SMCC - Enrollment Application

ENROLLMENT APPLICATION
SY: 2023-2024 2ND SEMESTER

Note : Indicate required field ( * )

Take a Photo

First Name *

Middle Name

Last Name *

Suffix

Learner's Ref Number

Student Type

COURSE YEAR

Course *

Year Level *

PERSONAL INFO

Gender *

Civil Status *

Birth Date *

Birth Place *

Nationality *

Religion *

Ethnicity

EDUCATIONAL BACKGROUND

Preschool

School Year

Elementary

School Year

Junior High

School Year

Senior High

School Year

Alternative Learning System ( ALS )

School Year

College

School Year

CONTACT & ADDRESS

Mobile Phone *Please provide a valid Mobile Number for Confirmation

Permanent Address *

House No. / Street / Subdivision / Building *

Province *

City *

Barangay *

Check if your permanent address and your current address is the same.

Current Address *

House No. / Street / Subdivision / Building

Province

City

Barangay

SOCIAL MEDIA ACCOUNTS

PARENTS

Father's Name *

First Name

Middle Name

Last Name

Father's Phone No.

Father's Occupation

Mother's Maiden Name *

First Name

Middle Name

Last Name

Mother's Phone No.

Mother's Occupation

Guardian's Name

First Name

Middle Name

Last Name

Guardian's Phone No.

Guardian's Occupation

ADDITIONAL INFORMATION

SCHOLARSHIP

Amount Granted

Award Number

If any Upload the Notice of Award/Certification

HEALTH PROFILE

ACADEMIC/RELIGIOUS/SPORTS/COMMUNITY CLUBS AND ORGANIZATIONS

Are you a member of any gov't sponsored organization/program? Specify name of organization/program

Are you a member of any non-gov't sponsored organization/program? Specify name of organization/program

Do you receive any benefits from this organization/program? Please specify

PERSONAL CONCERNS

Health/Physical Problems

Behavior/Mental Concerns

Disability

DOCUMENTS

Report Card

TOR

ONLINE CLASS SURVEY

I'M CAPABLE FOR ONLINE CLASS

I'M NOT CAPABLE FOR ONLINE CLASS

I confirm that the information I have given in this form is true, complete and accurate. I agree to fill-out this Student Information Form (SIF) and hereby authorize sharing of the information furnished on this form with SAINT MICHAEL COLLEGE OF CARAGA in accordance with the Philippine Data Privacy Act of 2012.

ENROLLMENT APPLICATION SY: 2023-2024 2ND SEMESTER

class COURSE YEAR

info PERSONAL INFO

school EDUCATIONAL BACKGROUND

home CONTACT & ADDRESS

Permanent Address *

Current Address *

SOCIAL MEDIA ACCOUNTS

group PARENTS

Father's Name *

Mother's Maiden Name *

Guardian's Name

add_box ADDITIONAL INFORMATION

SCHOLARSHIP

HEALTH PROFILE

supervised_user_circle ACADEMIC/RELIGIOUS/SPORTS/COMMUNITY CLUBS AND ORGANIZATIONS

PERSONAL CONCERNS

note DOCUMENTS

list_alt ONLINE CLASS SURVEY

I Have the Following:

ENROLLMENT APPLICATION
SY: 2023-2024 2ND SEMESTER

COURSE YEAR

PERSONAL INFO

EDUCATIONAL BACKGROUND

CONTACT & ADDRESS

PARENTS

ADDITIONAL INFORMATION

ACADEMIC/RELIGIOUS/SPORTS/COMMUNITY CLUBS AND ORGANIZATIONS

DOCUMENTS

ONLINE CLASS SURVEY