APPLICATION FOR ADMISSION TO GRADUATE STUDIES

Basic Information

Instruction to Applicant: This form should be accomplished with all entries. Please fill-out all items, Applicant for MS/MPS must be a Bachelor’s degree graduate; applicant for PhD must be an MS/MA degree graduate. An application entitles one for consideration to the specified program only.

Are you currently enrolled in a degree program in CLSU or in other higher education institution?

Were you previously enrolled in a graduate program in CLSU (including DOT-Uni)?

Have you previously applied for admission to a graduate program in CLSU?

Level Applied for:

Degree Program:

Major:

Title:

Name:

Mailing Address:

:

:

:

Email:

Mobile Phone Number:

Citizenship:

Present occupation or position:

Name & Address of Employment:

Educational Background

College/University Attended Beyond High School (No action will be taken without the original copy of the student's official transcript of records from each institution attended):

Institution

Dates Attended

Degree Obtained or Pursued

GPA

Bachelor's

Master's

Doctorate

Other

References

Name and contact details of two (for master's degree applicants) of three (for PhD applicants) persons, preferably professors, supervisors, or professionals under whom you have worked or studied. The individuals will be conducted directly by the Office of Admissions. Please provide accurate contact information

Name(s)

Nature of relationship with the referee

Affiliation (Please do not abbreviate)

Position/Job Title

Corporate Email Address (must be consistent with affiliation)

Mobile Phone Number

Others

Language Proficiency: (please rate yourself excellent, good, fair or poor)

Language

Reading Skills

Writing Skills

Speaking Skills

a. English

b. For foreign- student applicants who come from countries where English is not the medium of instruction

Please upload a copy of the results of TOEFL (Test of English as a Foreign Language) or IELTS (International English Language Testing System) or a copy of the Certificate of English Proficiency or a issued by the CLSU Department of English and Humanities

c. Filipino

d. Others

Teaching and Other Experiences

Position

Agency

Inclusive Dates

Published materials (not more than three), give the title, name of journal, year and pages of the three most recent published article.

Title

Name of Journal

Year

Pages

Academic honors, awards, certificate, or honorary scholarship you have received:

Kind

Award Institution/Agency

Date

Brief account of future plans upon completion of your graduate studies at the Central Luzon State University.

Expected source and amount of financial support for your travel and study in this University.

When do you wish to begin studies in this University?

School Year:

Semester:

I certify that the information submitted in this application form is accurate:

Attachment

Transcript of Records (TOR), please upload pdf file format

Certificate of Grade Point Average from your previous school (GWA), please upload pdf file format

Passport Size Picture, please upload JPEG|JPG file format