QCHS ALUMNI ASSOCIATION,
INC.
Q.C.H.S., Scout Ybardolaza St., Diliman, Quezon City
Telefax: (02) 416-4898
Website: www.qchsaai.tripod.com
I. PROFORMA CANDIDACY AND
UNDERTAKING
I, ___________________________, Class_____, hereby submit my candidacy for one of the five (5) vacancies in the Board
of Trustees.
I understand that if elected,
a) I will have to attend the
regular (monthly) and special meetings of the Board of Trustees.
b) My term in the Board of Trustees
(BOT) shall be automatically terminated if I incur three
consecutive absences or if I become a habitual absentee during regular/special meetings.
Signature:
_______________________
Date: ___________________________
_________________________________________________________________________________
II. NOMINATION
I, _____________________________, Class ______, hereby nominate ________________________
of Class______ as candidate for one of the five (5) vacancies in the 2011-2012 Board of Trustees. His/her concurrence
follows.
Signature: _______________________
Date: ___________________________
_________________________________________________________________________________
III. CONCURRENCE AND UNDERTAKING
I, _____________________________, Class ______, hereby agree to, and accept, my nomination as candidate for one of
the five (5) vacancies in the 2011-2012 Board of Trustees.
I understand that if elected,
a) I will have to attend the
regular (monthly) and special meetings of the Board of Trustees.
b) If for some reason/s I will
not be able to attend meetings during my term, I shall tender my
resignation
and inform the BOT immediately. I am fully aware that if ever I incur three
consecutive absences or am a habitual absentee, the BOT shall automatically terminate my
term as a
trustee.
Signature: _______________________
Date: ___________________________
WITNESSES:
1. ________________________________ Class_____ Signature ___________________________
2. ________________________________ Class _____ Signature ___________________________
_________________________________________________________________________________
PROXY
I, ____________________________ Class _____, hereby designate _________________________
of Class ______, as legal proxy during the General Assembly and Elections of Board of Trustees in
April, 2011.
Signature: _______________________
Date: ___________________________
***********************************************************************
QUEZON CITY HIGH SCHOOL
ALUMNI ASSOCIATION, INC.
Quezon City High School,
Scout Ybardolaza Street
Barangay Sacred Heart, Diliman, Quezon City
THE QCHSAAI DISTINGUISHED ALUMNI AWARDS
2011 NOMINATION
FORM
NAME OF NOMINEE: __________________________________________________
NOMINEE’S TITLE
OR POSITION HELD: _________________________________
HOME ADDRESS: _____________________________________________________
TELEPHONE/CELLPHONE NOS.:
________________________________________
E-MAIL ADDRESS: ____________________________________________________
PLEASE EXPLAIN THE CANDIDATE’S
CONTRIBUTIONS TO HIS FIELD OF ENDEAVOR. ATTACH HIS/HER CURRICULUM VITAE WITH
PHOTO, AND ALL SUPPORTING MATERIALS/DOCUMENTS.
NAME OF NOMINATING PERSON:
_______________________________________
E-MAIL ADDRESS: ____________________
CONTACT NOS.: _________________
NOMINATION MATERIALS MAY
BE SENT ELECTRONICALLY (PREFERRED) OR IN PAPER TO THE QCHSAAI DISTINGUISHED ALUMNI AWARDS COMMITTEE CHAIR, ARTURO I. DIALOGO,
QCHSAAI ALUMNI CENTRAL OFFICE, QCHS, SCOUT YBARDOLAZA ST.,
DILIMAN, QUEZON CITY. TELEFAX NO. (02) 416-4898. E-MAIL ADD:
artdialogo2005@yahoo.com.
