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Application Form: Surname First Name Middle Name SEX

This document outlines the criteria and application process for the Gurong Iskolar ng Bataan scholarship program for teachers in Bataan, Philippines. The criteria include a Very Satisfactory performance rating, a bachelor's or education degree with 18 units in professional education, active teaching service, enrollment at BPSU, age under 50, good moral character and residency in Bataan. Applicants must submit documents including a letter of intent, application form, performance ratings, transcripts and certificates. The selection process involves screening, an examination and interview. Successful applicants will be announced, oriented and awarded a credit advice for funding from the Bataan provincial government.

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87 views

Application Form: Surname First Name Middle Name SEX

This document outlines the criteria and application process for the Gurong Iskolar ng Bataan scholarship program for teachers in Bataan, Philippines. The criteria include a Very Satisfactory performance rating, a bachelor's or education degree with 18 units in professional education, active teaching service, enrollment at BPSU, age under 50, good moral character and residency in Bataan. Applicants must submit documents including a letter of intent, application form, performance ratings, transcripts and certificates. The selection process involves screening, an examination and interview. Successful applicants will be announced, oriented and awarded a credit advice for funding from the Bataan provincial government.

Uploaded by

Ser Crz Jy
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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PGO-INB-F02-02

APPLICATION FORM
RECENT
PHOTO
2x2

1 SURNAME FIRST NAME MIDDLE NAME 2 SEX 3 CIVIL STATUS


MALE SINGLE WIDOWER/WIDOW
FEMALE MARRIED SEPARATED
4 If Married, Write Maiden Name 5 NAME OF SPOUSE Occupation

6 DATE OF BIRTH 7 PLACE OF BIRTH


8 HEIGHT (Meters ) 9 WEIGHT (Kilos ) 10 BLOOD TYPE
11 ADDRESS (House No./Street ) (Baranggay) :
(Municipality ) (Province ) 12 RELIGION
13 CELLPHONE NO. 14 TEL. NO. (Landline )
15 FACEBOOK ACCOUNT 16 E-MAIL ADDRESS
17 NAME OF FATHER
LAST NAME FIRST NAME MIDDLE NAME 18 DATE OF BIRTH 19 CELLPHONE NO. Occupation

20 ANNUAL INCOME:
21 NAME OF MOTHER
LAST NAME FIRST NAME MIDDLE NAME 22 DATE OF BIRTH 23 CELLPHONE NO. Occupation

24 ANNUAL INCOME:
25 OTHER FAMILY MEMBERS
Name Relationship Date of Birth Name Relationship Date of Birth
1 4
2 5
3 6
(Continue on separate sheet if necessary)

26 EDUCATION Name of School Year Graduated Course / Honors Received

ELEMENTARY
HIGH SCHOOL
COLLEGE
GRADUATE SCHOOL
I'm currently enrolled in: GRADUATE SCHOOL: YEAR:
COURSE: Regular? Yes No

27 Special Skills:

28 Other Qualifications (Include membership in related associations, hobbies, etc. )

INCLUSIVE DATES
SALARY GRADE & STEP
(mm/dd/yyyy) POSITION TITLE DEPARTMENT/AGENCY/OFFICE/COMPANY MONTHLY STATUS OF GOV'T SERVICE
INCREMENT
(Write in full) (Write in full) SALARY APPOINTMENT (YES/NO)
(Format "00.0)
From To

(continue on separate sheet if necessary)

For more inquiries call DepEd Division office of Bataan (047) 237-5222 or like us on facebook " Gurong Iskolar ng Bataan"
SCHOLARSHIP PROGRAM FOR TEACHERS
CRITERIA FOR THE SELECTION OF NOMINEES FOR THE GURONG
ISKOLAR NG BATAAN
1. With at least Very Satisfactory (VS) performance rating
2. BSE, BSED or any degree with 18 Professional Education units
3. In active service in public and private schools
4. Should enroll exclusively at BPSU
5. Is not more than 50 years old
6. Has no administrative / criminal record
7. Bonafide resident of Bataan and a registered voter
8. Physically fit, mentally healthy and register positive attitude and commitment towards
work, peers and students
9. Willing to conduct and / or assist in service training activities after scholarship
10. Did not avail any scholarship program
11. Communicative in both English and Filipino

REQUIREMENTS TO BE SUBMITTED TO THE GURONG ISKOLAR NG BATAAN


COMMITTEE

1. Letter of Intent
2. Gurong Iskolar ng Bataan Application Form with recent 2x2 photo
3. Very Satisfactory (VS) Performance Rating for the past two (2) rating periods
4. Certified true copy of Transcript of Records (Bachelor’s Degree)
5. Certified true copy of Transcript of Records of units earned in Masteral / Doctoral Degree
6. Certificate of Employment
7. Medical Certificate issued by government physician
8. Certification from the immediate School Head that the nominee is regular in the National,
PSB, LSB or Private Schools as Pre-Elem., Elementary or Secondary Teachers
9. COMELEC I.D., Certificate of Registration

PROCEDURES:

1. Screening at the BPSU Graduate School


2. Submission of application form to the Secretariat (Mrs.Laarni S. Bautista) DepEd
3. Schedule of Examination and Interview at the Division Office
4. Posting / Announcement of qualified Gurong Iskolar ng Bataan
5. Orientation, Signing of Contract and Awarding of Credit Advice

FUNDING SOURCES: General Fund Province of Bataan

I declare that the answers given above are true and correct and that I have not availed of
any scholarship program and shall strictly follow the guidelines, requirements and procedures

____________________________
Signature
RECOMMENDING APPROVAL:

APPROVED:

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