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    Enc.6 - Election Application Form

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    P Olarte ES
    This document is an election application form for candidates applying for leadership positions in the Learner Government program. It requests information such as the candidate's name, grade level, position applied for, party affiliation, and contact details. It also requires attestations from advisers confirming the candidate has no failing grades or conduct issues. The form needs parental consent and signatures from the candidate, screening commissioner, and LG COMEA chief commissioner to verify and approve the application.

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    Enc.6 - Election Application Form

    Uploaded by

    P Olarte ES
    2K views1 page
    This document is an election application form for candidates applying for leadership positions in the Learner Government program. It requests information such as the candidate's name, grade level, position applied for, party affiliation, and contact details. It also requires attestations from advisers confirming the candidate has no failing grades or conduct issues. The form needs parental consent and signatures from the candidate, screening commissioner, and LG COMEA chief commissioner to verify and approve the application.

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    Enc.6_Election-Application-Form

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    This document is an election application form for candidates applying for leadership positions in the Learner Government program. It requests information such as the candidate's name, grade level, position applied for, party affiliation, and contact details. It also requires attestations from advisers confirming the candidate has no failing grades or conduct issues. The form needs parental consent and signatures from the candidate, screening commissioner, and LG COMEA chief commissioner to verify and approve the application.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views1 page

    Enc.6 - Election Application Form

    Uploaded by

    P Olarte ES
    This document is an election application form for candidates applying for leadership positions in the Learner Government program. It requests information such as the candidate's name, grade level, position applied for, party affiliation, and contact details. It also requires attestations from advisers confirming the candidate has no failing grades or conduct issues. The form needs parental consent and signatures from the candidate, screening commissioner, and LG COMEA chief commissioner to verify and approve the application.

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    of 1

    Enclosure No.

    XX: Election Application Form

    ELECTION APPLICATION FORM

    The Learner Government Program embodies the ideals,


    principles, and practices of participatory democracy. It
    represents and steers the learners towards the fulfillment of its
    goal by promoting their rights and welfare. As a learner
    government leader, this Election Application Form is a statement Place your
    of your best knowledge and understanding in a position you are 2X2 Picture Here
    applying for.

    Instruction: Please supply the information requested in the


    space provided.

    I. PROFILE
    Learner’s Name: ______________________________________________
    (Surname, Given Name, Middle Name, & Extension Name e.g., Jr., I, II…)
    Grade Level: ____________________________________
    Elective Position Applied: ____________________________________
    Party Affiliation (if applicable): ___________________
    Gender:   Age:   Date of Birth:  
    Email Address:   Mobile No.:   Landline:  
    Home Address:  

    II. LEARNER’S ACADEMIC AND BEHAVIORAL STATUS


    1. Has no failing grades in all subject areas? Yes No

    Attested by:
    Class Adviser Name & Signature Date
    2. Is of good moral character? Yes No

    Attested by: EsP/Guidance Coordinator


    Date
    Name & Signature
    Kindly attach a photocopy of your School Form 9 [Learner’s Progress Report Card and Certificate of Good Moral.

    III. PARENTAL CONSENT


    I, _______________________________________________ as a parent/ guardian of
    __________________________________________________ will support his/her commitment to the
    Learner Government to the best of my ability.

    I am allowing him/her to participate in the programs, projects, and activities of the


    Supreme Learner Government.

    I agree and understand the commitment of my son/daughter and will support his/her
    endeavor to the Supreme Learner Government.

    _____________________________________________ ______________________________
    Name and Signature of the Parent/Guardian Contact Number

    IV. CERTIFICATION
    I am filing this Election Application Form of the Supreme Learner Government for the
    school year ________________.

    I hereby certify that the facts stated herein are true and correct to the best of my
    knowledge.
    _______________________________________________________
    Signature of Candidate over Printed Name

    Verified by: Approved by:


    ___________________________________________ ____________________________________
    Screening and Validation Commissioner LG COMEA Chief Commissioner
    Date: ______________ Date: _______________

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