Professional Documents
Culture Documents
Dear Applicants: Data generated from this form will be used for research purposes and will not be listed individually in any report. Rest assured your responses will be kept completely confidential. Moreover, your answers will not in any way affect the results of your application to DLS-CSB
NAM E
Surname F ir s t N a m e Middle Name
MARKING INSTRUCTIONS 1. Use a pencil preferably with #2 lead. 2. Print the letters and numbers in the required blank spaces ad boxes. 3. Completely fill / shade the bubble. 4. Completely erase any error or stray marks. TE R M OF APPLICATION S CHOOL YEAR
CORR EC T MARK: I N C O R R E C T M A R K S:
CIVIL STATUS
D O NO T F I L L THIS PORTION
CASE NO.
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APPLICATION TYPE
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0 1 2 3 4 5 6 7 8 9
GE N D E R
5 6
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Male Female
7 8 9
NATIONALITY
R E L I G I ON
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3 4 5 6 7 8 9
WHO AMONG YOUR FAMILY ARE ALUMNI OF ANY LA SALLE S CHOOL? (Sh ade all that applies)
Science High School National High School Barangay High School Private Sectarian Private Non-sectarian Others (pls. specify)
Above Php 1,000,000.00 Php 750,001.00 - Php 1,000,000.00 Php 500,001.00 - Php 750,000.00 Php 250,001.00 - Php 500,000.00 Php 250,000.00 and below
EDUCATIONAL ATTAINMENT OF MOTHER
Both None
Government Self-Employed Private None/Deceased If employed, select the field of occupation: Academic/Education/Training Accounting/Finance Administrative/Human Resources Architecture/Interior Design/Building & Construction Arts/Media/Communication Computer/Information Technology Diplomatic Affairs Engineering (e.g. Industrial Design, Industrial Engineering Healthcare Hotel/Restaurant Legal Services Manufacturing/Production Sales/Marketing Sciences (e.g. Aviation, Geology, Agriculture) Services (e.g. Customer service, Personal Care) Other (pls. specify)
Government Self-Employed Private None/Deceased If employed, select the field of occupation: Academic/Education/Training Accounting/Finance Administrative/Human Resources Architecture/Interior Design/Building & Construction Arts/Media/Communication Computer/Information Technology Diplomatic Affairs Engineering (e.g. Industrial Design, Industrial Engineering Healthcare Hotel/Restaurant Legal Services Manufacturing/Production Sales/Marketing Sciences (e.g. Aviation, Geology, Agriculture) Services (e.g. Customer service, Personal Care) Other (pls. specify)
PLEASE STATE YOUR REASON(S) FOR APPLYING TO DLS -CSB (Shade all that applies)
HOW DID YOU LEARN ABOUT DLS-CSB? (Sha de all that applies)
Grandparents Parents Siblings Friends / Classmates High School Teacher Homeroom Adviser
School Counselors Print Ads News Articles Career Talks / Fairs In-campus Tours DLS-CSB Website
WHAT ARE THE SOURCES OF INFORMATION YOU CONSULTED IN LOOKING FOR A PROSPECTIVE COLLEGE OR UNIVERS ITY YOU INTEND TO ENROLL IN? (Sh ade all th at applies)
College Prospectus School Website College / University visits Faculty of College / University Media (Press reports, TV ads, radio)
Students Enrolled in Colleges / Universities Friends High School Administrators High School Staff / Guidance
Alumni of the College / University College/University Fairs Career Guidance Others (pls. specify)
A. Attractiveness of location B. Attractiveness of campus C. Close to residence location D. Close to employment location E. Transportation accessibility F. Family income G. Tuition fee H. Availability of scholarship I. School reputation J. Library facilities K. Sports facilities L. Computer facilities
M. Flexibility of course N. Shorter time to finish course O. Diversity of course offerings P. Quality of teaching Q. Social atmosphere R. Parent's alma mater S. Parent's recommendation T. Friend's alma mater U. Friend's recommendation V. Recommended by High School Guidance Counselor / Administrator W. Others (pls. specify)
S C H O LA R S H I P
Yes
No
WHAT THREE COURSES ARE YOU MOST INTERESTED IN? (REGARDLESS OF ANY COLLEGE / UNIVERSITY) Do not abbreviate. Write complete name of course. (e.g. BS BA in Human Resource Management) 1 s t Cho i c e 2nd Choice 3rd Ch oice
WHAT ARE THE TOP THREE UNIVERSITIES / COLLEGES WOULD YOU MOS T LIKELY ENROLL IN? Do not abbreviate. Write complete name of school. (e.g. De La Salle-College of S t. Benilde, Manila) Un iversity / College Name To p 1 To p 2 To p 3 Address/Branch/Campus
WHO WILL FINANCE YOUR COLLEGE SCHOOLING? (Shade all that applies)
Parents
Siblings
Relatives
Spouse
Scholarship NO NO
DID YOU APPLY TO DLSU-MANILA? For Non-Metro Manila residents only: DO YOU HAVE RELATIVES IN MANILA?
DO NOT FILL IN THIS SECTION
1st Choice
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2n d C h o i ce
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3rd Choice
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Top 1
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Top 2
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Top 3
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