PNC:SDAS-FO-24 rev.

0 01022023

Republic of the Philippines

Pamantasan ng Cabuyao
(University of Cabuyao)
Student Development and Auxiliary Services Division
Student Affairs and Services Department
Katapatan Mutual Homes, Brgy. Banay-banay, City of Cabuyao, Laguna 4025

APPLICATION FORM FOR STUDENT ASSISTANTSHIP

DATE OF FILING: January 21, 2023 TERM: [ ]1st [ / ] 2nd [ ] Mid-Year, A.Y.
PERSONAL INFORMATION ACADEMIC INFORMATION
LAST NAME DUYOGAN STUDENT NO. 1902239
FIRST NAME NOVELYN PROGRAM BSBA-FM
MIDDLE NAME DEGONES YEAR 2ND YEAR
CONTACT INFORMATION
MOBILE NO. 0991 782 1981 EMAIL ADDRESS novelynduyagan11@gmail.com
EDUCATION BACKGROUND
ST. BENILDE INTERNATIONAL
SCHOOL/LOCATION YEAR GRADUATED 2020-2021
SCHOOL(CALAMBA), INC.

HONORS/AWARDS WITH HIGH HONORS GENERAL AVERAGE 96.00

RECEIVED

SCHOOL/LOCATION PAMANTASAN NG CABUYAO YEAR GRADUATED 2021-present

HONORS/AWARDS N/A GENERAL AVERAGE 1.263

RECEIVED
MATRIX OF GRADE WEIGHTED AVERAGE (Attach Copy of Grades)
Year Level 1st semester 2nd semester Midyear
1st Year 1.667 1.450
2nd Year 1.263
3rd Year
4th Year
REASON/S FOR AVAILING STUDENT ASSISTANTSHIP
It can finance my education. And to gain experience by exposing myself to what it is like to be in the
workplace. It is also a practice for me to enhance my communication skills and social skills.

CURRENT MEMBERSHIP IN ORGANIZATIONS (IN PNC & OFF-CAMPUS)

Position Name of Organization
N/A N/A

ACTION TAKEN
Screened by Reviewed by

Student Scholarship and Financial Assistance Officer Budget Officer

Signature over Printed Name Signature over Printed Name
Endorsed by Approved by

Director, Student Affairs and Services Department Vice President for Student Development and Auxiliary
Signature over Printed Name Services
Signature over Printed Name
DATA PRIVACY CONSENT:

I hereby affirm that all information supplied herein is complete and accurate. Withholding or giving false
information will make me ineligible for admission or subject to dismissal. If admitted, I agree to abide by the
established guidelines of Pamantasan ng Cabuyao.

Further, I agree to collection and processing of my data for the purpose of processing my application for
student assistantship to Pamantasan ng Cabuyao. I understand that my personal information is protected by
RA 10173, Data Privacy Act of 2012, and that I am required provide truthful information. I understand that my
personal information shall not be shared or disclosed with other parties without consent unless the disclosure is
required by, or in compliance with applicable laws and regulations.

Student
Signature over Printed Name/Date
Requirements: Class schedule and Copy of Grade
 PNC:SDAS-FO-24 rev.0 01022023

Republic of the Philippines

Pamantasan ng Cabuyao
(University of Cabuyao)
Student Development and Auxiliary Services Division
Student Affairs and Services Department
Katapatan Mutual Homes, Brgy. Banay-banay, City of Cabuyao, Laguna 4025

APPLICATION FORM FOR STUDENT ASSISTANTSHIP

DATE OF FILING: January 21, 2023 TERM: [ ]1st [ / ] 2nd [ ] Mid-Year, A.Y.
PERSONAL INFORMATION ACADEMIC INFORMATION
LAST NAME HABLA STUDENT NO. 2101292
FIRST NAME MARIEL PROGRAM BSBA-FM
MIDDLE NAME OCAMPO YEAR 2ND YEAR
CONTACT INFORMATION
MOBILE NO. 0921 904 9129 EMAIL ADDRESS mharielocampohabla11@gmail.com
EDUCATION BACKGROUND
ST. IGNATIUS TECHNICAL
SCHOOL/LOCATION 2020-2021
INSTITUTE OF BUSINESS AND ARTS YEAR GRADUATED

HONORS/AWARDS WITH HONORS GENERAL AVERAGE 90.25

RECEIVED

SCHOOL/LOCATION PAMANTASAN NG CABUYAO YEAR GRADUATED 2021-present

HONORS/AWARDS N/A GENERAL AVERAGE 1.550

RECEIVED
MATRIX OF GRADE WEIGHTED AVERAGE (Attach Copy of Grades)
Year Level 1st semester 2nd semester Midyear
1st Year 1.750 1.650
2nd Year 1.550
3rd Year
4th Year
REASON/S FOR AVAILING STUDENT ASSISTANTSHIP
For experience that I might use in the future and to improve my communication skills.

CURRENT MEMBERSHIP IN ORGANIZATIONS (IN PNC & OFF-CAMPUS)

Position Name of Organization
N/A N/A

ACTION TAKEN
Screened by Reviewed by

Student Scholarship and Financial Assistance Officer Budget Officer

Signature over Printed Name Signature over Printed Name
Endorsed by Approved by

Director, Student Affairs and Services Department Vice President for Student Development and Auxiliary
Signature over Printed Name Services
Signature over Printed Name
DATA PRIVACY CONSENT:

I hereby affirm that all information supplied herein is complete and accurate. Withholding or giving false
information will make me ineligible for admission or subject to dismissal. If admitted, I agree to abide by the
established guidelines of Pamantasan ng Cabuyao.

Further, I agree to collection and processing of my data for the purpose of processing my application for
student assistantship to Pamantasan ng Cabuyao. I understand that my personal information is protected by
RA 10173, Data Privacy Act of 2012, and that I am required provide truthful information. I understand that my
personal information shall not be shared or disclosed with other parties without consent unless the disclosure is
required by, or in compliance with applicable laws and regulations.

Student
Signature over Printed Name/Date
Requirements: Class schedule and Copy of Grade
 PNC:SDAS-FO-25 rev.0 01022023

Republic of the Philippines

Pamantasan ng Cabuyao
(University of Cabuyao)
Student Development and Auxiliary Services Division
Student Affairs and Services Department
Katapatan Mutual Homes, Brgy. Banay-banay, City of Cabuyao, Laguna 4025

STUDENT ASSISTANT CLASS AND DUTY SCHEDULE

Name Novelyn D. Duyogan Year/Program 2ND year BSBA-FM

Office Assignment No. of Duty Hours 20 hours
TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
7:00 – 7:30 AM
7:30 – 8:00 AM
8:00 – 8:30 AM
Living in the IT Era Physical Living in the IT Era
8:30 – 9:00 AM
(ITE101) Education 4 (PED (ITE101)
9:00 – 9:30 AM
104)
9:30 – 10:00 AM
DUTY
10:00 – 10:30 AM Reading in Reading in
Financial
10:30 – 11:00 AM Philippine History Philippine History
Management
11:00 – 11:30 AM (HIS101) (HIS101)
(FNM102)
11:30 – 12:00 NN
1:00 – 1:30 PM
1:30 – 2:00 PM Good
Governance and The Contemporary
2:00 – 2:30 PM
Social World
2:30 – 3:00 PM DUTY
Responsibility (SOC101)
3:00 – 3:30 PM (BAC105A) DUTY
3:30 – 4:00 PM DUTY
4:00 – 4:30 PM
4:30 – 5:00 PM
5:00 – 5:30 PM
5:30 – 6:00 PM Financial Analysis
6:00 – 6:30 PM and Reporting
6:30 – 7:00 PM (FNM101)
7:30 – 8:00 PM
Prepared by: Reviewed and Endorsed by: Approved by:

STUDENT ASSISTANT
Signature Over Printed Name Director, Student Affairs and Services Department Immediate Head
 PNC:SDAS-FO-25 rev.0 01022023

Republic of the Philippines

Pamantasan ng Cabuyao
(University of Cabuyao)
Student Development and Auxiliary Services Division
Student Affairs and Services Department
Katapatan Mutual Homes, Brgy. Banay-banay, City of Cabuyao, Laguna 4025

STUDENT ASSISTANT CLASS AND DUTY SCHEDULE

Name Mariel O. Habla Year/Program 2ND year BSBA-FM

Office Assignment No. of Duty Hours 20 hours
TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
7:00 – 7:30 AM
7:30 – 8:00 AM
8:00 – 8:30 AM
Living in the IT Era Physical Living in the IT Era
8:30 – 9:00 AM
(ITE101) Education 4 (PED (ITE101)
9:00 – 9:30 AM
104)
9:30 – 10:00 AM
DUTY
10:00 – 10:30 AM Reading in Reading in
Financial
10:30 – 11:00 AM Philippine History Philippine History
Management
11:00 – 11:30 AM (HIS101) (HIS101)
(FNM102)
11:30 – 12:00 NN
1:00 – 1:30 PM
1:30 – 2:00 PM Good
Governance and The Contemporary
2:00 – 2:30 PM
Social World
2:30 – 3:00 PM DUTY
Responsibility (SOC101)
3:00 – 3:30 PM (BAC105A) DUTY
3:30 – 4:00 PM DUTY
4:00 – 4:30 PM
4:30 – 5:00 PM
5:00 – 5:30 PM
5:30 – 6:00 PM Financial Analysis
6:00 – 6:30 PM and Reporting
6:30 – 7:00 PM (FNM101)
7:30 – 8:00 PM
Prepared by: Reviewed and Endorsed by: Approved by:

STUDENT ASSISTANT
Signature Over Printed Name Director, Student Affairs and Services Department Immediate Head