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Volunteers Program
APPLICATION FORM
PERSONAL INFORMATION Name Last Name Date of Birth &ome Address Tele'hone $ Fa( Profession $ Occ!'ation Office $ Or"ani)ation and Address *ol!nteer +ork E('erience (Use additional sheets if necessary) *ol!nteer +ork T%'e of In ol ement Date and Place First Name Ci il Stat!s A"e Cell'hone Email Middle Name #ender M $ F

2 x 2 Picture

Nickname Nationalit%

No, of ho!rs

Please Indicate A aila-le Sched!le (Specific dates, time and area for volunteer work for the year)

.!alifications/
Must be at least 15 to 35 years of a e Physically/mentally fit Excellent work attitude Committed and dedicated to work Pleasant disposition

DOC0MENTS RE.0IRED/ 1. Two (2) Copies of Completed olunteer!s "pplication #orms with two (2) pieces of latest $2 x 2% pictures 2. Comprehensi&e 'E()*E / Curriculum itae !o include" education, work e#perience (ma# $ pa es) +. Certificate of ,ood *oral Character (from School%or ani&ation%employer) research

Please check field of ol!nteer 1ork$interest Community de&!t./or-ani.in"rts and culture (actin-/ sin-in-/ dancin-/ etc) 0e-al expertise 1nformation Technolo-y/ Computer 2ealth (doctors/ nurses/ etc) En&ironment Communication/*edia Education/Trainin(ports and 'ecreation 3thers/ please specify4 55555555555555555 Statement of +ai er and Attestation

1 here6y attest that all information indicated herein are true and correct to the 6est of my knowled-e. #urthermore/ 1 &oluntarily accept the risks and assume all responsi6ilities from any untoward incident that may arise in the duration of my in&ol&ement as olunteer to 78C olunteers! Pro-ram. 5555555555555555555555555555555555555 (i-nature 3&er Printed 7ame 555555555555555555555555555 9ate "ccomplished 73TE4 8ou can mail/ hand carry or email your applications to the4 N2C *ol!nteers3 Pro"ram Secretariat :/# ;ookman ;uildin-/ +<+ =ue.on "&enue/ =ue.on City/ Philippines Telephones (>2) :1?+:1@/ (>2) :1+@@>+/ (>2) :1?+@<>/ (>2) :1?2A++ #ax (>2) :1?2A++ BE;(1TE4 www.nyc.-o&.ph E*"104 &olunteerCnyc.-o&.ph/ ericanyc&olunteerpro-ramC-mail.com