Legal Name

(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME

Nickname

Present School



APPLICATION FOR ADMISSION
LOYOLA SCHOOLS INCOMING COLLEGE FRESHMAN
Office of Admission and Aid

Ateneo Application No.


INSTRUCTIONS



1. Read the LOYOLA SCHOOLS DEGREE PROGRAMS & SPECIAL NOTES brochure and all instructions very carefully.
2. Fill out this form carefully and print (using ink) or type all information requested. Only application forms correctly and completely filled-
out will be accepted. Write N/A if the information is not applicable to you. Omissions can delay the processing of your application.
3. INCOMPLETE APPLICATION FORMS WILL NOT BE PROCESSED. The application fee is non-refundable.
4. Submit this form together with the following:
sealed Secondary School Record and
Principals Recommendation Form
two (2) sealed Recommendation Forms
ACET Exam Permit
Personal Essay
Acknowledgment Slip

5. This application form and other requirements must be submitted on or before December 14, 2012, Friday.
6. The Ateneo College Entrance Test (ACET) will be taken at the Testing Site where this form is submitted.
7. Those applying for scholarship must ask for a SCHOLARSHIP/FINANCIAL AID QUESTIONNAIRE. Submit the
completed questionnaire together with the application form for admission. If the questionnaire is not available in your school or
testing center, you may secure one from the Office of Admission and Aid or online at www.ateneo.edu/ls-oaa.
(NOTE: Application for financial aid does not, in any way, influence acceptance or non-acceptance into the Loyola Schools.)
8. Freshman applicants who already graduated from high school must not have taken units or enrolled in any college/university before
and/or during the application period.


PERSONAL INFORMATION


1. Permanent Address:

Unit No. & Bldg. Name
(if applicable)
Street No. & Street Name Subdivision/Barangay


City/Municipality & Province Zip Code Country

2. Mailing Address:

(if not the same as above)

Unit No. & Bldg. Name
(if applicable)
Street No. & Street Name Subdivision/Barangay


City/Municipality & Province Zip Code Country

3. Telephone Number: ( ) 4. Mobile Number:

Area Code

5. Email Address: 6. Birth Date: / / 7. Birth Place:

MM / DD / YYYY

8. Citizenship: Filipino

Dual (specify): 9. Gender:

M F 10. Age:



Other (specify):

11. Religion:


FAMILY INFORMATION



12. FATHER Living Deceased MOTHER Living Deceased GUARDIAN (if applicable)

Name

Telephone
Number


Mobile Number

If college graduate:
from what school?

Year and Degree
graduated

If employed:
Name of company/
employer



PLEASE DO NOT WRITE BELOW THIS LINE



ACCEPTED WAITLISTED NOT ACCEPTED



13. Sibling/s Educational Attainment (eldest to youngest)
Name School Last Attended Year Level Course Year Graduated






14. Relatives who have attended or are currently attending Ateneo de Manila
Name Relation Level / Year & Course Year Graduated






ACADEMIC INFORMATION

15. Schools Attended (list all schools attended beginning from elementary)

Elementary Address Levels Attended Period Covered

Gr. to 20 to 20

Gr. to 20 to 20


High School Address

Levels Attended Period Covered

Yr. to 20 to 20

Yr. to 20 to 20

NOTE: If you are under a Home School Program, please coordinate with the Office of Admission and Aid.


16. Complete name of Principal / Headmaster

Complete name of Guidance Counselor

17. List any honors or awards you have received for academic excellence in high school or at special events such as science
contests, writing contests, etc. You may use a separate sheet if needed.

Honors / Awards Received Year Level & Year Sponsoring Group / Awarded by





18. Were you ever dismissed, suspended or placed on probation?

Yes No
If yes, indicate the offense, date and penalty:


EXTRA-CURRICULAR ACTIVITIES

19. List your high school extra-curricular activities, including positions held or special responsibilities. You may use a separate sheet.

Activities / Organizations / Varsity Teams Position/s Held Year Level/s









If you are a member of your schools varsity team, indicate the sport and your skill level (check one).
Sport: Skill Level: Average High Superior


20. List camps or seminars that you attended in Ateneo de Manila:



21. List your community and/or church activities:





OTHER INFORMATION

22. Fitness. List any physical and/or psychological challenges that should be taken into consideration in planning your program of
studies & school activities.




Have you ever been forced to stop schooling for a month or more because of poor health? Give details and dates.

Reason/s Year Level / Dates Course/s of Action



23. Test Site (check one) Ateneo de Manila University Loyola Heights Campus, Quezon City

Provincial Testing Center (please specify):

International Testing Center (please specify):

Applicants from schools abroad who cannot take the ACET should submit together with this
form the result of their Scholastic Aptitude Test I (SAT I) taken within the last two years.
Indicate the month & year
when SAT I was taken:
/


MM / YYYY
24. List any review class you attended for the ACET:

25. List the schools to which you have applied or intend to apply to (both local and foreign):




If accepted in these schools, will you still go to the Ateneo?


26. List the names and positions of the persons recommending you (persons to whom you gave Recommendation Forms 1&2).
NOTE: Choose two persons who know you well and who are presently holding positions of authority over you in your
present school, e.g. college professor, guidance counselor. Do not submit recommendations from friends or relatives.

1) Name Position

2) Name Position

PERSONAL ESSAY

27. In order for the Committee on Admission and Aid to get to know you better, answer the question below in the form of an essay.

Are there any significant experiences you have had, or accomplishments you have realized,
that have helped to define you as a person?

Please take this essay seriously. It is a good opportunity to make yourself known to the committee. We presume that you will
take time to think and write this essay carefully, with due attention to correct grammar and fundamentals of good writing style.
You may use either English or Filipino. Please use an A4 sized bond paper.

ON-CAMPUS DORMITORY APPLICATION

28. Are you interested in applying to the Ateneo Residence Halls?

If yes, be sure to get a Dormitory Application Form from the Office of the Residence Halls, Cervini Hall, Ateneo de Manila
University or from the Provincial Testing Center nearest you. For more information on the Ateneo Residence Halls, please call
(+632) 426 6001 local 5901.


I hereby certify that all information written in this application form is complete and accurate. If accepted as a student, I agree that my
admission, matriculation, and graduation are subject to the rules and regulations of the Ateneo de Manila University.


Applicants Signature



Parents or Guardians Signature



Date Signed



Credentials and information filed in support of this application become the property of the Ateneo de Manila
University. Documents submitted are not returnable to the applicant. Misrepresentation of information requested
in this application form and its subsequent attachments will be considered sufficient reason for refusal of
admission and exclusion from the admission process.



RECENT 1x1
Photo of
Applicant
Please write your name
at the back of the
photo.

Legal Name

(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME

SCHOLARSHIP APPLICATION

29. Are you applying for financial aid? YES
Make sure to submit the SCHOLARSHIP/FINANCIAL AID QUESTIONNAIRE
together with this application form. No decision will be made on your scholarship
application unless you submit the completed scholarship form.


NO

DEGREE PROGRAMS

Rank the degree program you wish to take in order of preference from 1
st
to 4
th
. Rank only 4 among all the courses below.
Do not choose more than two (2) Honors Programs. Honors Programs are composed of the Top 15% of ACET examinees only
and are marked by an asterisk ( ).
The choice of degree programs does not influence acceptance or non-acceptance into the Ateneo. If the student is accepted but
is not qualified in the 1
st
choice, one of the applicants other choices will be assigned as the committee deems fit.

School of Humanities (SOH)

BFA Major in Art Management BFA Major in Theater Arts (BFA TA) AB Literature-Filipino

(BFA AM)
AB Humanities (AB HUM)
(Filipino-Panitikan) (AB LIT(FIL))
BFA Major in Creative Writing AB Interdisciplinary Studies (AB IS) AB Philosophy (AB PH)

(BFA CW)
AB Literature-English (AB LIT(ENG)) AB Philosophy: Pre-Divinity Track
BFA Major in Information Design
(AB PH-PREDIV)
(BFA ID)

School of Social Sciences (SOSS)

AB Chinese Studies (AB CHNS) AB Economics-Honors* (AB EC-H) AB/M Political Science-
AB Communication (AB COM) AB European Studies (AB EU)
Public Management* (AB POS-MPM)
AB Development Studies (AB DS) AB History (AB HI) AB Psychology (AB PSY)
AB Diplomacy and International AB Management Economics (AB MEC) BS Psychology* (BS PSY)

Relations (AB DipIr)
AB Political Science (AB POS) AB Social Sciences (AB SOS)
AB Economics (AB EC) AB/MA Political Science* (AB-MA POS)

School of Science and Engineering (SOSE)

BS Biology* (BS BIO) BS Electronics and Communications BS Mathematics* (BS MA)
BS Chemistry* (BS CH)
Engineering (BS ECE)
BS/M Applied Mathematics:
BS Chemistry/BS Applied BS Environmental Science (BS ES)
Mathematical Finance* (BSM AMF)

Computer Systems* (BS CH-ACS)
BS Health Sciences* (BS HSc) BS Physics* (BS PS)
BS Chemistry/BS Materials Science BS Life Sciences* (BS Lf Sci) BS Applied Physics/BS Applied

and Engineering* (BS CH-MSE)
BS Management Information Systems
Computer Systems* (BS PS-ACS)
BS Computer Engineering (BS COE)
(BS MIS)
BS Applied Physics/BS Materials
BS Computer Science* (BS CS) BS Management Information Systems/
Science and Engineering* (BS PS-MSE)
BS/MS Computer Science*
MS Computer Science* (BSMIS-MSCS)

(BSMS CS)

John Gokongwei School of Management (JGSOM)

BS Communications Technology BS Legal Management (BS LM) BS Management Engineering* (BS ME)

Management (BS COMTECH)
BS Management (BS MGT) BS Management of Applied Chemistry
BS Information Technology BS Management-Honors* (BS MGT-H)
(BS MAC)

Entrepreneurship* (BS ITE)



30. At present, what are two (2) of your career preferences? (e.g., businessman, doctor, teacher, etc.) Please do not leave blank.




PLEASE DO NOT WRITE BELOW THIS LINE


INCOMPLETE:
INFERRED:
DEADLINE:
SIGNATURE:
STAMP:

Legal Name
(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME
Year & Section



SECONDARY SCHOOL RECORD AND
LOYOLA SCHOOLS
PRINCIPALS RECOMMENDATION FORM
Office of Admission and Aid

INSTRUCTIONS


To the
Applicant:
Please write your name above using ink.
Give this form to your High School Principal and supply him/her with an envelope.


To the Principal: The student whose name appears above is applying to the Loyola Schools of the Ateneo de Manila University.
It is important that this form is filled-out accurately and completely.
The information about rank is extremely important please do not omit your answer for this part.
After filling out this form, please put it in an envelope, seal and sign across the flap and return to the applicant.
Countersign erasures and corrections made. All information will be kept confidential. Thank you for your assistance.

SECONDARY SCHOOL RECORD NOTE: Compute the average of the five subjects below for the YEARLY AVERAGE.


YEAR LEVEL ENGLISH FILIPINO MATH SCIENCE
SOCIAL
STUDIES
YEARLY
AVERAGE

FIRST (20 -20 )

SECOND (20 -20 )

THIRD (20 -20 )

SUBJECT AVERAGE


1. Rank (Do not omit this.)

a. Number of students in whole graduating class:


b. Rank of applicant in whole batch at the end of third year:


2. Type of Section

Honors Science Section Semi-Honors General No Honors Section

3. Type of School (Please choose one.)

Public State University Science-Oriented Private Sectarian Private Non-Sectarian

PRINCIPALS RECOMMENDATION


4. Please check if the applicant is a candidate for: Valedictorian Salutatorian Honorable Mention


Other honors (please specify):



5. Has the applicant been involved in any serious disciplinary case (e.g., cheating, stealing, fighting)? YES NO

If yes, please state the offense, date & penalty and give your assessment of the student at present.





6. Has the applicant failed any subject/s at the end of any year level in high school? YES NO

If yes, please specify the year level, subject and grade obtained.








7. Has the applicant ever repeated a year level in high school?

YES

NO Which year level/s?

1

2

3

4


8. Is the applicant under your high schools home school program?

YES

NO

Not Applicable


(Please do not leave this part blank.)


Accomplished by:
(please PRINT name)

Official Name of High School:

Signature:



Position:

Complete Address:

Date:



Name of Principal:

Contact Nos.:

(if not the same as above)

Legal Name
(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME
Year & Section



RECOMMENDATION FORM 1
LOYOLA SCHOOLS
Office of Admission and Aid

INSTRUCTIONS


To the
Applicant:
Please write your name above using ink.
Give this form to the person who knows you well enough and currently holds a position of authority over you in your
present school (e.g., guidance counselor for freshman applicants, college professor for transfer applicants).
Kindly supply him/her with an envelope.


To the Person
Recommending:
The student whose name appears above is applying to the Loyola Schools of the Ateneo de Manila University.
We value your candid and honest evaluation of this applicant. Based on your careful judgment, please fill out this form
completely.
After filling out this form, please put it in an envelope, seal and sign across the flap and return to the applicant.
Countersign erasures and corrections made. All information will be kept confidential. Thank you for your assistance.

GENERAL EVALUATION (Please check the box that applies.)



Above
Average
Average
Below
Average
No Chance
To Observe




Communication Skills:


Oral


Written


Leadership


Motivation


Consistency of Performance


Emotional Stability


COMMENTS


Your honest evaluation of the applicant will help the Committee on Admission and Aid to decide on his/her application.
(e.g., intellectual strengths and weaknesses, level of maturity, sense of service to school and community)





















OVERALL RECOMMENDATION DO NOT OMIT THIS PART. Please check one.



STRONGLY RECOMMENDED


RECOMMENDED


RECOMMENDED WITH RESERVATION (Please state reasons on the lines provided above or on a separate sheet if needed.)


NOT RECOMMENDED (Please state reasons on the lines provided above or on a separate sheet if needed.)


(Please do not leave this part blank.)


Accomplished by:

Official Name of School:

Signature:



Position:

Complete Address:

Subject taught:





Contact Nos.:

Legal Name
(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME
Year & Section



RECOMMENDATION FORM 2
LOYOLA SCHOOLS
Office of Admission and Aid

INSTRUCTIONS


To the
Applicant:
Please write your name above using ink.
Give this form to the person who knows you well enough and currently holds a position of authority over you in your
present school (e.g., guidance counselor for freshman applicants, college professor for transfer applicants).
Kindly supply him/her with an envelope.


To the Person
Recommending:
The student whose name appears above is applying to the Loyola Schools of the Ateneo de Manila University.
We value your candid and honest evaluation of this applicant. Based on your careful judgment, please fill out this form
completely.
After filling out this form, please put it in an envelope, seal and sign across the flap and return to the applicant.
Countersign erasures and corrections made. All information will be kept confidential. Thank you for your assistance.

GENERAL EVALUATION (Please check the box that applies.)



Above
Average
Average
Below
Average
No Chance
To Observe




Communication Skills:


Oral


Written


Leadership


Motivation


Consistency of Performance


Emotional Stability


COMMENTS


Your honest evaluation of the applicant will help the Committee on Admission and Aid to decide on his/her application.
(e.g., intellectual strengths and weaknesses, level of maturity, sense of service to school and community)





















OVERALL RECOMMENDATION DO NOT OMIT THIS PART. Please check one.



STRONGLY RECOMMENDED


RECOMMENDED


RECOMMENDED WITH RESERVATION (Please state reasons on the lines provided above or on a separate sheet if needed.)


NOT RECOMMENDED (Please state reasons on the lines provided above or on a separate sheet if needed.)


(Please do not leave this part blank.)


Accomplished by:

Official Name of School:

Signature:



Position:

Complete Address:

Subject taught:





Contact Nos.:

Legal Name
(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME

Contact Nos.: Course (1
st
Choice):
Present School:

Please write the course code indicated at the back of the Application Form.



ATENEO COLLEGE ENTRANCE TEST
LOYOLA SCHOOLS FRESHMAN EXAM PERMIT SY2013-2014
Office of Admission and Aid
Ateneo Application No. (AAN)


REMINDERS


Please come on time. For Metro Manila examinees, expect heavy traffic.
Late examinees will NOT be allowed to take the test.
REMEMBER to bring this Exam Permit. Examinees without permits cannot take the test.
Bring two (2) sharpened medium lead pencils and ballpens.
Bring snacks (if desired). No one will be allowed to leave the room to buy snacks.
If you have any medical condition that requires special attention, please immediately inform
the Office of Admission and Aid.

TEST SCHEDULE


METRO MANILA


JANUARY 20, 2013, Sunday, 7:30AM-12:30PM

PROVINCIAL TESTING CENTERS: Xavier University (Cagayan de Oro), Sacred Heart School-Jesuit (Cebu), Ateneo de Davao High School,
Ateneo de Iloilo, Ateneo de Naga High School and Ateneo de Zamboanga High School only. Please verify schedule with the testing center.

JANUARY 19, 2013, Saturday, 7:30AM-12:30PM





Applicants Signature
TESTING SITE FOR OAA USE ONLY. PLEASE DO NOT WRITE ANYTHING BELOW.

METRO MANILA Validated by:

PROVINCE Admission Personnel







Legal Name
(Name in Birth Certificate) LAST NAME FIRST NAME MIDDLE NAME

Contact Nos.: Course (1
st
Choice):
Present School:

Please write the course code indicated at the back of the Application Form.


ATENEO DE MANILA UNIVERSITY
ATENEO COLLEGE ENTRANCE TEST
LOYOLA SCHOOLS FRESHMAN EXAM PERMIT SY2013-2014
Office of Admission and Aid
Ateneo Application No. (AAN)


REMINDERS


Please come on time. For Metro Manila examinees, expect heavy traffic.
Late examinees will NOT be allowed to take the test.
REMEMBER to bring this Exam Permit. Examinees without permits cannot take the test.
Bring two (2) sharpened medium lead pencils and ballpens.
Bring snacks (if desired). No one will be allowed to leave the room to buy snacks.
If you have any medical condition that requires special attention, please immediately inform
the Office of Admission and Aid.

TEST SCHEDULE


METRO MANILA


JANUARY 20, 2013, Sunday, 7:30AM-12:30PM

PROVINCIAL TESTING CENTERS: Xavier University (Cagayan de Oro), Sacred Heart School-Jesuit (Cebu), Ateneo de Davao High School,
Ateneo de Iloilo, Ateneo de Naga High School and Ateneo de Zamboanga High School only. Please verify schedule with the testing center.

JANUARY 19, 2013, Saturday, 7:30AM-12:30PM





Applicants Signature
TESTING SITE FOR OAA USE ONLY. PLEASE DO NOT WRITE ANYTHING BELOW.

METRO MANILA Validated by:

PROVINCE Admission Personnel
RECENT 1x1
Photo of
Applicant
Please write your name
at the back of the
photo.
RECENT 1x1
Photo of
Applicant
Please write your name
at the back of the
photo.


Acknowledgment Slip
Applicants Copy



LOYOLA SCHOOLS
Office of Admission and Aid

Ateneo Application No.:


Legal Name:


Contact No.:


Present School:



DO NOT WRITE BELOW THIS LINE.


Application Form received by:

Date:


Acknowledgment Slip
Admissions Copy



LOYOLA SCHOOLS
Office of Admission and Aid

Ateneo Application No.:


Legal Name:


Contact No.:


Present School:



DO NOT WRITE BELOW THIS LINE.


Application Form received by:

Date: