FEATURED YOUTH - ddec.pr.gov · Community Service and/or Voluntary Work Art, Culture and/or Sports...
Transcript of FEATURED YOUTH - ddec.pr.gov · Community Service and/or Voluntary Work Art, Culture and/or Sports...
355 FRANKLIN D. ROOSEVELT, HATO REY, PR 00918 | 787.764.6363
A.
Name:
Sex:
Physical address:
Postal address:
Telephones Home:
Email:
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_________________________________________ Mobile: ____________________________________
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Other: _________________________________
Filing date application
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Day Month Year
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B. Nominee’s Personal information
Name Initial Paternal’s Last Name Maternal’s Last Name
M F Age: Date of birth:____________________________________
C. Endorsed By
Mayor’s name:
Municipality:
O�ce telephone:
Email:
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Alternate telephone: _________________________________
Signature: __________________________________________________________________________________________
D. Choose category
Leadership
Community Service and/or Voluntary Work
Art, Culture and/or Sports
Entrepreneurship
Featured in Science and/or Technology
E. Include the following documents
• Copy of authorized photo ID or passport
• Mayor’s Letter of Recommendation
• Water, Electricity or Telephone service invoice receipt
• Nominee’s Biography
• Citizen Letter of Recommendation - Municipal Bona Fide
DEADLINE: SEPTEMBER 25, 2020 | SUBMIT BY EMAIL: [email protected]
PREMIO JOVEN DESTACADO MUNICIPAL
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____________________________________Day Month Year Place of Birth
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