Senior High School
NAME OF APPLICANT: ________________________________________________________________________
Applicant’s Junior High School: __________________________________________________________________
For those currently enrolled in Ateneo de Manila SHS only--Applicant’s Grade and Section: ________________
APPLICATION FOR SCHOLARSHIP/FINANCIAL AID for SY 2025-2026
Application Procedures:
1. This form should be downloaded and filled up electronically or printed on size A4 bond paper.
2. The applicant and his/her parents/guardian should accomplish this form carefully and completely,
answering all questions. No item should be left blank. (Write NA if the question is Not Applicable.)
3. The form requires the applicant to attach photographs of the applicant's residence (showing the full
view of the whole house, kitchen and bedrooms). Proprietors of micro-businesses (e.g. sari-sari
stores, carinderia, print shops, etc.) must also attach a photo of the front or operating area of the
business.
4. Once the form is completed, it should be scanned and saved in PDF format (maximum of 10 MB).
The file should be renamed as FA Application_Last Name, First Name (of Student).
5. The accomplished application form together with ALL the other requirements (listed below) should
be uploaded in the following portals within the indicated time periods only:
Grade level in 2025-2026 Link to the upload portal Time Period for Submission
Applicants for Grade 11 2025-2026 go.ateneo.edu/SHSOAS-G11FAUpload- 1 Oct 2024 - 31 Jan 2025
SY2526
Currently enrolled ASHS students go.ateneo.edu/SHSOAS-G12FAUpload- 2-23 May 2025
who will be Grade 12 in 2025-2026 SY2526
6. Only applications with complete requirements will be processed.
7. Applicants accepted on appeal are disqualified from receiving financial aid.
DO NOT WRITE BELOW THIS LINE.
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Checklist of Requirements: (Save as PDF files not exceeding 2 MB in size.)
❑ A letter from parents or guardian describing the family’s financial situation in detail and justifying the
need for financial aid.
❑ For applicants for Grade 11 2023-24: a clear scan of the Final Grade 8 and Grade 9 Report Card
For currently enrolled ASHS students who are submitting a new application for FA for Grade 12 2023-24:
a copy of their Grade 11 report card for the first semester and their most updated report card for the
second semester.
❑ A clear scan of the parents’ Annual Income Tax Return or Certificate of Tax Withheld. In the absence of
these documents, submit a notarized Certificate of Non-Filing of Income Tax issued by the BIR’s Revenue
District Office in your area.
❑ For employed parents: a clear scan of the parents’ Pay Slips for the past two (2) months
❑ For proprietors of businesses: submit a copy of the company’s Income Statement and Balance Sheet.
❑ For OFW parents: a clear scan of the contract
❑ A clear scan of the following Utility Bills for the past three (3) months: Electricity, Water, Telephone,
Credit Card/s (include all pages of the bill that show purchases made on credit)
Action of the Committee on Admission & Aid: [ ] GRANTED [ ] DENIED
[ ] _____% tuition
[ ] _____% fees
REMARKS:
Page 1 of 6
Attach
Senior High School recent 1x1
ID photo
APPLICATION FOR SCHOLARSHIP/FINANCIAL AID
Incoming Grade [ ] 11 [ ] 12
School Year 2025-2026
PLEASE WRITE LEGIBLY. Write N/A if the information required is not applicable.
PERSONAL INFORMATION
NAME _________________________________________________________________________________________
Last Name First Name Full Middle Name Nickname
HOME ADDRESS _________________________________________________________________________________
__________________________________________________________________________________
TEL. NO. _____________ MOBILE NO. ___________________ EMAIL ________________GENDER [ ]Male [ ] Female
DATE OF BIRTH ____________________ CITIZENSHIP ___________________ RELIGION _______________________
SCHOOLS ATTENDED (beginning with the current/most recent one) Grade Levels School Year(s)
Are you a recipient of a scholarship/financial aid grant this SY 2024-2025? [ ] YES [ ] NO
If YES, what percentage of tuition and fees subsidy are you receiving? _______
If NO, how did (will) your family settle payment for your tuition and fees this school year?______________________
How much are the total tuition and fees in your current school this school year? P ___________________________
Awards and Activities from Grade 7 to the present. (Major awards given during your Grade 6 graduation may also
be included. You may opt to put Awards and Activities on a separate sheet.)
List any honors or awards you have
List all your extra-curricular activities, List your community or church
received for scholastic achievement and
including positions held. activities.
deportment
Were you placed on probation status last SY? [ ] Yes [ ] No. If YES, please provide a brief explanation of the reason for
your probation.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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DATA ON PARENTS
FATHER’S NAME ______________________________________________ AGE __________ [ ] LIVING [ ] DECEASED
CITIZENSHIP ________________ EDUCATIONAL ATTAINMENT ____________________________________________
OCCUPATION _______________________ NAME OF COMPANY/EMPLOYER ________________________________
JOB TITLE/POSITION ___________________________________ NO. OF YEARS IN THE COMPANY _______________
IMMEDIATE SUPERVISOR ______________________________ POSITION ___________________________________
(IF SELF-EMPLOYED) NATURE OF WORK/BUSINESS ______________________________________________________
WORK ADDRESS _________________________________________________________________________________
TEL. NO. ____________________ MOBILE NO. ____________________ EMAIL ADDRESS _______________________
MOTHER’S NAME _____________________________________________ AGE __________ [ ] LIVING [ ] DECEASED
CITIZENSHIP ________________ EDUCATIONAL ATTAINMENT ____________________________________________
OCCUPATION ________________________NAME OF COMPANY/EMPLOYER ________________________________
JOB TITLE/POSITION ___________________________________ NO. OF YEARS IN THE COMPANY _______________
IMMEDIATE SUPERVISOR ______________________________ POSITION ___________________________________
(IF SELF-EMPLOYED) NATURE OF WORK/BUSINESS ______________________________________________________
WORK ADDRESS _________________________________________________________________________________
TEL. NO. ____________________ MOBILE NO. ____________________ EMAIL ADDRESS _______________________
PARENTS: [ ] Together [ ] Unmarried [ ] Separated/Divorced/Union Annulled [ ] Widowed [ ] Single Parent
Applicant lives with: [ ] Both parents [ ] Father [ ] Mother [ ] Grandparent/s [ ] Others _____________________
FINANCIAL STATUS
DATA ON RESIDENCE AND PROPERTIES:
House
[ ] Rented (monthly rent _______________ years renting __________)
[ ] Owned (year acquired __________ amount paid _______________ present market value _______________)
[ ] Mortgaged (monthly amortization _______________ years to pay __________)
House is shared with ____(indicate number) members of the immediate family, ___ members of extended family
and ___ others (specify)__________________
Lot area No. of No. of Toilets/ No. of helpers
Floor area bedrooms Bathrooms No. of drivers
No. of No. of No. of aircon
No. of TV sets
computer units refrigerators units
Other properties: Present market
Location Year acquired Amount paid
Description value
Vehicle Make Model and Year Year acquired/Acquisition cost Balance of Mortgage
SIBLING/S STILL IN SCHOOL:
Amount of
Name Age Grade/Year School Annual Tuition Scholarship
Grant
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SIBLING/S NOT OR NO LONGER IN SCHOOL:
Annual Contribution
Name Age Civil Status Occupation Company
Income to Family
DATA ON TRAVEL – Please indicate trips of the applicant to other countries in the past three years.
Destination Date(s) of Trip Purpose of Trip How Trip was financed
PHOTOS
ATTACH A CLEAR PHOTO OF THE HOUSE HERE (FULL VIEW OF WHOLE HOUSE).
ATTACH A CLEAR PHOTO OF THE KITCHEN HERE.
Page 4 of 6
ATTACH CLEAR PHOTO(S) OF THE BEDROOMS HERE.
For proprietors of micro-businesses (store, carinderia, print shop, etc.)
ATTACH A CLEAR PHOTO OF THE FRONT OR OPERATING AREA OF THE BUSINESS
LEARNING ARRANGEMENTS:
If the student is accepted, how does he/she plan to go to ASHS?
Will commute Will be brought Will be brought Will rent a place near Others (pls
by a private vehicle by school bus Ateneo & walk/commute specify)
Projected daily cost of Projected monthly Projected monthly Projected monthly cost of
commuting (to and from): gasoline expense: school bus fee: rent:
If the student presently resides outside or far from Metro Manila, does the student have Metro-Manila based
relatives he/she can stay with? [ ] Yes [ ] No. If yes, please provide details (who/where) _____________________
______________________________________________________________________________________________
List gadget(s) the applicant uses for online learning: ____________________________________________________
Type of Internet/WiFi Connection: __________________________________________________________________
Page 5 of 6
DATA ON FAMILY INCOME AND EXPENSES:
INCOME & INVESTMENTS Amount MONTHLY EXPENSES Amount
Father’s annual gross income Food & groceries
Mother’s annual gross income House rent/amortization
Annual Income from other sources: Tuition payments (divide
(source:)____________________ annual tuition rates by 12 mo.)
(source:)____________________ Electricity
TOTAL ANNUAL GROSS INCOME Utility bills (water, phone, etc.)
Net taxable income Transportation
TOTAL AVE. MONTHLY INCOME Allowances
*If separated, average monthly Helpers, drivers
financial support given by spouse
/partner
Average monthly financial support Other monthly expenses:
from relatives/friends (please itemize)
Investments:
▪ Bank deposits
▪ Money placements
▪ Securities, etc.
TOTAL MONTHLY EXPENSES
Liabilities:
Description of liability Payee Amount payable
Insurance Policies:
Nature of policy Company Amount Yearly premium Date of maturity
DECLARATION BY THE PARENTS/GUARDIAN
We hereby certify that all information supplied in this application is accurate and complete and we authorize Ateneo
Senior High School to verify all information supplied herein.
We consent to allowing the Ateneo de Manila Senior High School Office of Admission and Scholarships to share and
disclose data in this form to potential benefactors of our child.
We agree to allow the Ateneo de Manila Senior High School Office of Admission and Scholarships to use the data in
this form for purposes related to this application for financial aid.
We fully understand that misrepresentation of information supplied herein will be considered sufficient reason for
the Ateneo Senior High School to deny our application for financial aid or to revoke any form of financial aid granted
to us.
Father’s/Guardian’s Signature __________________________ Applicant’s Signature __________________________
Mother’s/Guardian’s Signature _________________________ Date ____________________
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