Studio Photo (2x2) 1000TP APPLICATION FORM COLLEGE GRADUATES / COLLEGE TEACHERS / CAREER SHIFTERS PERSONAL BACKGROUND NAME: __________________________________________________________________________________ (Surname, First, Middle) ADDRESS: _______________________________________________________________________________ (Number, Street, Barangay) ________________________________________ ______________________________________________ (City/Town) (Province) TEL (HOME): _____________________________ MOBILE: _______________________________________ E-MAIL: _________________________________ FACEBOOK NAME: _______________________________ DATE OF BIRTH: __________________________ PLACE OF BIRTH: _______________________________ GENDER: ________________________________ CIVIL STATUS: __________________________________ RELIGION: ______________________________________________________________________________ HEIGHT: _________________________________ WEIGHT: ______________________________________ PREVIOUS AND CURRENT JOB/S: ___________________________________________________________ SKILLS/TALENTS: ________________________________________________________________________ SPECIAL CIRCUMSTANCES/MEDICAL CONDITIONS: _____________________________________________ ACADEMIC BACKGROUND NAME OF UNIVERSITY: ___________________________________________________________________ COMPLETE ADDRESS OF SCHOOL: __________________________________________________________ DEGREE PROGRAM COMPLETED: ___________________________________________________________ NAME OF UNIVERSITY REGISTRAR: __________________ CONTACT NUMBER: ______________________ YEAR GRADUATED: _______________________________ GEN. AVE: _____________________________ AWARDS AND DISTINCTION: _______________________________________________________________ ORGANIZATIONS: ________________________________________________________________________ Page 1 of 3 Application Form FAMILY BACKGROUND NAME OCCUPATION NAME OF COMPANY TELEPHONE/ MOBILE NUMBER SALARY RANGE PER MONTH OCCUPATION NAME OF COMPANY TELEPHONE/ MOBILE NUMBER SALARY RANGE PER MONTH Father Mother Guardian Parents’/ Guardian’s Address For married applicants: NAME Spouse Number of children: ______________________ NAME OF CHOSEN PARTNER SCHOOL: _______________________________ IN A SCALE OF 1-10 WITH 10 AS THE HIGHEST, PLEASE INDICATE YOUR COMMITMENT TO PURSUE A CAREER IN TEACHING: _________________________ QUALIFICATIONS: 1. Graduate of any bachelor’s degree, except BS Education 2. Preferably, a graduate of BS Math, Accountancy, Engineering, Statistics, Business Management/Administration, Economics, Nursing and Medical Sciences, Biology, Chemistry, Physics, Literature, Communication Arts, Mass Communication, Social Work, and other related courses 3. Must have at least a general weighted average of 85% or equivalent in college ATTACHMENTS: 1. College Transcript of Records 2. Essay on "The First Thing I'm Going to Teach My Students..." 3. TEI’s entrance exam results (for applicants who have already taken and passed the partner TEI’s admission exam) Page 2 of 3 Application Form I hereby certify that all the information provided by me upon this application is accurate and complete. The information will be accepted for all purposes as the equivalent of an affidavit and, if it contains a false statement, shall subject me to the same penalties for perjury as if I had been duly sworn. _________________________________________________ PRINTED NAME AND SIGNATURE OF APPLICANT DATE: ___________________________________________ Philippine Business for Education (02) 801-4446 or 7282031 1000tp@pbed.ph 6th floor, 115 Glass Tower, C. Palanca Jr. St., Legaspi Village, Makati City Visit www.pbed.ph for more information and form Submit this application form along with the complete attachments via e mail at 1000tp@pbed.ph or via snail mail at 6th floor, 115 Glass Tower, C. Palanca Jr. St., Legaspi Village, Makati City Page 3 of 3 Application Form