Filipino-American Magtinabangay Foundation, Inc. – FAMFI
A Non-Profit Public Benefit Charity Foundation
Tax ID No. 56-2614851
Membership/Volunteer Application
This form must be completed in its entirety
Name ___________________________________________________________
Home Address_____________________________________________________
City ______________________________ State __________ Zip _____________
Male ( ) Female ( ) Date of Birth ______________________________
Preferred method of communication (please circle): email ; cell; home; work.
Phone Numbers____________________________________________________
Please include area codes; cell; home; work
Best time to call: ____________________ Email __________________________
Employer or School: _________________________________________________
________________________________________________________________
Work Address _____________________________________________________
City ______________________________ State __________ Zip _____________
If Applicable:
Spouse name _____________________________________________________
Birthday (Month & date) ______________________________________________
Phone Numbers ____________________________________________________
Please include area codes, cell, home & work
Names of Minor Children 17 & under (if applicable):
1.)_____________________________________ Birthday __________________
2.)_____________________________________ Birthday __________________
3.)_____________________________________ Birthday __________________
4.)_____________________________________ Birthday __________________
5.)_____________________________________ Birthday __________________
PLEASE ANSWER ALL QUESTIONS
Why are you interested in joining and volunteering with Filipino-American Magtinabangay, Foundation, Inc. – FAMFI ?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
How did you hear about FAMFI? ( ) Word of Mouth ( ) Newsletter ( ) FAMFI Web Site
( ) Face book ( ) Web ( ) other ______________
I would like to be considered for the following volunteer opportunities (you may select
more than one): ( ) Office Help ( ) Special Events ( ) chairperson on one of our event?
What events are you interested in? (Valentines, Barrio Fiesta, Luau Party, Halloween, Christmas)
Please list any relevant volunteer or work experience:
Organization
_______________________________________________________________
_______________________________________________________________
Describe work or volunteer service below:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Have you ever been charged with or convicted of the following: (please circle yes or no)
a) Felony? Yes No
b) Any crime involving a sex offense, an assault or the use of a weapon? Yes No
c) Any crime involving the use, possession or the furnishing of drugs or hypodermic
syringes? Yes No
d) Reckless driving, operating a motor vehicle while under the influence, or driving to
endanger? Yes No
If you answered Yes to any of the above four items, please explain _________________
________________________________________________________________
________________________________________________________________
Filipino-American Magtinabangay, Foundation, Inc. – FAMFI has my permission to run a
back ground check on me. Yes No
If selected, I give my permission to Filipino-American Magtinabangay, Foundation, Inc. –
FAMFI include my name and/or picture in all promotional material, newspapers, TV,
radio, brochures, videos, web site, etc. Yes No
By signing below, I affirm that I have answered all questions truthfully. I understand that if any portion of this application is found to be intentionally false, I may be denied the right to volunteer for Filipino-American Magtinabangay, Foundation, Inc. – FAMFI
_______________________________________________________________
Your Signature and Date
Please mail or fax your completed application to:
Napa, California USA
Filipino-American Magtinabangay, Foundation, Inc. – FAMFI
1008 Hudson Lane
Napa, CA 94558
FAX # (707) 254-9163
Cebu City, Philippines
Filipino-American Magtinabangay, Foundation, Inc. – FAMFI
90 B-A. Gabuya St.
Poblacion Pardo. Cebu City
Cell# 0908-963-0787, Land line# 273-5498