Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna
Santa Cruz Campus

SPECIAL AWARD FORM

Name of the College/ Organization: College of Hospitality Management and Tourism

Program (if applicable): ________________________________________

Name of the Award: Serviceable Award

Description of the Award:

This is given to selected students of the College who have demonstrated excellence in a range of non-
academic fields including community service, volunteerism, and service above self. The students named
hereunder provided assistance in most and major activities in the University (i.e. accreditation programs,
orientations, academic convocations etc.) by attending to the needs of guests and University’s key officials for
at least two-years without receiving any pecuniary remuneration received thereon.

Objectives:

1. To recognize the significant and selfless contribution of the students in the college and
community

2. To encourage other students to emulate the same values of the awardees.

Name of the Recipient/s: 1. Micah Louise B. Morante 7. Francis J. Evangelista

2. Jaimee O. Malapaya 8. Rishian C. Patitico

3. Daniela Joyce B. Poral 9. Cherry Rose Ponce

4. John Jairo B. Cadapan 10. Jolina A. Aruelo

5. Raven Kien D. Villafranca 11. Jenalyn Fajilago

6. Daryll L. Felipe
Narrative Overview:

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Evaluated, approved and signed by the Selection and Screening Committee:

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Faculty Member Program Chair Faculty Member

__________________________
College Dean
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DECISION

This is to certify that the above recipient/s is/are the final recipient/s of this award.

____________________________ _____________________________ ________________________

Faculty Member Program Chair Faculty Member

__________________________
 College Dean

Note: This part is a final decision made by the committee above for both single recipient result or result with 2 or more nominees of
the same obtained score. Deadline of submission for this form will be on June ___, 2017