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Sto. Tomas Scholarship Program Application Form: Office of The Mayor City of Sto. Tomas, Batangas

This document is a scholarship application form for the Sto. Tomas Scholarship Program for the 2020-2021 school year. It requests personal information from applicants such as name, address, birthdate, family details, educational background, and contact information. It outlines the different types of scholarships available - for first year college, college assistance, and senior high assistance. It lists the requirements needed for the application such as academic records, references, proof of residency and income documents. It needs to be completed and submitted along with supporting documents to the Youth Development Office during the specified application period.

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kristel joy landicho
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2K views2 pages

Sto. Tomas Scholarship Program Application Form: Office of The Mayor City of Sto. Tomas, Batangas

This document is a scholarship application form for the Sto. Tomas Scholarship Program for the 2020-2021 school year. It requests personal information from applicants such as name, address, birthdate, family details, educational background, and contact information. It outlines the different types of scholarships available - for first year college, college assistance, and senior high assistance. It lists the requirements needed for the application such as academic records, references, proof of residency and income documents. It needs to be completed and submitted along with supporting documents to the Youth Development Office during the specified application period.

Uploaded by

kristel joy landicho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OFFICE OF THE MAYOR No.

________
City of Sto. Tomas, Batangas

1x1
STO. TOMAS SCHOLARSHIP PROGRAM PHOTO
Application Form
SY 2020-2021
Instruction:
1. PRINT all entries. Put a √ on the appropriate blanks.
2. Be HONEST and ACCURATE with your answers. Date:_________________

SCHOLARSHIP APPLIED FOR


____Full Scholarship ____Educational Assistance ____Educational Assistance
(1st Year College) (College) (Senior High School)

____New Applicant ____Former Applicant (No. of times applied for Scholarship____) ____Former Recipient / Scholar

Graduate of any public secondary high school or incoming 1st year college who are enrolled or
Full Scholarship enrolling in the following partner schools: FAITH Colleges, Tanauan Institute and Marcelino Fule
Memorial College
Educational Assistance Graduate of any school who are entering or continuing their college education in any colleges or
(College) universities
Educational Assistance
Graduate of any school and incoming Grade 11 who are enrolled or enrolling in public or private school
(Senior High School)

1. Please provide 2 (two) sets of all the documents. All photocopied documents should be faithful reproduction of the original.
Bring the original copies of documents for validation purposes. Ask for the “Receiving Copy” upon submission.
2. Fill in ALL the data required in the Application Form and submit ALL the documents during the Application. Scholarship
application form must be answered completely. Those with incomplete requirements shall NOT be accepted, or IF inadvertently
accepted, it shall NOT be processed.
3. Submit your Scholarship Application at Youth Development Office during the application period ONLY. Check the Scholarship
Page FB Account @Sto.TomasScholarship regularly for announcement regarding dates and activities.
4. Please do NOT wait for the last day of the application period to submit all the needed requirements for application.

CHECKLIST OF REQUIREMENTS TO BE SUBMITTED

_____Application Form _____Barangay Clearance of Applicant


_____Entrance Examination Result (For 1st year only) _____Parents Voter’s ID/ Voter’s Certification
_____Birth Certificate (should be PSA) _____Voter’s ID or Voter’s Certification of the applicant
_____Certificate of Good Moral Character (for 18 years old and above)
_____Grade Reports/ Report of Ratings _____(If parents and other household members are employed)
_____1x1 ID Picture Income Tax Return or Certificate of Employment and Compensation
_____Vicinity Map/House Sketch _____(If parents are NOT employed)
Certificate of Indigency or Certificate of Unemployment

PERSONAL INFORMATION
Full Name:_________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)

Complete Present Address:_________________________________________________ Years of Residency in Sto. Tomas:______


Date of Birth:_________________ Place of Birth:_______________________________________ Birth Order:__________ Age:_____
Gender:_______________ Civil Status: _________________ Citizenship:________________ Religion:_______________________
Facebook Account/Email Address:____________________________________________ Contact No.:_______________________
Last School Attended:___________________________________________________Address:_______________________________
Grade/Year Level:_____________________________ General Weighted Average (GWA):_______________
School Intented to Enroll:____________________________________________________ Entrance Exam Rating:________________
Course Intended to Take:_______________________________________________________________________________________
Are you living with your own family? Yes____ No_____ Total Number of Family Members: _____ Source of Living:________________
House: 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?: ₱__________________
Graduating this semester/term _____Yes ______ No If yes, are you graduating with honors? _____Yes _____ No If no, how many
semesters more to go before you graduate, including the current sem/term? ________________
EDUCATIONAL BACKGROUND
NAME OF SCHOOLS SCHOOL TYPE Grade / HONORS / AWARDS RECEIVED
(Indicate if Public SCHOOL ADDRESS
ATTENDED or Private) Year Level (if any)
College

Senior High School

Junior High School

Elementary

FAMILY BACKGROUND
FATHER MOTHER HUSBAND / WIFE
( ) Living ( ) Deceased ( ) Living ( ) Deceased (If Married)
Name
Address
Contact No.
Occupation
Place of Work
Highest Educational Attainment
Average Monthly Income

If unemployed, what is the source of living? _______________________________________________________________


IF LIVING WITH GUARDIAN :
Name of Guardian:_______________________________________ Relationship:________________ Contact No.:________________
Guardian’s Present Address: ________________________________________ Age: _______ Occupation:______________________
Number of siblings in the family (including applicant): _____. Please fill out information below about your siblings:
Highest
CIVIL If working, indicate where they
Educational Assistance, Bursary
NAME AGE STATUS work & their average monthly
Attainment or Grant enjoyed
(M or S) income
(as of date)

Note: Please provide extra sheet of paper if necessary.

I hereby certify that ALL the answers given above are TRUE and CORRECT to the best of my knowledge, and the
attached documents are FAITHFUL REPRODUCTION of the original copies. I further acknowledge that ANY ACT OF
DISHONESTY OR FALSIFICATION MAY BE A GROUND FOR MY DISQUALIFICATION from this scholarship program.

I also understand that this submission of application does NOT automatically qualify me for the scholarship grant and that I will
abide by the decision of the Sto. Tomas Scholarship Program/Management.

Thank you.

_________________________________
Signature Over Printed Name of Applicant Date:_____________________

Attested by:

__________________________________________
Signature Over Printed Name of Parent/Legal Guardian Date:_____________________

“Edukasyon Pahalagahan Sagot sa Kinabukasan”

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