BSU-At Application Form 2018
BSU-At Application Form 2018
BSU-At Application Form 2018
Test
Application Form
GENERAL GUIDELINES
• The BSU– Admission Test is for applicants who have not taken it for the past two years. If you have taken the examination already but
did not enroll and intend to enroll in the university, you are advised to visit the OSS-SWS-TMDU for further instructions.
• Submit the accomplished application form and requirements on or before ____________________ at room. 4 , 2nd floor , Office of
Student Services for processing. Walk-in applicants will not be entertained on the day of the examination. Submitted documents in
compliance with the admission test requirements shall become the property of BSU and are not to be returned to the applicant.
• Schedule of the BSU-Admission Test will be identified upon filing of the application form.
• The “no permit no exam” policy shall be implemented during the scheduled examination.
• In the event that the applicant cannot come on the scheduled examination date, a rescheduling shall be made after payment of Php
50.00 at the University Cashiers Office.
• The date of releasing of the BSU– Admission Test result shall be announced after the examination.
• Admission of applicants will depend on the admission guidelines and requirement of each College/ Institute.
BSU-AT Requirements
Academic Status of Applicant Required Documents
Certificate of enrollment from the School Registrar/Principal
Currently enrolled Grade 12 Two certified photocopies of Grade 11 report card with General Weighted Average duly signed by the
student expected to graduate Principal
Senior High School graduate Original and two (2) photocopies of Grade 12 Report Card
Transferee
(Student who enrolled in any Endorsement Slip (obtained from the intended College to enroll at BSU) duly signed by the
tertiary level school but wish to Dean/Director
transfer in BSU) Two (2) photocopies of Certified True Copy of Grades
Accomplished BSU-AT Application form (may be obtained at Rm. 4 , 2nd floor Office of Student
Services, Km. 6 , La Trinidad, Benguet or can be downloaded from www.bsu.edu.ph)
All Applicants Two (2) recent 2x2 ID picture (formal studio) with white background and name tag (signature over
(other requirements to be printed name)
submitted) *** If married, please attach a photocopy of your Marriage Certificate ***
No Testing Fee will be collected
The following are Undergraduate Degree Programs requiring the BSU– Admission Test
First Name
Middle Name
Sex: [ ] Male [ ] Female Birth Date (MM/DD/YY) : ___/___/___ Age: ______ Civil Status: [ ] Single
Citizenship: [ ] Filipino [ ] Foreign (Specify) _______________ [ ] Dual (Specify) _______________ [ ] Married
Nationality: [ ] Filipino [ ] Foreign (Specify) _______________ [ ] Separated
[ ] Widow/Widower
CONTACT INFORMATION
Permanent Home Address
________________________________________________________________________________________________________________
House No. & Name of Street District/Barangay/Subdivision Municipality (Town)/ City
Last school attended or where you are currently completing Secondary Level Education
Name of School (Please specify if Main or Annex Campus.):
_____________________________________________________________________
Complete Address: ________________________________________________________________________________
Type of School: [ ] Public [ ] Private [ ] Others, Pls. Specify _____________________
Do you have any PHYSICAL DISABILITY OR CONDITION that requires special attention or would make it difficult for you to take
a regular test? [ ] No [ ] Yes (specify) ______________________________________________________________________
DEGREE PREFERENCE (considering the list of degree programs on page 1, write your preferences below )
REMINDERS: The University has three (3) campuses (La Trinidad, Buguias, Bokod). Degree programs are listed under the campus where it is
offered . Some of it are offered in two or more campuses hence take note of the campus where you are applying. Assess your degree choice
wisely. Your examination result will be evaluated according to your first choice of degree program you have indicated in this form. Each
degree program offered has a cut-off score you need to obtain in order to qualify. If your examination result does not qualify you to your first
preference, you may choose your second or third choice . However, your examination result will be re- evaluated according to the cut-off
score and the availability of slot on your next choice.
Write your second (2) and third (3) choice. This will help the evaluator for your second and third choice if you do not make it in your
primary preference of degree program. Your score will be re-evaluated and subject to the availability of slot.
Second Choice
______________________________________________
_________ [ ] La Trinidad [ ] Buguias [ ] Bokod
ATTESTATION
I affirm that I have read and understood all the instructions contained in this application form and that the information
supplied are true, complete and accurate. I promise to abide by the rules and regulations of Benguet State University
regarding the BSU-Admission Test and my possible admission to the University. I am aware that any information I have
concealed, falsely given and/or withheld is enough basis for the disqualification of my application .
Attested by: