NOMINATIONS ARE DUE IN THE OFFICE OF STUDENT ACTIVITIES NO LATER THAN 12:00 P.M.
ON MONDAY, APRIL 6
TH
.
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 (350-500 words). (Type or print neatly in black
ink.) Staple attachment if necessary.
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Print Name: ______________________________________
Signature: _______________________________________ Date: _____________________
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