Application Form For SY2015-16 UA&P

Application Form valid for SY 2015-16
Application no.
Exam date
Please Paste
RECENT
2x2 ID picture
School Year
Legal name
(Name in Birth Certificate)
Last/Family
First/Given
Middle/Complete
Nickname
Present school
INSTRUCTIONS
1. Read the Admissions Brochure and all instructions carefully.
2. Fill out this form carefully and print or type all information requested. Please do not abbreviate. Write N/A if the information is not
applicable to you. Omissions can delay the processing of your application.
3. Please make sure to complete all the requirements in order to facilitate the processing of your application.
4. Submit this form together with the following: (a) Secondary school record form, (b) Guidance counselor recommendation form,
(c) Personal essay (printed on a short bond paper), (d) NSO- authenticated Birth Certificate,(e) three 2x2 ID pictures (identical with
white background and name printed at the back) and (f) Accomplished Scholarship form for those applying for grants.
5. The Application fee is non-refundable.
*All credentials, including the application form submitted to the University Admissions Office, become property of the school.
PERSONAL INFORMATION
Complete permanent address (Foreign students should specify their address at their country of origin)
Zip code
Mailing address
(if not the same as above)
Telephone number
Zip code
Fax number
E-mail address
Mobile number
Birth date
/
(mm)
Citizenship
/
(dd)
Place of birth
(yyyy)
Filipino
Others (pls. specify)

Dual (pls. specify)
If married, name of spouse

(submit a copy of your marriage contract)
Does your family own a business?
Yes
If yes, specify name and nature of business
No
Religion
Female
Male
FAMILY INFORMATION
Father's name
Mother's name
Last/Family
First/Given
Middle
Last/Family
First/Given
Name of company/ employer
Name of company/ employer
Present occupation/ position
Present occupation/ position
Address
Address
Business phone (
Mobile
Business phone (
Area Code
Middle
Mobile
Area Code
Email Address
Email Address
College (if any)
College (if any)
Degree
Year
Graduate school (if any)
Degree
Year
Graduate school (if any)
Degree
Year
Degree
Year
Sibling/s' educational attainment (eldest to youngest)

Name
Age
Highest educational attainment
Last school attended
1
2
3
4
5
SCHOLASTIC INFORMATION
List all honors and awards you have received for academic excellence and co-curricular activities in high school.
Indicate when you received these.
List all the co-curricular organizations you have participated in. Indicate the position(s) held and year level(s)
when you were in office. (ex. Dramatics Club: Member I, II, Vice President-III; President- IV)
What special training program(s) or seminar(s) have you attended?
Have you failed any subject(s) in high school or college at the end of a term?
If yes, please indicate the failed subject(s), year level(s), and reasons.
Have you repeated a year in high school?
Yes
No
Yes
No
Which year level? Why?
Have you ever been forced to stop schooling for at least a month because of health reasons?
If yes, please give details.
Yes
Please explain any gaps in school history, i.e. times you were not enrolled in any school. (if employed, please
submit a certification of employment)
Were you ever dismissed, suspended or placed under disciplinary probation?

If yes, please indicate offense(s) and sanction(s).
Yes
No
List all your sports, hobbies, interests, special skills and talents.
On a short bond paper, type an essay that conveys your interests (visual/ theater arts, sports, music, gourmet
cooking, etc.), accomplishments; family, educational, entrepreneurial, and social experiences; future goals,
including your strengths, weaknesses and your potentials which will positively contribute to the development of
the University (maximum of 250 words).
No
PROGRAM PREFERENCE
In the boxes provided, indicate your preferred course by writing 1 and 2 respectively.
Seven-Year Program
Juris Doctor in Seven Years
Five-Year Programs
Bachelor of Science in Industrial Engineering
Master of Arts in Humanities
Master of Arts in Political Economy
with Specialization in International Relations & Development
Master of Science in Industrial Economics
Master of Arts in Communication
Major in Integrated Marketing Communications
Master of Science in Management
Four-Year Programs
Bachelor of Science in Entrepreneurial Management
Bachelor of Science in Applied Mathematics
Bachelor of Science in Business Administration
Major in Management
Bachelor of Science in Business Administration
Major in Management with Specialization in Business Analytics
Bachelor of Science in Child Development and Education
Bachelor of Science in Information Technology
Bachelor of Arts in Humanities
Bachelor of Arts in Economics
Bachelor of Arts in Political Economy
Bachelor of Arts in Integrated Marketing Communications
Bachelor of Science in Human Capital Development
Bachelor of Arts in Media and Entertainment Management
Note:
Applicants to the Entrepreneurial Management Program have to take a diagnostic exam for an additional
fee of P250.00
CERTIFICATION
I hereby certify that I have read and fully understood all instructions regarding my application for admissions at
UA&P and that the information supplied in this application and the documentation supporting it are correct and
complete. I understand that incomplete or inaccurate information could be prejudicial to my admission. If accepted
as a student of the University of Asia and the Pacific, I agree to abide by all its policies and regulations.
APPLICANT'S SIGNATURE
DATE
UPDATED August 7 2014

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Application Form valid for SY 2015-16

(if not the same as above)

Others (pls. specify)

If married, name of spouse

Does your family own a business?

If yes, specify name and nature of business

Name of company/ employer

Name of company/ employer

Present occupation/ position

Present occupation/ position

College (if any)

College (if any)

Graduate school (if any)

Graduate school (if any)

Sibling/s' educational attainment (eldest to youngest)

Highest educational attainment

Last school attended

What special training program(s) or seminar(s) have you attended?

Have you repeated a year in high school?

Which year level? Why?

Were you ever dismissed, suspended or placed under disciplinary probation?

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