PERSONAL INFORMATION

NAME:__________________________________________________________
SURNAME

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FIRST NAME

MIDDLE NAME

RELIGION: __________________ COURSE & YEAR:______________________

GENDER: ___________________ CONTACT NUMBER: ___________________
DATE OF BIRTH: __________________________ AGE: _________________
PLACE OF BIRTH: _________________________________________________
HOME ADDRESS:_________________________________________________
CITY ADDRESS:___________________________________________________

E-MAIL ADDRESS: ________________________

FACEBOOK/TWITTER URL:_______________________

Departments of XU-JMA
(Please check the department you wish to apply)
__ Marketing Department

__ External and Networking Department

__ Events

__ Department of Academic Affairs

__ Human Resource Department

__ Internal Communications and Public Relation Department
EDUCATIONAL BACKGROUND:
NAME OF SCHOOL

ACADEMIC YEAR/S
ATTENDED

Elementary:
Secondary:
College/Course:
1st Year
2nd Year
3rd Year
4th Year
ORGANIZATIONAL AFFLIATION AND COMMUNITY INVOLVEMENTS (FOR THE LAST THREE YEARS):
Please list at least four MAJOR organizations.
1. ______________________________________________________________________________
NAME OF ORGANIZATION
__________________________________________________
POSITION HELD

___________________________________
YEAR/S

2. ______________________________________________________________________________
NAME OF ORGANIZATION
__________________________________________________
POSITION HELD

___________________________________
YEAR/S

ESSAY: Please be concise.

a.) What qualities do you possess that will best describe you as a STUDENT LEADER?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________

b.) What is Junior Marketing Association for you? What made you decide to join JMA?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

c.) What can you contribute to Junior Marketing Association? Why should we choose you to be part of
JMA?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

I attest that all the information written in this form are correct and genuine and I have given Junior Marketing
Association the right to verify the same through an official inquiry if needed.

_____________________________________________
SIGNATURE OVER PRINTED NAME
______________________
DATE

Note:
Send your Application Form to XUJMA1314@gmail.com on or before JUNE 6, 2013.
Interview date will be on June 8, 2013. Updates and details will be given soon.