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250¢996- on 40 e040 eu PeWe> asco ‘uonewLO, pe 204) NWN H21U99 su IEUOTEN, (90\9s UBIH OUlseug ‘sueouag suy Buno, 404 youeog opimuopeN enuuy 24s, 10 fn2aup suewiosinbes Ja4fo pus suu0} diysiejoyss paysydwonoe Any puos. ‘suojpne ani ay 01 pasoord oj poyiend sxe ‘ou ou 10 942m au0yd faq payiou oq wm swedidy EDDUSWOEFODORE SOIETY SIPVOF SUBS YOCIEDO It 388 YOCGROR) SVAGNY 4 ySh ‘fsnus Jo} ueouNa: uopeayde uo SyeI2D 104 Seuuopod anum aan 2a snus Apoq jou 53062 " uypuoge! copia © pues emus eueonddy "STOR isn (e1ohen Sy fensin ‘ouep povedod 10} 09 oIsni (pap20u p Avo s20ys od) secus ued pue se0us yos 1ugno yanea sie1du09) vues (vad yea 'you2d) syeusrew Bunun pue soded puog uous, {ys6u3 s0jpue ou sid. ut (Kesse ‘wood *uoys voys B'0) syuom Jo sayduies unum ences ‘uewesinbey woripny 189 qu J0 ploy We 2x ur sweuuusyduidede Buns ewinsau oBec-ouD pie Voda IA SPeI5 10 A sPeID 10 kdc200He3 ON 248 fa ponss; syeoyien yw Jo Kdeoo}oud uwoy uoneaiddy dusiejovos vsHa Peusiciuocoe Ans sswows,ynbey yueunoq 89h jooyos 12U 2410 OF sun Uo juougo108 uodn siBeK Uuogeatede Jo aug ay 8 smu yueDqAde ue “dysse}o4>s 10 aeND 24 OL ‘AaB 3 duysse}oyos wwoweBeuey worionpodd pue aBeig 'But29Aq pue woonpog pue seje0U OIWIDAL ‘loots JOISSU -sUY JeyEOUL SUVIOHIS SiYV ONNOA YOH HIAVIS JTIMNOIIVN TVONNY ssni9 ‘aueuuoyag 21snW “IIsMW FeqUIEYD ‘LOBUL DIsMy WUBUNASUY oOS/2010) OFS HN pur uosisoduiog soueg ‘20ueg %9. tye ‘20ueq wopoW aq eOHSSEID ‘Oud pue ysi6u3 us ws}eWAner pUE “Bugungeig Kis0d "uorD14 ‘BunN onseosD vwnynauang ‘suaweunbos uusapece-uou pue gwapeae jo uoRDsHes uodin s1e2K jooyps aaynoasuco 9 0% p10} 1096 fuane aigemouel 5 1ue18 diysiejouss ou, ‘suetBoid oBueyoxe pue ‘suonyodwo ‘sjenisay jeuoyooqu uy jo0Ks ‘onnpofao yoseos 1p 0 Gunn umpoddo yi ustue pue a1u2p rooyos ous, SITY 9} 1OF Tooyps YT aurddyryg SCHOLARSHIP APPLICATION FORM Philippine High School for the Arts National Arts Center, Mt Makiing, Los Bafios 4020, Laguna Republic of the Philippines Telefax : (049)5365973 + Mobile :0917-8663097 Website : www.phsaeduph Email: phsa.ansyas@gmail.com ANNUAL NATIONWIDE SEARCH FOR YOUNG ARTS SCHOLARS Personal (Please print in ink and write legibly) ad ‘tach most recent Last Name Given Name ‘Midle Name en Home Address photo here Postal code Phone Number Email Address nore. Reproducible appiication Birthday —___ Age forms are avaiable ree Citizenship Gender. of charge from any ofthe Chosen Art Field to Audition [Please check one (1) box only} O Creative Writing Q Dance (Ballet) Q Dance (Folk Dance) 2 Music (Instrument) : Piano, Violin, Guitar, Flute, Cello, Clarinet, Trumpet Other _ 1 Music (Voice) - Female only O Theater Arts O Visual Arts Educational Background Name of school Address Grade level Year Trainings and Workshops Attended Name of Training Place of Training ) Date Attended ) Name of Facilitator Attach additional sheet with list of Trainings and Workshops attended if space above is insufficient. Do you have immediate relatives in Metro Manila or Laguna? 1 YES - Relationship Q None Q Idon't know (Students are required to go on home leave every weekends or during school short breaks to their parents ‘or designated legal guardians.) Applicant's Signature Date. Parent's/Legal Guardian's Printed name & Signature Contact Numbers Date fallowing + Philippine High Schoo! for the Ars (PSA), National Arts Center, Mt Makilng, Collage 4031 Los Baflos, Laguna + Cultural Center of the Phiippines Arts Education Department 852-1125 loc 1802; telefax 633-0267 Email: copartseducation @yehoo.com For inquiries - ite or call the ‘Annual Nationwide Search for Young Arts Scholars (ANSYAS), Philippine High Schoo! {forthe Aris, Natonal Arts Center, Mt Making, Los ‘Bafos 4030, Laguna Telefax (04995365973 Mobile (0917-8689097 Website ohsa.edu.nh Email phsa.ansyas@gmail.com

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