APPLICATION FORM

NAME: _______________________
(SURNAME)
SEX ____

AGE: _____

_________________________
(FIRST NAME)

______________ ____________
(MIDDLE NAME)
(NICKNAME)

BIRTHDAY: ___________________ BIRTH PLACE: ______________________

ADDRESS: _____________________________________________

BGY: ____ TEL/CEL No: __________

FACEBOOK ACCOUNT: __________________________________ OTHER USER NAME: _______________

(Note: Confidentiality in using other user name will strictly be observed by this office)
PRESENTLY LIVING WITH (check one)
Relationship (if guardian/others) __________
Parents Guardian Others
SCHOOL: __________________________________________________
YEAR LEVEL: ________________
COURSE: ___________________________ (check one)
5 year course 4 yr course 3 yr course
FATHERS NAME: ________________________
(SURNAME)

2 yr course

____________________________ ___________________
(FIRST NAME)
(MIDDLE NAME)

OCCUPATION: _______________ PLACE OF WORK: ____________ AGE: _____ BDAY: ____________

MOTHERS NAME: __________________________
(SURNAME)

_____________________________
(FIRST NAME)

_____________
(MIDDLE )

OCCUPATION: _____________ PLACE OF WORK: ____________ AGE: _____ BDAY: ___________

NAME OF BROTHER/s /SISTER/s

1.
2.
3.
4.
5.

AGE

BIRTHDAY

SCHOOL/WORK

AGREEMENT UNDER THE PROGRAM, "TULONG NI ATONG SA MGA MAG-AARAL NG TUNDO"

1. APPLICANT AND HIS / HER PARENT / GUARDIAN MUST BE RESIDENTS OF TONDO 1
2. KNOWS HOW TO OPEN, OPERATE AND USE THE COMPUTER.
3. MUST BE FAMILIAR IN USING FACEBOOK
4. MUST VISIT OR LOG ON TO FACEBOOK (tahanangmasa_ctc@yahoo.com ,/, whizzhouse@ymail.com) ONCE A WEEK.
5. WILLING TO RENDER COMMUNITY SERVICE IN THEIR OWN BARANGAY,
6.. WILLING TO RENDER SERVICE OUTSIDE THEIR BARANGGAY (TONDO/MANILA).
7. MUST POSSESS THE QUALITY OF A GOOD STUDENT AND HAVE DESIRE TO FINISH STUDIES.
8. KINDHEARTED AND CARING TO PARENTS
9. HINDI PA GRANTEE O NAG-APPLY SA ANUMANG INSTITUSYON, SIMBAHAN, PAARALAN O IBA PA.,
10. IF POSSIBLE, NO BODY MARKINGS (TATTOO BOTH BOYS AND GIRLS AND NO EARINGS (BOYS)
11. Isa lang sa magkapatid ang pwedend mag-aaply sa ating programa.
___________________________________
PARENT / GUARDIAN SIGNATURE

__________________________________
SIGNATURE OF APPLICANT