CULINARY EDUCATION FOUNDATION (CEF), INC.
th
4 Floor, CCA Bldg., 287 Katipunan Avenue
Brgy. Loyola Heights, Quezon City 1118
NOTE: This questionnaire should be accomplished by the parents of the applicant. It must be
answered carefully, truthfully and completely.
Applications not accompanied by required documents or with incomplete information will not be
processed.
Parents may be called for interview for clarification of data given. All given information will be
kept confidential.
PLEASE ATTACH TO THIS FORM THE FOLLOWING REQUIREMENTS:
1. Parent's detailed and well-written personal letter about the family's situation.
2. Student's personal letter stating interest to be sponsored for scholarship.
3. Certificate of indigency.
4. Barangay Certificate.
5. Letter of recommendation from Parish Priests/Pastors, LGU/Barangay officials or
former school principal or class adviser.
• Applicant must be 18-45 years old.
SCHOLARSHIP QUESTIONNAIRE
1 Why do you want to apply for the scholarship?
____________________________________________________________________________
____________________________________________________________________________
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2 What are your best traits as a student?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
3 Are you a recipient of any academic grant, financial aid, or tuition discount in school?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
4 Are you applying for any kind of scholarship to any government and private scholarship grants
(e.g., DOST, other Foundations)?
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
5 Describe briefly the family's financial situation (DO NOT leave blank. Use back form, if
needed.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
GENERAL INFORMATION
I. PERSONAL INFORMATION:
1. NAME (Last, First, Middle Name):
____________________________________________________________________________
2. School:
____________________________________________________________________________
3. Home Address:
____________________________________________________________________________
____________________________________________________________________________
4. Telephone/Mobile No.
____________________________________________________________________________
5. Sex: __________________ Birthday:________________________________________
6. Place of Birth: __________________________________________________________
7. Scholarship Request: ____________________________________________________
II. DATA ON PARENTS (OR GUARDIAN)
Please check which is applicable: ___Single Parent _____Separated _____Widow / Widower
8. Father's Name: Age:_______
____________________________________________________________________________
Last First Name Middle Name
9. Highest educational attainment _____________________________________________
10. If self-employed, nature of work ____________________________________________
11. If employed, name of the company or employer ________________________________
12. Position in the firm ______________________________________________________
13. No. of years in the firm ___________________________________________________
14. Annual gross salary _____________________________________________________
15. If unemployed, please state the date of last employment, reason for leaving and
unemployment.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
16. Mother's Name: Age: ___________
____________________________________________________________________________
Last First Name Middle Name
17. Highest educational attainment _____________________________________________
18. If self-employed, nature of work ____________________________________________
19. If employed, name of the company or employer ________________________________
20. Position in the firm ______________________________________________________
21. No. of years in the firm ___________________________________________________
22. Annual gross salary _____________________________________________________
23. If unemployed, please state the date of last employment, reason for leaving and
unemployment.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
III. OTHER FAMILY INFORMATION
24. Children still and no longer in school / who are employed
Name (Start from the oldest) Age Civil Status Still residing w/you Highest Educational Where employed?
________________ ____ _______ ________ ____________ ___________
________________ ____ _______ ________ ____________ ___________
________________ ____ _______ ________ ____________ ___________
________________ ____ _______ ________ ____________ ___________
________________ ____ _______ ________ ____________ ___________
25. Other dependents living with the family ______________________________________
____________________________________________________________________________
26. Are there any other children presently in scholarship? Please give names of scholars
and sponsors.
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
27. Did the applicant enjoy any form of financial aid? ____YES _______ NO
28. If Yes, what year level? ___________________________________________________
We hereby certify that all the information given here is true and correct, and you are
hereby authorized to verify the same. We fully understand that misrepresentation of
information or withholding of any information requested in this questionnaire will be
considered enough grounds and/or reason for disapproval, cancellation or
discontinuation of any financial and in kind aid.
_______________________________
Applicant’s Printed Name & Signature
______________________________ _____________________________
Father's Printed Name & Signature Mother’s Printed Name & Signature
______________________________
Date
