SIKAP PT: FORM F

STATUS OF STUDY AND STUDY PLAN

Application for the Part-Time Study under the SIKAP Grant

NAME

DHEI

DEGREE PROGRAM

TERM OF INTAKE (TERM, AY YYYY-YYYYY) TOTAL NUMBER OF UNITS REQUIRED TO

COMPLETE THE DEGREE PROGRAM

DURATION OF (Expected Number of Years and Months to

EXPECTED TERM AND ACADEMIC YEAR
STUDY complete the Degree Program) OF COMPLETION

CURRICULUM CHECKLIST: (List of Requirements Needed1)

<<COURSES>> UNITS
<<COURSES>> UNITS

Core Course: Philo 200 3 Elective: RegStudies 205 3

<<COURSES>> UNITS
<<COURSES>> UNITS

TO BE ACCOMPLISHED BY THE AUTHORIZED DHEI PERSONNEL

This is to certify that MR/MS _______________________ is admitted in the degree program __________________________ starting
<<TERM / AY>>. S/He must maintain a grade of _________ or higher of the total number of enrolled academic units per academic year.
S/He is expected to complete the degree program on or before <<TERM / AY>> as referenced in the attached Approved Study Plan.

____________________________________________________
SIGNATURE ABOVE PRINTED NAME
<<Dean / Program Chairperson / Department Chairperson >>

1 Core Courses, Cognates, Area of Specialization, Elective, Thesis/Dissertation, Compre Exam, etc.
SIKAP PT: FORM F

Note: Input the Course Title, Units, and Grades (as applicable)
ACADEMIC YEAR ________ - _________

FIRST SEMESTER/TERM SECOND SEMESTER/TERM SUMMER /SHORT TERM / THIRD TERM

UNITS GRADES UNITS GRADES UNITS GRADES

ACADEMIC YEAR ________ - _________

FIRST SEMESTER/TERM SECOND SEMESTER/TERM SUMMER /SHORT TERM / THIRD TERM

UNITS GRADES UNITS GRADES UNITS GRADES

ACADEMIC YEAR ________ - _________

FIRST SEMESTER/TERM SECOND SEMESTER/TERM SUMMER /SHORT TERM / THIRD TERM

UNITS GRADES UNITS GRADES UNITS GRADES

<<ADD TABLES AS NEEDED>>

SIKAP PT: FORM F

ATTACH APPROVED STUDY PLAN ISSUED BY THE DHEI: