Superintendent's Award of Excellence
Superintendent's Award of Excellence
Superintendent's Award of Excellence
OF EXCELLENCE 2016
APPLICANT’S NAME
SCHOOL/ORGANIZATION
TheSuperintendent’s
Award of Excellence POSITION/DESIGNATION E-MAIL/ MOBILE NO.
is presented to an individual or
organization which exhibited ADDRESS
exceptional
RECOMMENDING PERSON/ORGANIZATION
performance/achievement in
Academics, Arts, Music,
Journalism, Athletics, NAME
Innovation, Leadership,
Research, Customer Service and
POSITION/DESIGNATION E-MAIL/ MOBILE NO.
Special Programs/ Projects,
which has significantly
contributed in bringing about
positive changes in the lives of APPLICANT’S SIGNATURE
the members of the community.
APPLICATION FORM
A. Please list down the activities you have participated/undergone and the achievement/awards/recognition
earned/received to show WHY you QUALIFY to benefiting the award.
B. What are your future plans towards pursuing/sustaining/taking your accomplishment to the next level?
C. What can you recommend/suggest to assist/help individuals/organizations achieved the fullest potentials?
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Please attach the following: APPLICANT’S PERSONAL INFORMATION
1. Proof of Receipt of the
Award/Recognition (e.g. original 1 x 1 ID
and duly-authenticated photocopy Age: Sex: Picture
of certificates, citations, plaques,
medal, etc.); Highest Educational Attainment:
2. Photocopy/documentation (still or School Course Month/Year
motion pictures, narrative, report, Graduated
etc.) of the Work that Earned the
Recognition/Award (e.g. editorial-
journalism, research paper, singing
performance, etc.); and
3. Letter of Indorsement (from
District Supervisor/reputable
individual/organization).
Noted: ____________________________
School Head/Supervisor
APPLICATION FORM