Tzu Chi Scholarship Application Form (2024-2025)

佛教慈濟慈善事業基金會菲律濱分會
Buddhist Compassion Relief Tzu Chi Foundation, Philippines
Educational Assistance Program

APPLICATION FORM
S.Y. 2024-2025
PERSONAL INFORMATION Status: O Old O New _______________ Case Code: __________ Form No. ________
Name: (Last Name, First Name, Middle Name) Chinese Name Gender
1
Home Address (House #/Unit #/Floor/Bldg. Name/Street Name) Barangay City Age
1X1
Email address Occupation and Income Cellphone No./Landline Birthdate
Facebook name Are you a member of any indigenous group?

If Yes, please specify ________________________ No
EDUCATIONAL BACKGROUND
COLLEGE ELEMENTARY/HIGH SCHOOL
Name of University: ________________________________ Name of Elementary/ High School: _____________________

College Department: _______________________________ Incoming Year Level: _________ Chinese Subject
Incoming Year Level: _______________________________ Section: _____________________ General Average: __________
Course: __________________________________________ General Average: _____________ Conduct: _________________
General Average Last Sem: __________________________ Conduct: ____________________
Strand: _______________________________________
FAMILY INFORMATION
Name Age Sex Birthdate Relationship Religion Educational School/ Company Income
(Last Name, First Name) (02/25/2011) Attainment Occupation
Grant/Assistance from other Government and Non-Government scholarships, School Discount (How much per sem?)
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Talents & Skills/ Honor and Recognition/ Extracurricular/Community Involvement/Employment
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
What are your expectations from Tzu Chi Foundation?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
I hereby attest that the information I have provided is true and correct. I also consents Tzu Chi Foundation to obtain and retain my personal information
for the purpose of this application.
____________________________________________
Applicant’s Signature over Printed Name and Date
佛教慈濟慈善事業基金會菲律濱分會
Buddhist Compassion Relief Tzu Chi Foundation, Philippines
Educational Assistance Application Form

SKETCH OF HOME ADDRESS
Please draw your exact location legibly and indicate name of landmarks. Eq. name of street, church, sari-sari store, etc. Use back if needed.
1. The objective of Tzu Chi scholarship program is to provide financial assistance to deserving students through tuition fee support,
monthly living allowance, as well as additional assistance for other school needs, should it be deemed necessary. College students
are only authorized to enroll in partner schools and authorized courses.
2. Students with a failing grade on any subject, with general weighted average 82% both English and Chinese or with a grade on
Conduct below B or with scholarship grant from other foundations or organizations will not be accepted.
3. Please fill up the Scholarship Application form completely and Draw Sketch of home address use the back page if necessary. Any
misleading information may lead to disqualification.
4. Submit the following: Photocopy of Report Card or copy of grade form last school year, Registration form, Accomplished Application
Form, Two (2) 1x1 ID Pictures, Autobiography, Family Picture, Copies of Utility Bills, Detailed Sketch of Home Address, Certificate
of indigence from the Barangay, Pictures of House (Inside and outside), Payslip or Income Tax Return of Both Parents (if working),.
Deadline of Submission is on _________________________________.
5. Late applicants will not be entertained.
6. All applications are subject for home visit and approval.
7. The applicants will be notified on the acceptance or rejection of the application.
8. For inquiries, you may contact the Educational Assistance Program Staff with number 0928-207-2475 or 0908-764-4245.
__________________________________________________________________________________________________
To be filled up by TZU CHI FOUNDATION
Case Details
Nature of Needs Problem Statement
Financial _______________________________________________________________________
Medical _______________________________________________________________________
Food _______________________________________________________________________
Material _______________________________________________________________________
Education
Others
Received By: _____________________ Note:. Important information are essential to be able to assess and evaluate students’ situation.
Also please note significant details for home visitation purposes. You may use the back page if
Date Received: ___________________ necessary.
Assigned District: _________________ Case Referred By: _____________________ Applicant’s Signature: _______________
Referral Contact no. : ___________________ Date Reported: ____________________
Assigned Volunteer: ______________
Relationship with Beneficiary: ____________

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佛教慈濟慈善事業基金會菲律濱分會

Buddhist Compassion Relief Tzu Chi Foundation, Philippines

Educational Assistance Program

Facebook name Are you a member of any indigenous group?

Name of University: ____________ Name of Elementary/ High School: _

Educational Assistance Application Form

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