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ACTS COMPUTER COLLEGE

Basic Education (Senior High School)
Admission/Information Office

EGK Building, P. Guevara Avenue, Corner

A. Bonifacio Street, Sta. Cruz, Laguna 4009
Tel.: (049) 501-1484 Cell. No.:09178673073

APPLICATION FOR GRADE 11 ADMISSION

Important: Applicants may take the ACTS GATSHAT: General Aptitude Test for Senior High-Academic and Technical Vocational
Livelihood Track for Grade 11 only once.

TO THE STUDENT AND PARENT/GUARDIAN: Print legibly in CAPITAL LETTERS all information required.
Submit accomplished form to the Admission/Information Office of ACTS COMPUTER COLLEGE.

STUDENT INFORMATION
NAME ______________________________________________________________________________________________________
(On Birth Certificate) Last Name

First Name

Full Middle Name

HOME ADDRESS _____________________________________________________________________________________________

House No.
Street/Sitio
Barangay
Municipality
Province
ZIP CODE _____ TEL. NO. __________ MOBILE NO. _______________ EMAIL ___________________________________________
Would you prefer to receive notification via this email address? [ ] YES [ ] NO

DATE OF BIRTH _______________ PLACE OF BIRTH _______________ CITIZENSHIP ______________RELIGION _____________

FATHERS NAME _______________________________________________ MOBILE NO. _______________ [ ] living [ ] deceased
CITIZENSHIP _______________ RELIGION ________________ OCCUPATION __________________________________________
MOTHERS NAME______________________________________________ MOBILE NO. _______________ [ ] living [ ] deceased
CITIZENSHIP _______________ RELIGION ________________ OCCUPATION __________________________________________
GUARDIANS NAME (if applicable) _____________________________________________ RELATION TO APPLICANT __________
ADDRESS _________________________________________________________________________________________________
TEL. NO. __________ MOBILE NO. _______________ OCCUPATION _________________________________________________

SCHOLASTIC BACKGROUND
List all schools you attended beginning from the lowest grade:
Name of School

Learners Reference Number (LRN):

Location
From
Grade

To
Grade

From
SY

To
SY

Is the last school you attended a Voucher Program Participating School? Check only one.
[ ] National High School
[ ] ESC Accredited Private High School
[ ] NON-ESC Accredited Private High School
__________________________________________________________________________________________________________________________
NOT FOR SALE! This Form is FREE and may be reproduced by ACTS Computer College Senior High School Grade 11 Applicants.

List all your extra-curricular

activities, including positions
held

List any honors or awards you

have received for scholastic
achievement and department

List your community or church

activities.

Considering your academic aptitude, skills and career interests, which strand would you like to be
placed for ACTS Computer College Senior High School? Please rank the strands from 1 (as your first
choice) to 4 (as your last choice).
[ ] Accountancy, Business and Management
[ ] General Academic Strand

[ ] Humanities and Social Sciences

[ ] Information & Communication Technology

Were you ever dismissed from any school or denied re-admission? [ ] YES [ ] NO
If YES, provide name of school, school year and reason/s.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Did you ever repeat a grade/year? [ ] YES [ ] NO
If YES, provide name of school, school year and reason/s.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Were you ever placed on probation status? [ ] YES [ ] NO
If YES, provide name of school, school year and reason/s.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Name of Principal or Director of your present school ___________________________________
School Address____________________________________________ Tel. No. _____________
I understand that all information I provide in this form may be used by ACTS COMPUTER COLLEGE and I
consent to such with the assurance that personal details will be kept confidential.

________________________________

_________________________________

Signature over Printed Name of Student

Signature over Printed Name of Guardian

__________________________________________________________________________________________________________________________
NOT FOR SALE! This Form is FREE and may be reproduced by ACTS Computer College Senior High School Grade 11 Applicants.