ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

2015 ASEAN PEOPLES AWARD - PHILIPPINES

NOMINATION FORM

Attachments:1. Picture / Organization Logo2. Summary of Accomplishments and Contributions3. Certificates of Merit / Citations4. Testimonials / Other ReferencesNote: Please write NA (Not Applicable) for appropriate fields. Incomplete nomination form will not be processed.

I. PICTURE / LOGORecent 2x2;High ResolutionInformation about the Nominee

A. Name: CARL VINCENT DALAYAT QUITORIANOB. Address: # 1 BRGY. DON DIMAS QUERUBIN, CAOAYAN ILOCOS SUR, PHILIPPINESC. Contact details: Telephone No.: (+63) 916 676 1916/ (+63) 917 728 9326 Email Address: carlvincentq@gmail.com

(FOR INDIVIDUALS ONLY)D. Date of Birth: JUNE 16, 1993E. Country of Birth: PHILIPPINESF. Citizenship: NATURAL BORN - FILIPINOG. Sex: MALE

H. Educational Background:

Course/ Degree/ ProgramSchool/ College/ UniversityYearAcademic Honors/ Awards

1. Bachelor of Arts in Political Science2. Bachelor of Laws

University of Northern Philippines, Vigan City, Ilocos Sur2010 2014

2014 to present2nd Most Outstanding Political Science Student of the Philippines for 2014

I. Summary of Professional Work / Work History(Use additional sheets as necessary)

Designation/ PositionOffice/ Company/ OrganizationBrief Description of Functions and ResponsibilitiesYears of Service

Researcher, Writer and Historian

Local Government Unit of Caoayan, Ilocos SurThe work of the Local Government Historian falls into four broad categories. Where the historian places emphasis will largely be a matter of personal interest and inclination as well as reflect the priorities and interests of the historian's appointing authority.1. Research and WritingThe first, and primary, responsibility of the Local Government Historian is interpretation of the past. This will involve research and writing on aspects of the history of one's jurisdiction and may include scholarly monographs and articles as well as writing for a more general public audience in magazines and newspapers..2. Teaching and Public PresentationsThe second category of responsibilities also involves the interpretation of the history of his or her community through teaching and public presentations. 3. Historic PreservationThe third category of activity for Local Government Historians is that of historic preservation. This embraces not only preservation of the built environment but also of the manuscripts and records that document a community's past, and the objects and artifacts that constitute a community's material culture.The Local Government Historian is both an advocate for historic preservation and a resource to his or her appointing authority on questions relating to history and preservation. May be asked to prepare cultural resource surveys of areas scheduled for development, to identify historic structures. Also promotes and encourages the preservation of historic manuscripts and other records as well as artifacts byrecommendingappropriate repositories of historical materials, such as local government archives, local public libraries, or historical agency collections.4. Organization, Advocacy,and Tourism PromotionThe final area of activity for Local Government Historians is that of organizer and advocate. Local Government Historians are often asked by their appointing authorities to support the local Tourism Promotion Agency or TPA. Heritage Tourism is one of the fastest growing segments of the tourism industry and depends for success on an accurate and attractive presentation of history. Successful efforts can have an important positive effect on local and regional economy.Local Government Historians are also asked to organize and direct the commemoration of historical anniversaries and to participate in other civic or patriotic observations. To this the Local Government Historian must bring energy and knowledge of the past as well as a sense of good taste. Moreover, the Local Government Historian may be asked to act as a fund raiser or grant writer to provide resources for historical programs or to use their knowledge of local government to lobby for or introduce legislative initiatives to promote community history. 2010 - present

II. Description of the Nature and Impact of his/her/the organization's related-community projects/programmes(Please arrange chronologically and enclose copies of certifications, annual reports and other supporting documents. Use additional sheets as necessary)

Title of Project/ ProgrammeNature of BeneficiariesDescription of Project / Programmes (Components)Impact

III. Description of his/her/the organization's future community projects/ programmes(Please arrange chronologically and enclose other supporting documents. Use additional sheets as necessary)

Title of Project/ ProgrammeNature of BeneficiariesDescription of Project / Programmes (Components)Coverage

IV. Evidence of Awards / Citations / Honors/ Achievements (Please arrange chronologically and enclose copies of certifications or supporting documents. Use additional sheets as necessary)

Awards/ Honors/ Citations/AchievementsConferred byWhen Conferred

V. Testimonials(Please list and submit testimonials from at least three (3) competent persons or beneficiaries. Additional references may be included. Use additional sheets as necessary)

Witness or BeneficiaryProfession / DesignationAddressContact Details

VI. Nominating Party

A. Name:B. Address:C. Contact Details:D. Email: E. Signature:

Please email all nomination form and supporting documents at apa.philippines@gmail.comnot later than 16 August 2015.

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