1. Citizens’ Disaster Response Center
72-A Times St., West Triangle, Quezon City
Friends of CDRC (FCDRC) Application Form
PERSONAL DATA
Name: Nickname:
Contact Address:
Tel Nos./ Mobile No.:
E-mail:
Date of Birth: Age:
Place of Birth:
Citizenship: Religion:
Sex:
EDUCATIONAL BACKGROUND
SCHOOL SCHOOL ADDRESS
Primary:
Secondary:
College:
Post-Graduate:
Others:
Trainings/Seminars Attended:
1.
2.
SKILLS
1.
2.
Other skills (please specify)
1.
2.

2. Language/Dialects Spoken
1.
2.
QUESTIONS
1. How did you know about CDRC?
2. What is your general expectation in joining the FCDRC?
3. In what particular areas of CDRC work are you interested with?
(please check)
[ ] Relief goods preparation and delivery
[ ] Resource generation and collection
[ ] Information and education work
[ ] Organizing
[ ] Office-based work
[ ] Others (please specify)
4. How much can you offer as a volunteer?
(please check)
[ ] Fulltime
[ ] Weekdays
[ ] Weekends only
[ ] Per activity
[ } Others (please specify
REFERENCES
Name:
Address:
Contact Nos.:
In case of emergency, please notify:
Name:
Contact Nos.:

3. Address:
Relation:
Note: In completing the form, the invividual will be registered as one of the Friends of CDRC.
She/He is intended to receive information concerning the activities and programs of CDRC where
she/he may join inorder to help people help themselves.