FORM 1

Application No. __________ Republic of the Philippines

NOT FOR SALE (can be reproduced)

Please attach recent 2 x 2 photo

Department of Labor and Employment

Overseas Workers Welfare Administration

Region 3

Programs and Services Division

SCHOLARSHIP / TRAINING PROGRAM APPLIED FOR: [ ] Skills-for-Employment Scholarship Program (SESP) [ ] Education for Development Scholarship Program (EDSP) [ ] ELAP (Education Component) [ ] OFW Dependent Scholarship Program (ODSP)

I. INFORMATION SHEET (Note:

Please PRINT LEGIBLY)

1. Name: ______________________________________ 2. Age ___ 3. Birthdate _______ 4. Sex F [ ] M [ ] LAST FIRST MIDDLE 5. Permanent Address : ___________________________________________ 6. Civil Status: ___________ Municipality / District: ___________________________ Zip Code: ________ 7. Citizenship ___________ 8. High School Attended:___________________________________________ 9. Tel. No. ______________ 10. School Address: ______________________________________________ Mobile No. ______________ 11. Gen. Average in 4 Yr. High School _______________________________ 12. PARENTS INFORMATION a. Name: b. Citizenship: c. Highest Educational Attainment d. Tribal Affiliation (if any) e. Occupation: f. Employer Address: g. Gross Income:
th

FATHER ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

MOTHER __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________

No. of Siblings in the Family: _________ Family Order: 1st [ ] 2nd [ ] 3rd [ ] Others: ________

I hereby certify that all the answers given above are true and correct to the best of my knowledge. I will also abide with the policy of the program that selection of qualified examinees for scholarship award after approval of the Administrator is final and unappealable.

Attested by:

________________________________ Parent/Guardian (Signature Over Printed Name)

_________________________ Applicant (Signature Over Printed Name) Date: ____________________

FORM 2 A. HEALTH CERTIFICATE

Medical Clinic : _________________________________________________ Address : __________________________________________________ Date : _________________ TO WHOM IT MAY CONCERN : This is to certify that I have examined ______________________________ and found him / her to be physically fit. Physically fit Physically unfit

This certification is issued in connection with his / her application for the Education for Development Scholarship Program (EDSP) of the Overseas Workers Welfare Administration (OWWA) for SY __________.

_____________________________ Medical Officer (Signature Over Printed Name) LC # _____________________________

FORM B CERTIFICATE OF GOOD MORAL CHARACTER

THIS IS TO CERTIFY that and that no disciplinary action has been taken against him/her as of to date.

is of good moral character

Principal / Guidance Counselor (Signature Over Printed Name) Date: ____________________

FORM C

PRINCIPALS CERTIFICATION

Name of High School: Address:

TO WHOM IT MAY CONCERN: This is to certify that for the school year students. is a candidate for graduation and is classified within the upper 20% of the total graduating

Principal (Signature Over Printed Name)

FORM D APPLICANTS CERTIFICATION TO WHOM IT MAY CONCERN: THIS IS TO CERTIFY that the undersigned has not previously taken the EDSP Scholarship Qualifying Examination and any post-secondary or undergraduate / college units.

Attested by:

Parent / Guardian (Signature Over Printed Name)

Applicant (Signature Over Printed Name)

FORM E PARENTS CERTIFICATION ON APPLICATION FOR IMMIGRATION/NO DUAL CITIZENSHIP OF APPLICANT TO WHOM IT MAY CONCERN: THIS TO CERTIFY that my son/daughter ________________________________________ is not a holder of dual citizenship and has no pending application for immigration for the USA or any other country.

Parent / Guardian (Signature Over Printed Name)