Saint Peter Academy of Alegria, Inc.

Junior High School Department

Alegria, Cebu, Philippines

Junior High School Scholarship Program

APPLICATION
School Year 2019-2020

A. PERSONAL BACKGROUND
Name: Gender: Age:
Date of Birth: Place of Birth:
Home Address:
Present Address:
School Last Attended/Address:
General Average Grade: Honors/Awards Received:
Favorite Subject/s: Favorite Hobby:
Desired Track in Senior High School: Strand:

B. FAMILY BACKGROUND
1. Sibling Information (from eldest to youngest)
Living with whom?
Full Name Age (Parents, Relative,
Sibling, Sponsor,
Own Family, etc.)
Civil Status Present Condition
(Single, Married, (Working, Housewife,
Separated, Unemployed, Student,
Widowed or N.A.) Disabled, etc.)

(Proceed to PAGE 2)
2. Does your family own any of the following? (Please check whichever applies to YES.)

a. Appliances b. Motorcycle c. Pedicab d. Multicab e. Car

f. Van g. Pick-up h. Truck i. Land j. Farm
3. Home:
Owned Rented Company provided or Living with relatives No. of bedrooms
Type of Dwelling: Concrete Semi-Concrete Native/Light Materials

4. Support for Cost of Schooling

Please Person Helping the
indicate if Father Mother Guardian Child to School
“separated” (if applicable) (if applicable)
or
“deceased”
Name
Locally employed Locally employed Locally employed Locally employed
Employed abroad Employed abroad Employed abroad Employed abroad
Sources of Self-employed Self-employed Self-employed Self-employed
Income Retired/Pensioner Retired/Pensioner Retired/Pensioner Retired/Pensioner
Farmer Farmer Farmer Farmer
Fisherman Fisherman Fisherman Fisherman
Laborer Unemployed Unemployed Unemployed
Unemployed Housewife Dependent/Housewife Dependent/Housewife
Others: Others: Others: Others:

P 0 – 5,000 P 0 – 5,000 P 0 – 5,000 P 0 – 5,000

P 5,001 – 10,000 P 5,001 – 10,000 P 5,001 – 10,000 P 5,001 – 10,000
P 10,001 – 15,000 P 10,001 – 15,000 P 10,001 – 15,000 P 10,001 – 15,000
Gross P 15,001 – 20,000 P 15,001 – 20,000 P 15,001 – 20,000 P 15,001 – 20,000
Monthly P 20,001 – 25,000 P 20,001 – 25,000 P 20,001 – 25,000 P 20,001 – 25,000
Income (in P 25,001 – 30,000 P 25,001 – 30,000 P 25,001 – 30,000 P 25,001 – 30,000
Pesos) P 30,001 – 35,000 P 30,001 – 35,000 P 30,001 – 35,000 P 30,001 – 35,000
P 35,001 – 40,000 P 35,001 – 40,000 P 35,001 – 40,000 P 35,001 – 40,000
More than P 40,000 More than P 40,000 More than P 40,000 More than P 40,000

5. Additional justification about family condition and/or situation to support that the scholarship is really important and
needed (attach photo and/or other supporting documents – if applicable):

C. ATTESTATION

We certify that our answers are true, correct and complete to the best of our knowledge.

Signature of Student Over Printed Name Signature of Parent/Guardian Over Printed Name