Application Sheet for Yoshitomi-Machi Community-Reactivating Cooperator Squad

Application Sheet for Yoshitomi-machi Community-Reactivating Cooperator Squad

Day Month Year

To Toshiichiro Imatomi, Mayor of Yoshitomi-machi

In applying for, I duly understand the conditions of applications for Yoshitomi-machi Community-Reactivating Cooperator Squad.

I assure that I meet all the qualifications and every information given in this application sheet is true and correct. If a question arises as to the contents, I will not object to being inquired.

Postal code

Applicant Address

Name (Stamp or Signature)

Date of Birth / Day Month Year ( years old) / Sex / Male/Female / （Photo）
・30mm (W) x 40mm (H)
・Applicant only, upper from the chest
・Pasted on the backside
・Photo taken within 3 months
Address described in the certificate of residence
Phone number / （Land-line） （ ）
（Mobile） （ ）
（Email）
Name of work place or school
Acquired qualifications and licenses
PC skills / (Circle those you can manage)
Word ・ Excel ・ PowerPoint ・ Illustrator
HP design　・ Blog　・ SNS ・ Others　( )
Hobbies and special skills
Experience such as voluntary activity
Family members to be relocated (name, age)
Health condition / (Make a special note about your health such as allergy and chronic disease, if any)
Place of birth / Prefecture City/town/village
Educational/Employment Background
Educational background / (Graduated from / Dropped out of)
Employment background / Entity name： Month Year ～
Description of work： Month Year
Entity name： Month Year ～
Description of work： Month Year
Entity name： Month Year ～
Description of work： Month Year
Entity name： Month Year ～
Description of work： Month Year
Entity name： Month Year ～
Description of work： Month Year
Entity name： Month Year　～
Description of work： Month Year
※ Be sure to write the place of birth and educational background.
※ If you need more space to fill in the employment background, write on a separate sheet and attach it to this sheet for submission.
※ In case you have an experience of being in a community-reactivating cooperator squad, be sure to present that period.
Shortly write down an activity you propose
☆ How do you want to work as a member of Community-Reactivating Cooperator Squad?
Write down your concrete idea including your sales point.
☆ How do you think your accumulated skills and experience contribute to the reactivation of the community?
☆ Write down your hope or enthusiasm for future activity
☆ Write down your vision after the specified term is complete

※ If you need more space, you may write on a separate sheet.

※ Any additional material for application may be attached.