the Weekly Sillimanian 2018-2019

INFORMATION SHEET

Position Applied for _________________________________________________________________

Willing to assume other positions? Yes ____ No ____

Name______________________________________________College________________________________ Level_______

Home Address_________________________________________________________________________________________

__________________________________________________________________________ Tel. No. ____________________

Dumaguete Address________________________________________________________________________

__________________________________________________________________________ Tel. No. ____________________

Birthday _______________________ Birthplace_________________________________________________

QPA in First Semester 2017-2018___________________

Activities presently involved in, position held, and name of adviser in organization

on-campus __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___________________________________________________________________________
off-campus ___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Journalistic experience or any work experience with any publication

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Personal References on campus
______________________________________ _______________________________________________
_______________________________________ _______________________________________________
_______________________________________ _______________________________________________

Applicant's Pledge

I have read, and fully understand, the qualifications and requirements for the application and membership to the staff of the tWS
SY 2016-2017 and will abide by them and subsequent regulations for members of the staff.

The information I have provided herein are true to the best of my knowledge.

__________________________ ___________________________________

Date Signature on top of printed name