0% found this document useful (0 votes)
23 views15 pages

ApplicationFormCollege2019 2020

The document provides information about scholarships available at Manila Tytana Colleges for the 2019-2020 school year. It outlines the different types of scholarships, qualifications required, and documentation needed to apply. Applicants must meet academic and financial requirements, submit various documents by the deadline, and will undergo an interview process.

Uploaded by

Irish Bautista
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
0% found this document useful (0 votes)
23 views15 pages

ApplicationFormCollege2019 2020

The document provides information about scholarships available at Manila Tytana Colleges for the 2019-2020 school year. It outlines the different types of scholarships, qualifications required, and documentation needed to apply. Applicants must meet academic and financial requirements, submit various documents by the deadline, and will undergo an interview process.

Uploaded by

Irish Bautista
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/ 15

SCHOLARSHIPS FOR SY 2019-2020 (COLLEGE)

 Modalities
- Full scholarship grant (full fees coverage and allowances (book, uniform, living)
- Partial scholarship grant (full tuition fee coverage)

Tytana reserves the right to assign the applicant to the different scholarship grants by
Tytana and its scholarship benefactors based on the qualifications and the need of the
applicant.

 Qualifications
- Must be a Filipino citizen
- Must pass the Manila Tytana Colleges Admission Test
- Must have a general weighted average of at least 87%, or its equivalent
- Must have a combined gross family income of not more than P400,000 for a family of
four; or P100,000/capita if more than four in the family. This MAY be waived if the
applicant is an honor student.
- Must have substantial extra-curricular and leadership involvements
- Must be of good moral character
- Must not enjoy other scholarship grants or financial assistances

 Documentary requirements (READ THOROUGHLY)

Submit the following documents together with the duly accomplished Scholarship
Application Form. The applicant must be the one to accomplish the form and affix
his/her signature with one of his/her parents or legal guardian. Write clearly on the
form using black ink only. Avoid erasures. Make sure to answer ALL ITEMS.

Only complete documents will be processed. Application will be processed on a


first-come, first-served basis. The applicant must PERSONALLY submit the
documents. Initial interview will be conducted during submission of application.

The scholarship benefactors might request for additional documents other than those
enumerated below.

Deadline of submission of application form and ALL documentary requirements is


on March 29, 2019 (Friday), 3:00pm.

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 1
Checklist of documentary requirements:

o Application Form

o Parents’/Guardian’s detailed personal letter about the family’s financial situation justifying the
need for financial assistance. The letter must answer the questions: why the family needs
assistance, what are the sources of income of the family, what are the major expenses of the
family, why the applicant deserves to receive a grant.

o Two (2) pcs. of 2x2 (on white background) most recent photograph of applicant. Paste (do not
staple) one photo in the application form.

o Photograph of applicant with family/guardian. Print name at the back of the picture.

o Proof of household income:

For employed parents: Most recent copy of Income Tax Return (ITR) or Certificate of
Compensation Payment/Tax; Certificate of Employment and Compensation (including bonuses,
allowances and commissions). Overseas Filipino Workers must submit copy of employment
contract.

For self-employed parents: Submit business permit, detailed description of business and latest
income and expenses financial statement.

For parents not filling an ITR: Please indicate in the letter the reason for non-filing. Provide
certified true copy of Certificate of Non-Filing from Bureau of Internal Revenue (BIR).

For retired parents/guardian: Submit retirement and/or pension voucher.

Siblings and other relatives currently helping out with the expenses of the family including
educational expenses may be required to submit the above-mentioned documents.

o Proof of latest electricity and water billing statements. If statement is registered under a different
name other than the applicant’s parent/guardian, include a certification letter from property owner.

o Copies of certificates and/or Certification of Leadership, Extra/Co-curricular involvement of the


applicant

o Two (2) letters of recommendation from teacher. Form is enclosed in the application form.

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 2
FOR TYTANA’S USE ONLY:

Course applied for : ________________________________________

Result of MTCAT : CFIT ___ Total ___ | E ___ M ___ S ___ GI ___

Essay 1 ___ Essay 2 ___ | Interview __________________

Initial Interview
a. High school grade : Grade 11 _____ Grade 12 _____
b. Grade 11 honors : ________________________________________
c. 2017/8 Total Annual Family Gross Income : _____________________________________
d. Water and electricity bill : __________ __________

Assessed by : ________________________________________
Pending Documents : ________________________________________

Schedule of FI : ____________________
Result of FI : ____________________
Final Result : ____________________ Grant _________________________

Instruction: The applicant must be the one to accomplish the form and affix his/her signature with
one of his/her parents or legal guardian. Write clearly on the form using black ink only. Avoid
erasures. Make sure to answer ALL ITEMS. Answer this questionnaire carefully, completely and
honestly. Parents may be called for interview for clarification of the information given.

APPLICATIONS WITH INCOMPLETE INFROMATION AND WITHOUT THE REQUIRED DOCUMENTS


WILL NOT BE PROCESSED.

Name

Last Given Middle


Landline
Paste 2x2” photo on white
Mobile Number
background here.
Email Address

Name of
High School
Address of
High School
Type of School ___ Public General
___ Public Special (science, arts)
___ Laboratory of SUC
___ Private Sectarian
___ Private Non-Sectarian

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 3
LETTER OF UNDERTAKING

Date: ____________________

MANILA TYTANA COLLEGES


Directorate for Student Affairs
Student Welfare and Development Department

This is to formally signify my intention to apply for a scholarship grant in Manila Tytana
Colleges. I understand that I have to undergo the complete process including the submission of
all documentary requirements for my application to be considered.

I agree to submit myself to the criteria established by the Tytana Student Welfare and
Development Department or its partner grantors in the selection of qualified and deserving
candidates and its procedures in the processing of my application. I understand that the
decision of the Selection Committee is final and unappealable.

Respectfully yours,

__________________________________
Signature over Printed Name of Applicant

__________________________________
Signature over Printed Name of Parent/Guardian

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 4
DATA PRIVACY CONSENT FORM

Dear Applicant:

Personal Data Protection Statement for Applicants

In the course of your application process with the Manila Tytana Colleges and its scholarship
partners (together, “Tytana”) for the SY 2019-2020 Tytana Scholarship Program, Tytana has
collected or obtained, and will obtain or collect from time to time, personal data from you or in
relation to you (“Personal Data”). Please note that your Personal Data has been or will be
collected, processed, used and stored for purposes directly or indirectly relevant to your
application for scholarship. Your Personal Data may also be used for Tytana’s administration
and management of applicants and for compliance with applicable laws and regulations.

By signing and returning this Consent Form to Tytana, you confirm that you consent to the
collection, use, recording, storing, organizing, consolidation, updating, disclosure, transfer,
sharing and/or general processing of your Personal Data by Tytana as stated above and you
undertake in turn to help Tytana to observe the requirements of the Data Privacy Act of the
Philippines (Republic Act No. 10173), its implementing rules and regulations and other relevant
issuances of the National Privacy Commission. The permission you are granting to Tytana shall
be effective immediately and shall continue for a period of one (1) year from the date of this
consent form or until graduation from Tytana for those who will be approved in the program (the
“Permission Period), unless you inform us in writing of your decision to revoke your permission
prior to the end of the Permission Period, in which case, Tytana shall immediately cease from
collecting, using, recording, storing, organizing, consolidation, updating, disclosure, transfer,
sharing and/or general processing of your Personal Data.

Should you have questions regarding the privacy policy you may contact our Data Privacy
Officer at (02) 859-0834 or email at [email protected].

Student Welfare and Development Department


Directorate for Student Affairs

Consent:

I hereby consent to the collection, use, recording, storing, organizing, consolidation, updating,
disclosure, transfer, sharing and/or general processing of my Personal Data by Tytana in
accordance with the terms of this Personal Data Protection Statement for Applicants.

Applicant’s Signature over Printed Name


Date:

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 5
I. PERSONAL DETAILS

Date of Birth: ____________________ Age: ____________________

Place of Birth: ____________________ Civil Status: ____________________

Religion: ____________________

Current Address: ( ) Own home ( ) Dormitory/Boarding House ( ) Living with relatives


( ) Others: ____________________

Write complete address including house number, street, barangay, municipality/city, province,
and zip code.

____________________________________________________________________________
___________________________________________________________________________

Cost of two-way transport (cheapest rate): PhP _______________________

Means of transport (bus, plane, boat, etc.): _______________________

If the applicant is renting:


Monthly rent: PhP _______________
Monthly lodging: PhP _______________
Who shoulders the expenses: _______________

Cost of two-way transport (cheapest rate): PhP _______________

Means of transport (bus, plane, boat, etc.): _____________________

Permanent Address (if different from current address):

Write complete address including house number, street, barangay, municipality/city, province,
and zip code.

____________________________________________________________________________
___________________________________________________________________________

Cost of one-way transport (cheapest rate): PhP _______________________


Means of transport (bus, plane, boat, etc.): _______________________
How many times does the applicant go home to specified permanent address?
_________________

Is the residence owned by the parents of the applicant? ( ) Yes ( ) No


If not owned by parents, by whom? _______________________

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 6
II. EDUCATIONAL ATTAINMENT

Name of Primary School : ___________________________________________________


Address of Primary School : ___________________________________________________
Year Graduated : __________ General Average: __________

Honors/Awards Received : ___________________________________________________


(use additional sheet if ___________________________________________________
necessary) ___________________________________________________

Name of Junior High School : ___________________________________________________


Address of JH School : ___________________________________________________
Year Graduated : __________ General Average: __________

Honors/Awards Received : ___________________________________________________


(use additional sheet if ___________________________________________________
necessary) ___________________________________________________

Name of Senior High School : ___________________________________________________


Address of SH School : ___________________________________________________

Honors/Awards Received : ___________________________________________________


(use additional sheet if ___________________________________________________
necessary) ___________________________________________________

-------------------------------------------------------------------------------------------------------------------------------
Amount of fees paid in senior year: PhP _______________
Did the applicant enjoy any form of scholarship or financial aid in secondary school? This
includes the ESC program of the government. ( ) Yes ( ) No

If yes, specify grant: ____________________ Total amount of grant: PhP _____________

Who finances the applicant’s schooling? (check all applicable)


( ) Parents ( ) Sibling ( ) Self ( ) Others: ____________________

Estimated amount of financial support? PhP _____________

Is the applicant a working student? ( ) Yes, full time ( ) Yes, part time ( ) No

Name of Company/Employer: ___________________________________________________


Address : ___________________________________________________
Monthly income : PhP _______________

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 7
II-A. Academic Performance
This portion should be accomplished by the adviser and guidance counselor, and certified by
the principal.

Name of school : ______________________________________________


Population of graduating class : ______________________________________________

General average of applicant in Grade 11 : ____________________________


General average of applicant in Grade 12, First Semester : ____________________________
Grade 12:
Subject Quarter 1 Quarter 2

Remarks on grading scale:


____________________________________________________________________________
____________________________________________________________________________

Signature over printed name of teacher/adviser

II-B. Character

This is to certify that the applicant has consistently maintained good moral character, there
having no disciplinary action taken against him/her as of the date of application.

Signature over printed name of guidance counselor

Attested by Principal (signature over printed name):

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 8
III. FAMILY BACKGROUND

Status of Relationship of Parents: ( ) Living together ( ) Separated ( ) Single


( ) Father deceased ( ) Mother deceased
( ) Others, ______________________________________

Father Mother Guardian


(if not living
with parents)
Full Name
Birth Date
Age
Current Address

Permanent Address
(if different from
current address)
Contact Number
Highest Educational
Attainment
School

Living Abroad?
Yes or No
If employed
Employer

Address

Position

Previous Year’s
Gross Income
If self-employed
Nature of work
Number of years in
business
Previous Year’s
Gross Income
If unemployed
Last company joined
When
Reason for being
unemployed

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 9
If the applicant is not living with parents

What is the relationship to guardian? ____________________


Does the guardian contribute to the family expenses? ( ) Yes ( ) No
How much is the monthly contribution? PhP_________________

Siblings

Total Number of Siblings : _____


Number of Working Sibling/s : _____ Number of Studying Sibling/s: _____

Use additional sheet if necessary.

Sibling 1 Sibling 2 Sibling 3


Name
Year of Birth
Civil Status
If with children,
indicate how many
Permanent Home
Address
Currently living with
family? (Yes/No)
If No, indicate if he/she
is living abroad or not
Contact Number
Highest Educational
Attainment
School
Received Scholarship?
(Yes/No)
School fees per year
(if student)
Occupation or
Year/Grade Level
Employer
Business Tel. No.
Average Monthly Income

Does any of the applicant’s siblings contribute to the family’s expenses? ( ) Yes ( ) No
Who contributes? ____________________ If yes, is the contribution regular? ( ) Yes ( ) No
What is the frequency of the contribution? ( ) 1x a month ( ) 2x a month ( ) Others: _________
How much is the average contribution? PhP_______________

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 10
Relatives

Does the applicant have any relatives (whether in the Philippines or abroad) who contribute to
the family’s expenses? ( ) Yes ( ) No

If yes, how much is the average monthly contribution? PhP _______________


If assistance is not in cash, what kind of help do they give? ___________________

Household companions

Does the applicant have any house companions other than parents and siblings? ( ) Yes ( ) No

Use additional sheet if necessary.


Companion 1 Companion 2 Companion 3
Name
Relationship to Student
Age
Civil Status
Mobile Number
Occupation/ Year or
Level (if student)
Employer/ School
Average Monthly
Income
Sharing with house
expenses? Yes/No

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 11
IV. HOUSEHOLD ECONOMIC BACKGROUND

FAMILY INCOME (Annual Gross)

Combined Annual Pay (father, mother) PhP


Combined Annual Pay (siblings – if living under same
house)
Income from Business
Income from Land Rentals
Income from Res/Bldg Rentals/Lease
Retirement Benefits/Pension
Commissions
Financial Support from Relatives
Bank Deposits

Others (Specify)

Total Annual Income PhP

FAMILY EXPENSES (Monthly)

House Rental PhP


Food and Grocery
Loan /Amortization (specify)
Transportation/Gasoline
Education Plan Premiums
Insurance Policy Premiums
SSS/GSIS/PAG-IBIG Loans
School/Office Uniform/Clothing
School Allowance
Utilities (Electricity, Water, Cable, Phone, Internet)
Medicines
Recreation
Others (specify)
Total PhP
Sub-total x 12 months PhP

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 12
FAMILY EXPENSES (Annual)
School Tuition and Fees PhP
Withholding Tax
SSS/GSIS/PAG-IBIG Contribution
Insurance, Plans (per Year)
Others (specify)

Sub-total PhP
Total Annual Expenses (Monthly + Annual) PhP

If annual expenses is higher than annual income, please explain how you cover for the deficit.

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________

What are the sources of income of the household? Please check all applicable items.
( ) Salaries or wages ( ) Commissions ( ) Remittances from abroad
( ) Practice of profession ( ) Business ( ) Real estate rentals
( ) Retirement pension ( ) Others: __________________________________

Does any member of the family household have credit cards? ( ) Yes ( ) No
********************************************************************************************************
References

Immediate and extended family are not allowed to be used as reference. Preferred persons are
high school teacher, guidance counselor/principal, or family friend.

Name Relation to Company Contact Number


Applicant
1.

2.

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 13
V. VICINITY MAP

Draw a map that shows how to get from your residence to Tytana. State landmarks and names
of major streets and use an “X” to indicate your house in the map.

DECLARATION OF ACCURATENESS AND COMPLETENESS OF INFORMATION

We hereby certify that all the information and documents submitted are accurate and complete.
We understand that any misinformation and/or withholding of information will automatically
disqualify the undersigned applicant from receiving any financial assistance, or subsidy, and
may serve as a basis for the cancellation of the scholarship grant that may be awarded by the
College. Furthermore, if such misinformation and/ or withholding of information on our
part is discovered after the Tytana Scholarship Grant has been awarded, it is to our
knowledge that we will be required to reimburse full amount received thru the
scholarship grant without prejudice to the filing of charges against us.

____________________________________ _________________________________
Signature over Printed Name of Applicant Signature over Printed Name of Parent

Date Date

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 14
VII. RECOMMENDATION FORM

Instructions to the applicant: Please fill out the entries on the upper half of the form. The
applicant must submit two (2) recommendations from any one of the following
(preferably the one who knows you best) – (a) SHS teacher/adviser, (b) SHS guidance
counselor, (c) SHS principal.

Please PRINT all entries.

To be filled out by the applicant

NAME OF APPLICANT ____________________________________________________


Last Given Middle

Applying for (course) ____________________________________________________

************************************************************************************************************
To be filled out by the SHS teacher/adviser, SHS guidance counselor, or SHS principal

The student whose name appears above is applying for Scholarship at Manila Tytana Colleges.
To help the College evaluate the qualifications of the applicant, kindly answer the items below
as sincerely as possible.

Is the applicant a recipient of financial assistance/scholarship in SHS?


___ Yes ___ No

Do you have enough information about the applicant’s family to say that they will not be able to
send him/her to Tytana without scholarship? ___ Yes ___ No

Will the applicant’s family be able to send him/her to Tytana even without scholarship?
___ Yes ___ No

Please use the portion below in case you have any comments about the applicant’s
qualifications for financial assistance or academic ability. Use back portion if necessary.

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Name (please print) __________________________________________________________


Position __________________________________________________________

Signature ______________________________ Date ______________________

Please return this appraisal to the applicant in a sealed envelope with your signature across the
seal.

May be reproduced. Not for sale. Manila Tytana Colleges Scholarship Application Form 19-20| 15

You might also like