8/16/2019 SCC Committee

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  SCC COMMITTEE CANDIDACY FORM

SY 14-15

INFORMATION SHEET Surname First Name Middle Name Sex Designation

[ ] Male[ ] Female

NicknameCourse & YearLevel

Student No.

Religion Citizenshi

Date o! "irth #lace o! "irth $ge

 ADDRESS CONTACT DETAILS 

Current $ddress Mo%ile

'ome

#rovincial $ddress ()mail $ddress

CONTACT PERSON IN CASE OF EMERGENCY Name Relationshi Contact

EDUCATION 

(ducational $ttainment Name o! *nstitution + Location Degree (arned Year o! ,raduation'onors

Received

(lementar-

Secondar-

College

Secial raining

STUDENT ORGANIZATION AFFILIATION (in High School and College

Name o! /rganization Designation *nclusive Year  

1.

2.

3.

4.

5.

 ACADEMIC ACHIE!EMENTS (in High School and College" #lea$e en%&e'ae

 A)ARDS AND HONORS RECEI!ED (in High School and College" #lea$e en%&e'ae

SPECIAL TALENTS * S+ILLS 

P P LEASE LEASE   ANS)ER  ANS)ER  THE THE  FOLLO)ING FOLLO)ING  ,UESTIONS ,UESTIONS  ON ON  SEPARATE SEPARATE  SHEETS SHEETS (A(ANS)ER NS)ER  EACH EACH  )ITH )ITH  NO NO  MORE MORE  THAN THAN  -./-./ )ORDS )ORDS  0 0

0. )HAT )HAT  THINGS THINGS  CAN CAN  YOU YOU  CONTRI1UTE CONTRI1UTE  IN IN  1ECOMING 1ECOMING   AN  AN  SCC SCC  COMMITTEE COMMITTEE 2 2 

1. HO) HO)  COMMITTEDCOMMITTED  ARE  ARE  YOU YOU  ON ON  1ECOMING 1ECOMING   AN  AN  SCC SCC  COMMITTEE COMMITTEE 22 DESCRI1E DESCRI1E  YOUR YOUR  IDEAIDEA OF OF  GOODGOOD LEADERSHIP LEADERSHIP 33

4343 )HAT )HAT  MOTI!ATEDMOTI!ATED YOU YOU  TO TO  5OIN 5OIN   AND AND 1ECOME 1ECOME   A A STUDENT STUDENT  LEADER LEADER   AND AND HO) HO)  )ILL)ILL YOU YOU  HELP HELP  YOUR YOUR  FELLO) FELLO)  STUDENTS STUDENTS   AND AND THE THE  COLLEGE COLLEGE  THROUGH THROUGH  LEADERSHIP LEADERSHIP 2 2 

I hereby certify that all information I have indicated herein are true and correct. Any misinformation, if found,shall serve as ground for disqualification from my application or my future designation.

Signature over Printed Name

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