Scribd
Upload
105 views3 pages

Staffer Search App Form

This document contains a personal information form seeking an individual's name, address, age, health concerns, hobbies, skills, organizational affiliations, contact details, and a waiver form for a staffer search process with reminders for applicants and contact information provided.

Uploaded by

Pamela Anne Canlas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
105 views3 pages

Staffer Search App Form

This document contains a personal information form seeking an individual's name, address, age, health concerns, hobbies, skills, organizational affiliations, contact details, and a waiver form for a staffer search process with reminders for applicants and contact information provided.

Uploaded by

Pamela Anne Canlas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Personal

Information

NAME: ________________________________________________________
(LAST NAME) (FIRST NAME) (MIDDLE NAME)

ADDRESS: ______________________________________________________

1x1
Picture
(optional)


AGE: ___ BIRTH DATE: ___ /___ /______ SCHOOL: ___________________________________

_____________________________________________________________________________

HEALTH CONCERN/S: ___________________________________________________________
HOBBIES: _____________________________________________________________________


SKILLS & PROFICIENCY (Please check as to which you belong and indicate your level of proficiency with 1-5, 1 being the lowest and 5 being the
highest. You may check more than 1)
(eg. [x] Visual Arts

[x] Photography 5

[x] Video Editing 3)

[ ] Visual Arts

[ ] Photography __

[ ] P hoto Editing __
[ ] Video Editing __

[ ] Drawing __

[ ] Painting __

[ ] Others please specify, _______, __

[ ] Performing Arts

[ ] Writing

[ ] Journalistic Writing __

[ ] Creative Writing __

[ ] Public Speaking __
[ ] Technicals (lights and
sounds management) __

[ ] Others please specify



[ ] Dancing __
___________________, __

[ ] Singing __



[ ] Acting __


[ ] Others please specify, _____, __



ORGANIZATIONAL AFFILIATIONS (inside and/or outside the school and state your position and function)
_____________________________

_____________________________

_____________________________

_____________________________

_______________________________

_______________________________

_______________________________

_______________________________

Contact Information

TELEPHONE NUMBER: ______________ MOBILE NUMBER: __________________________
E-MAIL ADDRESS_____________________________________________________________

FATHERS NAME:



MOTHERS MAIDEN NAME:

_______________________________

_______________________________

OCCUPATION: ___________________

OCCUPATION: ___________________

MOBILE NUMBER: ________________


OFFICE NUMBER: _________________

MOBILE NUMBER: _______________


OFFICE NUMBER: ________________

(Please answer the following questions honestly. DO NOT leave any item unanswered. Write legibly.)
WHAT ARE YOUR WEAKNESSES?
_____________________________________________________________________________________________________________________________

WHAT ARE YOUR STRENGTHS?

WHAT IS CMLI AND JC-NEB FOR YOU?

FROM WHERE/WHOM DID YOU LEARN ABOUT THE STAFFER SEARCH?


_______________________________________________________________________________________________________________
WHAT ARE YOUR REASONS FOR APPLYING?

ARE YOU CONFIDENT THAT YOU WILL BE ACCEPTED? WHY?

HOW CAN YOU PERSONALLY HELP CMLI AND THE JUNIOR COUNCIL IN ITS MISSION TO EMPOWER THE FILIPINO YOUTH?
EXPLAIN.
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________

WHAT DO YOU THINK MAKES YOU UNIQUE FROM OTHER JC-NEB 2013 APPLICANTS?
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________

IF THERE IS ONLY ONE LIFE JACKET LEFT, TO WHOM WILL YOU GIVE IT, TO YOUR MOTHER OR TO YOUR FATHER? OR WILL
YOU SAVE YOURSELF?

____________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________

IT IS YOUR GREATEST ASSET AND YOUR WORST FLAW. WHAT IS IT?

Reminders for applicants:


1.
2.

Screening process will start at 8AM and will end at 6PM.


Attire:
- Pants
- Shirt
- Rubber shoes ONLY (no stilettos, heels & flats/doll shoes)
Things to be brought:
- 150 PHP registration fee
- Large handkerchief
- Drinking water
- Extra clothes
- Packed lunch/
- Money for food

3.

I have the approval of my parents to join the Staffer Search.


I agree to follow all the rules and regulations given and will be given by the
facilitators of the Staffer Search.
I am aware that all events, procedures and undertakings are done to achieve the
goals and objectives of the Junior Council - National Executive Board.
I am knowledgeable that joining in this Staffer Search does not give me any
assurance of any membership in the Junior Council - National Executive Board.
I will respect the decision of the electoral board of this Staffer Search.
I hold myself responsible for any damages, injuries or accidents beyond the
facilitators control.

For inquiries please contact:


Nathan John A. Gatchalian
JC-NEB Secretary
+63917 834 0695
Anna Josefina de Ramos
JC-NEB Asst. Secretary
+63906 570 6732

By affixing my signature, I certify


that all information written in this
application form is true and correct

Signature of Applicant

Rayven Mari M. Nepomuceno


JC-NEB Councilor
+63926 743 8062

WAIVER FORM

By affixing my signature. I certify that I have read and understood all the
provisions of this waiver. I am aware that I will be held liable for any deliberate
noncompliance of the conditions stipulated herein subject the appropriate
disciplinary sanction by the Childrens Museum and Library Incorporated.
__________________
DATE
_______________________________________________
SIGNATURE OVER PRINTED NAME OF PARENT/GUARDIAN

Describe: Lead, Serve & Excel using any medium preferred. (eg. Drawing, essay, poem & etc.)

You might also like