YES-O Membership Form

Republic of the Philippines Department of Education Region V Division of Ligao City Bicol Regional Science High School

YOUTH FOR ENVIRONMENT IN SCHOOLS ORGANIZATION (YES-O) School Year _______________ ....…………..MEMBERSHIP FORM………….…

staple 1x1 ID picture (recent)

I. GENERAL INFORMATION Last Name

First Name

M.I.

Nickname

Home Address Contact Number/s Sex

Citizenship

Email Address Age

Date of Birth

Place of Birth

Father’s Name

Contact Number/s

Mother’s Name II. EDUCATIONAL LEVEL Grade/Year Level

Section

Membership in Other School Organization/s

Class Adviser Position/s Held

Year

Other Co-Curricular Activities Available Time Schedule for YES-O

Special Skills/Talents PARENT’S/GUARDIAN’S PERMIT I/We hereby permit my/our son/daughter to join the Youth for Environment in Schools Organization (YES-O). We also promise to support him/her, financially or otherwise, in all undertakings related to the organization’s mandated programs, projects and activities. ________________________ Parent/Guardian (Signature Over Printed Name)

(Do not fill-up below this line) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (To be filled-up by the YES-O Adviser ONLY) Recommending Approval:

Approved:

___________________________

______________________________

YES-O Adviser (Signature Over Printed Name)

School Head (Signature Over Printed Name)