BSU-SOP-01-F01

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Benguet State University Office of Student Services

La Trinidad, Benguet Telefax: (074) 422 2043

College Qualifying Examination (BSU-CQE) Application Form

E-mail address: bsu_osatmdu@yahoo.com

This form is for students who have N T ta!en the BSU- College Qualifying E"amination earlier#
If you have already taken the College Qualifying Examination at Benguet State University, the results of your examination are valid for 2 school years, thus you are advised to visit the Office of Student ffairs! "esting and #aterials $evelo%ment Unit for further instructions&

Instructions in Filling-out this Application Form

This is $age % of the a$$lication form# Be sure to read and understand the instructions &efore answering $age '# '& (rint or ty%e your entries in C (I" ) )E""E*S +hen filling out %age 2& ttach ' %c& 2x2 I$ %icture +ith +hite ,ackground& 2& (ay the Testing (ee )*h* '++, at the BSU!Cashier-s Office& .& Su,mit this %%lication /orm +ith the follo+ing0 a& /or currently enrolled high school students0 certificate of enrollment from the 1igh School (rinci%al, %hotoco%y of /orm '.2 3should include first year ! third year 1igh School grades +ith 4eneral 5eighted verage6 duly signed ,y the School (rinci%al or School *egistrar, and recei%t of (h( 277 "esting /ee ,& /or high school graduates +ho have not enrolled in any tertiary level school or vocational school0 t+o %hotoco%ies of 1igh School /orm '.8 31igh School *e%ort Card6, and recei%t of (h( 277 "esting /ee c& /or "ransferees0 t+o %hotoco%ies of the Certified "rue Co%y of 4rades, and recei%t of (h( 277 "esting /ee - .E ( (/0/N1 T2E 3**0/C3T/ N: 1rou$ (iling /ndividual (iling )for currently enrolled high school students, /ill!out the a%%lication form& Students su,mit all re9uirements to their school (ay the "esting /ee 3(h( 2776 at the BSU!Cashier-s Office& 4uidance Counselor, Class dviser or any Su,mit Certificate of enrollment from the School (rinci%al and %hotoco%y of a%%ointed re%resentative of the school& /orm '.2 3should include first year ! third year 1igh School grades +ith School (ersonnel : *e%resentative %ays the 4eneral 5eighted verage6 duly signed ,y the School (rinci%al or School "esting /ee 3(h( 2776 at the BSU! Cashier-s *egistrar for currently enrolled high school students or 2 (hotoco%ies of 1igh Office for all their student a%%licants& School /orm '.8 3*e%ort Card6 for those +ho graduated from high school Su,mit re9uirements for %rocessing at the OSS! ,ut have not enrolled in any tertiary level school or vocational school or 2 "esting and #aterials $evelo%ment Unit, 3*m& (hotoco%ies of Certified "rue Co%y of 4rades for transferees& nd ;6, 2 floor, Student Center Building& <Su,mit the a,ove re9uirements to the OSS!"esting and #aterials $evelo%ment Unit 3*m& ;6, 2nd floor, Student Center Building& The following are undergraduate courses in Benguet State University that require the BSU-CQE: Course Abbreviation Complete Name of Course Campus
AET BSA BSAB BSDC BSAS BSES BSIT BSAEngg BS BSET BS!E BS!"M BS#D BS# BEE BSE B$IS D%M BEE &Bo'od( BSIE &Bo'od( BSInT &Bo'od( BEE &Buguias( BSE &Buguias( BAT &Buguias( DAT &Buguias(
)year*Automotive Technology

Associate in Entrepreneurial Technology Bachelor of Science in Agriculture Bachelor of Science in Agribusiness Bachelor of Science in Development Communication Bachelor of Science in Applied Statistics Bachelor of Science in Environmental Science Bachelor of Science in Information Technology Bachelor of Science in Agricultural Engineering Bachelor of Science in orestry Bachelor of Science in Entrepreneurial Technology Bachelor of Science in !ome Economics Bachelor of Science in !otel and "estaurant Management Bachelor of Science in #utrition and Dietetics Bachelor of Science in #ursing Bachelor of Elementary Education Bachelor of Secondary Education Bachelor of $ibrary and Information Science Doctor of %eterinary Medicine Bachelor of Elementary Education Bachelor of Science in Industrial Education Bachelor of Science in Industrial Technology Bachelor of Elementary Education Bachelor of Secondary Education Bachelor in Agricultural Technology Diploma in Agricultural Technology )year*Automotive Technology ore at t!e bac"

Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Main Campus Bo'od Campus Bo'od Campus Bo'od Campus Buguias Campus Buguias Campus Buguias Campus Buguias Campus Buguias Campus

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STEPS: )/ "EAD T!"0.1! T!E 0"M 2ithout filling*out the entries/ Be sure you understand 2hat is being as'ed for/ 3/ Carefully 2rite do2n the information needed/ Avoid ma'ing erasures/ PERSONAL INFORMATION (TYPE OR PRINT CLEARLY) STATUS OF APPLICANT: &+lease chec'(
Currently enrolled as ,th year !igh School Student -----!igh School graduate but has not enrolled in any -----tertiary level school or vocational school Transferring to Benguet State .niversity ------

ST3*0E %$c# '"' /. $icture here#

1 PO2+AN+# COMPLETE THE INFORMATION REQUIRED.

Fa i!y Na e First Na e a Mi##!e Na e

M M M M M M M M M M M M M M m m M m m M m m M M M M M M M M M M M M M M m m M m m M m m M M M M M M M M M M M M M M m m M m m M m m Birt$ %ate# ______-_______-_______

ont! %a& 'ear Sitio Baran*a& +o,n$ unicipalit& Province

"en#er: ____________
ale $Female (ouse No)

&' e A##ress# __________________________________________________________ Zip code: _______ ((F'r )urrent!y enr'!!e# $ig$ s)$''! stu#ent) Na e '* )urrent s)$''!# ____________________________________________________________
Complete Name of (i*! Sc!ool- specif& if ain or Anne.$Campus

A##ress '* S)$''!: _________________________________________________________________

/rite t!e complete address of sc!ool &ou are attendin*

((F'r $ig$ s)$''! gra#uate an# trans*eree) Last s)$''! atten#e#: ______________________________________________________________
Complete Name of Sc!ool- specif& if ain or Anne.$Campus

A##ress '* S)$''!: _________________________________________________________________

/rite t!e complete address of sc!ool

Considerin* t!e list of t!e courses in pa*e 1- ,rite &our c!oice belo,)

C'urse a++!ying *'r:

C'urse A,,revC' +!ete Na e '* C'urse Ca +us &pls/ chec'( Main

Buguias
0.ample# BSA Bac!elor of Science in A*riculture

Bo'od

---------------------- ---------A++!i)ant.s Signature %ate

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