Senior High SchoolApplication Form

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REQUIREMENTS FOR SENIOR HIGH SCHOOL PLACEMENT TEST a. Duly accomplished Senior High School Application Form b. Testing fee of ₱350.00 c. Certification as candidate for Grade 10 completion from current

school d. Photocopy of Certificate of Ratings from the Department of

Education (for graduates of Non-Formal Education Accreditation and Equivalency)

Note: UST-Legazpi Grade 10 students will no longer take the Placement Test.

ENTRY REQUIREMENTS TOSENIOR HIGH SCHOOLGrade 11 Applicants a. Senior High School Placement Test Results b. Original High School Report Card (Form 138) c. Certificate of Good Character from the Principal or Guidance Counselor d. Photocopy of NSO Birth Certificate e. Two copies of recent 2”x2” picture f. Enlistment fee* g. Learner Reference Number h. Qualified Voucher Recipient Certificate (if applicable) i. Photocopy of Completion Certificate

Note: Grade 11 applicants from other Junior High Schools must complete the required subjects in the summer before the next school year starts.

International Students a. Senior High School Placement Test Results b. Photocopy of Student Visa c. Alien Certificate Registration (ACR) Number d. Handwritten letter of intent for Admission to Senior High School e. Transcript of Records or Certificate of Grades or Report of Ratings

from last school attended f. Two copies of recent 2”x2” picture g. Enlistment fee*

Note: Foreign applicants must complete the required subjects in the summer before the next school year starts.

Graduates of Non-Formal Education Accreditation and Equivalency (NFEAE) a. Senior High School Placement Test Results b. Original Certificate of Ratings from the Department of Education

c. Photocopy of NSO birth certificate d. Two copies of recent 2”x2” picture e. Enlistment fee*

TEST PERMITLAST NAME

GIVEN NAME

DATE OF EXAMTO BE ACCOMPLISHED BY GUIDANCE PERSONNEL

TIME OF EXAM

VENUE

ISSUED BY

CONTROL NO.

DATE ISSUED

MIDDLE NAME

STAPLE2”x2” PICTURE

HERE

TRACK/STRAND PREFERENCETRACK STRAND

SECONDCHOICE

FIRSTCHOICE

EXAMINER’S SIGNATURE

*Non-refundable but deductible from Tuition Fee

Note: Please indicate the definite track and strand of your choice. Changing the preference after submission of this application form is not allowed.

LEARNER REFERENCE NUMBER (LRN)

RELEASE OF TEST RESULTS

QUALIFIED VOUCHER RECIPIENT (QVR) CERTIFICATE NUMBER (if applicable)

GRADE LEVEL Grade 11 Grade 12

L E G A Z P I C I T YA . D . 1 9 4 8

UNIV

ERSI

TY O

F SANTO TOMAS-LEGAZPI

The Dominican University of Bicol

APPLICATION FORMInstructions: Print or type information asked for. Only correct and completely filled-out application forms will be considered for examination purposes. Please use black pen.Please indicate the definite track and strand of your choice. Changing the preference after submission of this application form is not allowed.

LAST NAME

GIVEN NAME

DATE OF BIRTH

PLACE OF BIRTH

NATIONALITY

PERMANENT MAILING ADDRESS

NAME OF PRESENT HIGH SCHOOL

LANDLINE NO. MOBILE NO.

E-MAIL ADDRESS

MIDDLE NAME

ATTACH2”x2” PICTURE

HERE

AGE

O.R. #

TRACK/STRAND PREFERENCE

GENDER

ADDRESS OF HIGH SCHOOL

YEAR OF COMPLETION

LEARNER REFERENCE NUMBER (LRN)

QUALIFIED VOUCHER RECIPIENT (QVR) CERTIFICATE NUMBER (if applicable)

SCHEDULED DATE OF EXAM TYPE OF SCHOOL

GRADE LEVEL

TRACK STRAND

SECONDCHOICE

FIRSTCHOICE

TRACK OFFERINGS

Nurturing the Mind • Enriching the Spirit

FOR INQUIRIES(052) 736-0335 • (052) 736-0358 • (052) 736-0368 • (052) 736-0479

INSTRUCTIONS1. Accomplish the Application Form which is available at the

Guidance/Principal’s Office, St. Albert the Great Building, UST-Legazpi Rawis Campus, Legazpi City.

2. Pay the Testing fee of ₱350.00 at the Cashier’s Office, UST-Legazpi Rawis Campus, Legazpi City. (Business hours: 7:30 am to 5:00 pm, Mondays to Fridays, NO NOON BREAK)

3. Submit to the High School Guidance office (located at the 3rd floor, St. Albert the Great Building, UST-Legazpi Rawis Campus) the accomplished form and the receipt of payment. In return, you shall be given the TEST PERMIT.

4. Submit immediately the above-mentioned requirements to the HS Guidance Office, because the allotted number of examinees per schedule is limited. First come, first served.

5. Take the Senior High School Placement Test on the date specified in the TEST PERMIT.

6. Claim the test results from the HS Guidance Office on the date of release specified in the test permit. Please be reminded that PHONE INQUIRY on Test Results is strictly DISCOURAGED.

INSTRUCTIONS ON EXAM DAY1. Bring your TEST PERMIT.2. Bring two (2) pencils.3. Use this TEST PERMIT in claiming your test result.4. Testing fee is non-refundable in case you fail to take the

exam.

ChooseUST-LegazpiSenior High!Public

Grade 11

Private

Grade 12

Academic

Arts and Design

• General Academic Strand (GAS)• Humanities and Social Sciences (HumSS)• Accountancy, Business, and Management (ABM)• Science, Technology, Engineering, and Mathematics (STEM)• Science, Technology, Engineering, and Mathematics (STEM

Plus)-Senior Science High School strand

Technical-Vocational Livelihood• Cookery• Food and Beverage Services• Baking and Pastry Production• Plumbing• Pharmacy Aid• Accounting and Marketing Services Management• Technical Drafting and Design

Senior Special Program in the Arts track

Sports

Note: Your track preference should be definite throughout the application process.

Vita Veritatis Et Amoris Ex GratitudineA LIFE OF TRUTH AND OF LOVE OUT OF GRATITUDE

LocalAdmissions - 276Registrar - 201Testing - 214HS Principal - 235HS Assistant Principal - 220/222HS Guidance Counselor - 230