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Legal Name

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

Nickname
LOYOLA SCHOOLS
Office of Admission and Aid

Present School APPLICATION FOR ADMISSION COLLEGE TRANSFER APPLICANT Ateneo Application No.

INSTRUCTIONS
1. 2. 3. 4. Read the LOYOLA SCHOOLS DEGREE PROGRAMS & SPECIAL NOTES brochure and all instructions very carefully. Fill out this form carefully and print (using ink) or type all information requested. Only application forms correctly and completely filledout will be accepted. Write N/A if the information is not applicable to you. Omissions can delay the processing of your application. INCOMPLETE APPLICATION FORMS WILL NOT BE PROCESSED. The application fee is non-refundable. Submit this form together with the following:
an unofficial college transcript covering up to the 2nd semester/3rd trimester of the present school year (class cards and registration forms may also be submitted in lieu of the transcript) two (2) sealed Recommendation Forms Personal Essay Acknowledgment Slip

5.

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.)
November 12 to December 14, 2012 (submit the Exam Permit only)

IMPORTANT DATES:
Registration for the ACET Metro Manila & Selected Provincial Testing Centers (PTCs) ACET for Transfer Applicants:

Loyola Heights Campus January 20, 2013, Sunday, 7:30AM-12:30PM Selected Provincial Testing Centers* January 19, 2013, Saturday, 7:30AM-12:30PM *PTCs in Cagayan de Oro, Cebu, Davao, Iloilo, Naga and Zamboanga del Sur only.

Deadline of Submission of Completed Application Forms

April 12, 2013, Friday, 5:00PM

Completed Application Forms must be submitted directly to the Office of Admission and Aid of the Ateneo de Manila University.

PERSONAL INFORMATION
1. Permanent Address:
Unit No. & Bldg. Name (if applicable) City/Municipality & Province Street No. & Street Name Subdivision/Barangay

Zip Code Street No. & Street Name

Country Subdivision/Barangay

2. Mailing Address:
(if not the same as above) Unit No. & Bldg. Name (if applicable) City/Municipality & Province

Zip Code

Country

3. Telephone Number: 5. Email Address: 8. Citizenship:

)
Area Code

4. Mobile Number: 6. Birth Date:

/
M

7. Birth Place: F 10. Age:

MM / DD / YYYY

Filipino Other (specify):

Dual (specify):

9. Gender: 11. Religion:

FAMILY INFORMATION
12.
Name Telephone Number/s 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

FATHER

Living

Deceased

MOTHER

Living

Deceased

GUARDIAN (if applicable)

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 high school)
High School Address Levels Attended Yr. Yr. College Address to to 20 20 Period Covered to to 20 20

Levels Attended Yr. Yr. to to 20 20

Period Covered to to 20 20

16. Complete name of Dean Complete name of Assistant Dean 17. List any honors or awards you have received for academic excellence in high school and college 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? If yes, indicate the offense, date and penalty:

Yes

No

EXTRA-CURRICULAR ACTIVITIES
19. List your high school and college 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. Have you taken the Ateneo College Entrance Test before? Please indicate the decision on your previous application: Yes
Accepted

No

If yes, when?
Not Accepted

Waitlisted

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 size 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 NO 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.

DEGREE PROGRAMS
Rank the degree program you wish to take in order of preference from 1st to 4th. 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 1st choice, one of the applicants other choices will be assigned as the committee dee ms fit. School of Humanities (SOH) BFA Major in Art Management
(BFA AM)

BFA Major in Creative Writing


(BFA CW)

BFA Major in Theater Arts (BFA TA) AB Humanities (AB HUM) AB Interdisciplinary Studies (AB IS) AB Literature-English (AB LIT(ENG))

AB Literature-Filipino (Filipino-Panitikan) (AB LIT(FIL)) AB Philosophy (AB PH) AB Philosophy: Pre-Divinity Track
(AB PH-PREDIV)

BFA Major in Information Design


(BFA ID)

School of Social Sciences (SOSS) AB Chinese Studies (AB CHNS) AB Communication (AB COM) AB Development Studies (AB DS) AB Diplomacy and International Relations (AB DipIr) AB Economics (AB EC) AB Economics-Honors* (AB EC-H) AB European Studies (AB EU) AB History (AB HI) AB Management Economics (AB MEC) AB Political Science (AB POS) AB/MA Political Science* (AB-MA POS) AB/M Political SciencePublic Management* (AB POS-MPM) AB Psychology (AB PSY) BS Psychology* (BS PSY) AB Social Sciences (AB SOS)

School of Science and Engineering (SOSE) BS Biology* (BS BIO) BS Chemistry* (BS CH) BS Chemistry/BS Applied Computer Systems* (BS CH-ACS) BS Chemistry/BS Materials Science and Engineering* (BS CH-MSE) BS Computer Engineering (BS COE) BS Computer Science* (BS CS) BS/MS Computer Science*
(BSMS CS)

BS Electronics and Communications Engineering (BS ECE) BS Environmental Science (BS ES) BS Health Sciences* (BS HSc) BS Life Sciences* (BS Lf Sci) BS Management Information Systems
(BS MIS)

BS Mathematics* (BS MA) BS/M Applied Mathematics: Mathematical Finance* (BSM AMF) BS Physics* (BS PS) BS Applied Physics/BS Applied Computer Systems* (BS PS-ACS) BS Applied Physics/BS Materials Science and Engineering* (BS PS-MSE)

BS Management Information Systems/ MS Computer Science* (BSMIS-MSCS)

John Gokongwei School of Management (JGSOM) BS Communications Technology Management (BS COMTECH) BS Information Technology Entrepreneurship* (BS ITE) BS Legal Management (BS LM) BS Management (BS MGT) BS Management-Honors* (BS MGT-H) BS Management Engineering* (BS ME) BS Management of Applied Chemistry
(BS MAC)

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

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. 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. (Please check the box that applies.)
Above Average Average Below Average No Chance To Observe

To the Person Recommending:

GENERAL EVALUATION

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: Signature: Position: Subject taught: Contact Nos.: Complete Address: Official Name of School:

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. 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. (Please check the box that applies.)
Above Average Average Below Average No Chance To Observe

To the Person Recommending:

GENERAL EVALUATION

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: Signature: Position: Subject taught: Contact Nos.: Complete Address: Official Name of School:

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

Contact Nos.: Present School:

Course (1st Choice):


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

LOYOLA SCHOOLS
Office of Admission and Aid

ATENEO COLLEGE ENTRANCE TEST TRANSFER EXAM PERMIT SY2013-2014 Ateneo Application No. (AAN)
RECENT 1x1 Photo of Applicant
Please write your name at the back of the photo.

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

TESTING SITE

Applicants Signature FOR OAA USE ONLY. PLEASE DO NOT WRITE ANYTHING BELOW. Validated by: Admission Personnel

METRO MANILA PROVINCE

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

Contact Nos.: Present School:

Course (1st Choice):


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

ATENEO DE MANILA UNIVERSITY


LOYOLA SCHOOLS
Office of Admission and Aid

ATENEO COLLEGE ENTRANCE TEST TRANSFER EXAM PERMIT SY2013-2014 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. RECENT 1x1 Photo of Applicant
Please write your name at the back of the photo.

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

TESTING SITE

Applicants Signature FOR OAA USE ONLY. PLEASE DO NOT WRITE ANYTHING BELOW. Validated by: Admission Personnel

METRO MANILA PROVINCE

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:

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