Fillable Man Woman App.20112 Associated Students of Cerritos College

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Man Woman App.20112 Associated Students of Cerritos College

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NOMINATIONS ARE DUE IN THE OFFICE OF STUDENT ACTIVITIES BEFORE 3:00 P.M.
ON THURSDAY, MARCH 29, 2012.
Associated Students of Cerritos College
MAN AND WOMAN OF THE YEAR AWARD NOMINATION
To be eligible, a student must have completed six (6) units in the Fall Semester and be enrolled in at least six (6) units in the Spring
Semester. Also, the student must have been awarded a Bronze, Silver, or Gold Falcon for both Semesters.
NAME OF STUDENT: ______________________________________________________________
Please complete the following section by marking an “X” in the appropriate column.
PERSONAL
DEVELOPMENT
OUTSTANDING
ABOVE
AVERAGE
AVERAGE
BELOW
AVERAGE
UNKNOWN
SELF IMAGE
LEADERSHIP
INITIATIVE
MOTIVATION
CITIZENSHIP
Please explain in your own words why you feel this candidate should be chosen for Man or
Woman of the Year in the space provided below. (Type or print neatly in black ink.)
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Print Name: ______________________________________
Signature: _______________________________________ Date: _____________________
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Man Woman App.20112 Associated Students of Cerritos College

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Completed 20 March 2020

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