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Application Form: Affiliations

This document appears to be an application form for a student publication. It requests basic contact information from applicants such as name, school details, address, and affiliations. It also asks if the applicant has ever been subject to disciplinary action and requires a signature certifying the truth of the information provided. Additional requirements for applicants include submitting a photo, school registration, and a short essay or art sample depending on the desired position.

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Kendy Marr Salvador
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34 views1 page

Application Form: Affiliations

This document appears to be an application form for a student publication. It requests basic contact information from applicants such as name, school details, address, and affiliations. It also asks if the applicant has ever been subject to disciplinary action and requires a signature certifying the truth of the information provided. Additional requirements for applicants include submitting a photo, school registration, and a short essay or art sample depending on the desired position.

Uploaded by

Kendy Marr Salvador
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The OffkisJ Student Publication of Bubcan State University


City of Malolos, Bubcan Tel. No. 044-796-1964

APPLICATION FORM
(Fill-out tb? spaces he low. Write N/A if not applicable)

Position desired

Name
Last Narre First Narre Middle Name

College/lnstitute/Campus
C o u rs e/Ye a r/S e cti o
n

Complete Mailing Address

Telephone/Mobile No.
E-mail

General Weighted Average:


AFFILIATIONS
Pu bli ca tion/Orgamzatio S c ho o 1 / U n i v
n ers i t y Designation Year

Have you ever been subjected to any disciplinary action? Yes D


No If yes, please specify: _________________________________

f certify that ait inform at ion given here are true and correct.

Applicant's Signature

Re<|u irements:
1. One (1) 2x2 colored ID picture.
2. Photocopy of 1st semesters registration certifcate.
3. For writers and photojaurna lists, an attached essay (English or Filipino) a bout yaurself, reasons for applying and
your ideas of what you can contribute to the publication. Maximum of 2 pges with a sing la space format, 10 (font
size), and Calibri (font). Handwritten essays are also accepted. For artists, phase submit samp la a rtwark of any
medium.

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