Honorary Nomination Form

Nominee Name*

Nominee Email*

Upload Nominee photo*

Policy Statement

Honorary awards are subject to approval by the Honorary Selection Committee. In making its recommendations for the honorary awards and in considering the kinds of people to be honored, it will focus on the following categories as deserving of recognition :  

People of academic prominence in the broad fields of research and scholarship of particular interest to the University.
Entrepreneurs and others distinguished in business and industry.
Those who have contributed with distinction to the University; such people might also fall into one or more of categories (1) to (3) above.

Candidates for honorary awards may be nominated by Board of Directors, Presidents, senior management or private citizens. Approved nominations from the above shall be awarded an honour from the University.

Lastly, commencement speakers shall not be automatically nominated to receive an honorary degree, nor should nominees be contacted prior to the Honorary Degree Committee’s consideration.

Confirmation *

I have read and understand with the Policy Statement.

Signature of the Nominee:

Date :

Information About the Nominator*

Nominator Name*

Nominator Email *

Information About the Candidate*

Candidate Name*

Candidate Telephone *

Candidate Email *

Candidate Residence Address*

City *

State / Province*

Zip / Postal Code*

Country*

Professional Experience*

Resume or Curriculum Vitae (CV)*Please provide a professional resume or Curriculum Vitae (CV) with your application form that outlines your professional experience. It should list the position held, the name of the company, and the dates employed. A brief job description should also be included so that an understanding of what responsibilities you held can be made.

Educational Experience*

Degrees & Certificates*Please provide copies of degrees and certificates completed from all Colleges or Universities that you have attended since graduating high school.

Professional Achievements

Please attach the file of document for this criteria and send it along with this form.

Creative Achievements*

Publications & Presentations*Please provide titles of publications, presentations, and creative achievements in the area of professional achievement and growth, using the applicable headings. Only papers and other scholarly works that have been formally accepted for publication or presentation, or have actually been published or presented, should be listed.

Community Contributions*

Contribution Dcouments*Please attach the file of document for this criteria and send it to Nominator along with this form.

Contribution Description*Please provide a description of professional/service contributions to the community at the city, state, national, and/or international levels.

Award Nomination*

Please select the type of the award nomination*

Candidate name exactly as to be stated on the Degree*

Specialization Area*

Date of Award*Please provide the date of Degree.

Comments, Suggestions, Recommendations*

Feedback*This section is available for open feedback. If you have any comments, suggestions, and recommendations, feel free to submit.

Shipping Address*

Receiver's Name*

Attention To*

Company Name*

Address*

City*

Province / State*

Country*

Zip Code*

Phone*

Email*

In case you are unable to submit the form, kindly download and submit it with required information and documents on office@capiticoprg.com