Escolar Documentos
Profissional Documentos
Cultura Documentos
Gender
MAILING ADDRESS
House #, Street Town or City and Zip Code Phone Number Barangay/ Village Province and Region Mobile Phone Number Email Address
FAMILY DATA
Father Mother Guardian Number of Siblings
COLLEGE AWARDS
Name of Award
COLLEGE LEADERSHIP
School Year Position Name of Organization
COMMUNITY INVOLVEMENTS
Month/Year Organization Event
What events of the Federation have you participated in? (Regional and National)
If elected, how can you achieve the goals and objectives of the organization?
What plan for NFJPIA will you implement once you are elected? How will you implement
REFERENCE
Name Relationship
List at least two (2) advisers/ mentors (e.g. your dean/ instructor) and
NOTE
Send this application form to nfjpiar1car.comelec@yahoo.com on or before January 19, 2013, wi COMELEC_<SURNAME>_<LOCAL CHAPTER> Other requirements (i.e. 2 to 4) are due on the day of the Annual Reg
REQUIREMENTS CHECKLIST
1. Duly accomplished application form 2. Endorsement Letter signed by the incumbent JPIA President, JPIA Adviser and dean 3. Certificate of good moral character from the Office of the Registrar and/or Office of the Prefect of Discipl 4. Certificate of grades or temporary transcript of record
N
Middle Name
ate (mm/dd/yyyy)
MILY DATA
Occupation Occupation Occupation
EGE AWARDS
Level (Department/ College/ University/ Barangay/ Provincial/ Regional/ National/ International Level)
GE LEADERSHIP
Level
Name of Organization
TY INVOLVEMENTS
Event Level
HOOL AWARDS
Type of Award
Level
OOL LEADERSHIP
Level
Name of Organization
organization?
EFERENCE
Relationship Contact Number
NOTE
or before January 19, 2013, with the following format as the e-mail's subject: NAME>_<LOCAL CHAPTER> ue on the day of the Annual Regional Convention.
MENTS CHECKLIST