application

EUNTES ASIAN CENTER - APPLICATION FORM AND QUESTIONNAIRE

If you like, click here for or download this application on Word

Check your name on the list of participants. Endorsement Form should be filled up by the Sponsor of your studies.

Otherwise please fill up & print the following form and send it by Postal Mail. Thank you!

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Please check the Program that you are going to attend:

SUMMER PROGRAM :______________________________

THREE MONTHS COURSE: __________________________

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NAME (in Passport/ID) : ________________________________________________________________________________________

(Surname / Family name) (First name) (Middle name)

BIRTHPLACE: ______________________________________DATE OF BIRTH: month_______________day_______year______

COUNTRY of citizenship: ______________________________CIVIL STATUS________________GENDER: male[ ] female [ ]

POSTAL ADDRESS: __________________________________________________________________________________________

TELEPHONE: _________________________ E-MAIL: __________________

Highest Academic Achievement : __________________________________ Year Graduated : _________________

+ For Ordained Minister.

[ ] Diocesan. [ ] Religious. Year of Ordination _____________________

+ For a member of a Religious Congregation.

[ ] Sister. [ ] Brother. Year of Final Vows ___________________

Congregation __________________________________________________________________________

+ For a lay person.

a. [ ] Single. b. [ ] Secular Institute (Years of Membership _____________________)

c. [ ] Married (No. Of Children ______ Years of Marriage ___________)

(Kindly, list the Ministries you have been engaged with in 5 years including the present one).

Date Type of Ministry Institute/Organization Position

___________________ ________________________ ____________________ _______________

SPECIAL INTEREST / SKILLS:

_______________________________________________________________________________________

Please answer the following:

1. How did you come to know Euntes Asian Center?______________________________________________

____________________________________________________________________________________

2. Who is responsible for your fees? __________________________________________________________

____________________________________________________________________________________

3. The Program is conducted in ENGLISH language, do you have adequate English communication skills (listening, speaking, reading) to benefit from it? _____________________________________________

____________________________________________________________________________________

4. Are you willing to participate responsibly in the whole process of the program? ________________________

____________________________________________________________________________________

5. Are you healthy enough to undergo the Program? _____________________________________________

____________________________________________________________________________________

* In separate sheet, please write down your reasons & expectations for applying in the program.

Signature of the Applicant ______________________________________

Date of Application: _________________________________________________

PLEASE MAIL TO : THE DIRECTOR

EUNTES ASIAN CENTER

P.O.BOX 342

7000 Zamboanga City

PHILIPPINES

TEL: (63) (62) 991-3037

FAX (63) (62) 993-1099

E-mail: euntes@euntes.com

WEBSITE : www.euntes.com

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