NAME:_______________________________, ___________________________________, ___________

(LAST NAME) (FIRST NAME) (MIDDLE)

PRESENT ADDRESS: __________________________________________________________________

CONTACT NO\S: __________________________________________________________________

SCHOOL YEAR COURSE

DOC./M.A. DEGREE ________________________________ ____________ ___________________
COLLEGE ________________________________ ____________ ___________________
VOCATIONAL ________________________________ ____________ ___________________
HIGHSCHOOL ________________________________ ____________ ___________________
ELEMENTARY ________________________________ ____________ ___________________

SPECIAL TRAININGS / SEMINARS ATTENDED:(Use back portion if necessary)

COURSE / SEMINAR PLACE DATE

___________________________________ ________________________________ ______________
____________________________________ ________________________________ ______________
___________________________________ ________________________________ _______________

SKILLS & ABILITIES:

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

LANGUAGES / DIALECTS SPOKEN:

1. _______________ 2. _______________ 3. _______________ 4. ______________ 5. _____________

JOB EXPERIENCES:(Use back portion if necessary)

COMPANY POSITION FROM - TO

___________________________________ _______________________________ ________________
___________________________________ _______________________________ ________________
___________________________________ _______________________________ ________________

REASON FOR VOLUNTEERING:

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

SPECIFY WHAT FIELD OR SERVICE (Please check box) SPONSOR A DISABLED STUDENT:

CLEANING THE SURROUNDINGS/ SPED CLASSES

GENERAL CLEAN-UP
CLERICAL WORK PRE-SCHOOL

ASSIST IN THE PRODUCTION AREA GRADE SCHOOL

OTHERS, PLEASE SPECIFY : HIGH SCHOOL

__________________________________________________ COLLEGE

AVAILABILITY: _______ WEEK(S) ________DAY(S) ________ HOUR(S) WHAT KIND?:

NO, I DON’T WANT TO VOLUNTEER BUT I’M WILLING TO DONATE TUITION FEES

GROCERIES/FOOD FOOD BUDGET

MEDICATIONS/
SCHOOL SUPPLIES
DRUGS