Academic Module

PERSONAL DATA SHEET

PROGRAM

Year

Academic Period

Student Type

Student LRN

Program First Choice

Program Second Choice

APPLICANT INFO

Family name

Given Name

Middle name

Suffix

Nick name

Gender

Ethnicity

Civil Status

Religion

Specify religion if not in the list

Nationality

Specify nationality if not in the list

Birth-Day

Birth-Month

Birth-Year

Place of birth

Mobile Number

Telephone Number

Email Address

PERMANENT ADDRESS

Country

Region

Province

Town/City

House No./Street/Barangay

Others

If your address didn't exist, please specify your full address.

PRESENT ADDRESS

Country

Region

Province

Town/City

House No./Street/Barangay

Others

If your address didn't exist, please specify your full address.

PARENT INFO

Father's full name

Father's occupation

Is your father a USC alumnus?

Father's mobile number

Father's telephone number

Mother's full name

Mother's occupation

Is your mother a USC alumna?

Mother's mobile number

Mother's telephone number

Parent's email Address

GUARDIAN INFO

Brother(s) /Sister(s) Enrolled at USC (South Campus/North Campus/Talamban Campus/Main)

Please enter the full name of your brother/s or sister/s enrolled at USC. NOTE: If you have more than one brother or sister use comma to separate. eg. Juan Dela Cruz,Juana Dela cruz,Juano Dela Cruz

Guardian's Name

Relationship

Full Adrress

Mobile Number

Telephone Number

EDUCATIONAL ATTAINMENT

Elementary

Not in the list? Please specify

Year completed

High School

Not in the list? Please specify

Year completed

College/University

Not in the list? Please specify

Year completed

Last school attended

Not in the list? Please specify

Year completed

Academic Program Completed or SHS Track Completed

IMPORTANT

Are you the first in your immediate family (including your parents, siblings) to go to college?

Yes

VERY IMPORTANT

Please check the box to the following questions if your answer is YES.

Do you have a psychological condition that could affect learning (ex. dyslexia, etc)?

Have you been diagnosed as a person with special needs (ex. Attention Deficit Hyperactivity Disorder (ADHD) etc.)?

Are you being treated or have undergone treatment for a psychological problem (e.g. depression, sleeping problem, anorexia, etc.)

If YES, please state your psychological problem.

UPLOAD FILE

REQUIREMENTS

NEW STUDENT
(a) Certified True Copy of Grade 11 Report Card
- Upload also the Grade 12 grades if available
(b) Birth Certificate from Philippine Statistics Authority (PSA)
(c) One (1) copy of 2x2 recent ID photograph (colored with white background)

Note: Additional requirements may be required by the department depending upon the program applied (i.e. portfolio, personal statement, or recommendations).

TRANSFER APPLICANTS
(a) Certificate of Transfer Credentials/Honorable Dismissal
(b) Transcript of Records (informative copy) (c) Birth Certificate from Philippine Statistics Authority (PSA)
(d) One (1) copy of 2x2 recent ID photograph (colored with white background)
(e) Certificate of Good Moral Character (from previous school attended)
(f) Clearance from the Office of Student Formation and Activities (OSFA) of the University of San Carlos - Downtown Campus

Note: Additional requirements may be required by the department depending upon the program applied (i.e. portfolio, personal statement, or recommendations).

GRADUATE PROGRAM APPLICANTS
(a) Certificate of Transfer Credentials/Honorable Dismissal
(b) Informative Copy of Transcript of Records (with remarks of graduation)
(c) Birth Certificate from Philippine Statistics Authority (PSA)
(d) One (1) copy of 2x2 recent ID photograph (colored with white background)
(e) Concept Paper and a Declaration of Originality
(f) Recommendations

JURIS DOCOTR APPLICANTS
(a) Certificate of Transfer Credentials/Honorable Dismissal
(b) Informative Copy of Transcript of Records (with remarks of graduation)
(c) Birth Certificate from Philippine Statistics Authority (PSA)
(d) One (1) copy 2x2 recent ID photograph (colored with white background)
(e) Certificate of Good Moral Character (from previous school attended)
(f) Personal Statement not more than 1,000 words with Statement of Originality and Sole Authorship

INTERNATIONAL APPLICANTS
(a) Transcript of Records
(b) Certificate of Graduation (Grade 12 or its equivalent) if applying for Bachelor's Degree
- If applying for Master or Doctorate program: upload the Diploma
(c) Passport bio-page with at least two-year validity
(d) IELTS/TOEFL result with rating of at least 6.0 or as prescribed by the program
- For graduates of schools with English used as a medium of instruction: upload a certificate issued by the head of the institution or its legal representative.

The Concept paper is a requirement for students applying for Academic Track Programs to elicit the applicant’s ideas on the possible research topic that he/she will pursue when he/she is admitted to the program. This requirement will be evaluated by the Department Chair/Graduate Program Coordinator for feasibility and availability of experts. The concept paper will be validated during the interview with the Chair/Graduate Program Coordinator for Master Programs or a Panel of Interviewers for Doctoral Programs.

Students applying for Research Track Programs will undergo a pre-admission process whereby he/she will prepare a research proposal. The applicant will pitch his/her proposal to a prospect adviser from among the identified experts or existing research groups of the department/school for acceptance. The accepted research proposal will be endorsed by the adviser to the committee for validation during the panel interview.

Additional requirements may be added by the department depending upon the program applied for (i.e., proof of funding or financial support for those who will enroll in the research track).

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