TANGING YAMAN FOUNDATION, INC.

Recent
1 x 1 or
passport size
Application Form for a Scholarship Grant Photo

STUDENT INFORMATION

_____________________________________________________________________________
Last Name Apelyido First Name Unang Pangalan Middle Name Panggitnang Apelyido

Nickname: _______________
Palayaw

Gender: [ ] Male Lalaki [ ] Female Babae

Kasarian

Address: ______________________________________________________________________
Tirahan
Tel no- home: ___________________ Date of birth Kapanganakan: ___/___/_______
Cellphone/mobile: __________________ Age: _______________
Email Address: ___________________ Civil Status: _________________

SCHOLARSHIP INFORMATION

Degree which the scholarship is being applied for: (pls. indicate the course)
[ ] bachelor’s degree [ ] graduate or professional degree
[ ] certificate or diploma [ ] vocational/ non-degree

Course/Degree: _______________________________________
School where you will take the degree Paaralan kung saan kukunin ang kurso: _____________________
School Address:________________________________________________________________
Website:_____________________________ Email Address:____________________________
School’s Contact number:__________________ School’s Fax Number:____________________

School’s Scholarship Coordinator:_________________________________________________

Coordinator’s Contact Number:___________________________________________________
Coordinator’s Email Address:_____________________________________________________

Have you been accepted to this school? Natanggap ka na ba sa paaralang ito? [ ] yes [ ] no
What school year (and semester, if applicable) are you applying a scholarship for? Para sa aling
taong pampaaralan at semestere ang tinatamasa mong tulong pinansyal sa pag-aaral?______________
What will be your year level when you begin the school year/semester? Pang-ilang taon mo na sa
pasukan? ________
How many years total will it take to finish the degree? Ilang taon ang kinakailangan, sa kabuuan, upang
matapos sa kursong kinukuha/kukunin mo? __________
How many semesters per year? Ilang semestre sa loob ng isang taon? [ ]2 semesters or [ ] 3 semesters

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 TANGING YAMAN FOUNDATION, INC.

Details of Scholarship being applied for (please check, specify, and estimate costs as required):
Detalye ng tinatamasang Tulong Pinansyal sa Pag-aaral (paki-check, punan ang mga patlang kasama ang mga karampatang
halaga:
[ ] Direct Expenses (tuition charges & school fees)
- Tuition fee: PhP _________________________
- Other school fees i.e., ________________: PhP ___________________
________________: PhP ___________________
________________: PhP ___________________
- Total: PhP _______________

[ ] Indirect Expenses (board & lodging, travel, miscellaneous)

(bayad sa tinutuluyan [dorm], pamasahe, at iba pa)
- Board & lodging bayad sa tinutuluyan [dorm]: PhP _________________
- Travel and transportation pamasahe: PhP _________________
- Miscellaneous iba pang mga gastusin (aklat, proyekto, atbp) : PhP _________________
- Total: PhP ________________

Grand Total Costs of Scholarship being applied for: Php _______________

Kabuuang Halaga ng tinatamasang tulong pinansyal para sa Pag-aaral:

Other loans/scholarships granted to you for the same applicable period/year:

Iba pang mga tulong pinansyal na gagamitin sa parehong taon ng tinatamasang tulong mula sa TYF
______________________________________________________________

FAMILY BACKGROUND
Tungkol sa Pamilya

Father’s Name Pangalan ng Ama : ___________________________________________________

Address Tirahan: ______________________________________________________________
Occupation Trabaho: ___________________________________________________________
Monthly Income Sahod kada-buwan: _________________________________________________

Mother’s Name Pangalan ng Ina: _____________________________________________________

Address Tirahan: _________________________________________________________________
Occupation Trabaho: ______________________________________________________________
Monthly Income Sahod kada-buwan: ___________________________________________________

Brothers and Sisters Mga Kapatid:

Name Age Occupation/Employer or School and Last Year Attended
Pangalan Edad Trabaho/Pinapasukan o Paaralan at Huling Taong Pinasukan

(*Please use extra sheet if more space is needed.) (Gumamit ng karagdagang papel kung kinakailangan.)

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 TANGING YAMAN FOUNDATION, INC.
SUBMIT THE FOLLOWING DOCUMENTS ALONG WITH THIS APPLICATION FORM:
Ilakip ang mga sumusunod sa Application Form na ito:

[ ] copy of birth certificate

[ ] transcript of records from last school year attended
[ ] recommendation from the principal or a teacher from last school attended. Rekomendasyon mula
sa punong-guro o isang guro ng huling paaralang pinasukan.
[ ] recommendation from parish priest or community leader Rekomendasyon mula sa kura paroko ng iyong
parokya o lider ng komunidad kung saan ka kasapi.
[ ] essay: “Ang Aking Pangarap” (include why you chose your degree, plans after study, etc.)
[ ] billing statement for the year or semester being applied a scholarship for paglalahad ng mga
pinansyal na pangagailangan mula sa paaralan para sa taong pampaaralan ng tinatamasang tulong-pinansyal mula sa TYF.
[ ] course curriculum or course syllabus

AGREEMENT:
We affirm that the facts provided in this application are true and correct as of the date
hereof. We hereby authorize the foundation to verify the information provided herein. We
understand that, if we are awarded scholarship, any false statements, omissions, or other
misrepresentations made in this application may result in the immediate withdrawal of the
foundation’s grant.

____________________________ _________________________________
Applicant’s Signature over printed name Parent’s/Guardian’s Signature over printed name

Date Signed: _______________ Date Signed: ______________

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 TANGING YAMAN FOUNDATION, INC.
Application Form for a Scholarship Grant
STUDENT ESSAY FORM
(May be in Filipino or English)

“Ang Aking Pangarap”

(sumulat ng sanaysay ukol sa mga sumusunod: ang iyong pamilya, pinili mong kurso ng pag-aaral, plano
pagkatapos ng pag-aaral, nais maganap na pag-unlad sa sarili at sa lipunan)

(Write an essay on the following: your family, why you chose your degree, plans after study, dreams for yourself
and society, etc.)