Checklists
description
Transcript of Checklists
Name of Applicant Scholar: ___________________________________
Home / Sending HEI: _______________________________________
Program applied for: _________________________________________
Documents Submitted:
Document / s Complied Not Complied
Date Complied
For
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1. Scholarship application form
List of courses offered by SHEI*
Total College/University Enrollment
Certification from School Head
Teaching Load
Certification that grantee has no pending administrative charges
Certification that grantee has no pending scholarship program being undertaken
Certification of employment indicating Official Designation, Status of Employment (Full/Part-Time), Tenure (Permanent, Probationary, Contractual or Temporary) and Date hired.
2. Recommendation
3. Transcript of Records (for every course taken: BA/BS, MA/MS, units earned)
4. Rehiring Agreement (if not permanent in SHEI)
5. Medical Certificate
Doctor’s Certificate (to be administered by a Government physician)
Urinalysis
Fecalysis
Complete Blood Count
X-ray result
6. NBI or Police Clearance
7. Birth Certificate (Issued by NSO)
8. SHEI Institutional Faculty Plan
Aft
e 9 Signed Scholarship Contract (5 copies)
10. Co-maker Undertaking (5 copies)
Picture ofApplicant
r C
HE
D 11. Income Tax Return of Co-maker
12. Photocopy of any valid ID/Passport
*SHEI – Sending Higher Education Institution