Enclosure 8.
1 Screening Form [Election]
SCREENING FORM [Election]
(Note: This 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 (Encl. 6) and
submits it on or before the deadline
2. The learner submits the following documents.
a. Introductory Profile (Encl. 7)
b. Photocopy of School Form 9
[Learner’s Progress 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: ___________________