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St. Cecilia’s College-Cebu, Inc. LA SALLE SUPERVISION OFFICE (LASSO) CONSULTANCY SCHOOL Poblacion, Minglanilla, Cebu Telephone Number: (032)268.47.46 SUPREME STUDENT COUNCIL CANDIDATE’S INFORMATION SHEET & UNDERTAKING _________________________________ Position Name: ____________________________________ Course & Yr. ____________________ Student #. ______________ Address: ___________________________________________________________________ Birthdate: ______________ Contact #:________________________________________________ Email: ____________________________________ Father’s Name:____________________________ Occupation:_____________________ Contact #:_______________ Mother’s Name: ___________________________ Occupation: ____________________ Contact #:_______________ UNDERTAKING I, _______________________________________, a student of St. Cecilia’s College – Cebu and are in good academic standing do hereby declare and swore; That I am physically fit at the time of this undertakings; That I am willing to undergo the necessary medical examination and a random drug test if elected to the Supreme Student Council, That I will freely vacate my position, if elected and found by a competent authority “NOT FIT” and/or “POSITIVE” of illegal drug use or abuse; That I am fully qualified to the position I am aspiring for; That I do not possess any disqualification/s or attributes that may cause of such, do not have past monetary obligations to the school and do not have any derogatory record/s with the SAO or the guidance office; That I believe and shall uphold the Mission, Vision and live a life cloth with the core values of a true Cecilian; That I shall be a role-model student for all SCC students to follow; That in time of challenges, I shall stand in firm and carry the name of SCC with pride and dignity and show compassion and humility in time of victory; That if elected, shall remain loyal to the students, faculty, to my SSC co-officers and to our school, as a fully functional community for nation-building;

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St. Cecilias College-Cebu, Inc.LA SALLE SUPERVISION OFFICE (LASSO) CONSULTANCY SCHOOLPoblacion, Minglanilla, CebuTele!one Nu"be#$ (%&')'()*+,*+(SUPREME STUDENT COUNCILCANDIDATES INFORMATION SHEET & NDERTA!IN"################################# $ositionNa%e& #################################### Cou'se & ('. #################### Stu)ent *.############## A))'ess& ################################################################### +i't,)ate############# Contact *############################################### E%ail################################### Fat,e's Na%e########################### Occu-ation#################### Contact*############## Mot,e's Na%e& ########################### Occu-ation& #################### Contact*############## NDERTA!IN"I, _______________________________________, a student of St. Cecilias CollegeCe!u and a"e ingood acade#ic standing do $e"e!% decla"e and s&o"e'T$at I a# ($%sicall% )t at t$e ti#e of t$is unde"ta*ings'T$at I a# &illing to unde"go t$e necessa"% #edicale+a#ination and a "ando#d"ug test if elected to t$e Su("e#e Student Council, T$at I &ill f"eel% ,acate #% (osition,ifelectedandfound!%aco#(etentaut$o"it%-NOT.IT/and0o"-POSITI1E/ofillegald"ug use o" a!use'T$at I a# full% 2uali)ed to t$e (osition I a# as(i"ing fo"'T$at I do not (ossess an% dis2uali)cation0s o" att"i!utes t$at #a% cause of suc$,do not $a,e (ast #oneta"% o!ligations to t$e sc$ooland do not $a,e an% de"ogato"%"eco"d0s &it$ t$e S3O o" t$e guidance o4ce'T$at I !elie,e and s$allu($old t$e Mission, 1ision and li,e a life clot$ &it$ t$eco"e ,alues of a t"ue Cecilian'T$at I s$all !e a "ole5#odel student fo" all SCC students to follo&'T$at in ti#e of c$allenges, I s$all stand in )"# and ca""% t$e na#e of SCC &it$("ide and dignit% and s$o& co#(assion and $u#ilit% in ti#e of ,icto"%'T$at if elected, s$all "e#ain lo%al to t$e students, facult%, to #% SSC co5o4ce"sand to ou" sc$ool, as a full% functional co##unit% fo" nation5!uilding'3LL T6ESE I 7ILL UNDERT38E, IN 6ONOR O. 9OD T6ROU96 T6E INTERCESSION O. ST. CECILI33ND ST. :O6N ;3PTIST DE L3 S3LLE, IN :ESUS N3ME I PR3?@ at St. Cecilias College 5 Ce!u._______________________________ Signatu"e A Na#e of Candidate.itnesses&Student Na#e A Signatu"eB _________________________________ StudentCB_____________ .acult% Na#e A Signatu"eB__________________________________ De(t.B_________________=