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Saint Pedro Poveda College

School Year 2000 - 2000

APPLICATION FORM

Personal Information
 

Student Number

:

 2526AT6811
 

Classfied As

:

  

LRN:

Program

:

  

First Choice

:

  

Second Choice

:

  

Name

:
FAMILY NAME GIVEN NAME MIDDLE NAME NICK NAME

Applying for

:

Year level

:

Modality

:

Present Address

:
Region Province Municipality District
Unit No. Building Lot/Block Street
Subdivision/Village Barangay ZIP Code

Telephone #

:

     

Cellphone #

:

Email Address

Date of Birth

:

Age

:

Place of Birth

:

Religion

:

Nationality

:

Type of VISA

:

Gender

:

Mother Tongue

:

Poveda is an inclusive learning community, determined to provide the necessary support to all students. To help us support your child better,

please answer the following questions honestly:
 

Has your child been diagnosed with any type of additional needs (e.g. autism, ADHD, depression, anxiety, and the like)?
 

If yes, will you be able to provide the school with a copy of the medical report upon application?
 

What interventions are being done to support your child?
 

Does your child have any specific physical, medical, and/or sensory needs?
 

If yes, please briefly describe the needs:

EDUCATIONAL INFORMATION

School Level

School Year

School Type

School Name

School Address

Last Level Attained

Gen. Ave. Grade

DepEd School ID/Code for the LIS

 :

Reason/s for planning to transfer

 :

Family Background

FATHER

MOTHER

Name

:
Family Name Given Name Middle Name

 Name

:
Family Name Given Name Middle Name

Email

:

 Email

:

Nationality

:

 Nationality

:

Religion

:

 Religion

:

Affiliation

:

 Affiliation

:

Deceased

:

    

 Deceased

:

    

FATHER’S MOBILE NUMBER

:

 MOTHER’S MOBILE NUMBER

:

Occupation

:

 Occupation

:

Company Name and Address

:

 Company Name and Address

:

Home Address

:

 Home Address

:

SIBLINGS/S CURRENTLY ENROLLED IN SAINT PEDRO POVEDA COLLEGE / SIBLING/S GRADUATED FROM SAINT PEDRO POVEDA COLLEGE

Gender

Age

Level

Enrollment status in Saint Pedro Poveda College

OTHER Information

I learned about Saint Pedro Poveda College through: (Please tick all that apply)

 

 

 

 

 

 

Reasons for applying at Saint Pedro Poveda College

 

 

 

 

 
What academic strand would you prefer in Senior High School?
 

Is the learner vaccinated against COVID-19?

  yes

  no

Application Conforme
 

I hereby affirm that Saint Pedro Poveda College reserves the right to withhold information regarding the actual test score of my child and that the test administered is solely for the use of Saint Pedro Poveda College for admission purposes.

I hereby certify that the information supplied in this application is complete and correct.

I agree with the Application Conforme.
 

DATA PRIVACY NOTICE

USE

The collected data is utilized for admission processing and documentation purposes within Saint Pedro Poveda College (POVEDA).

The data may be shared with the Department of Education and other government regulatory agencies when necessary, in accordance with the orders and memoranda of the regulatory government agencies.

PROTECTION MEASURES

Only authorized POVEDA personnel have access to your given data. The data collected will be securely processed and stored by POVEDA.

Storage
  • For accepted applicants and would push through with the enrollment:
    • The encoded data from the Applicants Access Module will be transferred to the Students Access Module. If there are any changes, you can update the profile on the Students Access Module.
    • The documents submitted will become part of the student file and will be retained by the Registrar’s Office for a period of 10 years following the students’ separation from POVEDA.
  • For those who would not be accepted or would not push through with the enrollment:
    • The encoded data will be deleted on the Applicants Access Module once the Admissions for the next school year start.
    • If you submitted hard copies of the required documents, you may get them from the Registrar’s Office within 30 days from the date of release of admissions results. Unclaimed documents at the start of the school year being applied shall be disposed through shredding.

Consent

I agree with terms and conditions as set forth in the Data Privacy Policy Consent.
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