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Acew-Enhanced Application Form (College Intake)

The document is a college scholarship program application form that collects personal information, family details, educational background, and future goals of the applicant. It includes sections for emergency contacts and consent for data collection by the Andres P. Tamayo Sr. Foundation Inc. (APTSFI). The applicant must sign and date the form to confirm their consent and provide accurate information.

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cuartelricyl060
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3 views2 pages

Acew-Enhanced Application Form (College Intake)

The document is a college scholarship program application form that collects personal information, family details, educational background, and future goals of the applicant. It includes sections for emergency contacts and consent for data collection by the Andres P. Tamayo Sr. Foundation Inc. (APTSFI). The applicant must sign and date the form to confirm their consent and provide accurate information.

Uploaded by

cuartelricyl060
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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COLLEGE SCHOLARSHIP PROGRAM

APPLICATION FORM

I. PERSONAL INFORMATION

Surname: First Name: Middle Name:

Nickname: Age: Gender: Religion: _

Present Address:

Date of birth: Place of birth:

Educational Attainment: Honors Received:

Course: (1) (2) (3)

Field of Interest: Skills:

Hobbies:

Contact #: Email address (required):

PERSON TO NOTIFY IN CASE OF EMERGENCY:

Name: Relationship to the applicant:

Address:

Contact number:

Referred by:
Contact number:

II. FAMILY MEMBERS LIVING WITH THE APPLICANT

Relationship Estimated
Civil Educational
Name to the Age Occupation Monthly
Status Attainment
Applicant Income
III. EDUCATIONAL BACKGROUND:

Academic Name and City Inclusive Dates Academic Honors


Level Address of School From To Received

PRIMARY

SECONDARY

In 2-3 years what are your goals in life?

How are you going to achieve it?

Why should we consider you in this program? (Verbatim)

I, , of legal age, has consented to Andres P. Tamayo Sr. Foundation Inc. (APTSFI) to
collect my personal information obtained such as my name, home and/or office address, contact number/s,
email address, and other family records for the sole purpose of APTSFI to supplement data needed for the
scholarship application process.

In this regard, APTSFI is without authority to share said personal data/information to any third parties without
further consent by the applicant. APTSFI is obliged to protect and safeguard the applicant’s personal
data/information at all times except as it may be required by the scholarship program, a lawful order of a
court of law or as that may be provided by Republic Act No. 10173.

Issued this, day of , 20 in the city of , Philippines.

APPLICANT’S SIGNATURE OVER PRINTED NAME


DATE:

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