Student Government
Committees:
1.
1.
2.
2.
3.
3.
4.
Cerritos College Club Memberships:
5.
1.
ASCC & Club Events/Activities
2.
Volunteered/Attended
3.
*Please Include (Date/Event/Hours)
4.
1.
5.
2.
3.
4.
Officer Positions Held in Club:
5.
1.
6.
2.
7.
3.
8.
4.
9.
5.
10.
Honors/Awards:
From Spring 2015 through Fall 2015 ONLY!
NON-ASCC On Campus Events
1.
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2.
2.
3.
3.
4.
4.
5.
5.
Remarks:
Units Completed:
Cumulative GPA:
Name:
Student ID #:
Address:
City:
Zip:
Email:
ASCC
ASCC Awards Nomination
Fall 2015
*Note this application pertains ONLY to Fall 2015. Please do not include information from previous semesters. Furthermore,
do not include future event you may participate in.
FOR OFFICE USE ONLY
EVALUATION #
FOR OFFICE USE ONLY
EVALUATION #
**Paid Service by ASCC, Cerritos College or Other Organizations is not considered by the Awards Committee.
RETURN TO OFFICE OF STUDENT ACTIVITIES BEFORE 12:00 PM ON NOVEMBER 5, 2015