PACCAL AWARDS Nomination

THE PACCAL AWARDS PROGRAM

The Pan American Concerned Citizens Action League, Inc. (PACCAL) is proud to present the prestigious PACCAL AWARD, an initiative born out of our deep commitment to honor and celebrate the remarkable individuals whose achievements resonate far beyond personal success. These are the men and women whose dedication, leadership, and excellence in their respective fields have uplifted and inspired our community—champions of progress, culture, and compassion who light the way for future generations.

This award is more than a recognition; it is a movement. It acknowledges those whose work builds bridges, fosters inclusion, and strengthens the fabric of our diverse society. From healthcare and education to arts, advocacy, business, and public service, the PACCAL AWARD shines a spotlight on those who embody service and resilience.

As we celebrate these outstanding individuals, we call on the community to continue standing with us—supporting this vital program that not only honors excellence but also reinforces the values we hold dear. Together, let us keep lifting one another, recognizing greatness, and nurturing a legacy of unity, purpose, and pride.

ABOUT PACCAL

PACCAL is a 501(c)(3) nonprofit organization established in October 1992 to support Filipino American veterans and newly arrived Filipino immigrants in Jersey City. Today, we serve as a vital health and human services provider for underserved communities across New Jersey and New York.

Our appreciation goes to the supporters of our events as this as proceeds helped provide essential services—including health screenings, senior support programs, cultural outreach, immigration assistance, and other services based on community-need surveys. This has helped expand our reach, deepen our impact, and continue building stronger, healthier communities.

Learn more about how the proceeds of this event create lasting change at www.paccal.org.

PART 1 - Information of Nominator (No Self Nomination)
Name of Nominator

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date

MonthDayYear
Date

PART 2 - Information of Nominee
Category Achievement
Specific Category of Achievement
Title: (Name to appear on plaque)
Nominee's Full Name

First NameLast Name
Mailing Address
Birth date (mm-dd-yyyy)

MonthDayYear
Date
Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.
Occupation or Profession
Business Name (if applicable)
Business Address
How did it all start?
(Limit 300 character)
Challenges and Achievements
(Limit 3000 characters)
Important Awards and Honors
(Limit 3000 characters)
Sharing your message
(Limit 9000 characters)
Full biography
(Limit 3000 characters)

PART 3 - Declaration Form by Nominee
DECLARATION FORM FROM NOMINEE

When a nomination is processed, the nominee will receive a Declaration Form from PACCAL for the attestation that the nominee is aware of the requirements below.
DECLARATION FORM FROM NOMINEE

I attest to all facts contained in my nomination form and give permission for the facts to be used for publication.

If selected as an HONOREE of the PACCAL AWARD, I understand that barring inevitable and extreme circumstances, I am REQUIRED to be present for the AWARD CEREMONY and ACTIVITIES at this year's Awards Gala. In the event that this prevents my attendance, I must present the conditions to PACCAL through an email to paccal.org@yahoo.com for a decision on the continued eligibility of my nomination.

I agree to promote the ideals of PACCAL for the years after receiving the award.

I also agree that PACCAL has permission to use my name, image, and submission information in current and/or future communications and promotion of the AWARD PROGRAM.
Date

MonthDayYear
Date
Signature

Clear

PART 4 Declaration Form by Nominator
DECLARATION FORM FROM NOMINATOR

I, the undersigned, hereby declare that:I am submitting this nomination in good faith, with accurate and honest information to the best of my knowledge.The nominee meets all eligibility requirements for THE PACCAL AWARD, as outlined by the Award Committee. I have obtained the nominee’s consent to submit this nomination and share their personal and professional information with the Selection Committee.I am not receiving nor expecting any personal gain from this nomination.I understand that all materials submitted will be kept confidential and used solely for the purposes of evaluation.I acknowledge that the decision of the Awards Committee is final and binding.
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

DECLARATION FORM FROM NOMINEE

DECLARATION FORM FROM NOMINATOR