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VSU Graduate School Form 1

This document is an application form for admission to the graduate school at Leyte State University. It requests information such as the applicant's educational background, references, work experience, publications, research papers, and reasons for pursuing graduate studies. The applicant must submit official transcripts, letters of recommendation, proof of English proficiency if applicable, and a P100/US$10 application fee along with this completed form to be considered for admission for a particular semester and degree program.

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2K views2 pages

VSU Graduate School Form 1

This document is an application form for admission to the graduate school at Leyte State University. It requests information such as the applicant's educational background, references, work experience, publications, research papers, and reasons for pursuing graduate studies. The applicant must submit official transcripts, letters of recommendation, proof of English proficiency if applicable, and a P100/US$10 application fee along with this completed form to be considered for admission for a particular semester and degree program.

Uploaded by

visayasstateu
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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GS FORM No.

1
GRADUATE SCHOOL
Leyte State University
Visca, Baybay, 6521-A Leyte
PHILIPPINES

Photo

APPLICATION FOR ADMISSION


To the Applicant: This form shall be acted upon only after the following documents and fees are received by the
Office of Graduate School:

1. Official Transcript of Records, in the English language, from each college previously attended;
2. Candid Appraisal from former professor and present supervisor (Please use GS Form No. 2);
3. Certification of English proficiency by your professor, or TOEFL score for foreign applicant.
This is required only for applicants from countries where English is not the medium of
instruction and/or not the native language.
4. Application fee of P100.00 for Filipino citizens or $10 for foreign nationals. (Please remit check
of money order to LSU Dean of Graduate School)

Name ______________________________ ___________Seeking Admission for: _____ 1st Sem. 200 ___
______2nd Sem. 200___
______ On Campus
_______ Distance Education
______Summer 200 __
Degree Sought: [ ] M.Ed.

[ ] M.Ag.Dev.

[ ] M.S.

] Ph.D.

Major Field _______________________ Minor Field ___________________________________


A. Sex: [ ] Male

[ ] Female

Civil Status:

[ ] Single
[ ] Married
[ ] Widow/er
B. Date of Birth : ________________________Place of Birth: __________________________________
C. Citizenship: ____________________________
D. Present Position/Occupation: __________________________________________________________________
E. Agency/Office: ______________________________________________________________________________
F. Mailing Address: ____________________________________________________________________________
Telephone/Cellphone Number: ______________________________ e-mail address: ________________
G. Educational Background:
Degree(s)
Earned

Grade Point
Average (GPA)

College/University

Year
Obtained

Major Field

H. Why are you interested in graduate study?


______________________________________________________________________________________
______________________________________________________________________________________

I. What do you plan to do after getting graduate degree?


______________________________________________________________________________
______________________________________________________________________________
J. What are the possible sources of financial support for your graduate study?
SOURCE
Self
Scholarship (specify source)
Assistantship (specify source)
Others (please specify)

PERCENT

K. Personal references: List at least three names and addresses of people who may have adequate
knowledge about your scholastic competence, personality, and potential for graduate work and whom
you have requested to recommend you.
1. ______________________________________________________________________________
2. ______________________________________________________________________________
3. ______________________________________________________________________________
L. Work Experience
Position/Job

Agency/Office

Inclusive Dates

1. Membership in honor and professional organizations (Please use additional sheet if necessary)
2. Scholarship, honors, prizes and awards. (Please use additional sheet if necessary)
3. Publication:
necessary)

Give the complete bibliographical information. (Please use additional sheet if

4. Unpublished research papers and/or thesis (Please use additional sheet if necessary)
________________________________
Signature of Applicant
__________________
Date

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