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Scho

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Submitted By mabbee
Words 434
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OFFICE OF THE MAYOR
Taguig City, Philippines

SCHOLARSHIP APPLICATION FORM

Instruction:
1. Print all entries
2. Place an X in the appropriate blank provided Date:_____________________________

____ New Applicant ____ Maintaining Scholarship

SCHOLARSHIP APPLIED FOR
____ Basic Scholarship ____ SUCs-LCUs Scholarship
____ Full Scholarship ____ Premier/Specialized Schools Scholarship
____ Scholarship for Priority Courses & Skills Training ____ Review Assistance Program
____ Merit Incentive (For those with average of 1.75 or higher or its equivalent):Grade Ave: _____________________

PERSONAL INFORMATION
Full Name: ____________________________________________________________________________________________________________________ (Last Name) (First Name) (Middle Name)
Home Address: _______________________________________________________________________________________________________________
Cellphone No.:________________________ Telephone No.: ___________________ E-mail Address: ________________________________
Age: ________ Sex: _____ Status: _________ Citizenship:_____________________ Religion: ________________________________________
Date of Birth:______________________ Place of Birth: _______________________________ Years of Residency in Taguig: _________ Have you been the object of any disciplinary action in school? ____Yes _____ No Have you been accused or convicted of any offense/crime? ____ Yes _____ No If the answer to any of the last 2 questions above is “Yes,” pls provide details: ___________________________________________________________________________________________________________________________
Are you currently a recipient, or is applying to be a recipient of other scholarships grants? ___ Yes ___ No. If yes, what scholarships: _________________________________________________ Benefit per semester/trimester?:P ____________________
This scholarship is given by _______School ______ Non-Governmental Organization ______ Government (Local or Natl)
____ Private Individuals _____ Others (pls specify) ______________________________________________________________________
Are you working? ___Yes ___ No. Where? __________________________________________ Gross monthly salary: P______________

COURSE and SCHOOL
Course: _________________________________________________________________________Year: __________ Grade Ave last sem:_________

School: ___________________________________________________________________________________________________________________________
School Address: ________________________________________________________________________________________________________________

EDUCATIONAL BACKGROUND
| |School Type | | | |
| |(Indicate if | | | |
|Schools Attended |Public or Private)|School Address |Year Graduated |Honors/Awards Received |
|(start with most recent) | | | |(if any) |
| | | | | |
| | | | | |
| | | | | |
FAMILY BACKGROUND

| |FATHER |MOTHER |
| |( ) Living ( ) Deceased |( ) Living ( ) Deceased |
|Name | | |
|Address | | |
|Contact No. | | |
|E-mail Address | | |
|Occupation | | |
|Place of Work | | |
|Highest Educational Attainment | | |
|Ave. Monthly Income | | |

Residence: _______Owned by family______ Owned by relatives ______ Renting _____Paying-to-own _____Others (pls specify): __________________________ If renting or paying-to-own, how much are you paying monthly?: P______________
Does the family have any outstanding loan? ____Yes ___ No. If yes, how much (total)? P__________________ What was the loan or loans used for? _____________________________________________________________________________________________________
How much is your latest monthly electric bill?: P______________ How much is your latest water bill?: P_______________
Number of siblings in the family (including applicant):_______. Please fill out information below about your siblings:

| |Age |Marital Status |Highest Educational Attainment (as |If working, indicate where they work & their |
| | |(M or S) |of date) |average monthly income |
|Name | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |

I hereby certify that all the answers given above are true and correct to the best of my knowledge.

_____________________________________________________________ Printed Name & Signature of Applicant

Date: __________________________________________

Attested by: ______________________________________________________________ Date: ______________ Printed Name & Signature of Parent/Legal Guardian
-----------------------

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