Republic of the Philippines

PARTIDO STATE UNIVERSITY

Camarines Sur
PSU-F-GAP-1.B

ParSU COLLEGE ADMISSION TEST APPLICATION FORM

(for Transferees/ Second Coursers)
Instructions: Kindly fill out this information sheet accordingly and make sure not to leave any blank fields. Use BLUE Ink only.

Personal Information
Surname First Name Middle Name Ext. (e.g Jr., II)

Name _______________________________________________________________________________________________

Complete Address ___________________________________________________________ Zip Code ______________

Civil Status ________________ Age __________ Sex ________________ Date of Birth (mm/dd/yy) __________________
Paste 2x2 latest ID picture in
Citizenship _________________________ Place of Birth ____________________________ Religion ________________ formal attire and white
background here
Contact Number ______________________________ Email Address _________________________________________
(Required) (Required)
Person to contact in case of emergency _______________________________________________________________

Contact Number _____________________________________________________________________________________

Educational
SCHOOL LAST ATTENDED (please do not abbreviate)
Background
Name of School ____________________________________________________________________________________________________________________________

Address _____________________________________________________________________________________ Year Completed ______________________________

Course _______________________________________________________________ Major _______________________________________________________________

Other Information
1. Are you a person with disability? NO YES If YES, pls. specify:___________________________________________

2. Are you a member of indigenous group/community? NO YES If YES, pls. specify:___________________________________________

3. Are you a Solo Parent or Child of a Solo Parent? NO YES

4. Are you a resident of Geographically Isolated and Disadvantaged Areas (GIDAs)? NO YES

*Please attach proof of ID, membership or certification if applicable.

To be filled-out by the College Dean/Program Director

EVALUATION RECOMMENDATIONS
( ) Evaluated as transferee with no failing/incomplete grades. ( ) For admission as transferee no need to take the ParSUCAT.
( ) Evaluated as transferee with one or two failing/incomplete grades. ( ) For admission as transferee but to take the ParSUCAT.
( ) Evaluated as transferee with three or more failing/incomplete grades. Other/s: __________________________________________________________

COURSE TO ENROLL EVALUATED BY

____________________________________________________________________ ______________________________________

COLLEGE Signature over Printed Name/Date

Designation: __________________________
____________________________________________________________________

DeclarationI hereby certify that all information written in this form is complete and accurate. I Processing To be filled out by GAP Staff
also allow the PSU-GAP Office to process and store the data that I have provided in this form
subject to the provisions of the Data Privacy Act of 2021 (RA 10173). By affixing my signature Processed date : _______________________________
below, I hereby acknowledge that I have read and understood the terms of this form with regard
to my personal information and agree to abide by the University’s Admission Policy. Processed by : _______________________________

___________________________________ Signature : _______________________________

Signature over Printed Name/Date
Remarks: ___________________________________________

THIS FORM IS FREE OF CHARGE AND MAY BE REPRODUCED. PRINT USING SHORT-SIZED BOND PAPER.

Effectivity Date: January 22, 2024 Rev. No.: 00 Page 1 of 2

 Republic of the Philippines
PARTIDO STATE UNIVERSITY
Camarines Sur
PSU-F-GAP-1.B

ParSU COLLEGE ADMISSION TEST INFORMATION

TRANSFEREES

Transfer students from other Accredited Higher Learning Institutions do not need to take the ParSUCAT as long as they have met the grade requirement for the program that they intend
to apply with for both the Board and Non-Board Program.

Transferees for Board Programs must have no incomplete (INC) and failing grades and must satisfy a General Weighted Average (GWA) of 1.75 or 90% with no grades lower than 2.0.
Applicants who failed to meet the academic requirements shall not be allowed to enroll in the Board Programs.

Non-board Program applicants who have three or more failing grades are required to take the ParSUCAT.

SECOND COURSER/DEGREE HOLDERS

Applicants holding a PRC license will be accepted without taking the ParSUCAT or meeting the grade prerequisites. Applicants who are not a holder of any professional license must
meet the minimum grade requirements of 1.75 or higher general weighted average (GWA) with no grades lower than 2.0.

PROGRAM OFFERINGS
Academic Year 2024 - 2025

GOA – MAIN CAMPUS College of Agribusiness and Community Development

(San Juan Bautista St., Goa, Camarines Sur) Salogon Campus
(Salogon, San Jose, Camarines Sur)
College of Education o Bachelor of Science in Agribusiness
o Bachelor of Elementary Education** o Bachelor of Science in Community Development
Major in General Education
o Bachelor of Secondary Education** College of Management and Tourism
Major in: English
San Jose Campus
Filipino
(Del Carmen, San Jose, Camarines Sur)
Mathematics
o Bachelor of Science in Hospitality Management
Science
o Bachelor of Science in Tourism Management
Social Studies
Values Education
College of Public Safety and Community Health
College of Science Lagonoy Campus
o Bachelor of Science in Biology (Sta. Maria, Lagonoy, Camarines Sur)
o Bachelor of Science in Geology** o Bachelor of Science in Criminology**
o Bachelor of Science in Nutrition and Dietetics**
College of Integrated Arts and Humanities o Bachelor of Science in Industrial Security Management
o Bachelor of Arts in Communication
College of Fisheries and Marine Science
College of Economics and Accountancy Sagñay Campus
o Bachelor of Science in Accountancy** (Nato, Sagñay, Camarines Sur)
o Bachelor of Science in Business Administration o Bachelor of Science in Fisheries**
Major in Financial Management o Bachelor of Science in Marine Biology
o Bachelor of Science in Economics
o Bachelor of Science in Entrepreneurship College of Environmental Science and Environmental Design
o Bachelor of Science in Office Administration Tinambac Campus
(Binalay, Tinambac, Camarines Sur)
College of Computational Science and Engineering o Bachelor of Science in Environmental Science
o Bachelor of Science in Civil Engineering** o Bachelor of Science in Environmental Planning**
o Bachelor of Science in Sanitary Engineering** o Bachelor of Science in Forestry**
o Bachelor of Engineering Technology
Major in Electrical Engineering Technology College of Sustainable Communities and Ecosystems
o Bachelor of Engineering Technology in Mechanical Technology Caramoan Campus
Major in Automotive Technology (Cadong, Caramoan, Camarines Sur)
o Bachelor of Engineering Technology in Mechanical Technology o Bachelor of Science in Biology
Major in Refrigeration and Air-conditioning Technology Major in Conservation and Restoration Ecology
o Bachelor of Science in Information Technology o Bachelor of Science in Tourism Management Major in Ecotourism
o Bachelor of Science in Computer Science o Bachelor of Science in Hospitality Management
o Bachelor of Science in Mathematics

Legend - ** Board Program

ASSIGNED COLOR FOR LONG-SIZED FOLDER REQUIREMENT CHECKLIST

BLUE - College of Education  Two (2) pieces 2x2 ID picture (Business Attire & White Background)
 One (1) piece 1x1 ID picture (Business Attire & White Background) – if will be
YELLOW - College of Science, College of Integrated Arts and
required to take ParSUCAT
Humanities  Accomplished Student Personal Record
GREEN - College of Economics and Accountancy  Certification of Grades/TOR (to be evaluated by the Program Director)
RED - College of Computational Science and Engineering  Color Coded Folder
WHITE - Other Campuses

Effectivity Date: January 22, 2024 Rev. No.: 00 Page 2 of 2