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
A A A

2. AKSIS Application
4.
5. A A A
Questionnaire No: 2011-2012
General Instructions: On the answer sheet, 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).
Answer sheets are available online. The photocopy center will also be provided a copy for
reproduction.
1. Rock, paper, scissors?
a. Rock
b. Paper
c. Scissors
2. What appeals to you the most?
a. Planning, details, logistics
b. Conversation, communication, promotion
c. Managing, facilitating, fundraising
3. In your class, what type are you?
a. The Silent Thinker
b. The Outspoken One

3. AKSIS Application
c. The Responsible Leader
4. In what profession do you see yourself in the future?
a. Architecture, engineering, business
b. Law, arts, diplomacy
c. Human relations, teaching, service learning
5. How do you want people to see you?
a. I want them to trust me in getting the job done.
b. I want them to see me as someone whose views they respect. I want my words to be
able to change their perspective, somehow.
c. I want them to see me as someone who inspires people to make a difference.