PO Box 4616
Stockton, CA 95204
Stockton
Rev. 5-2018 [Click the above link to download a pdf copy of the form.]
NOMINATION APPLICATION
COMMUNITY RECOGNITION AWARDS
FANHS Stockton Chapter holds an annual awards ceremony to recognize individuals, businesses and organization community members who have made a positive contribution to Filipino-American history within the FANHS Stockton Chapter community.
Eligibility Criteria for Individual, Business and Organization Recognition
• Individual must be of Filipino descent.
• Business/Organization must be owned and/or operated by a Filipino-American.
• Business/Organization or Individual must have made a positive contribution to Filipino-American history within the FANHS Stockton Chapter community area.
• Note: Applications for posthumous recognition will be considered.
Meet one of the following:
• Born and/or raised in the FANHS Stockton Chapter community area
• Currently resides in the FANHS Stockton Chapter community area
• An Individual of Filipino descent that is not a resident of the Stockton chapter area, however, who's body of work specifically benefited or promoted the FANHS Stockton chapter area.
• A Non-Filipino Individual/business/organization that significantly benefits and/or promotes the FANHS Stockton Chapter area.
Nomination Submittal Process:
The applicant should submit photos, awards/certificates or documents that are relative to this nomination.
It is preferred that the application and all documents be e-mailed to StocktonFanhs@outlook.com.
If e-mail is not available to you, you may mail items to FANHS Stockton, PO Box 4616, Stockton, CA 95204.
Note: The documents submitted with this application become the property of FANHS and will not be returned to the applicant.
Deadline Date:
Submit nomination application by August 1, 2018
Ceremony Date: October 20, 2018
If you have any questions about the application form or process, contact Thom Sanchez at 209 481-0161, thomassanchez@comcast.net or Gloria Nomura 209 483-8930, golanomura@aol.com
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Name (Last, First)
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Address/City/State
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Day Phone Evening Phone
NAME OF NOMINEE:
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Name (Last, First, Middle, Nickname)
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Address City Zip Code
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Phone (Home/Business/Cell) E-mail
AREA OF NOMINATION: (CIRCLE ONE)
Education Business Community Service Arts Sports Science Other
AWARDS AND ACCOMPLISHMENTS:
EXPLANATION OF WHY THIS PERSON SHOULD BE SELECTED:
(If more space is required please limit to one separate 8 1/2 x 11 sheet)
OTHER RELEVANT INFORMATION:
Copyright 2009 Filipino American National Historical Society-Stockton Chapter. All rights reserved.
PO Box 4616
Stockton, CA 95204
Stockton