GS Form 1 Revised September 2013

MARIANO MARCOS STATE UNIVERSITY

GRADUATE SCHOOL
2900 Laoag City, Ilocos Norte
Philippines

Application for Admission

Instruction to Applicant

Submit this form with the following to the GS

1. Transcript of records (original or authenticated copy)
2. Transfer credential (honorable dismissal) in the English 2” x 2”
language from the last school (except MMSU) attended
3. Two (for MA/MS) of three (for PhD/EdD) recommendation
forms from former professors or supervisors
4. NSO Birth Certificate (original copy)
5. NSO marriage certificate (original copy for female applicant’s only)
6. Two copies of 2x2 colored ID pictures
7. Official Receipt of the GSET fee
1. Your full legal name:
Family Name First Name Middle Name
2. Place of Birth: Date of Birth:
3. Citizenship: Sex: Male Female
4. Civil Status: ( ) Single ( ) Married ( ) Widow/er: ( )Divorced:
5. Present Occupation/ Position:
6. Employer (Institution or Company):
7. Business Address:
8. Home Address:
9. Telephone/ Cell phone Number: E-mail address:
10. Academic Background. List all schools attended, starting with the latest.
Institution Attended Major Fields Degree and Date Received

11. Degree Program Applied for:

12. Major:
13. List any professor with whom you would especially like to work with if given the
opportunity.

15. Semester for which you are applying:

( )First Sem (June, 20__) ( )Second Sem (November, 20__) ( )Summer (April 20__)
16. Have you previously applied for admission to graduate studies at MMSU?
( )Yes, on ( )No
(date submitted)

It was/ is ( ) approved
( ) denied
( ) pending approval
17. Your most recent and most pertinent occupational experience: (Use additional sheets, if
necessary).
Name and Address of Employing Agency Position Inclusive Date
From To
GS Form 1 Revised September 2013

18. Please list your membership in honor and professional organizations. Indicate positions held,
if any. (Use additional sheets, if necessary).

19. Please list scholarships, honors, prizes, and awards you have received. (Use additional sheets,
if necessary).

20. Publications: Give the bibliographical information. (Use additional sheets, if necessary).

21. Unpublished research papers or theses. (Use additional sheets, if necessary).

22. Names, titles, and addresses of the professors, supervisors, employers, etc. whom you have
requested to recommend you.
Name Title Address

23. Future plans after completion of graduate studies at the Mariano Marcos State University

Signature of Applicant: Date: