TANGING YAMAN FOUNDATION, INC.

Application Form for a Scholarship Grant

Recent
1 x 1 or
passport size
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STUDENT INFORMATION
_____________________________________________________________________________
Last Name Apelyido
First Name Unang Pangalan
Middle Name Panggitnang Apelyido
Nickname: _______________
Palayaw

Gender: [ ] Male Lalaki

[ ] Female Babae

Kasarian

Address: ______________________________________________________________________
Tirahan

Tel no- home: ___________________

Cellphone/mobile: __________________
Email Address: ___________________

Date of birth Kapanganakan: ___/___/_______

Age: _______________
Civil Status: _________________

SCHOLARSHIP INFORMATION
Degree which the scholarship is being applied for: (pls. indicate the course)
[ ] bachelors degree
[ ] graduate or professional degree
[ ] certificate or diploma
[ ] vocational/ non-degree
Course/Degree: _______________________________________
School where you will take the degree Paaralan kung saan kukunin ang kurso: _____________________
School Address:________________________________________________________________
Website:_____________________________ Email Address:____________________________
Schools Contact number:__________________ Schools Fax Number:____________________
Schools Scholarship Coordinator:_________________________________________________
Coordinators Contact Number:___________________________________________________
Coordinators Email Address:_____________________________________________________
Have you been accepted to this school? Natanggap ka na ba sa paaralang ito? [ ] yes [ ] no
What school year (and semester, if applicable) are you applying a scholarship for? Para sa aling
taong pampaaralan at semestere ang tinatamasa mong tulong pinansyal sa pag-aaral?______________
What will be your year level when you begin the school year/semester? Pang-ilang taon mo na sa
pasukan? ________
How many years total will it take to finish the degree? Ilang taon ang kinakailangan, sa kabuuan, upang
matapos sa kursong kinukuha/kukunin mo? __________
How many semesters per year? Ilang semestre sa loob ng isang taon? [ ]2 semesters or [ ] 3 semesters

TANGING YAMAN FOUNDATION, INC.

Details of Scholarship being applied for (please check, specify, and estimate costs as required):
Detalye ng tinatamasang Tulong Pinansyal sa Pag-aaral (paki-check, punan ang mga patlang kasama ang mga karampatang
halaga:

[ ] Direct Expenses (tuition charges & school fees)

- Tuition fee: PhP _________________________
- Other school fees i.e., ________________: PhP ___________________
________________: PhP ___________________
________________: PhP ___________________
- Total: PhP _______________
[ ] Indirect Expenses (board & lodging, travel, miscellaneous)
(bayad sa tinutuluyan [dorm], pamasahe, at iba pa)

Board & lodging bayad sa tinutuluyan [dorm]:

PhP _________________
Travel and transportation pamasahe:
PhP _________________
Miscellaneous iba pang mga gastusin (aklat, proyekto, atbp) : PhP _________________
Total: PhP ________________

Grand Total Costs of Scholarship being applied for: Php _______________

Kabuuang Halaga ng tinatamasang tulong pinansyal para sa Pag-aaral:

Other loans/scholarships granted to you for the same applicable period/year:

Iba pang mga tulong pinansyal na gagamitin sa parehong taon ng tinatamasang tulong mula sa TYF

______________________________________________________________
FAMILY BACKGROUND
Tungkol sa Pamilya

Fathers Name Pangalan ng Ama : ___________________________________________________

Address Tirahan: ______________________________________________________________
Occupation Trabaho: ___________________________________________________________
Monthly Income Sahod kada-buwan: _________________________________________________
Mothers Name Pangalan ng Ina: _____________________________________________________
Address Tirahan: _________________________________________________________________
Occupation Trabaho: ______________________________________________________________
Monthly Income Sahod kada-buwan: ___________________________________________________
Brothers and Sisters Mga Kapatid:
Name
Age
Pangalan

Edad

Occupation/Employer or School and Last Year Attended

Trabaho/Pinapasukan o Paaralan at Huling Taong Pinasukan

(*Please use extra sheet if more space is needed.) (Gumamit ng karagdagang papel kung kinakailangan.)

TANGING YAMAN FOUNDATION, INC.

SUBMIT THE FOLLOWING DOCUMENTS ALONG WITH THIS APPLICATION FORM:
Ilakip ang mga sumusunod sa Application Form na ito:

[ ] copy of birth certificate

[ ] transcript of records from last school year attended
[ ] recommendation from the principal or a teacher from last school attended.

Rekomendasyon mula

sa punong-guro o isang guro ng huling paaralang pinasukan.

[ ] recommendation from parish priest or community leader Rekomendasyon mula sa kura paroko ng iyong
parokya o lider ng komunidad kung saan ka kasapi.

[ ] essay: Ang Aking Pangarap (include why you chose your degree, plans after study, etc.)
[ ] billing statement for the year or semester being applied a scholarship for paglalahad ng mga
pinansyal na pangagailangan mula sa paaralan para sa taong pampaaralan ng tinatamasang tulong-pinansyal mula sa TYF.

[ ] course curriculum or course syllabus

AGREEMENT:
We affirm that the facts provided in this application are true and correct as of the date
hereof. We hereby authorize the foundation to verify the information provided herein. We
understand that, if we are awarded scholarship, any false statements, omissions, or other
misrepresentations made in this application may result in the immediate withdrawal of the
foundations grant.

____________________________
Applicants Signature over printed name

_________________________________
Parents/Guardians Signature over printed name

Date Signed: _______________

Date Signed: ______________

TANGING YAMAN FOUNDATION, INC.

Application Form for a Scholarship Grant
STUDENT ESSAY FORM
(May be in Filipino or English)
Ang Aking Pangarap
(sumulat ng sanaysay ukol sa mga sumusunod: ang iyong pamilya, pinili mong kurso ng pag-aaral, plano
pagkatapos ng pag-aaral, nais maganap na pag-unlad sa sarili at sa lipunan)
(Write an essay on the following: your family, why you chose your degree, plans after study, dreams for yourself
and society, etc.)