Application form for Philnits March 28, 2010 Examination Please fill up this page and send to Philnits Educational Attainment _______ First : Degree being pursued _________ Last : Middle : Employment Status ____________ Date of Birth : Age : Company Type _________________ Sex : ( ) Male ( ) Female Number of Employees __________ Please provide contact information: Natue of work ________________ Work Experience ______________ School enrolled : Work Phone : IT Training received from ____ Home Phone : FAX : E-mail : Company Name : Office Address : Address (cont.) : City : State/Province : Zip/Postal Code : Country : Home Address : Address (cont.) : City : State/Province : Zip/Postal Code : Country : Preferred Examination Site (check one) ( ) Metro Manila ( ) Baguio ( ) Batangas ( ) Cebu ( ) Cagayan De Oro ( )Zamboanga ( ) Davao ( ) Bohol Note: Sending just this page is enough to process your application --------------------------------< CUT >------------------------------------- Pick appropriate answer and fill up page above. Highest educational attainment A. Ph.D. B. Masters C. 1-year Post-Baccalaureate D. University/College E. Vocational school (3 years) F. Vocational school (2 years) G. Vocational school (1 year) H. Vocational school (less than 1 year but more than 6 months) I. Vocational school (6 months or less) J. Other If still studying, what degree are you pursuing? ( ) Choose one A. Ph.D B. Masters C. 1-year Post-Baccalaureate D. University/College E. Vocational school (3 years) F. Vocational school (2 years) G. Vocational school (1 year) H. Vocational school (less than 1 year but more than 6 month I. Vocational school (6 months or less) J. Others Current employment status ( ) Choose one A. Unemployed C. Contractual E. Self Employed B. Probationary D. Regular Comapny type ( ) Choose one A. Computer mfg or sales company K. Manufacturing Industry B. Software-related company L. Distribution C. Information tech service co. M. Electric Power & Gas D. National government offices N. Advertising & Research E. Local government offices O. Service Industry F. Schools & research institutes P. Others G. Agriculture, Forestry, and Mining Industries H. Financial, Securities, and Insurance Industries I. Transportation, Telecomms, Warehousing, and Real Estate J. Construction Industry Number of Employees in your Company ( ) Choose one A. Below 50 E. 300 - 499 B. 50 - 99 F. 500 - 999 C. 100 - 199 G. 1000 - 9999 D. 200 - 299 H. More than 10,000 Nature of work ( ) Choose one A. Systems project and planning M. System Operationech B. System audit N. Accounting/Auditing C. Promotion & Utilization O. Training of Engineers D. Project Management P. Research & Development E. Systems Analysis and Design Q. Arts and Crafts F. Program Development R. Engineering G. Microcomputer applic system S. Media/Public Relations H. Systems Software T. Sales & Marketing I. Network technology support U. Manufacturing J. Database technology support V. Teaching K. Software Production technology W. Others L. Basic Software Tech Work experience ( ) Choose one A. No experience B. Below 1 year C. More than 1 year but below 3 years D. More than 3 years but below 5 years E. More than 5 years but below 10 years F. More than 10 years but below 15 years G. 15 years or more Where did you receive your training in IT? ( ) Choose one A. In-company training F. Vendor Company education B. School G. Local software center C. Vocational School H. Various seminars D. Distance learning I. AOTS E. National Computer Institute J. CICC K. Self Study & Others ---------------------------------------------------------------- Copyright © 2008 [Jitse-Phil Foundation INC]. All rights reserved. Revised: January 30, 2010