Board of Student Librarians

Application Form
Name : ______________________
Date : ___/___/20___
Class : _________ (Picture Here)
Gender : Male [ ] Female [ ]
Date of Birth : ___/___/______
Race : _____________
Religion : _____________ Educational
Qualifications:
Address : ___________________________
___________________________ End-Year Examination/
PMR/SPM Results
___________________________
__________________ [ ]
Contact No. : ____- _______________ __________________ [ ]
E-mail : ____________________ __________________ [ ]
Transportation: Car [ ] Bus [ ] Motorcycle [ ] __________________ [ ]
LRT [ ] Monorail [ ] __________________ [ ]
Other (Please State): __________ __________________ [ ]
__________________ [ ]
Hobbies : _____________________
__________________ [ ]
Known Health
Problems : _____________________ __________________ [ ]
__________________ [ ]
Latest Time to Go Home: ___:___
__________________ [ ]
Reasons Applying:
__________________ [ ]
_________________________________________
__________________ [ ]
_________________________________________ Past Achievements:
_________________________________________ _______________________
_________________________________________

Form Teachers’ Recommendation

COPYRIGHT©ΒØŞŁ2009/2010
 As the form teacher, I would like to
recommend this candidate to be a student librarian of
Methodists Boys’ Secondary School. I strongly think I am fully informed that I am
that he posses the potential and the ability to be able to required to stay keep Mondays free
serve the school as a student leader. as we will have our General
Meetings on that day.

Teachers’ Signature: ____________________ I am fully informed that I am

required to come for a uniform
check every Monday morning at the
“sudut bacaan” before 7.20 a.m.
Class Teachers’ Recommendation
I must complete my Reading
As the class teacher, I would like to Program and Rancangan Membaca,
recommend this candidate to be a student librarian of as well as my NILAMs to set a good
Methodists Boys’ Secondary School. I strongly think example to other students.
that he posses the potential and the ability to be able to
serve the school as a student leader. I will not jeopardize the name of the
Board by involving myself in
activities that may break the school
Teachers’ Signature: ____________________ rules.

I am joining the Board not solely to

acquire the certificate, but because
Teacher Advisor’s Recommendation of keen interest to learn more and
gain more from this experience.
As the teacher advisor of the Board of
Student Librarians of Methodists Boys’ Secondary I verify that all the information given
School Kuala Lumpur, I would like to recommend this above is true and upon placing my
candidate to be a student librarian of Methodists Boys’ signature on this application form, I
Secondary School. I strongly think that he posses the have fully understood the terms and
potential and the ability to be able to serve the school conditions as well as the
as a student leader. responsibilities of being a part of the
Board of Student Librarians.

Teachers’ Signature: ___________________ Student’s Signature:

__________________

Parents’ Signature:

__________________

COPYRIGHT©ΒØŞŁ2009/2010