LEGAL SCHOLARSHIP PROGRAM

SCHOOL YEAR 2018–2019

Application Form
Please attach a recent 2” x 2” ID photo and accomplish this form on a legal size bond paper.

PERSONAL DETAILS

Name: _______________________________________________________________________________
(Surname) (First Name) (Middle Name)

Present Address:

______________________________________________________________________________________

_____________________________________________________________________________ Zip Code: ______________________________

Permanent Address: _____________________________________________________________________________________________________

_____________________________________________________________________________ Zip Code: ______________________________

Law School: __________________________________________________________________ Year Level: _____________________________

Law School Mailing Address: _____________________________________________________________________________________________

_____________________________________________________________________________ Zip Code: ______________________________

Email Address: _______________________________ Mobile No.: __________________________ Landline No.: ___________________

Place of Birth: ________________________________ Date of Birth: _________________________ Age: ___________________________

Gender: _____________________________________ Civil Status: ___________________________ Religion: _______________________

I hereby submit my entry titled:

_________________________________________________________________________________________________________

MAJOR ACHIEVEMENTS
Please list all prizes, awards, medals, etc. you have been granted. You may use a separate sheet of paper. Please note that you may be required to provide evidence.

1. ______________________________________________________________________________________________________________________

2. ______________________________________________________________________________________________________________________

3. ______________________________________________________________________________________________________________________

ORGANIZATIONS Position Year/s

_______________________________________________________ _________________________________________ ___________________

_______________________________________________________ _________________________________________ ___________________

_______________________________________________________ _________________________________________ ___________________

DECLARATION You may use a separate sheet of paper for the above.

I hereby agree to abide by the terms and conditions as provided in the FLP Legal Scholarship Program Guidelines for the
School Year 2018–2019. I certify that all the above information I provided are true and complete to the best of my knowledge.
I also understand that this submission of my application does NOT automatically qualify me for the scholarship grant and
that I will abide by the decision of the FLP Scholarship Board of Judges.

_________________________________________
(Signature)

_________________________________________
(Date of Submission)

3/F PCCI Corporate Centre, 118 L.P. Leviste Street, Salcedo Village, Makati City 1227 Philippines
Tel No.: +632 553 1102 | Email: secretariat@libpros.com | Website: www.libpros.com