PROFILE OF RURAL IMPROVEMENT CLUB MEMBERS

Name of Members Contact No.

E-mail Address 2x2

(Last Name) (First Name) (Middle Initial)
Home Address:

(Barangay) (City/Municipality) (Province) (Region)

Gender: Civil Status: Date of Birth:

Age:

;Spouse Name:`

Highest Educational Attainment:

Date of Membership: Position in the Club:

Projects:

Other Community Involvement:

Trainings Attended for the last 3 years Sponsoring Agency:

Priority Training Needed:

Awards/Recognition/Scholarship:

Recipient of Other RIC Programs: