XAVIER UNIVERSITY – ATENEO DE CAGAYAN

CENTRAL STUDENT GOVERNMENT

Rm 201, 2nd Flr., Student Center Building (STC), TEL No. 8583116/723116 Xavier
University, Corrales Avenue, CDO local 3305

Pls. check one(1) Office or Department you wish to join.

Offices
Office of Administrative Affairs
Office of Budget and Finance
Office of Information and Promotions
Office of Research and Constituent Insight
Departments
Department of Mission and Social Action
Department of Student Services and
Welfare
Department of Academic Affairs
Department of Interior and Networking

APPLICATION FORM

A. PERSONAL BACKGROUND
NAME: NICKNAME:
HOME ADRESS: BIRTHDAY:

AGE/GENDER: RELIGION:

COURSE/YEAR: Latest QPI:

CONTACT NUMBER: BLOOD TYPE:

E- mail add: DESIRED
Department :
Father’s Name: OCCUPATION:

Mother’s Name: OCCUPATION

(If Living In CDO)

ADDRESS:

Contact no. 1x1 photo

Guardian’s name:

B. COMMUNITY INVOLVEMENT (School, Barangay, etc.)

Organization/Position/ Year Activities or Programs/Year

Ad Majorem Dei Gloriam

 C. Seminars/ Trainings/ Conference Attended
Title Venue/Place Year

D. Skills Profile
LEADERSHIP Human Relation Special Skills
Group Handling Self Disclosure Painting
Facilitating Feedback Giving Encoding/ Comp. Operations
Consensus Building Assertion Financial Management
Planning Interpersonal Drawing/ Sketching
Communications Others Pls. Specify: Playing Instruments (pls.
Others Pls. Specify: specify) :
Others Pls. Specify:

Essay:

Note: Take time and be honest in answering the following questions. Your answers will be essential

to our activity/ program designing. Write legibly and keep your answers brief and concise.
Thank you!

1. What is CSG for you and why did you join CSG?

2. What are you willing to give and do for the good of XU studentry and/ or for the XU-CSG

Ad Majorem Dei Gloriam

3. What is/are your principles that you uphold as a servant leader?

Ad Majorem Dei Gloriam