Complete Name

Surname, Given name, Middle

name

Nickname
City Address

Year-level

Home Address

Civil Status
Birthday
Phone number
E-mail
Religion

Undergraduate Program
University/College/School Attended
Year Graduated
Special Skills/Interests

Which among the thematic areas are you most inclined to pursue? (Please check one)
_ Peace _ Food Security _ Good Governance _ Environment _ Health
Why do you want to join Balaod Atenista?

(Answer in not more than 150 words)

What kind of lawyer do you want to become?

(Answer in not more than 150 words)

APPLICATION FORM

What do you understand about Human Rights Advocacy?

(Answer in not more than 150 words)

In your opinion, what is the most important (legal, political, or environmental) issue our country faces
today that needs attention and immediate action? Why? (Answer in not more than 150 words)

Instruction: Send this application

reynelligan@yahoo.com.

form

to

the

Deputy

Secretary

for

Internal

Affairs

By submitting this application form, you certify the veracity of the information you have provided herein.

at