Scribd
Upload
100 views2 pages

CHROME

This document is an application form for the Camarines Sur Polytechnic Colleges College Entrance Test (CSPC-CET). It requests personal information from applicants such as name, address, previous school details, family income, and course preferences. It also includes a section for applicants' previous school to provide details on their academic performance and character assessment. The form certifies that all information provided is true and requires signatures from both the applicant and their parent/guardian.

Uploaded by

jomarie
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
100 views2 pages

CHROME

This document is an application form for the Camarines Sur Polytechnic Colleges College Entrance Test (CSPC-CET). It requests personal information from applicants such as name, address, previous school details, family income, and course preferences. It also includes a section for applicants' previous school to provide details on their academic performance and character assessment. The form certifies that all information provided is true and requires signatures from both the applicant and their parent/guardian.

Uploaded by

jomarie
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
You are on page 1/ 2

Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES


Nabua, Camarines Sur
CSPC-F-GUID-03
1.5” x 1.5” Colored
Picture (Your most
recent Picture).
Guidance Center Computer generated
picture is not
APPLICATION FOR accepted
CAMARINES SUR POLYTECHNIC COLLEGES COLLEGE ENTRANCE TEST
(CSPC-CET for Transferee and HS Graduate Only)
Examinee Number:
To Students and Parents:
Testing Fee: PHP. 50. 00
This form is only for applicants to CAMARINES SUR POLYTECHNIC COLLEGES ENTRANCE TEST (CSPC-CET).
O.R. Number:
For High School Graduates and Transferees only.
Recorded by:
Carefully read the general information for CSPC-CET and answer all the details being asked as honestly as possible.
GPA:
ONLY CORRECT AND COMPLETELY FILLED UP FORMS will be issued an Admit to CSPC-CET Permit. PRINT ALL ENTRIES.
1. Reason/s for leaving your school
2. What College or University do you plan to pursue your studies? 1st Choice 2nd 3rd
3. In case you do not qualify for admission, where do you plan to pursue your studies?(enumerate)
4. Course applied in CSPC: 1st Priority 2nd Priority Preferred Campus:
5. Reasons why you want to study in CSPC?

6. Who will spend for your College Education?


7. Are you applying for a Scholarship Grant? Specify
8. NAME:

Last Name:
First Name:
Middle Name:

9. SEX: Male CITIZENSHIP: Filipino Religion:


Female Others:

10. DATE OF BIRTH : PLACE OF BIRTH:


AGE :
11. PERMANENT HOME ADDRESS:
Number and Street:
Subdivision/Brgy:
City/Town and Province:
Zip Code
Contact number:
12. NAME OF PREVIOUS SCHOOL: ___________________________________________Course and Year:

ADDRESS: _______________________________________________________ SY last attended:


13. HONORS / AWARDS RECEIVED: _________
14. TALENTS AND SKILLS: _________
15. COMMUNITY INVOLVEMENT/S: ________
16. ORGANIZATION/S: ___________
17. PARENTS' OCCUPATION: Father: __________ Mother:
18. MONTHLY FAMILY INCOME:
PHP. Less than 5, 000.00 PHP. 20, 00.00 – 24,000.00
PHP. 10, 00.00 – 14,000.00 PHP. 25, 00.00 – 29,000.00
PHP. 15, 00.00 – 19,000.00 PHP. 30, 00.00 – and above

CERTIFICATION
I HEREBY DECLARE THAT ALL THE FOREGOING INFORMATION PROVIDED BY ME ARE TRUE AND CORRECT AND THAT I SHALL ABIDE
BY THE POLICY GUIDELINES GOVERNING ADMISSION IN CSPC.
I FURTHER CERTIFY THAT IF ANY OF THE INFORMATION INDICATED HEREIN IS NOT TRUE AND CORRECT MY APPLICATION FOR
ADMISSION CAMARINES SUR POLYTECHNIC COLLEGES WILL BE NULL AND VOID AND THAT CSPC IS NOT IN ANYWAY RESPONSIBLE FOR MY
MISREPRESENTATIONS I HAVE DECLARED.

Signature of Applicant Signature of Parent/Guardian over Printed Name

(This application form is not for sale! This application form is not for sale!)
Effectivity Date: September 2016 Rev.2 Page: 1 of 2
Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur
CSPC-F-GUID-03

TO THE COLLEGE DEAN/REGISTRAR/ADVISER/GUIDANCE COUNSELOR:

The bearer is presently applying for Admission in CSPC for School Year . In this regard, may we ask
for your assistance to fill up the necessary information needed in assessing the student. Thank you very much and God Bless.

ACADEMIC PERFORMANCE
GRADE POINT AVERAGE:

This student belongs to the:

Upper 10% Upper 20% Upper 40% Lower 50% of the graduating class

CHARACTER ASSESSMENT
EXCELLENT VERY GOOD GOOD FAIR POOR
Emotional Stability
Conscientiousness
Adherence to Rules & Regulations
Manner & Conduct
Industriousness and Perseverance
Social Attributes

CERTIFICATION
WE HEREBY CERTIFY AS TO THE COMPLETENESS AND CORRECTNESS OF THE FOREGOING RECORD AND THAT ANY ERASURE OR
ALTERATION MADE IN THE ACADEMIC RECORDS ABOVE RENDERS THE WHOLE ACADEMIC RECORDS INVALID.
APPEARING HERE IS THE SCHOOL DRY SEAL.

____
HS Principal/Dean/Registrar’s Signature over Printed Name
Date: _______________________________

NOTE TO THE COLLEGE DEAN/REGISTRAR/ADVISER/GUIDANCE COUNSELOR: Please place this Admission Application on a
sealed mailing envelope and affix your signature outside for confidentiality. Thank you.

REQUIREMENTS FOR TRANSFEREES:


 Duly accomplished Application Form;
 One (1) copy of 1 1/2 by 1 1/2 inch picture w/ blue background;
 Testing Fee PHP. 50.00; and
 Testing Fee Receipt from the Cashier’s Office.

COURSES OFFERED:
CSPC Nabua Campus CSPC Buhi Extension Campus
 BS in Nursing (BSN)  BS in Food Service Management (BSFSM)
 BS in Information Technology (BSIT)  BS in Office Administration (BSOA)  Electronics Comm. & Service Tech. (ECST)
 BS in Electronics Engineering (BSECE)  BS in Computer Science (BSCS)  BS in Information Technology (BSIT)
 BS in Civil Engineering (BSCE)  Computer Technician (CT)  BS in Office Administration (BSOA)
 BS in Mechanical Engineering (BSME)  Electronics Communication & Service Technology (ECST)
 BS in Electrical Engineering (BSEE)  Bachelor in Technical Teacher Education (BTTE)
 BS in Tourism Management (BSTM)  BS in Entrepreneurial Management (BSEM)
 AB English  BS Math

GRADUATE PROGRAMS
 Master of Arts in Nursing (MAN)
 Master in Engineering (ME)
 Master in Business Management (MBM)

(This application form is not for sale! This application form is not for sale!)
Effectivity Date: September 2016 Rev.2 Page: 2 of 2

You might also like