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7/25/2019 2015-03-23 PREP-PUSH Parents Information Sheet (SY2015-2016)
1/1
PARENT RELATIONS AND PROGRAM (PREP)
PARENTS UNION FOR SCHOOL AND HOME (PUSH)
PARENTS INFORMATION SHEETSchool Year 2015-2016
(to be filled up by a parent of the student)
Name of Student: ___________________________ __________________________________ _____Last Name First Name MI
Fathers Name:_____________________________________________
Mothers Name:______________________________________________
Occupation:
_______________________________________
Occupation:
_______________________________________Tel. No/ Mobile No._____________________________________________
Tel. No/ Mobile No._____________________________________________
Email Address:_____________________________________________
Email Address:_____________________________________________
Ateneo Alumnus: O Yes O No Ateneo Alumna: O Yes O No
1) Is there any field of expertise/experience you mightbe willing to share with students or other members ofthe Ateneo High School community through lectures,
presentations, demonstrations, resource materials, etc?Kimdly check the pertinent box/es.
!health &medicine !education
!media & communications !banking & finance
!leadership & governance !business
!training & development !law
!sales & marketing !arts
!others _______________________
2) Please indicate the specific area in your field ofexpertise you would be interested in sharing through
a talk, lecture, on site visit, etc.__________________________________________________________________________________________
__________________________________________________________________________________________
3) If invited, will you be available to take on
responsibilities as a class parent officer or as a member
of a committee to help organize a parenting activityor a parent-related project? ______________________
1) Is there any field of expertise/experience you mightbe willing to share with students or other members ofthe Ateneo High School community through lectures,
presentations, demonstrations, resource materials, etc?Kimdly check the pertinent box/es.
!health &medicine !education
!media & communications !banking & finance
!leadership & governance !business
!training & development !law
!sales & marketing !arts
!others _______________________
2) Please indicate the specific area in your field ofexpertise you would be interested in sharing through
a talk, lecture, on site visit, etc.__________________________________________________________________________________________
__________________________________________________________________________________________
3) If invited, will you be available to take on
responsibilities as a class parent officer or as a member
of a committee to help organize a parenting activityor a parent-related project? ______________________
___________________________________ ___________________________________
Fathers Name and Signature Mothers Name and Signature
Thank you and we look forward to working with you as partner in the formation of your son.
Rev. Alberto V. Ampil, SJDirector-Parent Relations & Programs
Tel: 426-0891 / 426-6001 local 6231
Email: [email protected]