1. Office of the President of the Philippines
COMMISSION ON HIGHER EDUCATION
REGIONAL OFFICE ____
Female
No. of Siblings in the family
School Intended to enroll in
School Address:
Type of School: ( ) Public ( ) Private
Course: ( ) Priority ( ) Non-Priority
Documents Attached: Equivalent Points
=
=
Evaluated/Processed by:
DOCUMENTARY REQUIREMENTS
1. Must be a Filipino citizen; Academic Requirement:
Must be a high school graduate; candidate for A. For Incoming Freshmen
graduation; with earned units in college; 1. For fourth year high school applicants - third year grades and first three grading periods of fourth year;
passer of ALS/PEPT; 2. For high school graduates - Form 138
Must have a combined annual gross income of B. For Applicants with Earned Units in College
parents/guardian not to exceed Three Hundred 1. Certificate of grades in all subjects in the last two (2) semesters
Thousand Pesos (P300,000.00).* C. For Other Applicants
Must avail only one CHED scholarship or financial 1. ALS - Accreditation and Equivalency Test Passer Certificate
assistance program; and 2. PEPT - Certificate of Advancing to the Next Level
5. Must not be a graduate of any degree program. OTHER REQUIREMENTS:
A. Any one of the following: Latest Income Tax Return (ITR) of parents or guardian, Certificate of Tax Exemption from
the Bureau of Internal Revenue (BIR) Certificate of Indigency from their Barangay, Case Study from Department of
Social Welfare and Development (DSWD), or Affidavit of No Income
B. Certificate of good moral character from the last school attended.
4.
2.
3.
*In highly exceptional cases where income exceeds PhP300,000.00, the
CHEDRO StuFAPs Committee shall determine the merits of the application.
CHED StuFAP Coordinator
GENERAL REQUIREMENTS
Student Loan persons with disabilities Total
indigenous and ethnic peoples
Grants-In-Aid senior citizens Latest ITR P
Applicant is Qualified for: Belongs to: (any of the following groups)
Scholarship solo parent and their dependents Form 138
(Signature over Printed Name of Applicant) Date Accomplished
Note: Fully accomplished form to be submitted to the CHEDRO
DO NOT FILL-OUT THIS PORTION (FOR CHED USE ONLY)
Educational Attainment
Total Parents Gross Income
Address
Occupation
FAMILY BACKGROUND
Father: ( ) Living ( ) Deceased Mother: ( ) Living ( ) Deceased
Name
Mobile Number Highest Grade/Year
E-mail Address Type of Disability (if applicable)
Citizenship School Type ( )Public ( )Private
Sex Male Zip Code
Civil Status
Single School Name
Married
School Address
(First Name) (Middle Name)
Date of Birth (mm/dd/yy)
Permanent Mailing
Address
Place of Birth
Revised StuFAPs FORM NO. 1
2014 version (NOT FOR SALE)
CHED STUDENT FINANCIAL ASSISTANCE PROGRAMS (StuFAPs)
APPLICATION FORM
Instructions: Please read the General and Documentary Requirements. Fill in all the required information. Do not leave an item blank. If item is not applicable, indicate "N/A".
PERSONAL INFORMATION
Name
(Last Name)
2 X 2
ID PICTURE
2. Information Technology Science and Math
Information Technology and Computing Studies BS Math
Multimedia BS Physics
Animation BS Biology
Programming BS Chemistry
Computer Science BS Marine Biology/Science
Information System Management BS Applied Physics
Bachelor in Library Science and BS Geology
Information System Major in System Analysis BS Earth Science
BS Applied Mathematics
Agriculture and Related Fields BS Statistics/Applied Statistics
Agro Forestry Atmospheric Science
Veterinary Medicine Environmental Science
Agricultural Engineering
Agribusiness/Management Health Sciences
Agricultural Entrepreneurship Pharmacy
Agricultural Technology Radiology Technology
Agriculture Medical Technology
Fisheries Physical Therapy
BS Food Technology BS Nutrition
Agricultural Economics
Arts and Humanities
Teacher Education major in Creative and Performing Arts
Math BS Religious Education
Science BS Philosophy
Physics BS Theology
Chemistry
Reading Social and Behavioral Sciences
English BS Psychology
Educational Media/Technology BS Social Work
Special Education (SPED) Human Development
Human Kinetics Guidance and Counselling
Physical Education and Sports Science
Bachelor of Physical Education major in School PE Business Administration and related courses
Early Childhood Education BS Accountancy
Environmental Planning (for Teachers) Business Data Outsourcing
MAPEH Business Process Outsourcing
Music Education Construction Management
Art Education Tourism
Health Education
Architecture
Engineering BS Architecture
Mechanical Landscape Architecture
Electronics Interior Design
Communication Environmental Planning
Metallurgical/Mining Fine Arts
Computer Urban Planning
Biomedical
Chemical Maritime
Geodetic BS Marine Transportation
Electrical
Meteorological Communication
Mining BA Communication
Geological BA Journalism
Sanitary Engineering BA Broadcasting
Chemical Engineering BS Development Communication
Industrial Engineering
Civil Engineering Others (to be determined by the Region)
Electronics and Communication Engineering
Petroleum Engineering
Bio Chemical Engineering
CHED Priority Courses for AY 2014-2015 to AY 2017-2018
CHED Memorandum Order (CMO) No. 01, s. 2014
