The document is an application for the AKSIS organization that requests an applicant's personal information and answers to multiple choice questions. Applicants are asked to provide identification details, organizations they belong to and positions held, and to answer 5 multiple choice questions regarding preferences, strengths, and how they want others to perceive them. The completed application is to be submitted to specific AKSIS officers.
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Aksis application form
1. AKSIS Application
Name:______________________________________________________________ Date:___________
Section:_________________ Submitted to:______________
General Instructions: On this answer sheet, provide all the necessary information and shade the letter of your answer.
When done, submit to any AKSIS officer (Ryan Misola & Joan Ravalo @ IV-Tau, Thea Bonifacio & JR Aldiosa @ IV-
Electron, Nicole Rocafort @ III-Beryllium, Nina Coronel @ II-Camia, Sam Fusingan @IV-Truth and Marti Tan @ III-
Strontium).
I. Identification
1. Cellphone #:
2. Email Address:
3. Y!M ID:
4. Landline #:
5. Date of Birth:
6. Address:
7. Extern/Intern:
8. Other Clubs/Organizations:
(Kindly put your position in the organization too, and rate in a 1-10 scale your dedication to it.)
Organization Position Dedication
II. Mulitple Choice
A B C
1. A A
2. A A A
3. A A A
4. A A A
5. A A A
2. AKSIS Application
Questionnaire No: 2011-2012
General Instructions: On the answer sheet, shade the
letter of your answer. When done, submit to any AKSIS
4. In what profession do you see yourself in the
officer (Ryan Misola & Joan Ravalo @ IV-Tau, Thea
Bonifacio & JR Aldiosa @ IV-Electron, Nicole Rocafort future?
@ III-Beryllium, Nina Coronel @ II-Camia, Sam a. Architecture, engineering, business
Fusingan @IV-Truth and Marti Tan @ III-Strontium).
b. Law, arts, diplomacy
c. Human relations, teaching, service
Answer sheets are available online. The photocopy learning
center will also be provided a copy for reproduction.
1. Rock, paper, scissors?
a. Rock
b. Paper
5. How do you want people to see you?
c. Scissors
a. I want them to trust me in getting the
job done.
2. What appeals to you the most? b. I want them to see me as someone
whose views they respect. I want my
a. Planning, details, logistics
words to be able to change their
b. Conversation, communication, perspective, somehow.
promotion
c. I want them to see me as someone who
c. Managing, facilitating, fundraising inspires people to make a difference.
3. In your class, what type are you?
a. The Silent Thinker
b. The Outspoken One
c. The Responsible Leader