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    De La Salle University Integrated School: Application Form

    Uploaded by

    Urielle Reign Arciaga
    The document appears to be an application form for De La Salle University Integrated School, requesting personal information about the applicant such as name, birthdate, address, family details, education history, health concerns, and financial information. It also asks for the applicant's choice of academic strand and includes checkboxes and spaces to provide details for various sections of the form. The purpose is to gather necessary information to evaluate students applying to the school for the upcoming academic year.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    De La Salle University Integrated School: Application Form

    Uploaded by

    Urielle Reign Arciaga
    33 views2 pages
    The document appears to be an application form for De La Salle University Integrated School, requesting personal information about the applicant such as name, birthdate, address, family details, education history, health concerns, and financial information. It also asks for the applicant's choice of academic strand and includes checkboxes and spaces to provide details for various sections of the form. The purpose is to gather necessary information to evaluate students applying to the school for the upcoming academic year.

    Original Description:

    De La Salle University

    Original Title

    Is Application Form

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    The document appears to be an application form for De La Salle University Integrated School, requesting personal information about the applicant such as name, birthdate, address, family details, education history, health concerns, and financial information. It also asks for the applicant's choice of academic strand and includes checkboxes and spaces to provide details for various sections of the form. The purpose is to gather necessary information to evaluate students applying to the school for the upcoming academic year.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views2 pages

    De La Salle University Integrated School: Application Form

    Uploaded by

    Urielle Reign Arciaga
    The document appears to be an application form for De La Salle University Integrated School, requesting personal information about the applicant such as name, birthdate, address, family details, education history, health concerns, and financial information. It also asks for the applicant's choice of academic strand and includes checkboxes and spaces to provide details for various sections of the form. The purpose is to gather necessary information to evaluate students applying to the school for the upcoming academic year.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DE LA SALLE UNIVERSITY INTEGRATED SCHOOL

    at the DLSU Science and Technology Complex


    Leandro V. Locsin Campus

    Application Form

    ACADEMIC YEAR
    SCIENCE & TECHNOLOGY COMPLEX

    LAST NAME FIRST NAME

    MIDDLE NAME NICKNAME


    staple (3)
    PASSPORT SIZE
    pictures here

    GRADE LEVEL APPLIED FOR:

    1st CHOICE OF STRAND: STEM ABM HUMSS

    2nd CHOICE OF STRAND: STEM ABM HUMSS


    DO NOT FILL OUT
    FOR OASIS USE ONLY.
    PERSONAL INFORMATION Development fund fee receipt IS Application Form
    (OR# _____________ ) NSO birth certificate
    DATE OF BIRTH PLACE OF BIRTH Photocopy of report card 3 pcs. Passport size photos
    of past 2 school years Photocopy of baptismal certificate
    Photocopy of report card 2 Letters of recommendation
    month day year for current year Student individual inventory record
    Original final report card Guidance transition certificate
    AGE GENDER NATIONALITY CITIZENSHIP RELIGION signed by the Principal SSP for foreign applicants
    Photocopy of passport ACR (Non-Filipino citizens)
    for foreign applicants

    COMPLETE HOME ADDRESS

    No. Street Name Village / Subdivision Barangay Town City Zip Code

    STUDENT’S MOBILE NO. STUDENT’S E-MAIL ADDRESS

    FOR NON-FILIPINO CITIZENS:


    I-CARD NO.: DATE ISSUED: PLACE ISSUED:

    REMARKS

    EDUCATIONAL HISTORY
    PRE-SCHOOL NAME AND ADDRESS OF SCHOOL ACADEMIC YEAR
    ATTENDED
    Nursery

    Kinder

    GRADE SCHOOL

    Grade 1

    2
    3

    4
    5
    6
    JUNIOR HIGH SCHOOL
    Grade 7
    8
    9

    10
    SENIOR HIGH SCHOOL
    Grade 11
    FAMILY INFORMATION
    FATHER MOTHER

    Name
    (Last Name, First Name, Middle Name)

    Nationality & Religion

    Home Address

    Highest Educational Attainment


    Last School Attended
    Company Name
    Company Address
    Position
    Telephone Number (Work)
    Telephone Number (Home)
    Mobile Number
    E-mail Address

    NAME OF SIBLINGS
    NAME GR./YR. LEVEL/OCCUPATION SCHOOL / EMPLOYER

    Is the child’s father or mother an alumnus/alumna of any De La Salle school? YES NO


    If yes, which La Salle school?
    Year Graduated

    CHILD ACADEMIC AND HEALTH INFORMATION


    1. Has the child been placed under academic probation or given any sanction for poor academics? (If yes, please provide details)

    2. Has the child been placed under disciplinary probation or given any sanction for misbehavior? (If yes, please provide details)

    3. Has the child been diagnosed with any of the following? (Please check and specify)
    Vision Impairment Please specify
    Speech / Language Delay Please specify
    Learning Disability Please specify
    Behavioral Disorder Please specify

    4. Are there other concerns with the child’s health? (Please provide details)

    FINANCIAL DETAILS
    1. Who will be responsible for the payment of tuition and fees?

    Parents Other family members (grandparents, uncle, aunt, brothers, sisters, etc.)
    Educational plan, please specify Parent’s company benefit
    Scholarship

    2. Please check your gross annual family income P1M and above P999,000-P700,000
    P699,000-P400,000 P399,000-P100,000
    P99,000 and below
    IN CASE OF AN EMERGENCY, IF UNABLE TO CONTACT PARENT, CONTACT:

    Legal Guardian Phone Number (Home)

    Relationship to Applicant Mobile Number

    Home Address E-mail Address



    OTHER INFORMATION
    How did you find out about the school?

    Referral Streamers Print Ads Website Others


    By whom?
    I DECLARE THAT THE INFORMATION PROVIDED HEREIN ARE TRUE AND CORRECT.

    Signature over printed name


    Relationship to applicant Date filed

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