INSTRUCTIONS: 1. Submit two (2) copies of this form to the School of Law and Governance together with one (1) copy of the following attachments:
Photocopy of college transcript of records For graduating students: Certification of candidacy for graduation from their Registrar For graduates and professionals: Photocopy of college diploma Proof of payment of the LSQT testing fee of PHP 1,500
2. Fill out this form completely, leaving no item blank (indicate “NA”if not applicable to you). INCOMPLETE FORMS AND FORMS WITH INCOMPLETE ATTACHMENTS WILL NOT BE ACCEPTED.
PERSONAL INFORMATION
Name: ______________________________________________________________________________________________________ LAST NAME FIRST NAME MIDDLE NAME NICKNAME Date of Birth
Place of Birth
Nationality
Sex
Civil Status
Religion
Permanent Home Address
Zip Code
Address in Metro Manila (if different from Permanent Home Address)
Zip Code
Home phone no. Father’s Name No. of older siblings
Mobile no. Father’s Occupation
Email address Mother’s Name
Mother’s Occupation
If married
No. of younger siblings
Name of Spouse
No. of children/dependents
Date of marriage
For applicants who are currently working Nature of work
Work Address
Position
Name of employer/business
Work phone no.
In the box below, state and describe briefly any illnesses or health concerns
EDUCATION AND QUALIFICATIONS
Name of School
Years Attended
Degree or Equivalent
High School
College
Graduate School
Others (including any law school attended)
Government/Licensing Exam(s) Passed
Professional certifications
Membership in Professional Organizations, Associations, etc.
General Weighted Average (GWA) obtained in pre-law course (for graduating students, GWA as of last term)
SCHOLASTIC INFORMATION List and explain all your academic achievements, honors, awards received in college/university, and extra-curricular activities. Indicate when you received them.
Were you ever dismissed/suspended/meted any form of disciplinary action (academics or conduct) in any of the schools you attended? ___ Yes ___ No. If yes, please explain.
Employer and Address
1.
2.
WORK HISTORY Position
How did you learn about the UA&P Law program? _____ UA&P website _____ Facebook, Twitter, Social Media _____ Newspaper Advertisement
Employment Period (From To)
_____ Tarpaulin, posters, brochures and displays _____ Family or friends. If so, how did they know ________________ ___________________________________________________
What are your career objectives? How would the Law program help you achieve these objectives?
__________________________________________________________________________ ________________________________________________________________________________________________________ CERTIFICATION I hereby certify that I have read and fully understood all the instructions regarding my application for admission to the Juris Doctor program of UA&P, and that the information stated in this application form and its attachments are correct and complete. I understand that incomplete or inaccurate information could be prejudicial to my application. If accepted as a student of UA&P, I agree to abide by all its policies and regulations.
APPLICANT’S SIGNATURE __________________________________________________ DATE _____________________
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