CENTRAL MINDANAO UNIVERSITY University Town, Musuan, 8710 Bukidnon OFFICE OF ADMISSIONS, SCHOLARSHIPS AND PLACEMENT SENIOR HIGH SCHOOL APPLICATION FORM
No.________
SENIOR HIGH SCHOOL QUALIFYING/PLACEMENT TEST 1X1
Testing Fee: P200.00 (Pay at the CMU Cashier’s Office) O.R. No. __________________
Recent Photo
A. APPLICANT NAME ( Print) LAST :
FIRST:
BIRTHDATE:
BIRTHPLACE:
SEX: MALE FEMALE AGE:
MI.
CITIZENSHIP
RELIGION:
HOME ADDRESS: ______________________, _____________________________, __________________ Street No. /Purok/Barangay
Municipality
Province
JUNIOR HIGH SCHOOL COMPLETED:________________________________________________________ SCHOOL ADDRESS:_______________________________________________________________________ Please indicate the track and strand of your choice. Number them as 1 for the first choice, 2 for the second choice and so on. Academic Track: Sports Track: Science , Technology, Engineering and Mathematics (STEM) Basketball Accountancy, Business and Management (ABM) Football Humanities and Social Science (HUMSS) Volleyball c TecVoc Track: Sepak Takraw c Home Economics: Food Processing, Cookery, Food & Beverage Services Track Events c Agro-Fishery: Dairy Production, Swine Production B. PARENTS FATHER:
MOTHER:
EDUCATIONAL ATTAINMENT:
EDUCATIONAL ATTAINMENT:
OCCUPATION: NO. OF CHILDREN IN THE FAMILY:
OCCUPATION:
C. CERTIFICATION (PRINCIPAL OR SCHOOL DIRECTOR) I HEREBY CERTIFY THAT THE APPLICANT IS A JUNIOR HIGH SCHOOL COMPLETER OF____________________________________ SY ___________. __________________________ SIGNATURE OVER PRINTED NAME DESIGNATION ______________
D. ACTION TAKEN [
] APPROVED
[
] DISAPPROVED
_____________________________ CHAIRMAN, BOARD OF EXAMINERS DATE ____________________
CUT ALONG THIS LINE -------------------------------- CUT ALONG THIS LINE ------------------------------- CUT ALONG THIS LINE ------------------------------------
EXAMINATION PERMIT NO. _______ (SENIOR HIGH SCHOOL QUALIFYING/PLACEMENT TEST) 1X1 Recent Photo
NAME OF EXAMINEE ______________________________________________ DATE OF TEST _____________________________________ TIME _________ PLACE OF TEST __________________________________________________ _______________________________ CHAIRMAN, BOARD OF EXAMINERS DATE _______________________
NOTE: Present this permit to the PROCTOR during the exam. NO PERMIT, NO EXAM. Bring Ball Pen. (This form could be reproduced but not to be SOLD.)
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Jul 31, 2013 - diploma (including BTech) at an accredited Higher Education ... Computer Science and Data Processing ... Health Care and Health Sciences.
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Jul 31, 2013 - a member or staff member of one of the participating Trade Unions. ⢠a child ... in doing vacation work for a 2 week period during the end-of-academic-year break. ... Computer Science and Data Processing .... Degree/diploma:.
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A permanent address where we can reach you even if you move from the address listed above: Citizenship/Permanent resident of U.S. If no, country of citizenship: Other colleges or universities attended: Anticipated graduation date: ______. Courses in
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Page 1 of 3. LETTER OF RECOMMENDATION. Name_________________________________________________________________________. LAST FIRST MIDDLE NAME. To the Applicant: Give this form to a school official (Principal/Guidance Counselor/Class Adviser/Homeroom.
Page 1 of 6. Name (Last, First, Middle Initial) CAPID CAP Grade Gender. Member Type REG-WG Unit # (e.g. 001) Grade in School Religious Preference. Address (Include No., Street, City, State and Zip Code) Home Phone Number Cell Phone Number. E-Mail Add