Tau Gamma Sigma Form
Tau Gamma Sigma Form
APPLICATION FORM
PERSONAL:
Name:______________________________ Nick Name:_________________ Civil Status:__________________________
City Address: __________________________________________________ Tel. No.:______________________________
Prov’l Address: ___________________________________________________ Tel No.: ___________________________
Date Of Birth: ___________ Place of Birth: ______________________________ Age: ____ Mobile No.:______________
EDUCATIONAL:
Year Graduated
Elementary: ____________________________________________________________ _________________________
Secondary:_____________________________________________________________ _________________________
College: _______________________________________________________________ _________________________
Others: ________________________________________________________________ __________________________
FAMILY BACKGROUND:
Name Occupation Company / Agency
Father: ______________________________ __________________________ ________________________________________
Mother: _____________________________ __________________________ ________________________________________
Number of Brother/s: _________ Number of Sister/s: _________
Close relatives connected with Government agency and private agency / corporation:
Name Company / Agency Position Relationship
___________________________ _________________________ ______________________ ___________________________
___________________________ _________________________ ______________________ ___________________________
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ORGANIZATIONAL AFFILIATION:
What are your present activities? __________________
Are you a member of any organization? ____ If yes (youth / rotary /glee club, cause oriented, NGO’s fraternity etc…
Name Position Year Nature or Type
___________________________ _______________________________ _______________ ______________________________
___________________________ _______________________________ _______________ ______________________________
What is your main concept of the fraternity system? _________________________________________________________________
Why do you want to join the fraternity? ___________________________________________________________________________
Who encourage you to join the fraternity? _________________________ When? __________When did he / she convince you to join
fraternity? _______________ Do your parents know that you are joining a fraternity? _______________________________________
Have you ever joined or quitted or been differed in other fraternity? ____ If yes, what fraternity? ______________________________
What can you contribute for the betterment / improvement of the fraternity? ______________________________________________
Do you have any physical ailment? _____ if yes, pls notify __________________________________________________________
Do you have any relative / friend who is member of this fraternity? _____ if yes, indicate who, what chapter position & your
relationship.
Name Chapter Position Relationship
__________________________ ____________________ __________________________ _________________________________
__________________________ ____________________ __________________________ _________________________________
__________________________ ____________________ __________________________ ________________________________
Have you ever been convicted, arrested or penalized by any authority? ____ If yes, what is the offense committed & status: ________
___________________________________________________________________________________________________________
I hereby, certified that all of the above answer is true and correct to : ( Don’t fill-up this space)
The best of my knowledge and capacity. Any wrong information Grand Lady Triskelion: JOHNABELLE APRIL T. SALCEDO
Found shall mean cancellation of my application. Signed/Date: ________________________________________
Lady Master Wielder of the Whip: MA. LOURDES VISAYA
Signed: __________________________________________ Signed/Date: ________________________________________
Date: ____________________________________________ Comment/Recommendations:___________________________