GADTC-SWO-FM-001 AS OF A.Y.

2023-2024

TANGUB CITY GLOBAL COLLEGE

Lot 289, J. Luna St., Maloro, Tangub City, Misamis Occidental 7214

ACADEMIC SCHOLARSHIP APPLICATION FORM

Academic Scholarship Program Applied for: □ Entrance Scholarship □ Presidential Scholarship
□Valedictorian (Rank 1 of the entire Graduating Class) □ Salutatorian (Rank 2 of the entire Graduating Class)

REQUIREMENTS: Staple here|

Staple a recent 2”x2” photograph
ACADEMIC SCHOLARSHIP PROGRAM: (taken within the last six months) in
ENTRANCE SCHOLARSHIP this box
For Valedictorian:
□ Accomplished Academic Scholarship Application Form
□ Certificate as Class Valedictorian duly signed by the School Principal
□ Certificate of General Weighted Average duly signed by the School Registrar
□ Certificate of Good Moral Character from where the applicant graduated Be sure to print your name at the back
□ Certificate of Residency with Recommendation duly signed by the Brgy. Captain where the applicant permanently resides. of the photo.
For Salutatorian:
□ Accomplished Academic Scholarship Application Form Staple here|
□ Certificate as Class Salutatorian duly signed by the School Principal
□ Certificate of General Weighted Average duly signed by the School Registrar
□ Certificate of Good Moral Character from where the applicant graduated
□ Certificate of Residency with Recommendation duly signed by the Brgy. Captain where the applicant permanently resides.

PRESIDENTIAL SCHOLARSHIP
(must have at least 1 year residency in the college but not more than the number of years required in the program enrolled)
□ Accomplished Academic Scholarship Application Form
□ Grade Slip(s) for two(2) consecutive semesters of the preceding Academic Year with no grade below 87
□ Certificate of General Weighted Average for two (2) consecutive semesters of the preceding Academic Year with at least 91%
and above duly signed by the College Registrar
□ Certificate of Good Moral Character duly signed by the Prefect of Discipline and Formation /College Guidance Counselor

BIOGRAPHICAL DATA ACADEMIC PERFORMANCE

(TO BE FILLED UP BY THE SCHOLARSHIPS AND WELFARE STAFF ONLY)
LAST NAME: DATE OF BIRTH:
APPLICATION NUMBER:_______-________-___________
FIRST NAME: AGE: AWARD NUMBER:_______-________-___________
MIDDLE NAME: GENDER:
ACADEMIC PROGRAM/
EXTENSION YEAR LEVEL:
CIVIL STATUS:
(IF THERE’S ANY) RESIDENCY IN THE
COLLEGE:
GWA: 1ST SEMESTER
OTHER PERSONAL INFORMATION A.Y._____________

CONTACT NUMBER: GWA: 2ND SEMESTER

A.Y._____________
BOARDING HOUSE/APARTMENT’S AVERAGE RATING :

REMARKS:
BOARDING HOUSE/APARTMENT’S AD-
DRESS:
SIGNATURE OVER
PERMANENT HOME ADDRESS:
PRINTED NAME:
EVALUATOR
FATHER’S NAME: OCCUPATION: DATE:
MOTHER’S MAIDEN NAME: OCCUPATION: APPROVED FOR
ENDORSEMENT:
GUARDIAN/BENEFACTOR’S OCCUPATION: HEAD, SCHOLARSHIPS AND WELFARE OFFICE

DATE:
PERMANENT ADDRESS:
APPLICATION STATUS □ ENDORSED □ DENIED

HIGH SCHOOL INFORMATION (for Entrance Scholarship Applicant only)

SENIOR HIGH SCHOOL: PRINCIPAL:

ADDRESS: YEAR GRADUATED

TYPE OF SCHOOL: □ PUBLIC □ PRIVATE HONOR’S RECEIVED

REFERENCES
NAME NAME: NAME:

ADDRESS: ADDRESS: ADDRESS:

CONTACT NO. CONTACT NO. CONTACT NO.