PAASCU ACCREDITED: Elementary- Level III Junior High School – Level II
EDUCATION SERVICE CONTRACTING (ESC) CERTIFIED (Gov’t. Subsidy to Graduates of Elementary Public Schools Entering Private High School) SENIOR HIGH SCHOOL VOUCHER PROGRAM (VP) PARTICIPATING SCHOOL (Gov’t Subsidy for Qualified Junior High School Graduates)
APPLICATION FORM Academic Year: _________ - _________
Surname First Name Middle Name M.N.Initial Birthdate: ________________ ________ ___________ Age: ________Gender: ___M ___ F Month Day Year Complete Address: _______________________________________________________________________ Telephone Number: ___________________________ Mobile Number:__________________________ Religion: _________________ Nationality: __________________ E-mail: _________________________ School Last Attended: ___________________________________________School Year: ______________ School Address: _____________________________________________________ Private______ Public
Name: ______________________________________________ Relation to the Student: _________________ Age: _________ Landline Number: _______________________ Cellphone Number: ____________________ Address: ____________________________________________ Email Address: _______________________ ACADEMIC BACKGROUND (For Grade 1 to 11 Applicants only) Name of Present / Last School Attended: Current Grade Level: ________________________________________________ ________________________________ School Address: __________________________________ Telephone Number:______________ Name/s of School/s Attended School Address School Year KINDERGARTEN __________________________________ _____________________ _____________ GRADE 1 __________________________________ _____________________ _____________ GRADE 2 __________________________________ _____________________ _____________ GRADE 3 __________________________________ _____________________ _____________ GRADE 4 __________________________________ _____________________ _____________ GRADE 5 __________________________________ _____________________ _____________ GRADE 6 __________________________________ _____________________ _____________ GRADE 7 __________________________________ _____________________ _____________ GRADE 8 __________________________________ _____________________ _____________ GRADE 9 __________________________________ _____________________ _____________ GRADE 10 __________________________________ _____________________ _____________ GRADE 11 __________________________________ _____________________ _____________
Data Privacy Clause: I understand and agree that by filling-out this form I am allowing Concordia College, Inc. to use, collect, and disclose my personal information for Enrollment Application and to store it as long as necessary for the fulfillment of the stated purpose in accordance with the applicable laws, Including the Data Privacy Act of 2012 and its Implementing Rules and Regulations, and the School Rules and Regulations. The purpose and extent of use, collection, sharing and disclosure, and storage of my personal information has been explained.
Parent’s Name and Signature Student’s Name and Signature Date
****************************************Concordia College, Inc. Admissions Only*****************************************
STEP 1- Complete the following Initial Requirements and present to the Admissions Office: *Credentials submitted in support of this application become the property of the school and will not be returned to the applicant.
1. Form 138/Report Card (photocopy) _____________
2. PSA Birth Certificate (photocopy) _____________ 3. Baptismal Certificate (photocopy) _____________ 4. Accomplished Letter of Recommendation _____________ 5. Two (2) pieces 1x1 ID pictures _____________ 6. ESC Certificate (Grades 8 to 11 Transferees) _____________ 7. QVR Certificate (Grade 11 Transferees: Non-ESC) _____________ Received by: ___________________ Date : ___________________ STEP 2 - Pay the Entrance Fee at the Accounting Office. OR No.: ___________________ Reference No: ________________ Date: _________________
STEP 3 - Go to the Guidance Office for the initial interview and secure the date of entrance exam. Date of Exam: ______________ Time: _______________ Scheduled by: __________________
STEP 4 - Claim the Test Results and Final Interview by the Admissions Committee. Date of Interview: __________________ Time: _______________ Scheduled by: _______________ Interviewed by: ____________________
STEP 5 - Go to the Registrar’s Office for enrolment on the designated date and bring the Original Documents.
