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Membership/Volunteer Application Form

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


Permanent link to this article: http://www.famfi.org/volunteers/membershipvolunteer-form/


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