You are on page 1of 8

Republic of the Philippines

Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

FILING OF CANDIDACY PACKET

2x2 ID Picture

Name: _______________________________________________ Party:


________________________
Grade and Section: ___________________________________ Position:
_____________________

Qualifications:

1. Willing and able to serve and commit him/herself for the school
2. Bona fide and will remain as a student of Sto. Cristo Integrated School High School
Department
3. With good academic standing with a general average of 80 and above without any
failing grade during the 1st to 2nd/3rd grading period of the current school year
4. With good moral character and have not been subjected to any disciplinary action
5. Have an Election Packet approved by the screening committee and SSG COMELEC
(Commission on Elections)

Candidates for Supreme Student Government Office should submit the completed and signed
Certificate of Candidacy with the following attachments:

2x2 I.D. Picture taken within the last 6 months

General Plan of Action

Essay

2 Recommendation Letters/Character References

Parental Consent/Student Waiver

Photocopy of Report Card with 2nd/3rd Quarter General Average

-----To be filled by SSG Adviser/COMELEC Representative-----

Approved Disapproved
Remarks:
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

CERTIFICATE OF CANDIDACY
An officer in the Supreme Student Government lives the ideals, principles and practice of participatory
democracy. They are the representative of the student body, and must always be prepared to lead the student
body towards the fulfilment of those goals and to protect their rights and welfare. As a mature and enthusiastic
leader, they serve as a role model for their fellow students at all times.

I. PERSONAL INFORMATION

Full Name: __________________________________________________ Age: _____ Gender: ________________


Grade and Section: ____________________________ Adviser:
__________________________________________
Birthdate: _____/_____/__________ Birthplace: _______________________________________________________
Address: ________________________________________________________ Religion: _______________________

II. CONTACT INFORMATION

Contact no.: ___________________________ E- mail Address:


_________________________________________
Contact person/s in case of emergency: Name:
__________________________________________________
Address:
________________________________________________
Contact no.:
____________________________________________

III. FAMILY BACKGROUND

Father: _________________________________________ Mother: ________________________________________


Highest Educl. Attainment: _____________________ Highest Educl. Attainment:
_____________________
Occupation: ___________________________________ Occupation: ___________________________________
Family Income: less than P10,000 P10,000 P19,999 P20,000 29,999 30,000 and
above

IV. AFFILIATION: Clubs and Organizations (inside and outside school).

Clubs/Organizations Position School Year Adviser

V. ELECTORAL INFORMATION

Party Name: ___________________________________ Position Aspired:


_______________________________

VI. PROCLAMATION OF CANDIDACY

I, whose name and other personal details are herein stated, do hereby file this Certificate of Candidacy
for the Supreme Student Government Elections this School Year _____________, and I do hereby declare my
intention and desire to be nominated for the particular position of ________________________.
I further state that I am a bona fide student of Sto. Cristo Integrated School with good moral character
and academic standing, and I will abide with the election rules and guidelines of the Supreme Student
Government Commission on Elections.
I hereby certify that the facts stated herein are true and correct to the best of my knowledge.
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

____________________________________________________________
Students Signature Over Printed Name

Subscribed and Sworn to before me this ____ day of _______________, year ________, at Sto. Cristo
Integrated School, with the affiant exhibiting to me his/her nomination kit which contains his/her COC, picture,
copy of report card, parental consent, GPOA, Essay and References/Recommendation.

____________________________________________________________
Signature over Printed Name of SSG COMELEC Representative

PROPOSED GENERAL PLAN OF ACTION OR


PLATFORMS
Name: _______________________________________________ Party:
________________________
Grade and Section: ___________________________________ Position:
_____________________

TIME FRAME NAME OF ACTIVITY RATIONALE/OBJECTIVE/STRATEGY


(Why? What is the purpose? How would you do it?)
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

________________________________________
(Signature over printed Name)

ESSAY
Name: _______________________________________________ Party:
________________________
Grade and Section: ___________________________________ Position:
_____________________

Answer the following questions briefly but meaningfully

1. Why do you want to be a member of the Supreme Student Government?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

2. How will you balance your academic life and your commitment as SSG Officer?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

3. Share some things that you have done at school or outside the school that may have helped you
become a better Student Government Officer.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

4. What would be your concrete and observable goals for your school, co-students, and community?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

RECOMMENDATION LETTER
Included in the election packet are at least 2 reference/recommendation forms from:
a current/previous subject teacher
your Class Adviser
an adult outside the school community that is not a relative
Date: ___________________

To whom it may concern:

This is to recommend ________________________________________ of


_____________________________
(Name of Student) (Grade and Section)
to run for the position of ____________________________ under the banner of
____________________________
(position) (party)
of the Supreme Student Government of Sto. Cristo Integrated School.

(Please describe or narrate how the candidate upheld the principles of leadership, teamwork, collective decision-making, and good work
ethics)

____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Rest assured that the recommended candidate is not related by affinity or consanguinity to

me. Moreover, I believe that the candidate is qualified and is willing and able to serve and lead Sto.

Cristo Integrated School to the best of his/her abilities.

Sincerely Yours,

_________________________________
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

Signature

_________________________________
Printed Name

_________________________________
Occupation/Position/Designation

_________________________________
Contact No.

RECOMMENDATION LETTER
Included in the election packet are at least 2 reference/recommendation forms from:
a current/previous subject teacher
your Class Adviser
an adult outside the school community that is not a relative
Date: ___________________

To whom it may concern:

This is to recommend ________________________________________ of


_____________________________
(Name of Student) (Grade and Section)
to run for the position of ____________________________ under the banner of
____________________________
(position) (party)
of the Supreme Student Government of Sto. Cristo Integrated School.

(Please describe or narrate how the candidate upheld the principles of leadership, teamwork, collective decision-making, and good work
ethics)

____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Rest assured that the recommended candidate is not related by affinity or consanguinity to

me. Moreover, I believe that the candidate is qualified and is willing and able to serve and lead Sto.

Cristo Integrated School to the best of his/her abilities.

Sincerely Yours,

_________________________________
Signature
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

_________________________________
Printed Name

_________________________________
Occupation/Position/Designation

_________________________________
Contact No.

PARENTAL CONSENT FOR SUPREME STUDENT GOVERNMENT


CANDIDATES

I, ________________________________________________, the parent/guardian will support my


son/daughter,
(Name of Parent/Guardian)
________________________________________________, to the best of my ability as he/she commits to run for a
(Name of Student)
position in the Supreme Student Government.

If elected, I am allowing him/her to fulfill the duties and responsibilities of a Supreme Student

Government Officer and to be involved in all its activities, programs and projects. I understand that my

child being an SSG officer would require him/her to sacrifice time, money and effort in its activities,

programs and projects. I also know that it is my childs full responsibility to balance his/her academics and

his commitment to student-service.

________________________________________________
_________________________________________________
Students Signature Over Printed Name Parents/Guardians Signature Over Printed
Name

STUDENT WAIVER

I, ________________________________________________, from ___________________________________ present myself


to
(Name of Student) (Grade and Section)
fulfil my duties and responsibilities as a Supreme Student Government Candidate/Officer as part of our
school /

student activity and do hereby pledge that:

1. I will obey and abide the rules and regulations promulgated, enforced by the official(s) of the

school for the protection and safety of all;

2. I hereby waived and renounce my rights to all damages, hospitalization, and the like and I

will not hold the teaching and non-teaching staff of the school to responsible for any
Republic of the Philippines
Department of Education
Region III- Central Luzon
Tarlac City Schools Division
STO. CRISTO INTEGRATED SCHOOL
High School Department
Sto Cristo, Tarlac City
ID NO. 321408

misfortune, injury, or accident be slight or serious, that may happen in connection with the

activities or requirements of becoming a Supreme Student Government Candidate/Officer if

the cause of which will be attributable to my acts of my disobedience, negligence, and the

offense of not heeding to advice, warning, precaution of my teacher/adviser, and safety

rules of the activities.

The content of this waiver was read and understood by my parent/guardian before I affix my name

and signature this _____ day of ____________________, year ____________ freely and voluntarily.

________________________________________________
_________________________________________________
Students Signature Over Printed Name Parents/Guardians Signature Over Printed
Name

You might also like