RSFDF 1
ARE YOU STILL DOUBTFUL OF THE POSSIBILITIES OF ACTUALIZING YOUR DREAMS OF BECOMING THE BEST IN
FASHION DESIGNING OR MODELING? …HOW TO GET CONNECTED TO THE OPPORTUNITY OF BECOMING A STAR…
HOW TO GET…
GET CONNECTED NOW!!!
SUBSCRIBE TO YOUR DREAM AS RUNWAY SCHOOL OF FASHION BRINGS THE OPPORTUNITY TO YOU NOW.
REGISTER FOR THESE COURSES:
PATTER DRAFTING
FASHION ILLUSTRATION
CLOTHING CONSTRUCTION
TIE AND DYE/BATIQUE MAKING
COLOR SEQUENCE
FAST METHODS AND SHORTCUTS IN SIMPLE EASY FORMAT
UP TO DATE EXPERIENCE.
INTERACTIVE TRAINING METHODOLOGY
ONE MACHINE PER STUDENT
LEARN TO SAVE MONEY IN EVERY SEWING OPERATIONS
SURNAME: ………………………………………………FIRST NAME………………………………………………………
OTHER NAME (S)……………………………………………………………………………………………………………….
HOME ADDRESS: ………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
DATE OF BIRTH DAY: MONTH: YEAR:
NATIONALITY:……………………………………………STATE OF ORIGIN:……………………………………………..
PHONE NUMBER (HOME):…………………………………………(MOBILE):……………………………………………..
EMAIL (S):……………………………………………………………………………………………………………………….
PLEASE TICK INSIDE THE BOX
SEX: MALE: FEMALE:
MARITAL STATUS: SINGLE: MARRIED: SEPARATED:
EXPERIENCE: 0YRS: 1-2YRS: 3-5YRS: 6YRS & ABOVE
DEPARTMENT (S): FASHION DESIGNING MODELING:
RSFHF 2
HEALTH DATA FORM
PLEASE ANSWER THIS QUESTIONS TO THE BEST OF YOUR KNOWLEDGE OR BELIEF
1. Have you ever been treated for or had any known… (CIRCLE APPLICABLE ITEMS) YES NO
IF YOU ANSWER YES TO
A: Diseases or disorder of eyes, ears, nose, or throat?………………………………………... ANY QUESTION, GIVE
DETAILED INFORMATION
B: Dizziness, fainting, convulsions, headache, speech defect, paralysis or stroke, mental or BELLOW.
nervous disease or disorder?………………………………………………………………..
C: Shortness of breath, persistent hoarseness or cough, blood spiting, bronchitis, asthma.
tuberculosis, or chronic respiratory or lung disease?………………………………………..
D: Chest pain, palpitation, high blood pressure, rheumatic fever, heart murmur, heart attack,
or disorder of the heart or blood vessels?…………………………………………………….
E: Jaundice, intestinal bleeding, ulcer, hernia, appendicitis, hemorrhoids, recurrent indigestion
or other diseases of the stomach, intestine, liver, or gallbladder?…………………………….
F: Sugar, blood o pus in the urine, veneral diseases, stone or other diseases of kidney, bladder,
prostrate or reproductive organs?……………………………………………………………..
G: Diabetes, rheumatism, arthritis, diseases or disorder of the muscles or bone including the
the spine, back or joint?……………………………………………………………………….
H: Diseases of skin, tumor or cancer, anemia or other diseases of the blood, excessive use of
alcohol?……………………………………………………………………………………….
2. Do you now or have you within the past 12 months smoked cigarettes, cigars, pipes or used
tobacco related products? If "yes" state details and how many per day…………………………
3. Have you ever used habit-performing drugs except on the advice of a physician, are now
under observation or taking treatment or medication for any disease or disorder?……………...
4. Family History: Tuberculosis, diabetes, cancer, high blood pressure, heart or kidney disease
mental illness or suicide?………………………………………………………………………...
5 HIV or AIDS: Have been tested positive for HIV or AIDS and now under therapy?..................
I DECLARE THAT I AM THE PERSON NAMED IN PART ONE AND TWO OF THIS APPLICATION AND THAT THE FOREGOING
STATEMENT AND ANSWERS WHICH ARE MADE HEREIN EACH OF WHICH I HAVE MADE AND READ ARE COMPLETE, TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT BASED ON THE ABOVE INFORMATION I SHALL BE ACCEPTED IN
RUNWAY SCHOOL OF FASHION
I HEREBY AUTHORIZE ANY PHYSICIAN, CLINIC, OR ORGANIZATION, INSTITUTION OR PERSON, THAT HAS ANY RECORDS OR
KNOWLEDGE OF ME OR MY HEALTH TO GIVE TO RUNWAY SCHOOL OF FASHION ANY OR ALL INFORMATION ABOUT ME IN
RESPECT OF MY PERSONAL DATA, HEALTH, AND MEDICAL HISTORY AND ANY HOSPITALIZATION, ADVICE, DIAGNOSIS,
TREATMENT, OR AILMENT. A PHOTOGRAPHIC COPY OF THIS AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL .
SIGNED AT___________________________________________________________________________________________________________________
(CITY AND COUNTRY)
ON THIS_____________DAY OF_______________________________20______________ _________________________________________
SIGNATURE OF PROPOSED MEMBER
_________________________________________
______________________________ REPEAT SIGNATURE
DIRECTOR'S SIGNATURE