Kuya/Ate/Ading Form
Hello!

Welcome to the 2017-2018 KAA Form for Cal Poly Pomona's Barkada! Please take your time filling out this form because we will use this form to pair you with your potential KAA. Try going out to events and meeting more people so you can get a feel for the club and potential kuyas/ates/adings!

If you have any questions, please let Justine know at academics@cppbarkada.org or message her on facebook, or approach any executive board member.

Please put a picture of yourself so we know what you look like! *
Required
I want to be a(n) *
First & Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Primary Phone Number *
Email Address? *
Tell us a little about yourself so we can find your *
What year are you? (1st, 2nd. etc..) *
Are you a transfer student? *
Major(s) *
Minor(s)/Option/Emphasis *
N/A if none
Are you affiliated with any other organizations? If so, which ones? *
Fraternities/sororities, honor societies, academic clubs, councils, etc
Tell us a joke? *
What are your hobbies or interests? (mark a maximum of 5) *
Required
Tell Us a Story *
Tell us about yourself *
Hobbies, talents, sports, interests, hopes, dreams, achievements, experiences, FOOD ALLERGIES, etc. Use this section to tell us anything and everything
Any food allergies or dietary restrictions? *
Put N/A if not applicable
Tell us any other additional information you feel is pertinent for us to know about you
As a(n) Kuya/Ate, I pledge to create authentic connections with my ading. I understand that I will act as a Role Model and strive to be a Mentor for them. I also pledge to attend all the Kuya/Ate/Ading events to the best of my ability. *
Digitally sign your name if you have read the above statement. If you're applying as an ading, put N/A
As an Ading, I pledge to strive for academic success. I will use all available resources to maintain my personal well-being. I also pledge to attend all the Kuya/Ate/Ading events to the best of my ability. *
Digitally sign your name if you have read the above statement. If you're applying as a(n) Kuya/Ate, put N/A
Submit
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