Canaman Central School (CCS) Outstanding Alumni Award 2023

(NOMINATION FORM)

I. INSTRUCTION: Please read the CCS Outstanding Alumni Award Nomination Guidelines before
accomplishing and submitting this form. Answer all the questions clearly and in order. Also,
since we will be collecting some pertinent information about your nominee, please ensure to
inform him/her regarding your nomination.

II. Award Category (Select one by checking the corresponding box). Refer to the Nomination
Guidelines for the description of each award category.

CCS Outstanding Alumni – Pursuit of Excellence

CCS Outstanding Alumni – Advancement of Culture, Science, Arts, Music, and Sports
CCS Outstanding Alumni – Public and Community Service

III. Nominee’s Information

Full Name (Last Name, First Name, Middle Name): _______________________________
Batch: ______________
Profession (if applicable only): __________________________________________________
Company / Affiliation (if applicable only): _________________________________________
Facebook (If any): _______________________________
Contact Details (email or mobile #): ________________________________

IV. Narrative (Write in the Box Provided below. You may write in Filipino or English. As much as
possible, do not write in Bikol since some of the judges may not be able to understand Bikol
dialect. If the space is not enough, you may just write in another page.)

Guide questions in your narrative. Please be specific in your write up.

 Why do you believe that the person you are nominating is deserving of this award?
 What are the professional and/or civic accomplishments that distinguish this nominee?
 What are the specific activities or accomplishments that may be pertinent to his/her nomination?
V. PROVIDE SUPPORTING MATERIALS (Optional)

 Examples of supporting materials include published articles about the nominee’s

actions, certifications/recognition, letters of support from employers, colleagues,
community members, beneficiaries of their service or civic endeavors and pictures of
actual project or activity involvement.

VI. Nominator’s Information

Full Name (Last Name, First Name, Middle Name): ___________________________

Batch (if applicable only): ______________
Facebook (If any): _______________________________
Contact Details (email or mobile #): ________________________________
Please confirm your eligibility as nominator by checking the appropriate box:
I am submitting my nomination as individual alumnus/alumna of CCS
I am submitting my nomination on behalf of my Batch
I am submitting my nomination as active members of CCS academe (faculty or
principal)
I am submitting my nomination as former/retired faculty members of CCS

 Please submit this form to babynicone@gmail.com and

Miras.Glenda.aor@gmail.com on or before December 23, 2023.
 Indicate in the Subject - CCS Outstanding Alumni Award Nomination
Form_<Indicate Name of the Nominee>.
 You will receive a confirmation notification upon receipt of your nomination.