Campus Electoral Board – Campus Student Council

ID picture with white

CERTIFICATE OF background taken within

the last 6 months

CANDIDACY
2” x 2”
With full and handwritten
name tag and signature over
printed name
Computer generated
or photocopied picture
is not acceptable.

I. PERSONAL INFORMATION
POSITION DESIRED: DATE:
NAME: SEX: AGE:
(Surname) (First Name) (Middle Name) (Ext.)
COURSE AND MAJOR: YEAR&SECTION: GWA:
COLLEGE: CIVIL STATUS:
CITIZENSHIP: E-MAIL ADDRESS:
CONTACT NUMBER: BIRTHDATE: RELIGION:
HOME ADDRESS:
BIRTHPLACE: ETHNICITY:

LEADERSHIP EXPERIENCES:
POSITION NAME OF ORGANIZATION SCHOOL YEAR

SEMINARS/TRAININGS ATTENDED:
TITLE OF THE SEMINAR/TRAINING VENUE SCHOOL YEAR

II. WRITE A BRIEF EXPLANATION ON WHY YOU WANT TO RUN FOR INDICATED POSITION

LETTER OF INTENT
I, whose name appears above, a bona fide student of Cagayan State University at Lal-lo, of good academic standing and good moral
character, hereby run for the position of .
It is that I pledge not to clench for power but for the service to cater the common good. I run for this position, unstrained but voluntarily
and whole-heartedly. I will play fairly and promise not to commit any forms of cheating against my opponent just to win. It will be my
responsibility to uphold peace and order, in myself, and towards others, inside and outside the school. I am a symbol of responsibility
and an AUTHENTICATED CSUan, not by name, but through my words and deeds.

SIGNATURE OVER PRINTED NAME

Assessed by:
JHESTONIE P. PACIS
Campus Electoral Board Chairman
Date: