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    Eskwela Davao Application Form (Blank)

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    This document is an application form for the Eskwela Davao educational assistance program. It requests personal information about the applicant such as name, address, contact details, current school, and whether they have received other government assistance. It also requests family information and a certification that the information provided is true. To qualify, applicants must be Davao City residents enrolled in elementary, high school, or senior high school who have not received other educational assistance and whose family income was affected by COVID-19. Required documents include a completed application form, valid ID of the applicant's family, school ID, report card, and certificate of eligibility from CSWDO stating reduced family income due to the pandemic.

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    Eskwela Davao Application Form (Blank)

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    no one
    354 views2 pages
    This document is an application form for the Eskwela Davao educational assistance program. It requests personal information about the applicant such as name, address, contact details, current school, and whether they have received other government assistance. It also requests family information and a certification that the information provided is true. To qualify, applicants must be Davao City residents enrolled in elementary, high school, or senior high school who have not received other educational assistance and whose family income was affected by COVID-19. Required documents include a completed application form, valid ID of the applicant's family, school ID, report card, and certificate of eligibility from CSWDO stating reduced family income due to the pandemic.

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    This document is an application form for the Eskwela Davao educational assistance program. It requests personal information about the applicant such as name, address, contact details, current school, and whether they have received other government assistance. It also requests family information and a certification that the information provided is true. To qualify, applicants must be Davao City residents enrolled in elementary, high school, or senior high school who have not received other educational assistance and whose family income was affected by COVID-19. Required documents include a completed application form, valid ID of the applicant's family, school ID, report card, and certificate of eligibility from CSWDO stating reduced family income due to the pandemic.

    Copyright:

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

    Eskwela Davao Application Form (Blank)

    Uploaded by

    no one
    This document is an application form for the Eskwela Davao educational assistance program. It requests personal information about the applicant such as name, address, contact details, current school, and whether they have received other government assistance. It also requests family information and a certification that the information provided is true. To qualify, applicants must be Davao City residents enrolled in elementary, high school, or senior high school who have not received other educational assistance and whose family income was affected by COVID-19. Required documents include a completed application form, valid ID of the applicant's family, school ID, report card, and certificate of eligibility from CSWDO stating reduced family income due to the pandemic.

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    © All Rights Reserved
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    of 2

    Page 1 of 1

    Control No.: ___________________

    ESKWELA DAVAO APPLICATION FORM

    I. PERSONAL INFORMATION
    Name of Beneficiary (Surname, Given Name, Suffix, MI): _______________________________
    Date of Birth: _________________ Sex: ☐Male ☐Female Contact No.: _________________
    Current Address:
    _________________ _________________ _________________ _________________
    Unit/Floor House/Bldg. Name Street No. Street Name
    _________________ _________________ _________________ _________________
    Barangay District City Province
    Grade/Year Level: ________________ School Sector: ☐Public ☐Private
    Name of School Currently Enrolled: __________________________________________________
    Are you currently a beneficiary of any government educational assistance/scholarship?
    ☐No ☐Yes, specify _______________________________
    Have you availed any government assistance/s during the COVID-19 pandemic?
    ☐No
    ☐If yes, please tick which program
    ☐DSWD-SAP ☐SSS-SBWS ☐DOLE-TUPAD (LGU)
    ☐DSWD-4Ps Beneficiary ☐DOLE-CAMP ☐DOLE-TUPAD (BKBK)

    ☐Others, specify _________________________


    II. FAMILY BACKGROUND
    Name of Family Member Sex Date of Birth Relationship to the Work
    Beneficiary

    III. CERTIFICATION
    CERTIFICATION/AUTHORIZATION
    This is to certify that all data/information that I have provided in this form are true to the best of my
    knowledge. Any misinformation or withholding of information will automatically disqualify me/my beneficiary
    from the program.

    _________________________________ ___________________
    Signature over Printed Name of Beneficiary/ Date
    Authorized Person

    To be filled up by Social Worker:

    Remarks: ____________________________________

    Assessed by:

    _______________________________
    Social Worker

    A. Qualifications:

    1. Resident of Davao City


    2. Bona fide elementary student, high school, or senior high school student from any
    public/private schools in Davao City
    3. Has not availed any educational assistance/scholarship offered by the government

    For further inquiries, please contact Commissioner Norman B. Baloro thru his contact numbers 0923-585-1995 (SMART) or 0977-193-8176 (Globe).
    4. Has not enjoyed any project/assistance/program provided by the government during this
    COVID-19 Pandemic
    5. Willing to enroll for the upcoming school year 2020-2021
    6. Whose family income/earnings has been affected by the COVID-19 Pandemic

    B. Documentary Requirements:

    1. Duly accomplished Eskwela Davao Form (Downloadable & Printable)


    2. Valid ID of the Family Member applying for the educational assistance (Parents or any
    relatives of the student beneficiary up to the 4th civil degree of consanguinity and affinity)
    3. School ID of the Student Beneficiary
    4. Previous/Latest Report Card of the Student Beneficiary
    5. Certificate of Eligibility from the nearest CSWDO that the family income has been
    reduced/diminished due to COVID-19 Pandemic

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