FOOD SAFETY AND QUALITY ASSURANCE MENU EVALUATION FORM A

SUBMITTAL CONTROL # ____

(Note: This form is for catered and non-food sale events with less than 150 participants and chosen caterer is any of the FSQA recognized
University Food Outlets)

UNIVERSITY FOOD OUTLETS

DATE OF ACTIVITY
LOYOLA SCHOOLS: AMPC, BLUE & GOLD, JSEC,
(Please specify the name of
your
RESIDENCE HALL (Heavenly Urban Chef or Zekaf),
Food Concessionaire)
Manangs Clubhouse

ACTIVITY

TIME OF
(Location)

VENUE

ATENEO GRADE SCHOOL: Elise Catering and

its Sub-Concessionaires

NATURE OF ACTIVITY
MENU (FOOD AND BEVERAGE)
(Note: (1) Special menu orders that has
not been pre-approved by FSQA will
not be allowed (2) Please comply with
AEMC Guidelines on Food Packaging)
PARTICIPANTS

# OF
(Please do not fill up this part- for FSQA only)

REPRESENTATIVES NAME & ID #

CONTACT DETAILS (Email & Mobile#)
NAME OF STUDENT ORGANIZATION
CLASS /DEPARTMENT/PROGRAM/UNIT
& REPRESENTATIVE SIGNATURE
UNIT OFFICE/OSA APPROVAL

(Signature over Printed

(Signature over Printed Name)

(Date)

Note: Please submit this request to the Office of Food Quality Assurance at least 3 days
before the Event/Activity (Cut Off Time is 5PM, M-F). Please make sure to submit
endorsed documents only and fill up this form completely and legibly. Any changes/
additional information in the Form should be done at least 2 days before the
Event/Activity. The University has the right to stop a food catering event and remove
the food outlet caterer from the list of recognized food outlets due to unsanitary
practices of the food outlet and non-compliance to University FSQA and AEMC Policies.

____________________________________________________________________________
FOOD SAFETY AND QUALITY ASSURANCE MENU EVALUATION FORM A
SUBMITTAL CONTROL # ____

(Note: This form is for catered and non-food sale events with less than 150 participants and chosen caterer is any of the FSQA recognized
University Food Outlets)

UNIVERSITY FOOD OUTLETS

DATE OF ACTIVITY
LOYOLA SCHOOLS: AMPC, BLUE & GOLD, JSEC,
(Please specify the name of
your
RESIDENCE HALL (Heavenly Urban Chef or Zekaf),
Food Concessionaire)
Manangs Clubhouse

ACTIVITY

TIME OF
(Location)

VENUE

ATENEO GRADE SCHOOL: Elise Catering and

its Sub-Concessionaires

NATURE OF ACTIVITY
MENU (FOOD AND BEVERAGE)
(Note: (1) Special menu orders that has
not been pre-approved by FSQA will
not be allowed (2) Please comply with
AEMC Guidelines on Food Packaging)
PARTICIPANTS

# OF
(Please do not fill up this part- for FSQA only)

REPRESENTATIVES NAME & ID #

CONTACT DETAILS (Email & Mobile#)
NAME OF STUDENT ORGANIZATION
CLASS /DEPARTMENT/PROGRAM/UNIT
& REPRESENTATIVE SIGNATURE
UNIT OFFICE/OSA APPROVAL

(Signature over Printed

(Signature over Printed Name)

(Date)

Note: Please submit this request to the Office of Food Quality Assurance at least 3 days
before the Event/Activity (Cut Off Time is 5PM, M-F). Please make sure to submit
endorsed documents only and fill up this form completely and legibly. Any changes/
additional information in the Form should be done at least 2 days before the
Event/Activity. The University has the right to stop a food catering event and remove
the food outlet caterer from the list of recognized food outlets due to unsanitary
practices of the food outlet and non-compliance to University FSQA and AEMC Policies.