myLEADER

(MIMAROPA Young Leader)

APPLICATION FOR ADMISSION

Please answer all applicable questions. This application must be fully completed and signed,
and the Sponsoring Statement must be received, before review by the Admissions
Committee.

I certify that all the information and accompanying material provided in

connection with this application are authentic and accurate.

NAME OF APPLICANT: ANGHELIKA Q. SERATUBIAS

DATE: ___________________________________________________________

GENERAL INFORMATION
FULL NAME: ANGHELIKA QUICHO SERATUBIAS
NICKNAME/FAMILIAR NAME: LIKA
AGE: 18
GENDER: FEMALE
COUNTRY OF CITIZENSHIP: PHILIPPINES
DATE OF BIRTH: SEPTEMBER 3, 1997

TITLE OR POSITION:
SCHOOL/COMPANY/ORGANIZATION NAME:
SCHOOL/COMPANY/ORGANIZATION ADDRESS:
YOUR HOME ADDRESS:
MOBILE TELEPHONE:
LANGUAGE PROFICIENCY: (English, Filipino, others)

HOW DO YOU DESCTIBE YOUR ATTITUDE/PERSONALITY?

WHAT IS YOUR GOAL IN LIFE?

ARE YOU AVAILABLE DURING WEEKENDS? (SATURDAY & SUNDAY):

ARE YOU STAYING IN MIMAROPA REGION FOR THE NEXTR 6 MONTHS?

WHAT IS YOUR GOAL FOR YOUR SCHOOL, ORGANIZATION OR COMMUNITY?

ARE YOU PLANNING TO APPLY OR RUN FOR ANY POSITION IN YOUR SCHOOL OR
COMMUNITY?

ARE YOU ALLOWED TO TRAVEL OUTSIDE PALAWAN OR ABROAD?

ARE YOU INTERESTED IN AGRICULTRE AND ENTRPRENEURSHIP?

EXPLAIN YOUR BACKGROUND OR KNWOLEDGE ABOUT AGRICULTRE AND

ENTRPRENEURSHIP.

WHO IS YOUR MODEL WHEN IT COMES TO LEADERSHIP?

WORK EXPERIENCE (if working):

NAME OF COMPANY/ORGANIZATION: ______________________________________
TITLE OR POSITION:_______________________________________________________

PLEASE PROVIDE A BRIEF DESCRIPTION OF YOUR COMMUNITY, ORGANIZATION OR

SCHOOL:

PLEASE DESCRIBE YOUR CURRENT RESPONSIBILITIES, INCLUDING YOUR LEVEL IN

THE SCHOOL/ORGANIZATION:

WHAT OBJECTIVES DO YOU HOPE TO ACHIEVE BY ATTENDING THIS PROGRAM?

WHAT DO YOU ANTICIPATE YOUR CAREER PROGRESSION WILL BE IN THE NEXT FIVE
YEARS?

HOW WOULD YOU CHARACTERIZE YOUR LEADERSHIP STRENGTHS AND

WEAKNESSES? PROVIDE EXAMPLES AS APPROPRIATE:

WHAT ARE THE MOST FORMIDABLE CHALLENGES FACING YOUR ORGANIZATION,

SCHOOL OR COMMUNITY UNIT?
WHO ARE THE PEOPLE/LEADERS YOU WANT TO MEET IN PERSON?

Thank you for answering these questions. You will be informed for a phone interview after
qualifying for this step.