Free Essay

Form

In:

Submitted By leemon
Words 1386
Pages 6
INSTRUCTIONS

Thank you for your interest in the Aboitiz Future Leaders Business

Summit!

Please read the next pages carefully and familiarize yourself with the

About the Aboitiz Future Leaders Business Summit

The Aboitiz Future Leaders Business Summit (AFLBS) is an annual

Philippines to learn about business and leadership. It is Aboitiz’s way of affirming and inspiring a continued belief in the unique and outstanding capabilities of the Filipino among today’s youth.

outlook towards the country and poses a challenge to the Filipino youth to step out of their collegiate mindset, look into the future, and aspire to be one of the country’s future leaders in whatever field they plan to pursue, business or otherwise.

The Summit features plenary discussions, games, and teambuilding exercises, simulating real work and business situations.

Program Objectives The Summit aims to prepare each student delegate to enter the corporate world, to help them realize their future role in nation-building, and to inspire young Filipinos to develop renewed faith and hope in our to strive for excellence in all things. It also gives them an opportunity to network and form ties with CEOs, executives, team leaders and team members of the Aboitiz Group of
Companies, as well as fellow young leaders.

Program Eligibility To apply for the AFLBS, the applicant must:  Be a Filipino citizen, 25 years old or younger at the time of the Summit   Be a 3rd or 4th year student of a 4-year course; 4th or 5th year student of a 5-year course (by June 2013)  Be taking up any course in the following fields of study: Business Management, Accounting, Communications, Political Science, Information s, and Law  Be ranked in the top 20 of their college or department  Be an active leader or officer of any student organization – student government, academic, cause-oriented, socio-civic or religious in nature   Not have any disciplinary case inside or outside campus

Program Application Requirements

The applicant must submit all of the following documents:  A application forms from our website.  A certified true copy of the applicant’s college transcript for all undergraduate course work, ending with the grades from the first semester of SY 2012 - 2013. (Note: Once the applicant qualifies for the next round of screening, l require the applicant to present the second semester grades of SY 2012 – 2013 with a certification from the School Registrar stating the cumulative overall GPA / GWA of the applicant.)  Certification from the School Registrar stating the overall cumulative GPA /

 Certifications supporting leadership experience, awards received, and community involvements.  A signed recommendation letter  Personal essay, artwork, or photograph All application docu and will NOT be returned to the applicants. Completed applications should be submitted to our corporate offices on or before March 22, 2013.

Complete ALL sections of this application. Items marked with an asterisk (∗) are required. Failure to answer these items will disqualify the applicant. Print your answers clearly and accurately. Appearance and completeness will be considered during the evaluation. Attach your most current 2X2 colored photo on the upper right corner of this page.

PERSONAL INFORMATION Name (Last, First, Middle Initial, Nickname)

Age Date of Birth (mm/dd/yy) 2 X 2 PHOTO Gender Religion with white background (Do not staple) School You Are Currently Cumulative GPA for all undergraduate Attending course work and percentage equivalent grade* (eg. 1.3, 92%)

Course & Major* Year Level By Year Graduating from Year Graduated from HS June 2013* College*

CONTACT INFORMATION Current Mailing Address (Street Address, Barangay / Village, City, Zip Code, Province)

Provincial Mailing Address (Street Address, Barangay / Village, City, Zip Code, Province)

Phone Number Mobile Number Fax Number E-Mail Address

FAMILY BACKGROUND Father Occupation, Company Contact Number

Mother Occupation, Company Contact Number

Legal Guardian (Name, Relationship) Occupation, Company Contact Number

AWARDS List down the five (5) most significant awards you have received during college for school or extra-curricular activities joined. All fields are required. Please provide supporting documents / certifications for all entries. Photocopies are accepted1 Level Name of Award Award Description Award-Giving Date (National, (Rank, Name of Body Awarded Regional, Division, Award) District, School) 2nd Place, Feature Placed second among Writing, National all the regional Department of February 22-National Secondary Schools finalists of the press Education 26, 2009 Press Conference conference 1

2

3

4

5

1 IDs, programmes, medals, trophies, or pictures of the award are not accepted. Please provide a written certification signed by an authorized person, either from the academe or from the award-giving body. EXTRACURRICULAR ACTIVITIES List down your five (5) most significant leadership positions & community involvements during college, school-related or not. All fields are required. Please provide supporting documents / certifications for all entries. Photocopies are accepted.1 LEADERSHIP

Position Organizations Significant Inclusive Level (National, Contribution Dates Regional, Division, District, School)

Regional Federation President of Junior Philippine Implemented 2008-2009 Regional Accountants projects 1

2

3

4

5

COMMUNITY INVOLVEMENT Inclusive Community Activities Role Dates

Brigada Eskwela Painted chairs and tables for Volunteer May 23, 2009 Banilad Night High School 1

2

3

4

5

1 For the Leadership section, the Committee will only accept certifications signed by the Student Affairs Office or the organization’s adviser(s) stating the position(s) held by the applicant and the inclusive years.

Given the opportunity, how would you significantly change the Philippines?

Expound on the topic through any of the following: writing an essay, painting an artwork, or taking a photograph. Choose only one. Essay. Your essay must be original and has not been previously printed in any publication or submitted as a requirement for any school subject. Submit a one-page, 350-word, typewritten essay. Those who choose this category must also email a soft copy of the essay to futuretalents@aboitiz.com

Artwork. Your artwork must be original and has not won previously in any contest. Submit an 8.5” x 11” artwork using any medium of your choice (pencil, watercolor, etc). On a separate sheet of paper, write a brief description of your artwork. (Maximum of 100 words)

Photograph. Your photograph must be original and has not won previously in any contest. Digital retouching is tolerable on density, contrast adjustments, minor cropping on composition, burning and dodging. Creative effects done at the time of exposure, such as multiple exposures, fill flash, side lighting, strobist, use of filters, etc, are also allowed. Submit a printed 8” x 10” photograph and a CD or DVD containing the soft file of the photograph (jpeg format). On a separate sheet of paper, write a brief description of your photograph. (Maximum of 100 words)

To the Applicant Choose one (1) evaluator, either academe or non-academe, who will write a recommendation letter for you.

The academe evaluator can be any of the following: 1. Class Adviser 2. School Guidance Counselor / Student Affairs Officer 3. School Principal / Dean 4. Adviser of a school-based organization, where the applicant is a member of 5. Teacher/Professor of the applicant in at least one subject The non-academe evaluator can be anyone from the community (parish priest, barangay captain / councilor, or employee) who can vouch for the potential and ability of the applicant. Ask your Evaluator to questions below. Your Evaluators should sign the recommendation letter and put it inside a white letter envelope. The letter envelope should be sealed, signed across the flap, and returned to you. The sealed envelope should be enclosed together with your completed application. Please note that .

To the Evaluators Your candid assessment of the applicant will assist the screening committee of the 7th AFLBS. We greatly appreciate your time and effort in writing a recommendation. This and sign the back flap of the envelope. On your professional letterhead, please type or write a one-page recommendation for the applicant, answering the following items below: Name of Evaluator: Position Title: School / Company: Mobile Number: 1. How long have you known the applicant and in what connection? 2. What do you consider the applicant’s talents or strengths? 3. What do you consider the applicant’s weaknesses or areas for improvement? 4. Would you endorse the applicant for the AFLBS? Why or why not? 5. Please feel free to provide any additional information about the applicant’s record, potential or personal qualities, which you believe would be helpful to the Scholarship Selection Committee in considering this person’s application.

Similar Documents

Free Essay

Html Forms

...HTML FORMS Introduction For a website to be successful, it is important to be able to get feedback from visitors to your site. This could be a request for information, general comments on your site or even a product order. This could be done with a MAILTO: link but providing a form has several advantages over a simple email. .. It makes it easier for people to send the information .. A form gives you greater control over the information that is sent. .. Form results can be organised in a way that makes them easy to store in a spreadsheet or database. These fields can be added to your forms:  Text field  Password field  Hidden field  Text area  Check box  Radio button  Drop-down menu  Submit button  Reset button  Image button Form Handlers When a form is filled in by a visitor to your site and sent, the results of the form need to be processed in some way. One of the most common ways to process form results is with a CGI (Common Gateway Interface) script. This is a small program that the information entered in to the form is sent to as soon as the form is submitted. The purpose of this script is to accept the results of a form, organise the results and send the results to an appropriate location, such as a text file, database or email address. In these exercises we won’t go into creating CGI scripts since that is quite different from HTML and requires some programming knowledge. There are many free CGI scripts on the Internet that you can download...

Words: 1499 - Pages: 6

Free Essay

Forms

...Memo: NTS Forms To: All JAB Store Management Teams CC: All Multi Unit Management Teams From: Store Operations Date: August 26, 2015 Purpose To inform all stores about updated NTS forms that will be used in place of the ones that were previously faxed. Customer Request, Monogram & Button Order Forms As a result of fax no longer being available after Java POS system conversion, stores will begin using electronic versions of select NTS forms. Effective immediately, the Customer Request, Monogramming and Button Order Forms will be able available on Bank Notes. Click here to access, complete and submit the select NTS forms mentioned above online through Bank Notes. IMPORTANT: When submitting monogramming forms, please make sure to print the appropriate monogram form from Bank Notes and place the completed form with the shirt/coat/scarf to be shipped to NTS. NTS still needs to receive a hard copy of the completed form with the item(s) being shipped. Also, if your store is typically serviced by NTS 607 Kansas City for monogramming, please continue to send your monogram requests to this location. All other stores will continue to send their request to NTS 601 Atlanta. NOTE: Select button orders will now be ordered directly from Wawak as detailed in the next section. All other buttons not listed below will be ordered from the Button Order Form on Bank Notes. ______________________________________________________________ Wawak Tailor...

Words: 388 - Pages: 2

Free Essay

No Paper Forms

...travel to faraway engineering colleges to collect application forms for admission, and then go back to submit them. Throughout his student life in the U.S. , Shah had applied online from home. He thought that for India, which was considered a software superpower, the system of collecting and submitting physical forms was ridiculous. Shah saw untapped business opportunity. He put up an online portal, NoPaperForms.com in 2010, which hosts free software that any school or college can use to take it’s applications’ process online. The Venture Any admissions officer who registers on NoPaperForms.com will be able to create an interactive online version of paper forms for his/ her institution, using a form builder tool in 20 minutes. The process does not require installing any additional hardware or software. The product is hosted on a secure cloud network. The users have to pay a monthly subscription, but the service is free for the educational institutions. The students only have to click on the “apply online” link of the college website and they are directed to the NoPaperForms servers for filling and submitting the forms, attaching scanned copies of documents and so forth. Finally they pay through net banking, credit cards or debit cards or cash coupons from retail outlets. NoPaperForms and conservation An estimate of the amount of paper used up by application forms every year: * No. of application forms an institution distributes on average every year – 5000 ...

Words: 408 - Pages: 2

Premium Essay

Theory of Forms

...a) Explain Plato’s Theory of Forms Plato’s Theory of Forms is similar to many other beliefs about the world. For instance, Heraclitus’ notion was that we see a world of perception in constant flux of which we have no true knowledge, while Zeno believed that we can see a static unchanging world and it can be grasped through reason. Plato’s theory is strongly based on what is real and what is not. What is real is thought to be perfect, but something cannot be real or perfect if it is transient. He explains that the World of Forms is very different to the World of Shadows. The World of Forms can only be properly understood by philosophers and those who seek knowledge, not by the ignorant or those who do not wish to learn the truth. The Theory of Forms makes a distinction between those objects that are real and those that are only real in our minds. His dialogues, like the Allegory of the Cave, portray knowledge as the process of leaving the cave and going into the sunlight. The people in the cave find their reality in the shadows cast in the cave and assume there can never be anything beyond these shadows. These shadows symbolise how the world that we see is just a shadow or reflection of what is real. For Plato, the real world is not what we see around us, it is only the World of Forms that is real. Plato believes there are two distinct realms of existence which exists simultaneously. This approach to the two different worlds is know as dualism. The world we live in is...

Words: 1515 - Pages: 7

Free Essay

Theory of the Forms

...Theory of the Forms and the Sensible World This paper will discuss the relationship between the knowledge of the forms and opinion about the sensible world. After describing the sensible world, Socrates brings up a new concept about how this world should be ruled. This paper will argue that because philosophy kings have knowledge about the forms they are better rulers of the sensible world, rather than sight-lovers. This paper is divided into two phases, each showing how Socrates has used the theory of the forms. Philosopher Kings and Sight Lovers: The idea of philosophy kings first comes up in Book V of the Republic at 473d. Socrates claims that the sensible world can only exist once kings, or those who rule practice philosophy. As Socrates is saying this, he himself realizes how his statement is somewhat radical. This radical claim by Socrates leads him to distinguish the difference between philosophy kings and sight lovers using the theory of the forms. At 476b (Rep. V), Socrates says that the lovers of sights only like beautiful characteristics such as shapes and sounds. Socrates argues that these individuals don’t see the underlying beauty. Although not explicitly mentioned, at this point, Socrates is using the theory of forms to distinguish philosophers and sight lovers. For sight-lovers, beauty is on a comparative basis; say for example “A” has beautiful features once it is observed alone. Once we compare “A” with all things beautiful, it may not posses the beauty it once...

Words: 1478 - Pages: 6

Free Essay

Plato's Theory of Forms

...philosophical different between the ‘fake world’ in which we live and the world of forms. Plato portrays this message through a story of a group of prisoners in a cave who can only see shadows cast upon the wall in front of them. These shadows are created by puppeteers behind them and they believe that the shadows are reality. The message created through this scene is that the real world is full of illusion which hides reality. It subtly represents the human which confines the soul, preventing it from seeking the truth, in this case, reality and the world of the forms. The analogy represents the entire human race that is yet to seek the philosophical truth. It teaches us that the world in which we live is full of illusion and everything we see is just an imitation of the forms. Each element of the analogy is symbolic and holds a meaning which may not be completely obvious until the analogy is further understood. We, as prisoners are believed to be rejecting of new ideas and that the actual process of teaching is distressing and difficult due to the fact that when the prisoner is first released he continuously attempts to return to the cave as it is where he feels comfortable. The way the prisoner is dragged up into reality again reiterates the idea that we are all quite narrow-minded and we don’t want to open up to new thoughts and ideas. When the prisoner begins to differentiate between the world of forms and the world of taught perceptions where everything is just a copy he returns...

Words: 483 - Pages: 2

Free Essay

Oracle 10g Forms

...Oracle Forms 10g : Demos, Tips and Techniques Oracle Forms 10g release 2 : Demos, Tips and Techniques Home page 1. Introduction Here is a collection of Oracle Forms 10g sample dialogs extracted from a complete Oracle Forms tutorial. This tutorial has been written in French and it would be too time consuming to translate it all in English. This is the reason why I have only extracted and translated these sample dialogs. The purpose of this article is not to teach how to build a new form from scratch. It intends to show some of the main advanced features of the product. To clearly understand in details how these dialogs work, you will have to open them in the Forms Builder and examine them thoroughly. However, in this article, I am going to explain the best I can the most important mechanisms of each sample. These sample have been tested with an Oracle Forms 10g release 10.1.2.0.2 on an Oracle Database 10g Express Edition Release 10.2.0.1.0. 2. Description of the sample dialogs 2.1 Main screen TUTO_FORMS.FMB This dialog is the entry point of the samples. Click on a button to start the corresponding dialog. file:///D|/Cours/tuto_forms/paper/PDFtutoforms10g.htm (1 sur 24)29/05/2006 23:09:57 Oracle Forms 10g : Demos, Tips and Techniques 2.2 Canvases TEST_CANVAS.FMB This sample shows three types of canvas : § § § The content canvas (light green) The stacked canvas (white) The tab canvas (dark green) Stacked canvas A stacked canvas is displayed atop—or stacked on—the content...

Words: 3526 - Pages: 15

Premium Essay

Form and Structure in Memoriam

...Form and structure of ‘In Memorium’ The poem ‘In Memorium’ by Alfred Tennyson serves as a deep and detailed exploration of loss and grief, also discussing personal matters of male friendship and comradeship. The title ‘In Memorium’ means in memory of, clearly indicating that this is going to be a poem discussing the bereavement of someone, this person suggested to be the ‘A.H.H’ in the title which are the initials of someone’s name. Furthermore, the roman numerals ‘’MDCCCXXXIII’ after ‘OBIT’ are the year of this person’s death, 1933, with ‘OBIT’ also standing for obituary which is a tribute written for someone after their death. This detail all in the title of the poem indicates to the reader that this is someone who Tennyson was particularly close to, with the layout of the title in some of the original publications resembling a gravestone being a particularly prominent feature. The poem is in the form of an elegy which is a poem about the loss of a loved one, immediately emphasising the themes of pain and loss. There is a monotonous regular meter and rhyme scheme, with each line being octosyllabic and iambic tetrameter with 4 sets of iambs. This repetitive, structured rhythm can be said to echo the vital processes within the body such as breathing or a beating heart. This is representative of the functions which force the poet speaker to keep him going and continue living, despite an overwhelming grief. The slight deviation from the otherwise consistent structure in the second...

Words: 436 - Pages: 2

Premium Essay

Plato's Theory of Forms

...Plato's Theory of Forms Plato was a Greek philosopher, one of the most important figures of the Ancient Greek world and the entire history of Western Philosophy. Plato wrote about many ideas in philosophy that are still talked about today. His writings explored justice, beauty and equality, and also contained discussions in aesthetics, political philosophy, theology, cosmology, epistemology and the philosophy of language. He was fascinated of the distinction between ideal forms and everyday experience. Plato was a student of Socrates and he thougth that Socrates has a pretty good ideas about the world, particulary when he came to his method of asking questions about established ideas. Since we know that Socrates wrote nothing down everything that we know about him comes in the form of dialogues written by Plato. Plato thinks that there is an explanaition for questions and he can answer "what is virtue ?" or "what is justice ?". Plato comes up with idea of answering these questions, with the Theory of Forms - the most imporant philosophical concept. Plato used his Theory of Forms to link the mind and reality. He taught that the real world consisted of universal ideas (forms). The world that people actually see is given form by these ideas and is thus less real because it is always changing, but the forms are eternal and unchangeable. Plato’s Theory of Forms states, that the physical world is not really the ‘real’ world, instead, ultimate reality exists beyond our physical...

Words: 426 - Pages: 2

Premium Essay

Sap Smart Forms

...SAP Smartforms can be used for creating and maintaining forms for mass printing in SAP Systems. The output medium for Smartforms support printer, fax, e-mail, or the Internet (by using the generated XML output).  According to SAP, you need neither have any programming knowledge nor use a Script language to adapt standard forms. However, basic ABAP programming skills are required only in special cases (for example, to call a function module you created or for complex and extensive conditions). SAP Smart Form Process Overview The basic structure of SAP Smart Forms consists of the Smart Form Builder, the Smart Form print form template (which you create or is given to you as a preconfigured starting point), the Smart Form function module, and the Smart Form print program (also described as a driver program). The Smart Form print programs are not the same as SAPScript programs, and you cannot use a SAPScript print program with a Smart Form print form. Programming Flow When an SAP Smart Form template is created, a user creates the form layout, defines the required fields, conditions, and special programming instructions in the Smart Form template using the Smart Form Builder. After the form design is complete, the form needs to be activated before it can be tested or accessible by print programs. Activating the form initiates the generation of a function module that handles all of the form’s processing. This function module interacts with the application program and print...

Words: 2824 - Pages: 12

Premium Essay

Explain the Concepts of Plato's Forms

...concepts of Plato’s forms (25 marks) Plato believed in two worlds, the sensible world and the intelligible world. Within the intelligible world there exists the realm of forms which possesses true knowledge and perfection. The realm of Forms is eternal, unchanging, there are abstracts of a perfect object and organisms (human beings or animals), meaning there is a perfect abstract of a chair in the intelligible world which possess a certain value which cannot be possessed in the sensible world. However within the sensible world there exist shadows which are cast by abstracts from the intelligible world but they never possess their true value, and within the sensible world all things are temporarily meaning they will soon die, change and decay. The term “Form” to Plato meant the idea of what a thing is, this is because he realized that there are things which look different but have the same features which make it recognizable to the specific thing you have in mind e.g. when someone says “look at that boy” you immediately know/recognize that it’s a boy you have to look at because he will have the features of a boy, but once you see him you may figure out that his appearance may be a little different to some other boys but nonetheless since he has some set of characteristics that resemble a boy, you will be confident to come to a conclusion that he is a boy. This is also the same with what Plato says but he also goes on to argue that the true Form of a boy must exist...

Words: 956 - Pages: 4

Free Essay

Outstanding Sixth Forms

...Collation of Research Research 1 | Source | Expectations - Whole School | Expectations - Lessons | Expectations - Student | Expectations - Teacher | Faringdon Community College (Psychology Dept. have produced a set of expectations which are shared with students each year).INFO:11-18 Mixed comprehensive school situated on the edge of Faringdon – an affluent Oxfordshire market town.Specialist Status in Engineering and Applied LearningRated Ofsted Outstanding May 2008 KS5 DATA (2012):Small cohorts – 42 in 2012.2012 Average UCAS points per student – 359.A*-E 99% at A2A*-B 50% at A2 | Attendance & punctuality - find out in advance of the next lesson what work was missed so students will not be behind.Lack of homework will affect rewards such as “Student of the month”All courses give students the following info in first lesson:An outline of the syllabus;coursework details (type, interim deadlines); a schedule for completion of the syllabus (weekly or termly); exam details. | Range of activities in lessons e.g. questioning, matching tasks, videos, discussions & note taking.Active participation, e.g. discussing & listening to others’ ideas.Effective written communication is encouraged.Students expected to bring past work to lessons.Bringing textbooks to every lesson.Regular setting of personal targets which are reviewed in lessons.Weekly exam practice.After each ‘Unit’ is taught a past paper will be sat as a Unit Mock.Copying / highlighting chunks of notes from textbooks...

Words: 2178 - Pages: 9

Free Essay

Plato's Theory of the Forms Is Unconvincing

...Theory of the Forms is also seen as unconvincing as it is highly abstract. Therefore it is too incomprehensible to see the way in which these detached Forms can be practical or have significance in the real world as they are too distant. Even if they do exist, do they have a practical function? Can they help humans make decisions about practical matters? In addition very few people will obtain knowledge of the good therefore can the Forms realistically be understood and accepted by all? In this way the Theory is not convincing as it leaves many basic questions unanswered. We are also to question whether there are Forms for everything, from a stone to a lampshade. Plato rarely discusses physical and material objects but more Forms of concepts such as Justice. While he does mention the Form of a bed in The Republic, we are uncertain as to whether this was a serious remark, some even think it was a joke. Furthermore Plato does not clearly explain the link between the World of Forms and that of Appearances, how do they connect? Furthermore we question how general the Forms are. Is there a Form for every breed of horse or just a general Form of a horse? If a Form is a general idea then there is a risk that it lacks detail. However if every breed has a Form then surely the Form loses it's point. One could argue that every breed of horse has enough in common to reflect to some extent the Form of a horse. Again this may not be an issue for Plato if the Theory of Forms applies only...

Words: 833 - Pages: 4

Premium Essay

Form 10-K

...OMB APPROVAL UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB Number: 3235-0063 Expires: April 30, 2015 Estimated average burden hours per response ... . 1,998.78 FORM 10-K ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 GENERAL INSTRUCTIONS A. Rule as to Use of Form 10-K. (1) This Form shall be used for annual reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m or 78o(d)) (the “Act”) for which no other form is prescribed. This Form also shall be used for transition reports filed pursuant to Section 13 or 15(d) of the Act. (2) Annual reports on this Form shall be filed within the following period: (a) 60 days after the end of the fiscal year covered by the report (75 days for fiscal years ending before December 15, 2006) for large accelerated filers (as defined in 17 CFR 240.12b-2): (b) 75 days after the end of the fiscal year covered by the report for accelerated filers (as defined in 17 CFR 240.12b-2); and (c) 90 days after the end of the fiscal year covered by the report for all other registrants. (3) Transition reports on this Form shall be filed in accordance with the requirements set forth in Rule 13a-10 (17 CFR 240.13a-10) or Rule 15d-10 (17 CFR 240.15d-10) applicable when the registrant changes its fiscal year end. (4) Notwithstanding paragraphs (2) and (3) of this General Instruction A., all schedules required by Article 12 of Regulation S-X...

Words: 6161 - Pages: 25

Free Essay

Business Form Assignment

...Form 2553 Election by a Small Business Corporation (Under section 1362 of the Internal Revenue Code) (Rev. December 2007) Department of the Treasury Internal Revenue Service Note. Par t I OMB No. 1545-0146 See Parts II and III on page 3 and the separate instructions. The corporation can fax this form to the IRS (see separate instructions). This election to be an S corporation can be accepted only if all the tests are met under Who May Elect on page 1 of the instructions; all shareholders have signed the consent statement; an officer has signed below; and the exact name and address of the corporation and other required form information are provided. Election Information Name (see instructions) Number, street, and room or suite no. (If a P.O. box, see instructions.) B Date incorporated City or town, state, and ZIP code Type or Print A Employer identification number C State of incorporation D Check the applicable box(es) if the corporation, after applying for the EIN shown in A above, changed its name or E Election is to be effective for tax year beginning (month, day, year) (see instructions) / Caution. A corporation (entity) making the election for its first tax year in existence will usually enter the beginning date of a short tax year that begins on a date other than January 1. F Selected tax year: (1) (2) (3) (4) address / Calendar year Fiscal year ending (month and day) 52-53-week year ending...

Words: 1655 - Pages: 7