FORM 1 Republic of the Philippines NOT FOR SALE

Application No._______________ Department of Labor and Employment (can be reproduced)

Overseas Workers Welfare Administration
Region
Programs Services Division
EDUCATION & TRAINING UNIT EDSP
CMWSP
APPLICATION FORM
SCHOLARSHIP / TRAINING PROGRAM APPLIED FOR:
[ ] Education for Development Scholarship Program (EDSP)
[ ] Congressional Migrant Workers Scholarship Program (CMWSP)

I. INFORMATION SHEET (Note: Please PRINT LEGIBLY)

1. Name: _____________________________________________ 2. Age___ 3. Birthdate _______4. Sex: F [ ] M [ ]

LAST FIRST MIDDLE
5. Permanent Address: _____________________________________________________ 6. Civil Status______________

Municipality / District: _______________________________ Zip Code: ____________ 7. Citizenship______________

8. High School Attended: __________________________________________________ 9. Tel No. _________________

10. School Address : ________________________________________________________ Mobile No._______________

11.Gen. Average in 4th Year High School _____________________

12. PARENTS’ INFORMATION FATHER MOTHER

a. Name: _____________________________________________________ ______________________________________________________

b. Citizenship:
c. Highest Education Attained:
d. Tribal Affiliation (if any):
e. Occupation:
f. Employer Address:
g. Gross Income:
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________

No. of Siblings in the Family : _______ Family Order : 1st [ ] 2nd [ ] 3rd [ ] Others: _______

I hereby certify that all answers given above are true and correct to the best of my
knowledge. I will also abide with the policy of the program that selection of qualified examinees for
scholarship award after approval of the Administrator is final and unappealable.

Attested by:

Parent / Guardian Applicant

(Signature Over Printed Name) (Signature Over Printed Name)
Date: ____________________________
 Republic of the Philippines
Department of Labor and Employment
Overseas Workers Welfare Administration
Region
Programs Services Division
EDUCATION & TRAINING UNIT
EVALUATION FORM
[ ] Education for Development Scholarship Program (EDSP)
[ ] Congressional Migrant Workers Scholarship Program (CMWSP)

A. APPLICANT’S DATA B. OFW DATA:

Name _____________________________________________ Name of OFW : _________________________________
Last First Middle Last First Middle
Age:___ Birthdate:_______ Citizenship________ Sex: M [ ] F [ ] Occupation/Jobsite : ________________________________
Category: LB [ ] SB [ ] SEX: M [ ] F [ ]
Relationship to OFW __________ Tel.No _________________ Civil Status: S[ ] M [ ] Region: _____________
Preferred Course:_____________________________________ Latest Date of OWWA Contribution : ___________________
PreferredSchool:______________________________________ Term of Contract: _________________________________

C. REQUIREMENTS REMARKS

1. [ ] Application Form _______________________

2. [ ] Two (2) 2” x 2” recent & Identical Photos _______________________
3. [ ] Proof of OWWA Membership
__ Official Receipt of OWWA Contribution _______________________
__ OFW Verification Sheet issued by MPC _______________________
4. [ ] Proof of Relationship to OWWA-Member/OFW
__ Birth Certificate (issued by NSO) of applicant, if child of OFW _______________________
__ Birth Certificate (issued by NSO) of both applicant & OFW, if OFW's brother/sister (for CMWSP) __________________
__ Certificate of No Marriage (CENOMAR) from NSO (if OFW is unmarried) _______________________
5. [ ] Secondary School Record (Form 137) _______________________
6. [ ] Health Certificate _______________________
7. [ ] Certificate of Good Moral Character _______________________
8. [ ] Certification that applicant belongs to the upper 20% of the High School Graduating Class _______________________
9. [ ] Applicant’s Certificate of not having taken post secondary or undergraduate/ college units
and not a Recipient of any scholarship grant / has not taken the EDSP Qualifying Examination _____________________
10.[ ] Sworn Statement that applicant has no pending application for resident immigrant status
from any country & does not have dual citizenship ________________________

D. ALTERNATE/OTHER REQUIREMENTS :
__________________________________________________________________________________________________________
______________________________________________________________________________________________
_______________________________________

E. EVALUATION REPORT:

[ ] Eligible [ ] Not Eligible [ ] Lacking Documents

Received by: _______________________________ Evaluated by: __________________________

Date: _______________________________ Chief, Programs Services Division
Date: _____________________________

APPROVED:

OWWA Regional Welfare Office Director

Date
FORM 2
A. HEALTH CERTIFICATE

MEDICAL CLINIC : ________________________________________________________

ADDRESS : ________________________________________________________
________________________________________________________
DATE: __________________

TO WHOM IT MAY CONCERN:

This is to certify that I have examined __________________________________

and found him/her to be:

Physically fit
Physically unfit

for scholarship application.

This certification is issued in connection with his/her application for the Education for Development
Scholarship Program (EDSP) for the SY 2009 - 2010.

____________________________
Medical Officer
(Signature Over Printed Name)
LC # _______________________

*********************************************************************************

B. CERTIFICATE OF GOOD MORAL CHARACTER

This is to certify that ____________________________ is of good moral character and that no

disciplinary action has been taken against him/her as of date.

___________________________
Principal / Guidance Counselor
(Signature Over Printed Name)
Date: _______________________

*********************************************************************************

C. PRINCIPAL'S CERTIFICATION

High School :________________________________________________

Address : ________________________________________________

TO WHOM IT MAY CONCERN:

This is to certify that ___________________________ is a candidate for graduation this March

2009. This further certifies that he/she belongs to the upper 20% of the graduating class numbering ____.

___________________________
Principal
(Signature Over Printed Name)
Date: ________________________
D. APPLICANT'S CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that the undersigned has not previously taken the Education for Development
Scholarship Program (EDSP) Qualifying Examination and any post secondary/vocational or
undergraduate/college units.

Attested by:

_________________________ ___________________________
Parent / Guardian Applicant
(Signature Over Printed Name) (Signature Over Printed Name)

***************************************************************************

E. PARENT'S CERTIFICATION ON APPLICATION

FOR IMMIGRATION / NO DUAL CITIZENSHIP OF APPLICANT

TO WHOM IT MAY CONCERN:

This is to certify that my son / daughter __________________________is not a holder of dual

citizenship and has no pending application for immigration to any country.

_________________________
Parent / Guardian
(Signature Over Printed Name)