Republic of the Philippines

Mindanao State University- Main Campus

2x2 Formal
COMMUNITY DEVELOPMENT DEPARTMENT ID Photo
MSU Campus, Marawi City, Lanao del Sur, 9700
Tel. No. (063) 229-1307
Mobile #: (+63) 9614169320 (Smart)
Email: sustainable.cd@msumain.edu.ph
Website: https://next.msumain.edu.ph/

APPLICATION FOR ADMISSION TO GRADUATE PROGRAM

Degree Sought: Diploma in Community Development 24 Units
Master of Science in Community Development (Plan A) 30 Units
Master of Science in Community Development (Plan B) 36 Units

INSTRUCTION: Type or print clearly in ink and submit completed application form and other
requirements on or before __________________

1. Name (Last Name, First Name, Middle/Maiden Name, Name Extension)

Last Name First Name Middle/Maiden Name Ext.

2. Date of Birth, Place of Birth and Citizenship

Date of Birth Place of Birth Citizenship

3. Complete Address (No./Street, City/Town, Province, Zip Code)

4. Marital Status Married Widow Single

5. Information on nearest relative (Father / Mother / Spouse if married / Guardian )

Name Address/ Tel.No. Relationship

6. Education (From secondary to highest university education)

Institution Location Date Attended Degree Received Major

7. Scholastic honors or prizes/special trainings:

8. Civil Service Eligibility | Professional Licensure

Title of Examination Date Taken Rating

9. Professional Experience (From latest employment; include teaching and research. Use
additional sheet or you may use the back of this sheet, if necessary.)

Position Employer’s Name/Address/Tel. No. Inclusive Dates Remarks

10. List two of your former professors or expert in your field as references.

Name & Title: ___________________________________ Address: ________________

Name & Title: ___________________________________ Address: ________________

I declare that the information supplied in this application and the documentation
supporting it is true and complete. I acknowledge that the provision of incorrect
information or documentation in relation to my application may result in cancellation of
admission or enrolment. If admitted, I agree to abide by the policies, rules and regulation
of the MSU – Marawi graduate studies.

_________________________ ______________
Signature Date

Name of Applicant: ______________________________________________________

Degree Sought: _________________________________________________________

A. Classification: (to be filled – up by the Program Coordinator)

REGULAR CONDITIONAL

PROBATIONAL NOT QUALIFIED

B. Remarks: ___________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

EVALUATED BY: MR. ROEL S. SAYSON

Program Coordinator, MSCD Program

RECOMMENDED BY: PROF. SORAIDAH S. ALI

Chairperson, MSU-CPA Graduate Studies Department

APPROVED: DR. VIOLETA H. ENGRACIA

Dean, College of Public Affairs, MSU- Main

Notes:
A. Admission Requirements:
1. A Bachelor’s degree from a recognized institution is required for admission to a
master’s program.
2. For an applicant to a master’s program, an undergraduate Grade-Point-Average
(GPA) of 2.00 or better or its equivalent, or some evidence of potential ability to
pursue a graduate degree, e.g., excellent performance in teaching or research,
etc.
3. Evidence of suitable background or its equivalent in the field of study sought.

B. Classification of Graduate Students:

1. Regular. A full-fledged regular graduate student who satisfactorily complies with
all the requirements for admission including those prescribed by the
department/college offering the degree sought.
2. Conditional. An applicant with deficiencies in undergraduate work as evaluated
but satisfies all the basic requirements for admission. The said deficiencies should
be satisfied on or before the end of the second semester of the first year of
attendance.
3. Probation. An applicant who fails to earn an undergraduate weighted average
grade of 2.00 or better but has proven to be capable to pursue a graduate degree.
A student on probation should be dismissed from graduate studies if he fails to
earn a weighted average grade of 2.00 or better in the first semester of residence.
4. Not Qualified. An applicant who does not have the necessary preparation to
pursue the degree sought.