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    Application Form For STEM

    Uploaded by

    Arturo TJ Pacificador
    This document is an application form for admission to the Science, Technology, Engineering and Mathematics program at Antique National School Senior High School. The application requests personal information from the applicant such as name, age, address, parents' names and contact information. It also requests the applicant's grade 10 school information including name of school, section, grades in science and mathematics. The applicant must attach documents like their birth certificate and ID to the application. By signing, the applicant certifies that the information provided is true and allows the screening team to use the details for the STEM admission reference.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form For STEM

    Uploaded by

    Arturo TJ Pacificador
    132 views1 page
    This document is an application form for admission to the Science, Technology, Engineering and Mathematics program at Antique National School Senior High School. The application requests personal information from the applicant such as name, age, address, parents' names and contact information. It also requests the applicant's grade 10 school information including name of school, section, grades in science and mathematics. The applicant must attach documents like their birth certificate and ID to the application. By signing, the applicant certifies that the information provided is true and allows the screening team to use the details for the STEM admission reference.

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    Application Form for STEM

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    This document is an application form for admission to the Science, Technology, Engineering and Mathematics program at Antique National School Senior High School. The application requests personal information from the applicant such as name, age, address, parents' names and contact information. It also requests the applicant's grade 10 school information including name of school, section, grades in science and mathematics. The applicant must attach documents like their birth certificate and ID to the application. By signing, the applicant certifies that the information provided is true and allows the screening team to use the details for the STEM admission reference.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    132 views1 page

    Application Form For STEM

    Uploaded by

    Arturo TJ Pacificador
    This document is an application form for admission to the Science, Technology, Engineering and Mathematics program at Antique National School Senior High School. The application requests personal information from the applicant such as name, age, address, parents' names and contact information. It also requests the applicant's grade 10 school information including name of school, section, grades in science and mathematics. The applicant must attach documents like their birth certificate and ID to the application. By signing, the applicant certifies that the information provided is true and allows the screening team to use the details for the STEM admission reference.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Antique National School Application No.

    Senior High School


    Science, Technology, Engineering and Mathematics
    T.A Fornier St., San Jose, Antique
    SY: 2022-2023

    APPLICATION FORM
    THIS FORM IS NOT FOR SALE Passport size ID with
    Intructions: name indicated
    Aspirants are advised to fill-out the Application Form with authenticate information as per the eligibility below
    criteria. Type or print LEGIBLY. Do not abbreviate. Counter sign all erasures and corrections made.

    DEADLINE OF SUBMISSION: June 16, 2022

    PERSONAL INFORMATION
    Name of Applicant

    Last Name First Name Middle Name Name Extensions (Jr.) Contact Number

    Sex Age Birth Date Place of Birth

    F M M M D D Y Y Y Y Municipality Province
    Permanent Address Student Status
    Full-time Student
    Barangay Municipality Province Working Student

    FAMILY BACKGROUND
    Father's Full Name
    Occupation
    Last Name First Name Middle Name
    Contact Number
    Mother's Full Maiden Name
    Occupation
    Last Name First Name Middle Name
    Contact Number

    GRADE 10 SCHOOL IINFORMATION


    Name of School School Type
    Public
    Complete School Address Private

    Barangay Municipality Province


    Grade 10 Section Section Adviser
    Last Name First Name Middle Name
    Grade in Science Grade in Mathematics

    Quarter 1 Quarter 2 Quarter 3 Quarter 1 Quarter 2 Quarter 3

    CHECKLIST OF ATTACHED DOCUMENTS


    SF9 Front copy Lacking Documents Yes
    SF9 Back copy No
    NSO/PSA Birth Certificate If yes, please specify the reason
    Live Birth Certificate
    Passpost Size ID

    STATEMENT OF CERTIFICATION
    I hereby certify that the above information given are true and correct to best of my knowledge and I allow ANS-STEM Screening Team to
    use my personal details to serve as reference for grade 11 STEM admission.

    Attested by: Date Accomplished

    Applicant's Signature Over Printed Name Month-Day-Year

    Parent's Signature Over Printed Name

    TO BE FILLED BY STEM-ADMISSION COMMITTEE Application No.


    ADMISSION SLIP FOR ANS-STEM QUALIFYING EXAMINATION _________________

    Please report to your officially assigened room before the scheduled time on examination day. Present this slip along with the
    SF9 REPORT CARD (1st to 4th Grading) to the proctor at the test center for identification.
    Passport size ID with
    name indicated
    below Batch No: Processed by:
    Full Name:
    Contact Number:
    Examination Date: Date:
    Examination Place:

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