SAINT LOUIS UNIVERSITY SCHOOL OF HUMANITIES DEPARTMENT OF SOCIAL WORK

PRIME MOVERS SOCIETY

CERTIFICATE OF CANDIDACY

I.

DECLARATION OF INTENT FOR PUBLIC OFFICE I, __________________________________________, a bona fide student of Saint Louis University and an official member of the Prime Movers Society, hereby file my candidacy for the position of ___________________________ for the Academic Year 20_-20_.
Attach 2x2 ID Picture here

I give assurance that I possess and have obtained all the qualifications of a candidate for the election of officers in the Prime Movers Society Executive Committee as stipulated in the Prime Movers Society Constitution and By-Laws and all pertinent policies of the University as duly certified by the PMS Faculty Adviser, the Dean of the School of Humanities, and the Dean of Student Affairs. Furthermore, should this certificate of candidacy be approved by the Honorable Body tasked to handle the said elections, I shall uphold, adhere, and submit myself to the pertinent policies promulgated by the Prime Movers Society Election En-Banc. II. PERSONAL INFORMATION Official Screen Name/Alias: _____________________________ Official Political Party: __________________________ Last Name: __________________________________ First Name: __________________________________ Middle Name: ________________________________ Gender: ________________ Age: ___________________ Religion: __________________ Civil Status: ________________ Date of Birth: ________________________ Place of Birth: _______________________ Year level: __________________________ Email Address: ______________________________ Contact Number(s): _____________________________________________ Address: ______________________________________________________________ ______________________________________________________________ I hereby affirm that the above information is true and correct to the best of my knowledge and belief:

___________________________________ SIGNATURE OVER PRINTED NAME

III.

CERTIFICATION FOR ACADEMIC QUALIFICATION I hereby certify that _______________________________________, a candidate for the position of _______________________________ in the Prime Movers Society for the Academic Year 20_-20_ is a student who passed his/her entire academic load during the previous semester without any deficiency. I hereby certify that the aforementioned student is ( ) QUALIFIED ( ) NOT QUALIFIED

______________________________________ Dean of the School of Humanities IV. CERTIFICATION OF GOOD MORAL CHARACTER I hereby certify that ______________________________________ who is applying for eligibility to run for public office in the Prime Movers Society is of good moral character and not had been subjected to any disciplinary measures and/or sanctions for any violation of pertinent university rules and regulations during his/her stay in the University.

_______________________________________ Dean of Student Affairs V. APPROVAL OF THE QUALIFICATION AND ELIGIBILITY TO RUN FOR PUBLIC OFFICE Having been verified that _____________________________________ with the Identification Number of _________________ had met the qualifications for candidacy for the position of __________________________) in the Prime Movers Society, this Honorable Body hereby approves this Certificate of Candidacy to run for public office.

____________________________________________ PMS FACULTY ADVISER

_____________________________________________ PMS ELECTION COMMITTEE CHAIRMAN