BUGS Form 1

Bicol University Please attach recent

GRADUATE SCHOOL picture (2”x2”)
Legazpi City Please use paste or glue.
Do not staple.

APPLICATION FOR ADMISSION

Note: This form should be accomplished by the applicant and submitted to the Office together with the
following documents/requirements on or before May 15 for first semester admission and October 15 for
second semester admission:
1. Original copy of Official Transcript of Records from college previously attended.
2. Photocopy of Special Order (for graduates of private school).
3. Copy of honorable dismissal from school last attended.
4. Certificate of English Proficiency for foreign students. Required TOEFL score for admission is 460.
5. Payment of admission fee (please attach official receipt)
6. Two letters for recommendation preferably from former professors.
7. Photocopy of Birth Certificate.
8. Photocopy of Marriage Contract.
9. Long envelope and folder.
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1. Full Name ___________________________________________________________________________

Family Name First Name Middle Name

2. Date of Birth _________________________ 3. Place of Birth ___________________________________

4. Gender Male Female 5. Civil Status Single Married Widow/er Others

6. Present occupation/position _____________________________________________________________

7. Employer (Institution or Company) ________________________________________________________

8. Mailing Address ______________________________________________________________________

Street City / Town

_____________________________ ______________ _________________________

Provincial/State Zip Code Country

9. Email Address _______________________________________________________________________

10. Telephone No. / Mobile Phone No. ___________________________ 11. Fax No. _________________

12. Academic background. List all schools previously attended.

Institution Attended Major Field Degree and Date Received

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13. Degree Applied for __________________________________________________________________

14. Delivery Mode: Residential Distance Learning*

15. Major field of interest _________________________________________________________________

16. Semester for which you are applying First Semester SY 20 ____ - 20 ____

Second Semester SY 20 ____ - 20 ____

17. Have you previously applied for admission to BU Graduate School?

Yes No If yes, when? ___________ Action on previous application:

Approved Denied Still pending

18. Employment Record

Name and Address of Employer Position Inclusive Dates

From To

19. Membership in honor and professional organizations. (Please use additional sheet if necessary)

20. Scholarships, honors and awards received. (Please use additional sheet if necessary)

21. Publications, researches, articles, literary works, etc. (Please use additional sheet if necessary)
*some selected Graduate Programs are also being offered via Distance Learning

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22. Unpublished research papers or theses. (Please use additional sheet if necessary)

23. Names, titles and addresses of former professors/research adviser/employer/supervisor whom you
have requested to recommend you.

Name Title Address

_________________________________ _______________________ ________________________

_________________________________ _______________________ ________________________

_________________________________ _______________________ ________________________

_________________________________ _______________________ ________________________

_________________________________ _______________________ ________________________

24. Future plans after completion of graduate studies at BU Graduate School.

(Please use additional sheet if necessary)

_______________________________________ _________________________________
Signature of Applicant Date
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EVALUATION RESULT
(To be filled by Graduate Admissions Committee)

Name of Applicant ______________________________________________________________________

Degree applied for: _____________________________________________________________________

Documents submitted:

OTR
Special Order
Honorable Dismissal from the last school attended
Certificate of English Proficiency (TOEFL) for foreign students
Proof of payment of admission fee (Official Receipt)
Marriage contract for married women
Birth Certificate

General Weighted Average _____________

Action Taken:
Approval Recommended
Regular Admission
Probationary

Admission Denied
Reason for denying admission ____________________________
_____________________________________________________

Remarks _____________________________________________________________________________
_____________________________________________________________________________________

GRADUATE ADMISSIONS COMMITTEE

__________________________ __________________________ _________________________

Chairman Member Member

Recommending Approval:

________________________________
College Dean

Approved:

________________________________
Dean