San Pablo Diocesan Catholic Schools System San Pablo City
Liceo de San Pablo
M. Paulino St., San Pablo City
Tel. No. (049) 562-3808
ELECTION APPLICATION FORM
The Learner Government Program embodies the ideals, principles, and practices
Of participatory democracy. It represents and steers the learner towards the
Fulfillment of LG Program goals promoting learners’ rights and welfare. As a
Learner government leader, this Election Application Form is a statement of your Place your 2x2
best knowledge and understanding of a position you are applying for. Picture Here
Introduction: Please supply the information requested in the space provided.
I. PROFILE
Learner’s Name: __________________________________________________________________
(Surname, Given Name, Middle Name, & Extension Name)
Grade Level: _______________________________________________________________________
Elective Position Applied: _______________________________________________________
Party Affiliation (if applicable): _________________________________________________
Gender: _______________ Age: ________ Date of Birth: ______________________
Email Address: ___________________________ Mobile No.: __________________________ Landline: ______________________
Home Address: ____________________________________________________________________________________________________________
II. LEARNER’S ACADEMIC AND BEHAVIORAL STATUS
1. Has no failing grades in all subject areas. Yes No
Attested by: Date:
Class Adviser Name & Signature
Is a good moral character. Yes No
Attested by: Discipline Coordinator and SWAF Date:
Officer Name & Signature
Kindly attach a photocopy of your report card and a certificate of good moral character.
III. PARENTAL CONSENT
I, ____________________________________________________________________ as a parent/guardian of
_____________________________________________________________ will support his/her commitment to the Learner
Government to the best of my ability.
I am allowing him/her to participate in the programs, projects, and activities of the Supreme Learner
Government.
I agree and understand the commitment of my son/daughter and will support his/her endeavor to the
Supreme Learner Government.
__________________________________________________ __________________________________________________
Name and Signature of the Parent/Guardian Contact Number
IV. CERTIFICATION
I am filing this Election Application Form of the Supreme Learner Government for the Formation Year
2024-2025.
I hereby certify that the facts stated herein are true and correct to the best of my knowledge.
_____________________________________________________________________________
Signature of Candidate over Printed Name
Verified by: Approved by:
_____________________________________________________ _____________________________________________
Screening and Validation Commissioner LG COMEA Chief Commissioner
Date:______________________ Date:______________________
OUOPS No. 2023-03- MEMORANDUM
San Pablo Diocesan Catholic Schools System San Pablo City
Liceo de San Pablo
M. Paulino St., San Pablo City
Tel. No. (049) 562-3808
INTRODUCTORY PROFILE FOR ELEMENTARY LEVEL
DISCLAIMER: This form, which contains the introductory profile of the learner shall be utilized by Learner Government COMEA for
election purposes in the Supreme Learner Government. This also informs the concerned learner that this form shall be published,
posted, or disseminated in any form or format, whichever is deemed appropriate. By signing this form, the concerned learner gives
his/ her consent to utilize all information herein by the LG COMEA.
The following statements serve as your profile showing your interest and uniqueness that allow
you to share your clear understanding about what you can do as part of the Learner Government.
I __________________________________________________________ from __________________________________________ running
(Surname, First Name, Middle Initial, Name Extension) (Grade Level and Section)
for ____________________________________.
(Position)
Instruction: Complete the following statements.
1. My hobby/hobbies
is/are_______________________________________________________________________________________________________________________________
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2. My ambition/s is/ are
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3. As a learner, I can develop a learner-friendly and motivating environment by
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OUOPS No. 2023-03- MEMORANDUM
San Pablo Diocesan Catholic Schools System San Pablo City
Liceo de San Pablo
M. Paulino St., San Pablo City
Tel. No. (049) 562-3808
INTRODUCTORY PROFILE FOR SECONDARY LEVEL
DISCLAIMER: This form, which contains the introductory profile of the learner shall be utilized by Learner Government COMEA for
election purposes in the Supreme Learner Government. This also informs the concerned learner that this form shall be published,
posted, or disseminated in any form or format, whichever is deemed appropriate. By signing this form, the concerned learner gives
his/ her consent to utilize all information herein by the LG COMEA.
The following statements serve as your profile showing your interest and uniqueness that allow
you to share your clear understanding about what you can do as part of the Learner Government.
I __________________________________________________________ from __________________________________________ running
(Surname, First Name, Middle Initial, Name Extension) (Grade Level and Section)
for ____________________________________.
(Position)
General Guide Questions for All Candidates
Instruction: Answer the following questions:
Personal Leadership
1. What qualities do you possess as an aspiring student leader?
___________________________________________________________________________________________________________________
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___________________________________________________________________________________________________________________
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___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________.
Organizational Leadership
2. Check (/) the organizational skills that are applicable to you as an aspiring leader and why.
( ) Motivational ( ) Problem Solving ( ) Values-Oriented
( ) Communication ( ) Goal-Oriented ( ) Service-Oriented
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___________________________________________________________________________________________________________________.
Public Leadership
3. What is your vision of the Learner Government in 3 years’ time?
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___________________________________________________________________________________________________________________.
OUOPS No. 2023-03- MEMORANDUM
San Pablo Diocesan Catholic Schools System San Pablo City
Liceo de San Pablo
M. Paulino St., San Pablo City
Tel. No. (049) 562-3808
SCREENING FORM (ELECTION)
(Note: The Screening Form shall be accomplished by the Screening and Validation Committee.)
Name of Learner: ____________________________________________________________________________________________
Grade Level & Section: ___________________________________________________
Position: _______________________________________________
Direction: Please check the appropriate box to determine if the aspiring candidate possesses all the
qualifications to be elected as a Learner Government Officer.
DESCRIPTION REMARKS
Required Documents Yes No
1. The learner completely fills out the
Election Application Form (Enc. 6) and
submits it on or before the deadline.
2. The learner submits the following documents.
a. Introductory Profile
b. Photocopy of Report Card
c. Certificate of Good Moral
Qualifications
1. The learner is enrolled in the current
school year.
2. He/She has no failing grades in all subject
areas.
3. He/She is of good moral character.
4. The grade level of the aspiring candidate is
appropriate to the requirement of the
desired elective position. (Refer to Encl. 2.)
With all the required documents submitted by the aspiring candidate, the Learner Government COMEA
hereby declares him/her ______QUALIFIED ______ NOT QUALIFIED to run for the elections.
Verified by:
___________________________________________________
Commissioner on Screening and Validation
Date:_____________________
OUOPS No. 2023-03- MEMORANDUM
San Pablo Diocesan Catholic Schools System San Pablo City
Liceo de San Pablo
M. Paulino St., San Pablo City
Tel. No. (049) 562-3808
QUALIFICATIONS & REQUIREMENTS
Requirements: Secretary:
-Should submit an original sample of minutes
-Certificate of Candidacy of the meeting and proposal for an activity.
*Printed copy
-Introductory Profile
-Report Card Treasurer:
-Should submit an original sample of
Open Positions for SELG: computation on how to budget a fund in an
organization.
Mayor: Incoming Grades 5-6 *Printed copy
Vice Mayor: Incoming Grades 5-6
Auditor:
Secretary: Incoming Grades 3-6
-Should submit an original sample of
Treasurer: Incoming Grades 3-6 financial report.
Auditor: Incoming Grades 3-6 *Printed copy
PIO: Incoming Grades 3-6
PO: Incoming Grades 3-6 Public Information Officer:
Grade 3 Representative: Incoming Grade 3 -Should submit three original sample of
Grade 4 Representative: Incoming Grade 4 publication materials specifically for Alerts,
Special Holiday Postings, and Congratulatory
Grade 5 Representative: Incoming Grade 5
postings.
Grade 6 Representative: Incoming Grade 6 Note: Please be prepared for the on-the-spot
editing during the interview.
Open Positions for SSLG: *Printed copy of the sample layouts
President: Incoming Grades 11 and 12 Peace Officer:
-Should submit an original document
Vice President: Incoming Grades 11 and 12
containing how can he/she organized and
Secretary: Incoming Grades 8-12 managed an event.
Treasurer: Incoming Grades 8-12 *Printed copy
Auditor: Incoming Grades 8-12 *In bullet form
PIO (JHS): Incoming Grades 8-10
PIO (SHS): Incoming Grades 11-12 Grade Level Representatives:
Grade 7 Representative: NOT OPEN -Should submit an original document on
what he/she will do disseminating all the
Grade 8 Representative: Incoming Grade 8
information or announcement given by the
Grade 9 Representative: Incoming Grade 9 president.
Grade 10 Representative: Incoming Grade 10 *Printed copy
Grade 11 Representative: NOT OPEN *In bullet form
Grade 12 Representative: Incoming Grade 12
-All attachments should be submitted
Qualifications per position: together with their COC and other
requirements.
President: -The use of school and organization logos are
-Should submit an original action plan. prohibited.
*Printed copy -Failed to submit the requirements and does
*Table format not meet the qualifications above may affect
to not proceed in the screening process.
Vice President:
-Should submit an original sample of back-up plan for
an activity.
*Printed copy
*Essay format
OUOPS No. 2023-03- MEMORANDUM
