Scribd
Upload
33 views

Application Form K To G10 v3

The document is an application for admission to St. Bridget School for the 2023-2024 school year. It collects personal information about the student, Ethan Raphael Noguera, such as his name, birthdate, address, family details, prior schools attended, health information, and reason for seeking admission. The application requires signatures from the parent and guardian to agree to the school's data privacy policies and provides a checklist of documents to submit with the application.

Uploaded by

Nicole Noguera Hizon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
33 views

Application Form K To G10 v3

The document is an application for admission to St. Bridget School for the 2023-2024 school year. It collects personal information about the student, Ethan Raphael Noguera, such as his name, birthdate, address, family details, prior schools attended, health information, and reason for seeking admission. The application requires signatures from the parent and guardian to agree to the school's data privacy policies and provides a checklist of documents to submit with the application.

Uploaded by

Nicole Noguera Hizon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

St.

Bridget School 2 x 2 colored


1047 Aurora Boulevard, Quezon City ID picture with
Your child. Our purpose. white
background
APPLICATION FOR ADMISSION
To be accomplished by the parent

2023-24
SCHOOL YEAR ______________

APPLICATION FOR ADMISSION TO GRADE LEVEL _____________


GR. 1 Date applied ____________
03/06/23

PLEASE PRINT ALL INFORMATION

Learner Reference Number: _________________

STUDENT’S PERSONAL INFORMATION

Student’s Name ___________________________________________________________________________


HIZON ETHAN RAPHAEL NOGUERA
Surname First Name Middle Name
Date of Birth ________________
03/17/18 Place of Birth _______________________
Manila Gender  Female x  Male
Residence Address _______________________________________________________________________
158-B B. GONZALES ST. LOYOLA HEIGHTS, QUEZON CITY
Landline Tel. No. _______________
73585384 Mobile No. __________________
0917-842-7002 Email Address_________________
[email protected]
Citizenship _________________________________
Filipino Religion ____________________________________
Roman Catholic

FAMILY INFORMATION

A. Parents/Guardian Information
Guardian
Data Father Mother
(if applicable)
Name Raphael Abraham Nicole Patricia
Age 38 38
Citizenship Filipino Filipino
Religion Roman Catholic Roman Catholic
Educational Attainment/Course BS Industrial Engg.BS Business Admin
Occupation sales agent teacher
Company Earthauz One Purple Door Corp.
Office Address BGC QC
Office Landline No. 8777-6387 7358-5384
Mobile Number 0917-842-7222 0917-842-7002
OFW (check if applicable)
Email Address [email protected] [email protected]
(This will be the OFFICIAL EMAIL the school will use for communication)
Email Address: [email protected]
Marital Status of Parents:
x Married & Living Together Married but Separated Widowed
Spouse Abroad Single Parent Step-mother/father

Relation of Guardian (if applicable) to student: _____________________________


B. Is the mother an alumna of SBS?
___ Yes Year (HS or GS) graduated ______ ____
x No

Does the student have any sibling/s in SBS or sibling/s who are alumnae of SBS? ___ Yes ___
x No

Name of sibling/s Grade/Year Section or Year Graduated


__________________________________________________ ________________________________
__________________________________________________ ________________________________
__________________________________________________ ________________________________

SBSQC_ AAF_NOV_2022 Page 1 of 2


C. Has the applicant been enrolled at St. Bridget School before?  Yes x
 No
If Yes, What school year? __________ What grade level? _________

STUDENT’S HEALTH INFORMATION


Does your child suffer from any allergy and ailment? ___ YES ___NO
x
If YES, specify
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

STUDENT’S SCHOOL HISTORY


Name of your current school: St. Ignatius - Camp Aguinaldo

School Address: Telephone Number:


Camp Aguinaldo, QC
7585 9361
Last three (3) schools attended:
Grade Level/s Reason/s for
Name of School Address
Attended Leaving
N.A.

Have you ever repeated a grade level? ___YES ___NO.


X If YES, provide the name of school, school year,
and reason/s.
_________________________________________________________________________________________
_________________________________________________________________________________________

Reason/s for seeking admission to St. Bridget School, Quezon City


his current school doesn't have primary school
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

AGREEMENT

I have reviewed the information stated in this application form and declared them true and correct

________________________________________________
NICOLE PATRICIA N. HIZON 03/06/23
________________________

PARENT’S / GUARDIAN’S SIGNATURE OVER PRINTED NAME DATE

AGREEMENT
Data Privacy Clause: By completing this form, I hereby agree that ST. BRIDGET SCHOOL may collect, use, disclose,
and process my personal data for the purpose/s of application for admission, scholarship, or enrollment. Requests for
inspection, amendment, or restriction of records must be in writing and addressed to the REGISTRAR’S OFFICE at
[email protected] and must specify the reasons for the request. ST. BRIDGET SCHOOL
reserves the right to respond appropriately according to the law.

For use by the Registrar’s Office

CHECKLIST OF SUBMITTED DOCUMENTS

□ PSA Birth Certificate


□ 2x2 recent colored ID pictures (2 pieces)
□ Copy of latest Report Card and Report Card from previous year, with Learner Reference Number (LRN)

Validated by: ______________________________________ Date: _________________________

SBSQC_ AAF_NOV_2022 Page 2 of 2

You might also like