General Reminders:

Requirements:
1. Read
Readand
andrefer
referto
tothe
the NFJPIA1516_Leadership Congress
2. Full
Fully
accomplished
accomplished NFJPIA1516_NLC App Form
4. To ensure your participation, please send in your Pre Registration Form
president.nfjpia1516@gmail.com on or before January 10, 2016.

Program Eligibility
- Be a bonafide member of NFJPIA
- Must not have any failing grade or any disciplinary cases inside a
- Be an active leader or officer of any student organization stude
religious in nature

Qualifications
- A fully completed application form.
- Copy of Grades for the 1st semester of AY 2015 - 2016
- Certification from the School Registrar stating the overall cumula
equivalent grade.
- Certifications supporting leadership experience, awards received
attached in the form)
- A signed recommendation letter by the Student Affairs Director

FOR QUESTIONS AND CLARIFICATIONS, PLEASE CONTACT THE FOLLO

Rushnell B. De Vera
National President 0915-470-4892
Ellen Joy T. Cajes
Nationa Secretary General 0943-415-6452 / 0915-723-5866

Additional reminders for the use of the Application Form:

The official font style to be used is Cambria and the official font size
Always wrap text any entries that may not fit in the boxes provided.

adership Congress
App Form

n your Pre Registration Form to the National President thru email

r before January 10, 2016.

disciplinary cases inside and outside campus.

udent organization student government, academic, cause-oriented, socio-civic or

2015 - 2016

stating the overall cumulative GPA / GWA of the applicant and the percentage

perience, awards received, and community involvements. (scanned copies to be

udent Affairs Director

EASE CONTACT THE FOLLOWING PERSONS

52 / 0915-723-5866

plication Form:
ia and the official font size would be 12.
t fit in the boxes provided.

NFJPIA LEADERSHIP CON

PERSONAL DATA SHEET
Last Name

Telephone Number

Date of Birth

School Currently Enrolled

FAMILY BACKGROUND
Father
Name
Occupation
Company
Contact Number
Siblings

EDUCATION PROFILE
Primary School

Secondary School

Tertiary School

Cumulative GWA during undergraduate (in % equivalent grad

LEADERSHIP
*Top 5 Leadership Experiences

Position

Organizations

SPECIAL AWARDS
*Top 5 Latest Awards Received

Name

Nature

PASTIMES AND INTERESTS

ESSAY

Answer the following essays in not more that 300 words.

If you were to propose the theme for the 1st NFJPIA Leadership Congress, w

A LEADERSHIP CONGRESS APPLICATION FORM

First Name

Mobile Number

Age

Middle Name

E-mail Address

Civil Status

Citizenship

Address

nrolled

Course-Major & Year Level

Father

Mother

Age

Primary School

Inclusive Year

econdary School

Inclusive Year

Tertiary School

Inclusive Year

te (in % equivalent grade)

Organizations

Significant Contribution

Inclusive Dates

Nature

Type (Academic, Leadership,

Etc.)

Inclusive Dates

300 words.
NFJPIA Leadership Congress, what would it be and why?

Middle Name

ress

Citizenship

Year Level

Mother

Inclusive Year

Inclusive Year

Inclusive Year

Level (National,
Regional, Division,
District, School)

Place