PO Box 7452
Stockton, CA 95267
fanhssto
2022 Community Recognition Award Nomination Form
DUE DATE: Nomination form and attachments must be submitted by Friday, September 2, 2022 (postmark date)
For handwritten responses use black or blue ink. Also, please limit your response to 2 pages.
1. Name, address, telephone number and email address of the nominee
Nominee’s name |
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Nominee’s address |
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Nominee’s telephone |
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Nominee’s email address |
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2. Please provide your name, address, telephone number, and email address as the nominator
Name |
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Address |
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Telephone |
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Email address |
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3. Area of nomination (circle one):
Education Business Community Service Arts Sports Science Military Legal Other (please list)
4. Explain how the nominee(s) contributed to the Filipino American community of Stockton and San Joaquin County or how the contribution benefited or promoted the FANHS Stockton Chap-ter mission. Please be as specific as possible.
5. Awards and Accomplishments:
6. Other relevant information (education, work history, volunteer activities, etc.):
Nomination form and documents should be emailed to StocktonFanhs@outlook.com. If email is not available to you, please send by regular mail to: Attn: Awards Committee, FANHS Stockton Chapter, P.O. Box 7452, Stockton, CA 95267.
If you have any questions regarding the nomination or application process, please contact:Linda Claramo at (410) 960-0081, lindaclaramo123@gmail.com, or Rena Quilenderino at (209) 482-6248, renaquilenderino1946@gmail.com, or by sending an email to: StocktonFanhs@outlook.com
Copyright 2009 Filipino American National Historical Society-Stockton Chapter. All rights reserved.
PO Box 7452
Stockton, CA 95267
fanhssto