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    LICOMCO ADMISSION APPLICATION FORM (1).docx

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    Licomco admissions application form

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    LICOMCO ADMISSION APPLICATION FORM (1).docx

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    justinjimenez196
    5 views2 pages
    Licomco admissions application form

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    © © All Rights Reserved

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    Licomco admissions application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views2 pages

    LICOMCO ADMISSION APPLICATION FORM (1).docx

    Uploaded by

    justinjimenez196
    Licomco admissions application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    CITY GOVERNMENT OF LIGAO

    LIGAO COMMUNITY COLLEGE


    Tomolin, Ligao City, 4504
    Email – Address: ligaocommunitycollege@gmail.com
    Tel Nos.: 0926 – 772 - 1213 / (052) 431-4124

    LiComCo Admission Application Form for AY 2025-2026


    Application No.: Date of Application:
    (TO BE FILLED OUT BY LICOMCO PERSONNEL)
    General Instructions: Documentary
    1. Fill out all necessary information completely and Requirements:
    honestly. 1. Completely and
    2. The average and final grades should be filled out by the legibly filled-out
    Class Adviser or any school-authorized personnel. application form.
    3. All programs in LiComCo require total combined 2. Photocopy of
    points of atleast 85.0000 which shall be taken from the PSA/NSO birth
    Entrance Test Score (70%) and High School Average certificate
    (30%). 3. Authenticated
    4. Place the filled-out form and all the required documents Photocopy of SHS SF10
    in a long white folder and a long plastic/transparent (F137) or G11 SF 9
    envelope.

    Part I. Personal Information (TO BE FILLED OUT BY THE APPLICANT)


    1. Name: ____2. Age: 3. Sex:
    (Last Name First Name Middle Name)
    4. Civil Status: 5. Contact Number: 6. E-mail Address:
    7. Home Address: 8. Date of Birth:
    9. School Last Attended: 10. School Year Last Attended:
    11. School Address: 12. Year of Graduation:
    13. Vaccination Status (Please check): Fully Vaccinated; Partially Vaccinated; Unvaccinated
    14: SHS Strand/Track (Please check): ABM; GAS; HUMMS; STEM; A&D; TVL; Sports
    15. Honors/Awards Received: _____________________ 16. Talents and Skills:____________________
    Part II. Program/Course/Major Preference (TO BE FILLED OUT BY THE APPLICANT)
    Use 1-3 scale, 1 as the most preferred and 3 as the least preferred for your program/course preference.
    _1. Bachelor of Arts in Economics (AB Eco) 2. Bachelor of Early Childhood (BECEd)
    _3. Bachelor of Elementary Education (BEEd) 4. Bachelor of Secondary Education (BSEd)
    Choose your 2 preferred majors for BSEd. Put 1 on your first priority and 2 on your second priority:
    ______a. English major ______b. Filipino major c. Mathematics major
    ______d. Social Studies major e. Values Education major

    Part III. Family Background (TO BE FILLED OUT BY THE APPLICANT)


    Name of Father: [ ]Living [ ]Deceased Occupation:
    Name of Mother: [ ]Living [ ]Deceased Occupation:
    Name of Guardian: Relationship: Occupation:
    Who will support your studies? []Parents []Brother/Sister []Relatives []Scholarship []Self-Supporting
    Parents’ Total Monthly Income (Please check):
    [] Below Php 5,000 [] Php 5,001-Php 10,000 [] Php 10,001-Php 15,000 [] Php 15,001-Php 20,000
    [] Php 20,001-Php 25,000 [] Php 25,001-Php 30,000 [] Php 30,001-Php 35,000 [] Above Php 35,000

    In a scale of 1-5, rate your determination to finish studies?

    CERTIFICATION
    I hereby declare that all the information herein provided are true and correct and that I shall abide by the
    policies/guidelines governing admission to the Ligao Community College.

    I further certify that I have never been enrolled in any course/subjects/beyond high school and if any of the
    information indicated herein is found out to be false and incorrect, my application for admission to LiComCo will be null
    and void and that LiComCo is not in any way responsible for the misrepresentations I have declared.

    Signed by: Attested by:

    Signature over Printed Name of Student Signature over Printed Name of Parent/Guardian

    1 | Page
    CITY GOVERNMENT OF LIGAO
    LIGAO COMMUNITY COLLEGE
    Tomolin, Ligao City, 4504
    Email – Address: ligaocommunitycollege@gmail.com
    Tel Nos.: 0926 – 772 - 1213 / (052) 431-4124

    Part IV. High School Average (HSA) = 30% (TO BE FILLED OUT BY THE CLASS ADVISER)
    Grade Level/Semester General Average
    st
    Grade 11 (1 Semester)
    Grade 11 (2nd Semester)
    High School Average (HSA) in two decimal places (Add the 2 GAs and divide by 2)
    Percentage equivalent of the HSA (30%) in four decimal places (HSA multiply by 0.3)

    Part V. Records of Character (TO BE FILLED OUT BY THE CLASS ADVISER/SCHOOL GUIDANCE COORDINATOR)
    Please check if the student has been involved in any of the following:
    [ ] Trouble/Fighting; [ ] Drug Investigation; [ ] Stealing; [ ] Discourtesy to Authority; [ ] Forging or
    Tampering with School Records; [ ] Bullying; [ ] Destruction of School Property
    In view of the foregoing, we certify that
    [ ] is of GOOD MORAL CHARACTER [ ] has committed offenses
    Prepared by: Certified True and Correct:

    Signature over Printed Name of Class Adviser Signature over Printed Name of School Head
    DO NOT FILL OUT THIS PART (FOR ADMISSION OFFICER USE ONLY)

    The applicant is a [ ] Ligaoeno or [ ] Non-Ligaoeno

    Part VI. Entrance Test Result = 70% (TO BE FILLED OUT BY THE ADMISSION OFFICER)

    Subjects Raw Score Equivalent Grade


    English
    Filipino
    Math
    Social Studies
    Values Education
    TOTAL

    Part VII. Summary of Admission Points


    1st Preferred 2nd Preferred 3rd Preferred
    Program/Major Program/Major Program/Major
    Admission Requirements
    EQUIVALENT EQUIVALENT EQUIVALENT
    Grade % Grade % Grade %
    1. General Entrance Test (*70%/**30%)
    2. BSEd Major Entrance Test (40%)
    3. High School Average (30%)
    Total Combined Admission Points

    *Remarks
    *70% - for BEEd, BECEd, and AB Economics programs **30% - for BSEd Majors 40% - for BSEd Major Entrance Test
    Q=Qualified (Met BOTH the required total combined admission points and student institutional capacity requirements per program or major)
    W=Waitlisted (Met the required total combined admission points BUT NOT the student institutional capacity requirements per program or major)
    BQ=Below Quota (DID NOT MEET the required total combined admission points, AND the student institutional capacity requirements per program or
    major)

    Evaluated by: Noted by:

    JIZZALIEN JOSE C. GARCE, LPT MICHAEL RINGAD, MPA


    Testing Officer College Registrar/Dean of Admission

    Approved by:

    JOVERT M. OFRACIO, EdD


    College President

    2 | Page

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