Mindanao Youth Leadership Award Nomination Form*

Complete Name: _______________________________________

Name of the School: _____________________________________

Complete Address of the School: ______________________________________

Date: __________________

Please provide a rationale in each area why this student has been nominated (use another extra sheet if needed).

A. Academic Excellence (60%):

B. Service (10%):

C. Leadership (20%):

D. Character (10%):

Total rating of the nominee:_______%

Submitted by: __________________________
Position/Designation

Contact Number:

Upon completion of this form, please submit it to:

Jocelyn C. Robles
GFI Mindanao Outreach Coordinator
Lot. 16, Block 16
DARBCI Homes, Apopong
9500 General Santos City

*This form is just applicable for the GFI Mindanao assisted schools that have signified interest in participating for the project.