2015 ASEAN PEOPLES AWARD - PHILIPPINES

NOMINATION FORM
Attachments:
1. Picture / Organization Logo
2. Summary of Accomplishments and Contributions
3. Certificates of Merit / Citations
4. Testimonials / Other References
Note: Please write NA (Not Applicable) for appropriate fields. Incomplete nomination form will not be
processed.
I. Information about the Nominee

PICTURE /
LOGO

A. Name: CARL VINCENT DALAYAT QUITORIANO

B. Address: # 1 BRGY. DON DIMAS QUERUBIN, CAOAYAN
ILOCOS SUR, PHILIPPINES
C. Contact details:
Telephone No.: (+63) 916 676 1916/ (+63) 917 728 9326
Email Address: carlvincentq@gmail.com
( F O R I N D I V I D U A L S
D. Date of Birth: JUNE 16, 1993
E. Country of Birth: PHILIPPINES
F. Citizenship: NATURAL BORN - FILIPINO
G. Sex: MALE

Recent 2x2;
High

O N L Y )

H. Educational Background:
Course/ Degree/
Program
1. Bachelor of Arts
in Political
Science
2. Bachelor of
Laws

School/ College/
University
University of Northern
Philippines, Vigan City,
Ilocos Sur

Year
2010 2014

2014 to present

Academic Honors/
Awards
2nd Most
Outstanding
Political Science
Student of the
Philippines for
2014

I. Summary of Professional Work / Work History

(Use additional sheets as necessary)
Designation/
Position

Office/ Company/
Organization

Researcher, Writer
and Historian

Local Government
Unit of Caoayan,
Ilocos Sur

Brief Description of
Functions and
Responsibilities

The 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

Years of
Service

2010 present

ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

reflect the priorities and
interests of the historian's
appointing authority.
1. Research and Writing
The 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
Presentations
The second category of
responsibilities also involves
the interpretation of the
history of his or her
community through teaching
and public presentations.
3. Historic Preservation
The 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
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ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

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
by recommending appropriat
e repositories of historical
materials, such as local
government archives, local
public libraries, or historical
agency collections.
4. Organization,
Advocacy, and Tourism
Promotion
The 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
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ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

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.
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/
Programme

III.

Nature of Beneficiaries

Description of Project /
Programmes
(Components)

Impact

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/
Programme

Nature of Beneficiaries

Description of Project /
Programmes
(Components)

Coverage

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ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

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/Achievements

Conferred by

When 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
Beneficiary

VI.

Profession /
Designation

Address

Contact Details

Nominating Party
A.
B.
C.
D.
E.

Name:
Address:
Contact Details:
Email:
Signature:

Please email all nomination form and supporting documents at

apa.philippines@gmail.comnot later than 16 August 2015.
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ASEAN PEOPLES' AWARD - PHILIPPINES: Nomination Form

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