**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, Friday, April 4, 2014
Cerritos College
Fall 2014
ASCC Awards Nominations
* Include number of volunteered/service hours
Student Government:
*Committees:
From Fall 2014 ONLY!
From Fall 2014 ONLY!
1.
1.
2.
2.
3.
Cerritos College Club Memberships:
4.
From Fall 2014 ONLY!
5.
1.
2.
*ASCC & Club Sponsored Events/Activities:
3.
From Fall 2014 ONLY! Volunteer/Participation Only!
4.
1.
5.
2.
6.
3.
4.
Officers Positions Held in Club:
5.
From Fall 2014 ONLY!
6.
1.
7.
2.
8.
3.
9.
10.
Honors/Awards:
11.
From May 2014 through Fall 2014 ONLY!
12.
1.
13.
2.
14.
3.
15.
4.
16.
5.
17.
Remarks:
18.
*Other On Campus Services/Events
(Fall 14’)
1.
2.
3.
Cumulative GPA: ____________
Name: _____________________________________ Student #:_______________________________
Address: _____________________________________ City: _________________ Zip: _____________
Email Address: ____________________________________________________________________________
For Office Use Only
EVALUATION#
___________________