OUTSTANDING ALUMNI NOMINEE’S PERSONAL INFORMATION
ADAMSON UNIVERSITY ALUMNI ASSOCIATION, INC. 900 San Marcelino St., Ermita, Manila, Philippines 1000 Telephone Nos.: 5246544 / 5242011 loc. 302 E-mail address: auaai@adamson.edu.ph
In accordance with Republic Act 10173 or the Data Privacy Act of 2012, we seek for your approval for the collection of your personal information through this form. Please be informed that all collected data will only be handled and accessed by our office. Click "I agree" to authorize the collection and usage of your personal information.
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NOMINEE’S PERSONAL INFORMATION
First Name
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Middle Name
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Family Name
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Phone/Mobile Number
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Address Abroad
Address in the Philippines
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Email Address
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Date of Birth
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Month
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Day
Year
Date
Year of Graduation from Adamson University
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Other Qualifications
Current Employer
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Job Title
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PROFESSIONAL REFERENCE PERSONS (RECOMMENDING PERSON 1)
Two professional recommending persons must be provided. These reference persons must be contactable during the judging time.
First Name
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Middle Name
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Family Name
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Relationship to the Nominee (e.g., classmate, professor, work colleague.)
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Employer
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Mobile Number
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Email Address
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PROFESSIONAL REFERENCE PERSONS (RECOMMENDING PERSON 2)
Two professional recommending persons must be provided. These reference persons must be contactable during the judging time.
First Name
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Middle Name
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Family Name
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Relationship to the Nominee (e.g., classmate, professor, work colleague.)
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Employer
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Mobile Number
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Email Address
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CATEGORY AND REASON FOR NOMINATION
Please tick the award category that you are nominating this person/ organization for:
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Outstanding Alumna/ Alumnus
Most Active Chapter Alumni Association
Include a statement why this person/ organization should receive an Adamson University Outstanding Alumna/ Alumnus or Most Active
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RESUME OF NOMINEE
Attach a recent and comprehensive resume for the nominee. Include career history and significant achievements or awards.
First Name
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Middle Name
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Family Name
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Phone or Mobile Number
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Postal Address
Email Address
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Date of Birth
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Month
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Day
Year
Date
Relationship to the Nominee (e.g., classmate, professor, work colleague.)
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Employer
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Address
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Job Title
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KINDLY ATTACHED HIS/HER UPDATED CV:
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NOMINATION CHECKLIST
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The nominee’s correct personal and professional details are provided
My personal and professional details are provided
Completed the reason for nominating and addressed the criteria for the specific award
The nominee’s current resume’ or career and achievement overview with supporting documents is provided
I have obtained permission from the nominee and all information included in this nomination is true and correct to the best of my knowledge and belief. (Please attached your e-signature)
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