SEARCH FOR OUTSTANDING VOLUNTEERS IN THE CITY OF CARMONA

 Group Category
o Civil Society Organization (non-profit) based in the City of Carmona;
o Has been providing volunteer assistance in the City of Carmona consistently for at least five (5) years at the time of nomination;
and
o The organization must be registered with the Securities and Exchange Commission (SEC), any national government agency, or
duly accredited/recognized by the City Government of Carmona through the Sangguniang Panlungsod.

 Requirements
o Nomination Form (adopted from the Philippine National Volunteer Service Coordinating Agency)
o Copy of registration from SEC and other duly organized accrediting government institutions, or Certificate of Accreditation or
Recognition from the City Government of Carmona
o Supporting documents related to the accomplishments of the nominee, for example:
 Organizational Profile which reflects the Vision, Mission, Goals, and Core Values of the organization
 Activity reports or write-ups
 Published and unpublished articles about the nominees or his/her project
 Testimonials from beneficiaries and/or project partners
 Awards and recognition received related to volunteerism
 High-resolution in-action photos
 Video documentation
 List of partner organizations

 Deadline of submission of nominations is on 31 October 2024. Submit the accomplished nomination form to the search secretariat:

CIEN ANGELA BAURILE

Secretariat, Search for Outstanding Volunteers in the City of Carmona
2nd Floor Office of the City Mayor, Carmona City Hall, JM Loyola St., Brgy. 4
Poblacion, Carmona, Cavite

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I. BASIC INFORMATION OF THE NOMINEE

Name of Organization

Complete Address

Contact No. Email Address

Foundation NGO Employees Association Others (please specify): Duly accomplished Rapid Assessment
Classification
Checklist for Mainstreaming Volunteerism with L

Date Established Size of Organization

No. of years the Area or Sector of

organization has been volunteer work
implementing volunteer (e.g. education,
programs, projects, or environment, health,
activities etc.)

II. BACKGROUND OF THE NOMINEE

A. Name and Title of

Current Head of
Organization

B. Names of Incorporators
or Founding Members

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C. Personnel or Staff Complement
Total Regular: ____ Total Contractual: ____
No. of Paid
Male: ____ Male: _____ Grand Total: ________
Employees
Female: ____ Female: _____

Total Full Time: ____ Total Part time/Periodic: ____

No. of Volunteers
Male: ____ Male: ____ Grand Total: ________
Engaged
Female: ____ Female: ____

D. Registration or SEC LGU Others (please specify)

Accreditation Status

E. Organizational or Department of Social Welfare and Development (DSWD) Department of Agriculture

Institutional Affiliation
Others (please specify):

F. Source of Funding of
Volunteering Activities

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 G. Description of the Organization (use a separate sheet if necessary)
Vision:

Mission:

Goals:

Core Values:

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Services/Programs:

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Most Significant Volunteering Accomplishments:

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III. VOLUNTEERING ACTIVITIES

Date and Specific role or

Mode of
Title and Description of No. of duration Area or site where the task performed
No. of Type of Volunteering
volunteers volunteering activity
(Lead, organizer,
beneficiaries beneficiaries
Volunteering Activity mobilized (hours (Onsite, online, was conducted
support, or
covered) or hybrid)
participant)

1.

2.

3.

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4.

5.

6.

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7.

8.

9.

10.

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Impact of volunteering activities (Use a separate sheet if necessary)

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Plan to sustain the volunteer work (Use a separate sheet if necessary)

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Additional information on volunteering activities (Use a separate sheet if necessary)

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Awards or Recognition Related to Volunteerism

Title of Award Nature or Description Date Given Awarding Body

Who can we contact to verify and request further information on your volunteer work?

(When this section is left blank or the contact information is incomplete, the nomination will not be considered)

Name of Person, Organization, or LGU

Contact Number Email Address
(please do not abbreviate name of organization)

1.

2.

3.

4.

5.

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IV. DETAILS OF NOMINATOR

Full Name

(First name, MI, surname)

Designation or Position Affiliation/ Organization

Office Address

Complete Home Address

Telephone Number and/or

Email
Mobile Number

V. NOMINEE’S CERTIFICATION

_____________________________________________

Signature above Printed Name of the Nominee

(Head of Organization)

This is to certify to the best of my knowledge that the information herein provided is true and correct. I am also voluntarily submitting myself to the policies and guidelines of the Search for Outstanding Volunteers
and give my consent to the City Government of Carmona to verify the information provided in this form.

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VI. NOMINATOR’S CERTIFICATION AND ENDORSEMENT

___________________________________________

Signature above Printed Name of the Nominator

This is to certify that I voluntarily nominate this individual to the Search for Outstanding Volunteers. By completing this form, I declare that to the best of my knowledge, the information herein provided is true and
correct. I also give my consent to City Government of Carmona to verify the information provided in this form.

VII. DATA PRIVACY AND CONFIDENTIALITY

For any personal data/ information you provided by which you can be identified, rest assured that it will only be used in accordance with the Republic Act No. 10173 or the Data Privacy Act of 2012. We keep
personal data/information for as long as it is necessary. If the purpose has been served, personal data collected will be disposed/ discarded in accordance with pertinent laws. You have the right to ask for a copy of
any personal data/information we hold about you, as well as to ask for it to be corrected or updated as needed. To do so, please email us at [email protected].

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