auxiliary (UAPSA), the duly recognized student organization of the

United Architects of the Philippines (UAP), will be having its series of activities to formally open the fiscal year 2015 –

2016 entitled QUADRIPARTITE 2015 with the theme: “REFULGENCE : Embracing Pristine Rays of Professional Luster A

New". Held annually, this event will be participated by architectural schools with UAPSA chapters all over the nation.

The event aims to introduce the organization itself and also to help train the forthcoming architects of the country

into leadership development, self-improvement and team coordination.

The National Leadership Development Program (LDP) 7am-4pm, at the Wildlife and Parks, Quezon City and

Architectural Tour, 7am-4:30pm (itinerary to follow) will be on August 28, Friday. This activity aims to build teamwork

and leadership among all incoming UAPSA chapter officers, and strengthen the camaraderie of all UAPSA

chapters.

The Seminar and Workshop, 7am-1pm and Acquaintance Party, 7pm-12mn will be on August 29, Saturday. The

seminar and workshop will tackle the latest and up-to-the-minute trends in the architectural and construction sector

to help edify the aspiring architects about the current topics. The event will be followed by an acquaintance party

which intends to gather all the chapters including its members to promote familiarity as UAPSA unites differences.

The UAPSA ’15-‘16 Board Induction Ceremony, 7am-2:30pm, will be on August 30, Sunday, This is the induction of

the members of the UAPSA National Board, as well as the chapter presidents and chapter officers.

In line with this, we invite your chapter to attend the said activities on the given dates. Attached herewith are the

activity guidelines and pre-registration form. The latter shall be submitted on or before August 15,2015 to the

National Mail: [email protected]. Should you have any queries, just contact the undersigned through the

details provided below.

We are hoping for your participation in the said events. On behalf of UAPSA National Board, thank you and God

bless!

Respectfully yours,

Noted by:

Jasline A. Reyes, uapsa-dhvtsu Airon J. Samac, uapsa-mit

National Treasurer National President

Event Head, Quadripartite 2015 (0917) 877 7359

(0927) 138 3904 [email protected]

[email protected]

Endorsed by:

Ar. Michael Angelo J. Baruiz, uap Ar. Jocelyn R. Lutap, uap

UAPSA Chairperson for Operations UAPSA Chairperson for Planning and

Development

W A I V E R F O R M

Yes, I am allowing my son/daughter to attend the Quadripartite 2015 activities and hereby relieve the event

organizers and the UAPSA National Board of Directors of any liability on the duration of the said activity.

______________________________________________________________

SIGNATURE OVER PRINTED NAME OF PARENT/ GUARDIAN

FULL NAME:

CHAPTER: CONTACT NUMBER: