NAME:_______________________________, ___________________________________, ___________ (LAST NAME) (FIRST NAME) (MIDDLE) PRESENT ADDRESS: __________________________________________________________________ CONTACT NO\S: __________________________________________________________________ SCHOOL YEAR COURSE DOC./M.A. DEGREE ________________________________ ____________ ___________________ COLLEGE ________________________________ ____________ ___________________ VOCATIONAL ________________________________ ____________ ___________________ HIGHSCHOOL ________________________________ ____________ ___________________ ELEMENTARY ________________________________ ____________ ___________________ SPECIAL TRAININGS / SEMINARS ATTENDED:(Use back portion if necessary) COURSE / SEMINAR PLACE DATE ___________________________________ ________________________________ ______________ ____________________________________ ________________________________ ______________ ___________________________________ ________________________________ _______________ SKILLS & ABILITIES: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ LANGUAGES / DIALECTS SPOKEN: 1. _______________ 2. _______________ 3. _______________ 4. ______________ 5. _____________ JOB EXPERIENCES:(Use back portion if necessary) COMPANY POSITION FROM - TO ___________________________________ _______________________________ ________________ ___________________________________ _______________________________ ________________ ___________________________________ _______________________________ ________________ REASON FOR VOLUNTEERING: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ SPECIFY WHAT FIELD OR SERVICE (Please check box)
SPONSOR A DISABLED STUDENT:
CLEANING THE SURROUNDINGS/ GENERAL CLEAN-UP
SPED CLASSES
CLERICAL WORK
PRE-SCHOOL
ASSIST IN THE PRODUCTION AREA
GRADE SCHOOL
OTHERS, PLEASE SPECIFY :
HIGH SCHOOL
__________________________________________________
COLLEGE
AVAILABILITY: _______ WEEK(S) ________DAY(S) ________ HOUR(S) NO, I DON’T WANT TO VOLUNTEER BUT I’M WILLING TO DONATE
WHAT KIND?: TUITION FEES
GROCERIES/FOOD
FOOD BUDGET
MEDICATIONS/ DRUGS
SCHOOL SUPPLIES