Application
Form
Virtue
Sharing Solidarity
1.
Personal
Data
Khmer Name English
Name Gender Nationality
Date of Birth Place of Birth Marital
Status
Current Address
University ID Major Year Shift
E-mail Tel Facebook Account
2.
Experience
/ Volunteer / Training (Please
describe below if you have)
3.
Soft
Skills
Excellent Good Average Poor
Communication
Teamwork and Collaboration
Adaptability
Problem Solving
Leadership
Other skills
4.
Languages
Khmer
English
Other Languages
5.
Computer
Literacy
Word
Excel
Power
Point
Photoshop
Others
6.
Questions
a. Describe
at least three reasons why you apply to be a member of PYCD club.
b. What
are your strengths? And what are your weaknesses?
c. How
can you contribute to society by joining PYCD club?
d. Imagine
that one year later, you are selected to be one of candidates to be voted as
PYCD president. Will you take advantages of that opportunity to be a leader? Why/Why
not?
Note: I agree to complete at least two activities
with PYCD so that I will become an official member and contribute to social
development. (Required to
tick)
I
certify that all the data and information which I have provided above are true,
complete, and correct to the best of my knowledge and belief.
Date: Date:
Signature
of Applicant Approved by PYCD President