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STEP Application Form

This document is a scholarship application form for tertiary education for the school year 2022-2023. It requests personal information from the applicant such as name, age, address, parents' information. It also requires educational background details and academic honors. There is a section for parents to provide confidential financial information such as income, property owned, and other debts. The form needs to be validated by STEP personnel and requires documents like reports cards, certificates of residency and indigency, and income tax returns of parents.

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NTG
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353 views2 pages

STEP Application Form

This document is a scholarship application form for tertiary education for the school year 2022-2023. It requests personal information from the applicant such as name, age, address, parents' information. It also requires educational background details and academic honors. There is a section for parents to provide confidential financial information such as income, property owned, and other debts. The form needs to be validated by STEP personnel and requires documents like reports cards, certificates of residency and indigency, and income tax returns of parents.

Uploaded by

NTG
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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SCHOLARSHIP ON TERTIARY EDUCATION PROGRAM

SCHOLARSHIP APPLICATION FORM


S.Y. 2022-2023 Date of Filing: ___________

Received by: ___________


PERSONAL INFORMATION
Name: _______________________________________________________ Age: _______ Sex: _______ Status:________
(Last) (First) Middle
Address: ____________________________________________________________ Barangay:___________ Cong. District:__________
Date of Birth: ________________ Place of Birth : _________________ Religion: ______________ Contact No: _________________

Indigenous Culture: ( ) YES ( ) NO Tribe: ___________ Differently -Abled: ( ) YES ( ) NO Type of Disability: ____________
School intended to enroll in: ______________________________ Course intended to enroll: ________________________________

Employed: ( ) YES ( ) NO Employer: _______________________ ____ Student’s Annual Income: _____________________


Are you a recipient of ANY other scholarship/grant with regard to this study? ( ) YES ( ) NO If YES, give details ___________

EDUCATIONAL BACKGROUND
INCLUSIVE
DATES OF
NAME OF SCHOOL DEGREE / COURSE ACADEMIC HONORS
LEVEL ATTENDANCE
(Write in Full) RECEIVED
(Write in Full )
From To
ELEMENTARY

JUNIOR HIGH

SENIOR HIGH

TERTIARY/VOCATIONAL

PARENTS’ CONFIDENTIAL STATEMENT


FATHER ( ) Living ( ) Deceased MOTHER ( ) Living ( ) Deceased
Name: ____________________________________________ _________________________________________

Address: _________________________________________ _________________________________________


Occupation: _______________________________________ _________________________________________
Educational Attainment: _____________________________ _________________________________________
Annual Salaries/Wages: _____________________________ _________________________________________
If you own a business (Your Share): ____________________ _________________________________________
Other Debts: ______________________________________ _________________________________________
Home: ( ) Owned Year purchased: _________ Price: _________ ( ) Rented Amount of monthly rent: __________
CHILDREN:
NAME AGE COURSE & YEAR OCCUPATION

I/We declare that the information reported herein is true, correct and complete. I/We understand that false information or failure to provide
documentation may result in denial or discontinuation of aid.

____________________________ ___________________________
Student’s Name and Signature Parent’ Name and Signature
(To be filled-up by STEP Personnel)

GENERAL REQUIREMENTS RECOMMENDATION VALIDATED


______ Accomplished Application Form Incoming Freshmen:
______ Report Card/Transcript of
______ APPROVED
Records
______ 1st Sem GPA
______ 2 x 2 ID Picture
______ Certificate of Residency ______ 2nd Sem GPA
______ Cert. of Indigency/Eligibility ______ Total GPA
______ DISAPPROVED
For College Students: BARBARA CARLA Q. ECHAVIA
______ Cert. Good Moral Character
______ Transcript of Records Chief of Staff
______ ITR or Cert of Tax Exemption
______ 1st Sem GPA By: Office of the City Mayor
of both parents.
______ 2nd Sem GPA _______________
For ALS
Technical Staff
_____ Cert. of Accreditation &
Equivalency

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