Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur
CSPC-F-GUID-08
C E R T I F I C A T I O N

I HEREBY DECLARE THAT ALL THE FOREGOING INFORMATION PROVIDED BY ME ARE TRUE AND CORRECT AND THAT I
SHALL ABIDE BY THE POLICY GUIDELINES GOVERNING ADMISSION IN CSPC.
I FURTHER CERTIFY THAT IF ANY OF THE INFORMATION INDICATED HEREIN IS NOT TRUE AND CORRECT MY APPLICATION
FOR ADMISSION CAMARINES SUR POLYTECHNIC COLLEGES WILL BE NULL AND VOID AND THAT CSPC IS NOT IN ANYWAY
RESPONSIBLE FOR MY MISREPRESENTATIONS I HAVE DECLARED.


Signature of Applicant Signature of Parent/Guardian over Printed Name


Guidance Center

APPLICATION FOR
CAMARINES SUR POLYTECHNIC COLLEGES COLLEGE ENTRANCE TEST
(CSPC-CET for High School Graduating)



To Students and Parents:
This form is only for applicants to CAMARINES SUR POLYTECHNIC COLLEGES ENTRANCE TEST (CSPC-CET).
For fourth year high school students only.
Carefully read the general information for CSPC-CET and answer all the details being asked as honestly as you possible.

ONLY CORRECT AND COMPLETELY FILLED UP FORMS will be issued an Admission Slip to CSPC-CET. PRINT ALL ENTRIES.
1. What College or University is your first choice? Second? Third?
2. In case you did not qualify for admission, where do you plan to pursue college? (enumerate)
3. Course applied in CSPC: 1
st
Priority 2
nd
Priority Preferred Campus:
4. Reasons why you want to study in CSPC?

5. Who will spend for your College education?
6. Are you applying for a Scholarship Grant? Specify
7.NAME:
Last Name:

First Name:

Middle Name:

8. SEX: Male CITIZENSHIP: Filipino Religion:
Female Others:


9. DATE OF BIRTH : PLACE OF BIRTH:
AGE :

10. PERMANENT HOME ADDRESS:

Number and Street:

Subdivision/Brgy:

City/Town and Province:

Zip Code

Contact number:

11. NAME OF HIGH SCHOOL:______________________________________________ Expected Date of Graduation: ____________

ADDRESS: _______________________________________________________________________________________________

12. HONORS/AWARDS RECEIVED:
13. TALENTS AND SKILLS:
14. COMMUNITY INVOLVEMENT/S:
15. ORGANIZATION/S:
16. PARENTS' OCCUPATION: Father: Mother:
17. MONTHLY FAMILY INCOME:

PHP.Less than 5,000.00 PHP. 20, 00.00 24,000.00
PHP.10, 00.00 14,000.00 PHP. 25, 00.00 29,000.00
PHP.15, 00.00 19,000.00 PHP. 30, 00.00 and above









This application form is not for sale! This application form is not for sale!

TO THE SCHOOL PRINCIPAL/REGISTRAR/ADVISER/GUIDANCE COUNSELOR
Examinee Number: ________
Testing Fee: PHP. 50. 00
O.R. Number:
Recorded by:
GPA:

1.5 x 1.5 Colored
Picture (Your most
recent Picture).
Computer generated
picture is not
accepted.








Effectivity Date: June 2014 Rev.2 Page: 1 of 2
Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur
CSPC-F-GUID-08
BS in Food Service Management (BSFSM)
BS in Office Administration (BSOA)
BS in Mechanical Engineering (BSME)
Computer Technician (CT)
Electronics Communication & Service Technology (ECST)
Bachelor in Technical Teacher Education (BTTE)
BS in Entrepreneurial Management (BSEM)


C E R T I F I C A T I O N

WE HEREBY CERTIFY AS TO THE COMPLETENESS AND CORRECTNESS OF THE FOREGOING RECORD AND
THAT ANY ERASURE OR ALTERATION MADE IN THE ACADEMIC RECORDS ABOVE RENDERS THE WHOLE ACADEMIC
RECORDS INVALID.
APPEARING HERE IS THE SCHOOL DRY SEAL.


HS Principals Signature over Printed Name Registrars Signature over Printed Name

Date: _____________________________

Bachelor in Office Administration (BSOA)
BS in Information Technology (BSIT)
Electronics Communication & Service
Technology (ECST)
Testing Fee PHP. 50.00; and
Testing Fee Receipt from the Cashiers
Office.


The bearer, is presently applying for Admission in CSPC
for School Year . In this regard, may we ask for your assistance to fill up the necessary information needed in
assessing the student. Thank you very much. God Bless.

ACADEMIC REPORT


FIRST YEAR -THIRD YEAR LEVEL


SUBJECTS


GENERAL AVERAGE
1
ST
YR. 2
ND
YR. 3
RD
YR.












GENERAL AVERAGE: _____________
This student belongs to the:
Upper 10% Upper 20% Upper 40% Lower 50% of the graduating class

CHARACTER ASSESSMENT

Emotional Stability
EXCELLENT VERY GOOD GOOD FAIR POOR

Conscientiousness
Adherence to Rules & Regulations
Manner & Conduct
Industriousness and Perseverance
Social Attributes

















NOTE TO THE PRINCIPAL/REGISTRAR/ADVISER/GUIDANCE COUNSELOR: Please place this Admission Application
on a sealed mailing envelope and affix your signature outside for confidentiality. Thank you.

REQUIREMENTS:
For Fourth Year HS Students:
Duly accomplished Application Form;
Two (2) copies of 1 by 1 inch pictures w/ blue background;
COURSES OFFERED:
CSPC Nabua Campus CSPC Buhi Extension Campus

BS in Nursing (BSN)
BS in Information Technology (BSIT)
BS in Electronics Engineering (BSECE)
BS in Civil Engineering (BSCE)
BS in Electrical Engineering (BSEE)
BS in Computer Science (BSCS)
BS in Tourism Management (BSTM)

GRADUATE PROGRAMS
Master of Arts in Nursing (MAN)
Master in Business Management (MBM)
Master in Engineering (ME)
This application form is not for sale! This application form is not for sale!



Effectivity Date: June 2014 Rev.2 Page: 2 of 2