New Application for Entrance Scholarship
NOTE: Please do not use comma (,) in filling up the form below.
Student Number
*Please input the correct student format 2018-00053
Name of Former School
Former School Address
First Name
Last Name
Middle Name
Date of Birth
Place of Birth
Permanent Address
Present Address
kindly copy the value from home address if it is the same.
Contact Number
Email Address
*Please ensure the correctness of the email address. Incorrect email address may forfeit your application.
Course
Rank in Relation to the Total No. of Graduating Students:
Total Number of Graduates
Honors Received
General Weighted Average
Year/Level
Section
*Section Letter Only
Scholarship Applied for:
Father's Fullname
Mother's Fullname
Occupation of Father
Occupation of Mother
Employer of Father
Employer of Mother
Annual Income of Father
Please input "1" if not applicable.
Annual Income of Mother
Please input "1" if not applicable.
*For Fields below kindly input "NA" if not applicable.
Awards and Scholarship
From School And Org.
Name of school and other organizations (Social, Civic, Religious) of which you were or are a member and the positions you occupied or are now occupying:
PDF File Requirements

*Please ensure the correctness of the pdf file. Incorrect requirements uploaded may result to forfeiting of your application.
- Make sure to follow the instructions on the previous page.
Captcha Validation

CAPTCHA

copy the digits from the image into this box

In accordance to Republic Act 10173 – Data Privacy Act of 2012
-By submitting this form, I am giving my consent to CEU to process my personal and sensitive information.
-By submitting this form, I also signify that I have read, understood and will comply with scholarship protocols of the university.
-Disclaimer, submitting this form will automatically sign the ROF14.