OFFICE OF THE

SENIOR HIGH SCHOOL

AWARDS COMMITTEE

APPLICATION FORM FOR LEADERSHIP EXCELLENCE

AWARD
(For Graduating Students)
APPLICANT’S PERSONAL DATA
NAME AGE
GENDER CIVIL
STATUS
RELIGION DEPARTMEN
T
STRAND CONTACT NO.
EXPECTED DATE OF GRADUATION

MANIFESTATION OF LEADERSHIP EXCELLENCE

Inclusive Dates Scope Sponsoring Agency Description of Level of
Activity Participation

Note: Should only include participation as officer/committee head

Scope choices: University-wide; Off-campus; Department-wide
Do not include: Leadership positions of academic subject/class activities (ex. Team head – thesis group: Non-
leadership positions (ex. Member)

POSITIONS HELD IN ORGANIZATIONS

Inclusive Dates Organization Position Duties and Responsibilities

Osmeña Drive, Kidapawan City, 9400, North Cotabato, Philippines

website: www.cmc.edu.ph
 OFFICE OF THE
SENIOR HIGH SCHOOL
AWARDS COMMITTEE
SPECIAL AWARDS/DISTINCTIONS
RECEIVED
Date of Award Name of Sponsoring Agency Qualifications / Requirements
Award for Award

Attach Supporting Documents. Use another sheet if necessary.

SEMINARS/CONFERENCES/CONTESTS PARTICIPATED
Date Event Name Sponsoring Agency Description and Outcome of
the Event

Attach Supporting Documents. Use another sheet if necessary.

Prepared by
SIGNATURE AND NAME OF STUDENT LEADER
Name of Organization

Noted by

SIGNATURE AND NAME OF ADVISER

Name of Organization
Date of Submission

adopted from the design and layout of

CMC- Office of the Student Affairs

Osmeña Drive, Kidapawan City, 9400, North Cotabato, Philippines

website: www.cmc.edu.ph