DIOCESE/INSTITUTION : ________________________________________________________ PARISH:______________________________________________________________________ NAME: ________________________________________________ Age: __________ School Year: 20___ - 20___ Year Level: ____________ Course: ___________________________ School:__________________________________ A. ACADEMIC STANDING : Number of Subjects Enrolled: _______ (enumerate grades below) • Subject 1: _____________________________________ - _________ • Subject 2: _____________________________________ - _________ • Subject 3: _____________________________________ - _________ • Subject 4: _____________________________________ - _________ • Subject 5: _____________________________________ - _________ • Subject 6: _____________________________________ - _________ • Subject 7: _____________________________________ - _________ • Subject 8: _____________________________________ - _________ • Subject 9: _____________________________________ - _________ • Subject 10: ____________________________________ - _________ • Subject 12: ____________________________________ - _________ General Weighted Average: ___________ B. PARTICIPATION /INVOLVEMENT TO THE FF: • MONTHLY LADDERIZED FORMATION (Number of Attendance): _____ / 8 months • Organization: _______________________________________ Position : _____________________ • 50 hours Social Apostolate Volunteer Work (Total number of hours served): ______ / 50 hours • 50 hour Volunteer Work to Parish (Total number of hours served): ______ / 50 hours • Entrepreneurial Training: ____________________________________________________________ C. PARTICIPATION OF PARENT(S)/GUARDIAN TO THE FF:
• Frequency of Attendance to Cluster Meetings: □Always □Sometimes □Never
• Attended to Natural Family Planning/Responsible Parenthood: □Yes □No • Entrepreneurial Training: (specify kind of STP training) ____________________________________ • Pls. specify other important activities: ___________________________________________________
D. RECOMMENDATION : □ FOR RENEWAL □ FOR TERMINATION
REASON :______________________________________________________________________________________ Evaluated by : Noted by: ___________________________ _____________________________ Signature Over Printed Name Signature Over Printed Name YSLEP Coordinator ICP Head
(To be accomplished by CM Staff only)
Submitted Semestral Renewal Requirements: Date Received: ___________ 1. Certificate of Grades ____ 2. Social Apostolate Index Card _____ 3. Parish Involvement Index Card _____ 4. Certificate of Registration or Enrolment (for Free Tuition) or Statement of Accounts for those in Private Schools (2 copies please)_____ 5. Certification of Non-Membership of other Scholarship Program available in school _____ 6. Thank You Letter with latest picture in YSLEP Uniform in red background ( for 1st Semester Renewal Only) 7. YSL Profile with latest picture in YSLEP Uniform in red background (for 2nd Semester Renewal only) STATUS: Approved Disapproved Remarks: _________________________________________
