Far Eastern University

ADMISSIONS AND FINANCIAL ASSISTANCE

Endorsement Form for Graduate Studies / Teacher Certificate Program

STEP 1: Admissions & Financial Assistance

APPLICATION TYPE: CITIZENSHIP: FORMER FEU STUDENT?
R Graduate Student RFilipino  Yes - Student Number: ____________________
R Doctorate Program  International RNo - Adcon Number: _____________________
o Master’s Program
 Teacher Certificate Program
 Juris Doctor
Post Baccalaureate Program

Name of Applicant: TEOFILO O. PALSIMON JR. Date: JULY 24, 2020

Contact #: 09323141994 e-mail address topj.psych@gmail.com
Last School Attended: DE LA SALLE UNIVERSITY-DASMA Bachelor’s degree/Master’s degree:
MA in Clinical Psychology

General Weighted Average: Degree Preference in FEU: Doctor of Psychology major in Forensic Psychology

INITIAL EVALUATION: (TO BE FILL-OUT BY AFA REPRESENTATIVE)

Attachment/s
 Transcript of Records  Photocopy of PSA Marriage Certificate  Recommendation Letters
 Photocopy of PSA Authenticated Birth Certificate  Photocopy of Diploma  Essay
 Honorable Dismissal/Transfer Credential/Certificate of  Photocopy of License  Others
Non-Issuance of Transfer Credentials

Remarks:

Name and Signature of AFA Representative

Step 2: Institute
 Institute of Education (IE) – Room 605, Education Building
 Institute of Nursing (IN) – Room 800, Accounts, Business and Finance Building
 Institute of Accounts, Business and Finance (IABF) – Room 608, Accounts, Business and Finance
\ Building
 Institute of Accounts, Business and Finance (IABF-Makati)- Room 214, FEU Makati
 Institute of Law (IL) Makati Campus- Room 607, FEU Makati
 Institute of Arts and Sciences (IAS)
o Biology Department (Science Building, Room 212)
o Communication Department (Arts Building, Room 205)
o Language & Literature Department (Arts Building, Room 312)
o Psychology Department (Science Building, Room 214)

 FINAL EVALUATION:

Interview/Essay Status:  Passed  Probationary  Failed

Recommendation:
□ graduate degree program
□ bridging course

Course Code Course Description Schedule

     
     
     
     

________________________________________
Name and Signature of the Dean / Program Head
FEU/AFA.C* FRM.14 *VER.01/EFF. 11 FEBRUARY 2020