Cerritos College
Fall 2009
ASCC Awards Nominations
*Paid Service by ASCC, Cerritos College or Other Organizations is not considered by the Awards Committee.
RETURN TO OFFICE OF STUDENT ACTIVITIES BEFORE 4:00 PM, THURSDAY, NOVEMBER 12, 2009
Name:
Student Number:
Address:
City:
Zip:
Student Government:
From Fall 2009 ONLY!
From Fall 2009 ONLY!
1.
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4.
Cerritos College Club Memberships:
From Fall 2009 ONLY!
5.
1.
6.
2.
7.
3.
8.
4.
5.
6.
From Fall 2009 ONLY!
1.
2.
Officers of Organizations:
From Fall 2009 ONLY!
3.
1.
4.
2.
5.
3.
6.
7.
8.
Honors/Awards:
From late Spring 2009 through Fall 2009 ONLY!
9.
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10.
2.
11.
3.
12.
4.
13.
5.
14.
15.
Remarks:
Other On Campus Services/Events
(Fall 09)
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Units Enrolled:
Signature
For Office Use Only
EVALUATION#
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