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Scholarship Application Form (1)

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Lester Ruiz
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15 views

Scholarship Application Form (1)

Uploaded by

Lester Ruiz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AYF Scholarship Application Form

2x2 ID
AY FOUNDATION, INC. Picture
A YGC Member

SCHOLARSHIP APPLICATION FORM

Date: ________________

Name of Applicant:
(Family Name) (First Name) (Middle Name)
Home Address:
Birthplace: _____________ Birth Date: ___________________ Religion:
Citizenship: ____________ Sex: ________________Contact Number:
Special Skills: ______________________________ E-mail Address:
Name of schools attended:
Elementary: ______________________SY: _________ General Average Grade:
High School: _____________________ SY: _________ General Average Grade:
College: _________________________SY: _________ General Average Grade:
Name of school you intend to enroll in the incoming School Year:
Grade/Year: ________ Course: _______________Semester/Trimester/Quartersem ________
Father’ Name: _______________________ Mother’s Name:

Who of your parents is a YGC employee? ( ) Father ( ) Mother ( ) None

Name of Employer: ( ) Not Applicable


Date Hired: ( ) Not Applicable
Tenure of Employment: ( ) Not Applicable
Job Performance Evaluation Result: ( ) Not Applicable
Combined Net Taxable Income of Parents: ( ) Affidavit of Non-Income
Father: Php_________________ Mother: Php

I hereby certify that the above information are true and correct as supported by the attached
required documents. I am fully aware and in agreement with the terms and conditions of the AY
Foundation Scholarship Program. I understand that the AY Foundation Scholarship Committee’s decision
on this application is final.

___________________________________
Printed Name & Signature of Applicant

6
(To be accomplished by the Scholarship Coordinator/HRD Officer)

Date received: ________________

Scholarship application is for: School Year_________________ ( ) New


( ) Renewal
Scholarship classification: ( ) In-house (YGC)
( ) Cultural Minority
( ) Children in Welfare Institution/s
( ) Others

Scholarship application is qualified for: ( ) Bracket A Benefits


( ) Bracket B Benefits
( ) Bracket C Benefits

Application requirements are: ( ) Complete


( ) Incomplete _____________________________________

I hereby certify that the information contained in this application and in the required supporting documents
have all been verified by our office and are found to be true and correct to the best of my knowledge.

____________________________________
Printed Name & Signature

(To be accomplished by AYF Scholarship Officer)

Checklist of Requirements:

( ) AYF Scholarship Application Form with 2x2 Picture


( ) Latest Report Card / Transcript of Records
( ) Certification of Good Moral Character (for High School & College applicants only)
( ) Certification from the school certifying the applicant is not a recipient of Tertiary Education Subsidy (TES)
Program or any scholarship grant (for tertiary applicants only)
( ) Latest Income Tax Return / W2 of Parents or if one or both parents are unemployed, an Affidavit of Non-
Income is required.
( ) Certification of Job Performance Evaluation for the past three years (for YGC applicants only)
( ) School Registration / Assessment Form (Breakdown of Miscellaneous and Other Fees are required)

Remark/s:

____________________________________________________________________________________

Recommendation for: ( ) Approval ( ) Disapproval

_____________________________ Approved by: _______________________________


Scholarship Coordinator General Manager

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