1. AKSIS Application
Name:______________________________________________________________ Date:___________
Section:_________________ Submitted to:______________
General Instructions: On this answer sheet, provide all the necessary information and shade the letter of your answer.
When done, submit to any AKSIS officer (Ryan Misola & Joan Ravalo @ IV-Tau, Thea Bonifacio & JR Aldiosa @ IV-
Electron, Nicole Rocafort @ III-Beryllium, Nina Coronel @ II-Camia, Sam Fusingan @IV-Truth and Marti Tan @ III-
Strontium).
I. Identification
1. Cellphone #:
2. Email Address:
3. Y!M ID:
4. Landline #:
5. Date of Birth:
6. Address:
7. Extern/Intern:
8. Other Clubs/Organizations:
(Kindly put your position in the organization too, and rate in a 1-10 scale your dedication to it.)
Organization Position Dedication
II. Mulitple Choice
A B C
1. A A
2. A A A
3. A A A
4. A A A
5. A A A
2. AKSIS Application
Questionnaire No: 2011-2012
General Instructions: On the answer sheet, shade the
letter of your answer. When done, submit to any AKSIS
4. In what profession do you see yourself in the
officer (Ryan Misola & Joan Ravalo @ IV-Tau, Thea
Bonifacio & JR Aldiosa @ IV-Electron, Nicole Rocafort future?
@ III-Beryllium, Nina Coronel @ II-Camia, Sam a. Architecture, engineering, business
Fusingan @IV-Truth and Marti Tan @ III-Strontium).
b. Law, arts, diplomacy
c. Human relations, teaching, service
Answer sheets are available online. The photocopy learning
center will also be provided a copy for reproduction.
1. Rock, paper, scissors?
a. Rock
b. Paper
5. How do you want people to see you?
c. Scissors
a. I want them to trust me in getting the
job done.
2. What appeals to you the most? b. I want them to see me as someone
whose views they respect. I want my
a. Planning, details, logistics
words to be able to change their
b. Conversation, communication, perspective, somehow.
promotion
c. I want them to see me as someone who
c. Managing, facilitating, fundraising inspires people to make a difference.
3. In your class, what type are you?
a. The Silent Thinker
b. The Outspoken One
c. The Responsible Leader