SCHOOLS DIVISION OF D - depeddumaguete.com.ph

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Republic of the Philippines Department of E Region VII, Centra SCHOOLS DIVISION OF D Dumaguete City - .-- DIVISION MEMORANDUM No. \JQ s. 2018 March 6,2017 SYNCHRONIZED ELECTION CALENDAR FOR SUPREME PUPILS GOVERNMENT (SPG) AND SUPREME STUDENTS GOVERNMENT (SSG) FOR SY 2018-2019 To: Asst. Schools Division Superintendent Chiefs, CIDISGOD Education Program Supervisors SeniorIEducation Program Specialists Public Elementary and Secondary School Heads 1. Enclosed is the DepEd Memorandum entitled Synchronized Elecfion Calendar for Supreme Pupils Government (SPG) and Supreme Sfudenfs Govemmenf (SSG) for SY 2018-2019, for your information and guidance. 2. Below is the Calendar of Activities which will be observed during the conduct of the SPG and SSG Election for SY 2018-201 9: I Evaluation of Certificate of Candidacy (COC) vis-a-vis I March 12,2018 I SPG and SSG Activities (To be facilitated by SPGISSG COMELEC) Filing of Candidacy Date March 8-9,2018 1 *Presidential Election Forum I 1 Qualifications and Disqualifications Announcement of Official List of Candidates Campaign Period: 1 Campus-Wide Presidential and Vice-presidential I 1 March 12, 2018 March 13-1 5, 2018 Website: www.dumaguete.depedro7gov.ph l Emall Address: [email protected] Contact Numbers: Office the of Schools Division Superintendent (035) 225-0603; Fax # (035) 421-2262 Office of the Assistant Schools Division Superintendent (035) 225-7247 Curriculum Implementation Division (CID) (035) 421-0916 School Governance and Operations Division (SGOD) (035) 421-0902 l Administrative Office (035) 421-2260 Human Resource, Receiving and Releasing.(035)225-7246 Finance Services (035) 225-3556 Cash and Property (035) 421-0895 Library Hub 0917-569-4985 ICT Services (035) 421-2262 l MedlcallDental (035) 225-7248 Debates Elections Proclamation of Winners Nomination of SPGISSG Adviser Oath Taking Ceremony March 16,2018 March 16,2018 March 18,2018 March 20,2018

Transcript of SCHOOLS DIVISION OF D - depeddumaguete.com.ph

Page 1: SCHOOLS DIVISION OF D - depeddumaguete.com.ph

Republic of the Philippines Department of E Region VII, Centra

SCHOOLS DIVISION OF D Dumaguete City - .--

DIVISION MEMORANDUM No. \JQ s. 201 8

March 6,2017

SYNCHRONIZED ELECTION CALENDAR FOR SUPREME PUPILS GOVERNMENT (SPG) AND SUPREME STUDENTS GOVERNMENT (SSG) FOR SY 2018-2019

To: Asst. Schools Division Superintendent Chiefs, CIDISGOD Education Program Supervisors SeniorIEducation Program Specialists Public Elementary and Secondary School Heads

1. Enclosed is the DepEd Memorandum entitled Synchronized Elecfion Calendar for Supreme Pupils Government (SPG) and Supreme Sfudenfs Govemmenf (SSG) for SY 2018-2019, for your information and guidance.

2. Below is the Calendar of Activities which will be observed during the conduct of the SPG and SSG Election for SY 201 8-201 9:

I Evaluation of Certificate of Candidacy (COC) vis-a-vis I March 12,2018 I

SPG and SSG Activities (To be facilitated by SPGISSG COMELEC)

Filing of Candidacy

Date

March 8-9,2018

1 *Presidential Election Forum I 1

Qualifications and Disqualifications Announcement of Official List of Candidates Campaign Period:

1 Campus-Wide Presidential and Vice-presidential I 1

March 12, 2018 March 13-1 5, 201 8

Website: www.dumaguete.depedro7gov.ph l Emall Address: [email protected] Contact Numbers: Office the of Schools Division Superintendent (035) 225-0603; Fax # (035) 421-2262

Office of the Assistant Schools Division Superintendent (035) 225-7247 Curriculum Implementation Division (CID) (035) 421-0916 School Governance and Operations Division (SGOD) (035) 421-0902 l Administrative Office (035) 421 -2260

Human Resource, Receiving and Releasing.(035) 225-7246 Finance Services (035) 225-3556 Cash and Property (035) 421-0895 Library Hub 0917-569-4985 ICT Services (035) 421-2262 l MedlcallDental (035) 225-7248

Debates Elections Proclamation of Winners Nomination of SPGISSG Adviser Oath Taking Ceremony

March 16,2018 March 16,2018 March 18,201 8 March 20,2018

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4. Accomplishment Report shall be submitted to this Office after the school's proclamation of winners on March 30, 2018 (Attn: Felix Ill D. Mosqueda, PDONouth Formation Coordinator, SGOD).

5. The following documents attached herewith shall be used for references:

Enclosure No. 1: Comprehensive Evaluation for SPGISSG Elections for the Schools (CESGE); Enclosure No. 2: Division Consolidated Election Report (DCER); Enclosure No. 3: Filing of Candidacy Packet; Enclosure No. 4: Parental Consent for SPGISSG Candidates; and Enclosure No. 5: Certificate of Candidacy for the SPGISSG.

6. Immediate dissemination of and compliance with this Memorandum are desired.

For the SDS

EVANGEL M. LUMINARIAS, Ph. D., CESO V Schools Division Superintendent

$&j/. N RI C. S RO, Ed. D., CESE

Webslte: www.dumaguete.depedro7gov.ph E-mail Address: [email protected] Contact Numbers: Oftice the of Schools Division Superintendent (035) 2250603. Fax # (035) 421-2262

Omce of the Assistant Schools Division Superintendent (035) 225-7247 Curriculum Implementation Division (CID) (035) 421-0916 School Governance and Operations Division (SGOD) (035) 421-0902 Administrative Office (035) 421-2260

Human Resource, Receiving and Releasing.(O35) 225-7246 Flnance Services (035) 225-3556 Cash and Property (035) 421-0895 Library Hub 0917-569-4985 ICT Services (035) 421-2262 MedicallDental(035) 225-7248

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REPUBUKA NG PILIPINASREPUBLIC OE THE PHILIPPINES

KAGAWARAN NG EDUKASYONDEPARTMENT OF EDUCATION

REHIYON VII, GITNANG VISAYASREGION VII, CENTRAL VISAYAS

Sudlon, Lahug, Cebu City

REGIONAL MEMORANDUM (TtB / ^ 201$

ELECTION CALENDAR FOR SUPREME PUPIL GOVERNMENT (SPG) AND SUPREME STUDENTGOVERNMENT (SSG) FOR SY 2018 - 2019

To: All Schools Division SuperintendentsAll School Governance and Operations Division (SGOD) Chiefs

1. Pursuant to DepEd Order No. 47 s. 2014 entitled Constitution and By-Laws of the SupremeStudent Government and Supreme Pupils Government in Elementary and SecondarySchools, and DepEd Order No. 11 s. 2016 entitled Additional Guidelines on theConstitution and By-Laws of the Supreme Student Government and Supreme PupilsGovernment in Elementary and Secondary Schools, this Office hereby disseminates theattached Memorandum from Undersecretary for Administration, Alain Del B. Pascua,dated February 12, 2018 entitled: Election Calendar for Supreme Pupils Government(SPG) and Supreme Student Government (SSG) for School Year 2018 - 2019.

2. The Regional Office and Schools Division Office are enjoined to support and monitor theimplementation of the school elections.

3. Attached are the following enclosures:Enclosure No. 1: Guidelines on the conduct of the Student Government Elections for SY2018-2019Enclosure No. 2: Comprehensive Evaluation for SPG/SSG elections for the Schools (CESGE)Enclosure No. 3: Division Consolidated Election Report (DCER)Enclosure No. 4: Filing of Candidacy PacketEnclosure No. 5: Parental Consent for SPG/SSG CandidatesEnclosure No. 6: Certificate of Candidacy for the SPG / SSG

4. Immediate dissemination of this Memorandum is directed.

JU1IETA. JERUTA^Director III A

TOfficer-in-Charge>^JAJ/LCJ/jp

Office of the Director (ORDir), Tel. Not.: (032) 231-1433; 231-1309; 414-7399; 414-732S; Office of the Assistant Director, Tel. No.: (032) 255-4542Field Technical Assistance Division (FTAD), Tel. Nos.; (032) 414-7324 Curriculum Learning Management Division (CLMD), Tel Nos.: (032) 414-7323

Quality Assurance Division (QAD), Tel. Nos.: (032) 231-1071 Hunan Resource Development Division (HRDD), Tel. No.. (032) 255-5239Education Support Services Division (ESSD), Tel. No.: (032) 254-7062 Planning, PoHcy and Research Division (PPRD), Tel. Nos.. (032) 233-9030;

414-7065 Administrative Division, Tel. Nos : (032) 414-7326; 414.4367; 414-7366; 414.7322; 414-1367Finance Division, Tel. Nos.: (032)256-2375; 253-8061; 414-7321

" £$& 2015: JCaxapatan ny. £aAat, Paiuutagutan ng. £uAat"

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Department of EducationRegion VII, Central Visayas

RD2018-45413-Feb-18

<EpjmbliUa ns ipiltp

113 <£tmka£ponTanggapan rig Pangalawa.ng Kalihim

MEMORANDUM12 February 2018

For: All Regional DirectorsAll School Divisions Staperisttemdeiits

Attention: All Education Support Services Division ChiefsAll School Governance and Operations Division CMefe

Subject: ELECTION CALENDAR FOR SUPREME PUPIL GOVERNMENT(SPG) AND SUPREME STUDENT GOVERNMENT (SSG) FOR SY2O18-2019

Pursuant to DepEd Order No. 47 s. 2014 entitled Constitution and By-Lawsof the Supreme Student Government and Supreme Pupils Government inElementary and Secondary Schools, and DepEd Order No 11 s. 2016Additional Guidelines on the Constitution and By-Laws of the SupremeStudent Government and. Supreme Pupils Government in Elementary andSecondary Schools, the following dates shall be observed during theconduct of elections for the 2018-2019 Supreme Pupil Government (SPG)and Supreme Student Government (SSG).

SPG amd. SSG Activities(To be facilitated by SPG/ SSG COMELECj

Filing of CandidacyEvaluation of Certificate of Candidacy (COC) vis-a-vis Qualifications and DisqualificationsAnnouncement of the Official List of CandidatesCampaign Period

« Presidential Election Forum« Campus- Wide Presidential and Vice-

Presidential DebatesElections

Date

February 19, 2018 JFebruary 21, 2018

February_23, 2018February 26-27,2018

February 28, 2018Proclamation of WinnersNomination of SPG /SSG AdviserOath Talcing Ceremony (SPG/SSG Officers!

March 05, 2018March 20-21, 2018

March 23, 2018

Office of the Undersecretary four AdministrationIt!)iuis1i\v<iv Services;, intorniuiion and Comtmi>iicc<~.ions Technnlogy, Disaster Risk Reduction and Man.agemt.-nl, .sV;.';oo:s ll

You!); PtirrntiT'Oi}, Baguv.) Tvachar?,' Camp, Education Fac.iiilws/Scliool Buildings)Department of Education, Central Office, Mcralco Avenue, Fasig City

Room 519, Mabini Building; Mobile: +639260320762; Landline: +6326337203, +6326376207Email: [email protected],ph; Facebook/Twitter(«)depcdtayo

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Attached are the following enclosures:%

Enclosure No. 1; Guidelines on the conduct of the Student GovernmentElections for SY 2018-2019Enclosure No. 2: Comprehensive Evaluation for SPG/SSG Elections forthe Schools (CESGE)Enclosure No. 3: Division Consolidated Election Report (DCER)Enclosure Ho, 4: Filing of Candidacy PacketEnclosure No. 5: Parental Consent for SPG/SSG CandidatesEnclosure No. 6: Certificate of Candidacy for the SPG/SSG

For more information, all concerned may contact the Youth FormationDivision (YFD), 3rd Floor Mabini Bldg., DepEd Complex, Meralco Avenue, PasigCity at telephone no. (02) 637-9814 or through the email address:

For immediate and appropriate action.

5fc,B. PA8CUAUndersecretary^

l?'

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Enclosure No. 1

Guidelines on the conduct of the Student Government Elections for SY2018-2019

1, The School Head (SH) upon the proposal of the members of the SPG/SSGCommission on Elections (COMELEC) with the recommendation of theSPG/SSG COMELEC Chairperson, may also issue additional guidelineson the SPG or SSG COMELEC Standard Election Code consistent withthe DepEd Order No. 47 s. 2014 and DepEd Order No 11 s. 2016 toensure a fair and successful conduct of the elections.

2. After the conduct of the SPG/SSG Elections, the SH or the person whom,he/she appointed shall accomplish the Comprehensive Evaluation ofthe Student Government Elections for the School (CESGEj Formprovided in the enclosure. Soft or hard copies of their documents shall besubmitted to the Division School Governance and Operations Division.fSGOD) through their respective division Youth Formation Coordinatorexactly two (2) weeks after the school's proclamation of winners on

3. The Division SGOD shall collate the schools' CESGE Forms andaccomplish the Division Consolidated Election Report fDCER) for theSPG and SSG. After collating all the schools' CESGE forms andaccomplishing the Division Election Consolidated Report for the SPG andSSG, the Division SGOD shall forward the soft or hard copies of the saidcopies to 'their respective regional Education Support Services Divisionon or before March 265 2018.

4. The ESSD shall collate, organize and forward scanned or soft copies ofthe documents submitted by the SGOD to the Youth FormationDivision fYFD) observing the following directions:

'• a) The email shall be forwarded to blss.yfdfb) The email shall follow the subject:

For SPG: (SPG1819 -(name of regionJ-Submission]For SSG: {SSG 18 19 -(name of region) -Submission]

c) The email shall be forwarded on or before April 16, 2018.

5. In preparing for the division and regional report of the SPG and SSGelection. The ff. formats shall be observed:

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Enclosure No. 1

DocumentComprehensive Evaluation ofthe Student GovernmentElections for the School(CESGE)

File FormatWord File (.doc or

.docx)

Division Consolidated I Excel P'ile Format (.xsl orElection Report (DCER) ! .xlsx)

For the SPG: SPG 1819-CESGE-(name of school)For the SSG: SSG1819-CESGE-(name of school)

For the SPG: SPG 1819-DECR-(name of division) |For the SSG: SSG 1819-DECR-(name of division)

6. The newly-elected SPG/SSG officers upon their oath taking ceremony shallundergo a parallel school-based training on basic skills on leadership,roles, functions, and responsibilities of each officer The newly designatedSPG/SSG Adviser shall supervise the implementation of the said training.The newly elected SPG/SSG officers shall come up with a General Plan ofAction (SPOA) for their entire term. The project management and planningof GPOA must be facilitated by the SPG/SSG adviser and the outgoingSPG/SSG officers during weekends immediately after elections.

7. The division office through the SGOD shall conduct a division-wideleadership training for the newly-elected SPG and SSG officers, the newofficers from school club organizations may also join the division-initiatedleadership training. Pursuant to DepEd Order 19 s. 2016 "Guidelines onthe Organizational Structure and Staffing Patterns of Stand-Alone andIntegrated Public Senior High School", the division Youth FormationCoorditiatpr shall spearhead the division-wide leadership training withinApril-August 2018 in coordination with other offices relevant to the conductof the activity.

8. For the regional and division-federated SSG and SPG elections,PRESIDENTS regardless of grade level, whether the candidate is fromGrade 11 or Grade 12, can vie for the President and Vice President positionfor as long as they are the elected President of the SSG and SPG in theirrespective school and are qualified to be nominated.

9. For the stand-alone Junior High School (JHS), candidates for President aridVice President must be Grade 10 and Grade 9 students. Grade 8 and 7students can run for the other positions except President and VicePresident.

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>. 1

10. For elementary and secondary schools which have more than 1,000students per grade level,, the COMELEC can add additional three (3)members per grade level who will help facilitate the elections. The saidadditional members must meet the required qualifications and undergo thesame process.

11. The YFD as the lead office for the Student Government. Program (SGP) inthe Central Office is atlthorized to monitor the conduct of the elections andthe formulation, and implementation of the programs and projects tostrengthen the SPG/SSG in schools.

12. The SGOD and ESSD are authorized to coordinate and to monitor theactivities of the synchronized SPG/SSG elections,

13. All regional directors (RDs) and school division superintendents (SDSs)are enjoined to support and monitor the implementation of the schoolelections.

14. All elections conducted before the dissemination of this Memorandumshall retain the candidates who were proclaimed winners of their school'sSPG and SSG in their elective positions.

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Enclosure No. 2; Comprehensive Evaluation for SPG/SSG Elections for the Schools (CESGE)

Component

Student Commissionon Election(COMFXEC)

Logistics

Student Engagement

Selection ofCandidates

Campaign

Voting

DEPAR1MENI Ol } DUCATIONBureau of Learner Support Services

Youth Formation Division

Comprehensive Evaluation for SPG/SSG Elections for the Schools (CESGE)(to be. accomplished in the school level by a representative designated In/ the School Head)

Counting of Votes

Indicators DisagreeThe students and school admin were well-represented intine school Commission on Elections (COMELEC)The students and school admin were knowledgeable andprepared for the conduct of the elections.The students and the school admin were activelyinvolved in organizing and running the electionprocedures.The students and the school admin objectivelyperformed their functions and remained non-partisanduring the conduct of elections.The Flection materials were prepared on time.

Recommendations I

|

The schedules and deadlines were strictly followed.

The application forms were made available tointerested students.The .students were well-informed about the purpose ofJhe Student Government elections.The students were aware of the voting process.The students actively participated in the elections.

.o all

ise of

The students were encouraged to participate in thestudent government.The interested students were given the opportunity to

i participate in the elections.i All the qualified candidates were considered.j The application process was objective and in accordance

with the DepEd Student Government Election Code."The campaign was orderly, organized, fair, and peaceful.The campaign was held in accordance with the DepEdStiident Government Ejection Code.I he election code was effectively enforced.The ballots were clear and available.

NAME OF SCHOOL:

The voting was organized and fair.

"fhe~CONlELic" effecHveTy, efficiently,conducted the counting of votes.The count was fair, honest, and transparent.The announcement was immediate and undisputable,

ntly, and fairly

a rent.

COMELEC Chair'sName and Signature: ,

Level:

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Enclosure No, 3: Division Consolidaled Election Report (DCER)

REGION:DIVISION:

DEPAKIMS N I OF CDLC VTSONBureau of Learner Support Services

Youth Formation Division

Division Consolidated Ejection Report (DCER)(to be awomptislicd in the division level by SGOD)

J CATEGORY: (Please indicate one)j () Supreme PupiJ Government f ) Supreme Student Government

NAME OFSCHOOL IDDRESS

SCHOOL NAME OF NAME OFV_.WiM i t\, I

NUMBER

NAME OFPRESIDENT

DATE OFELECTION

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Enclosure. No, 4: Fiiing of Candidacy Packet

-.?' '14tete?*B&S

lic of rtjeDEPARTMENT OF EDUCATION

Youth Formation Division

2017 Ejections Application. Packet

To run for a position in the SSG/SPG office, each candidclte should submit a completed signed application ijwith the following attachments: |

o Certificate of Candidacy« Parental Consent® Two (2) pcs. of 2x2 photograph« An official copy of the Report card for the present Academic Year* General Plan of Actions« T\vo (2) recommendation letters from two (2) individuals whom the candidate has worked with in

a co-curricular and extra-curricular activity,

RECOMMENDATION LETTERS:

Please secure and submit two (2) recommendation letters (in a signed/sealed envelope) from two (2)individuals that the candidate has worked with in a co-curricular and extra-curricular activity. The 6recommendations shall include the following: I

« Description of the activity wherein the candidate and the author of the recommendation letter 1worked together J

® Detailed description of how the candidate the principles of teamwork, collective decision-making,and good work ethic in the said activity.

The author of the recommendation letters should not be related by affinity or consanguinity to thecandidate.

The two (2) recommendation letters should each come from a fellow student that he/she worked with inan activity and from the teacher that served as an adviser of the same activity.

The authors of the recommendation letters should not be related to the candidate by affinity or seconddegree consanguinity. If needed, the COMELEC has the authority to validate the recommendation letterswith its signatories.

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Enclosure No. S: Parental Consent for SPG/SSG Candidates

ic of fiieDEPARTMENT OF EDUCATION

Youth Formation Division

PARENTAL CONSENT

__as a parent/guardian will support my(name of parent/guardian)

son/daughter . to the best of my ability as(inline of parent/guardian)

he/she commits to the Student Council,

1 am allowing him/her to fulfill the duties and responsibilities of a Supreme PupilGovernment Officer and to be involved in all of its activities, programs, and projects.

Parent's/Guardian's Signature over Printed Name Date

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Enclosure No, 5: Parental Consent forSPG/SSG Candidates

of tlj£DEPARTMENT OF EDUCATION

Youth Formation Division

PARENTAL CONSENT

_as a parent/guardian will support my(name of parent/guardian)

son/ daughter to the best of my ability as(name, of parent/guardian)

he/ she commits to the Student Council.

I am allowing him/her to fulfill the duties and responsibilities of a Supreme StudentGovernment Officer and to be involved in ail of its activities, programs, and projects.

Parent's/Guardian's Signature over Printed Name Date

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Enclosure No.*6: Certificate of Candidacy for the SPG/SSG

|3()ilip(>inesDEPARTMENT OF EDUCATION

Youth Formation Division

CERTIFICATE OF CANDIDACY FOR SUPREME PUPIL GOVERNMENT

An officer of the Supreme Pupil Government lives the ideals, principles, and practices of participatory democracy. He/Sherepresents the student body, and must be fully committed to lead and serve the student body towards the fulfillment of the

goals of the Student Government. He/She must uphold the core values and thrusts of the Department of Education andserve as a role model of school and community in words and in deeds. ^

Student's Name: Current Grade Level:PERSONAL DETAILS:

Gender: Age:

E-mail Addjess:

Home Address:

Date of Birth:

Mobile No: Landline:

COMPETENCIES OF CANDIDATES IN RELATION TO THE DESIRED POSITION

Name of activities participated related to the desiredposition

Specific role in the activity

ELECTORAL INFORMATION:Parry Name: Position in the Party:

1 certify that I am a bona fide student of this school.1, whose name and other personal details are herein stated, do hereby file this Certificate of Candidacy for the Supreme Pupil

Government COMELEC in the election for school year 2017-2018.I do hereby declare my intention and desire to be nominated for the particular position of .

I further state that 1 am bona fide student of this school with good moral character and academic standing, and 1 will abidewith the election rules and guidelines of the Supreme Pugil .Government.

hereby certify that the facts stated herein are true and correct to the best of my knowledge.

Signature of Candidate over Printed .Name

SUBSCRIBED AND SWORN to before me this _ _ day of 2018, at.his/her nomination kit which contains his/her C.O.C, photograph, academic records, and parental consent.

, affiant exhibiting to me

SPG COMELEC REPRESENTATIVE

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Enclosure No. h: Certificate of Candidacy for the SPG/S5C

Ikpubltt of ttieDEPARTMENT OF EDUCATION

Youth Formation Division

CERTIFICATE OF CANDIDACY FOR SUPREME STUDENT GOVERNMENT

An officer of the Supreme Student Government lives the ideals, principles, and practices of participatory democracy, lie/She |represents the student body, and must be ful ly committed to lead and serve the student body towards the fulfillment of the f

goals of the Student Government. He/She must uphold the cove values and thrusts of the Department of Education and jserve as a role model of school and community in words and in deeds. i

Student's Name: ___ . . _ ___.„. .___..._„.„___...._ _____ __ ̂ ........_7— _ .__;-_,..T;l.. .... _ Current Grade Level:

Gender: _ .__ Age:,... ....... „. Date of Birth: _____ ......... __________

E-mail Address: ...__ ________ _ __________ ______ ___ ____ Mobile No: _________ ...... _____ _________ Landline: .

Home Address: __ _______ ...... _ .............. _ ................ ____ ______ ______ ._ ....... _________ ............... ____ ...... ______ ________ _ _____________ ........ _____

TES IN. RELATION TO THE DESIRED POSITION

Name of activities participated related to the desired |~ Specific role in the activity |_ _ ____ position __ _ ___ _ I __ __ __ ____ _ ___ ___ _____________________ j

ELECTORAL INFORMATION:Party Name: __ Position in the Party: ...__.

1 certify that 1 am a bona tide student of this school.!, whose name and other personal details are herein stated, do hereby file this Certificate of Candidacy for the Supreme

Student Government COME LEG in the election for school year 2017-2018.1 do hereby declare rny intention and desire to be nominated for the particular position of .

1 fur ther state that I am bona fide student of this school with good moral character and academic standing, and 1 will abidewith the election rules and guidelines of the Supreme Student Government.

', hereby certify that the facts stated herein are true and correct to the best of my knowledge.

Signature of Candidate over Printed Name

I SUBSCRIBED AND SWORN to before me this _ day of 2018, at _ „ __ , affiant exhibiting to me1 his/her nomination kit which contains his/her C.O.C, photograph, academic records, and parental consent.

SSG COMELEC REPRESENTATIVE ~~