PLT COLLEGE, INC.

Bayombong, Nueva Vizcaya

RECRUITMENT FORM

Name of Recruit: ________________________________ Sex: ( ) Male ( ) Female

Preferred Course: _______________________________ Why: _____________________
H.S. Graduated From: _______________________________________________________________
Address: __________________________________________________________________________

Civil Status: ( ) Single ( ) Married ( ) Widow

If Married, Name of Spouse: _________________________________________________________

Date of Birth: ____________________________ Place of Birth: _____________________________
Dialect/Language Spoken: __________________ Religion: _________________________________
Person who Recommended you: ______________________________________________________

_____________________________
Signature over Printed Name

__________________________________________________________________________________

Recruited By: ____________________________ _____________Course/Year: __________________

Home Address: _____________________________________________________________________
Position: (Pls. Check) ( ) PLT College Inc. Student
( ) Faculty Member
( ) Staff
( ) Others (Pls. specify) ____________________________________
Date of Birth: _______________ Place of Birth: ___________________________________________ \
Age: ______________________ Sex: ( ) Male Civil Status: ( ) Single
( ) Female ( ) Married
( ) Widow

How are you related to the recruit?

( ) Neighbor ( ) Friend ( ) Relatives ( ) Brother/Sister
( ) Others (Pls. specify) ______________________________

____________________________
Signature over Printed Name

Attested by:

_________________________
Admission Officer