COLLEGE OF SAN BENILDO – RIZAL

COLLEGE PREPARATORY DEPARTMENT

Sumulong Highway, Antipolo City, Rizal
School Year 2019-2020

CHURCH INVOLVEMENT ACTIVITY

Theme of the Youth: “Filipino Youth in Mission: Beloved, Gifted, Empowered.”

Theme of the School Year 2019: “Talents @ The Service of Others

STUDENT’S PERSONAL INFORMATION:

NAME: __________________________________________________ MOBILE NUMBER: _________________

COMPLETE ADDRESS: _______________________________________________________________________
LANDLINE NUMBER / PARENTS’ CONTACT NUMBER: _____________________________________________

CHURCH / PARISH CHURCH PROFILE:

RELIGION: ________________________________________________________________________________
NAME OF CHURCH / PARISH CHURCH: _________________________________________________________
PARISH PRIEST / PASTOR: ___________________________________________________________________
COMPLETE ADRESS: ________________________________________________________________________
CONTACT NUMBER: ________________________________________________________________________
NAME OF ORGANIZATION: __________________________________________ POSITION: _______________
PRESIDENT / LEADER: _______________________________________________________________________

SCHEDULE OF CHURCH SERVICE / MASS:

DAY SPECIFIC TIME

_______________________________________ _______________________________________
Name of Student over Signature Name of Parent over Signature

_____________________________________________
Name of Parish Priest or Pastor over Signature