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APPLICATION FORM

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BASIC INFORMATION
(SURNAME FIRST NAME MIDDLE NAME)

COURSE & YEAR: DATE OF BIRTH: BLOOD TYPE: RELIGION: CITY ADDRESS: HOME ADDRESS:

CONTACT NUMBER: FACEBOOK ACOUNT: RECENT QPI:


Signature above printed name

LEADERSHIP BACKGROUND - ORGANIZATIONAL AFFILIATION/COMMUNITY INVOLVEMENT:


Note: Please list your top four organizations

NAME OF ORGANIZATION

POSITION(S)

YEAR ATTENDED

ESSAY:
In not more than 3 lines, answer the questions honestly and concisely. 1. What qualities do you possess that will best describe you as a STUDENT LEADER?

2. What is Alyansang Atenista for you? What made you decide to join AA?

3. What can you contribute to Alyansang Atenista? Why should we choose you to be part of AA?

POWERED BY

POWERED BY

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