Application Number: ________ This form is NOT for sale.

Reproduction is allowed

Republic of the Philippines

Laguna State Polytechnic University ID PHOTO

Province of Laguna
(see Specification at the
ADMISSION AND TESTING SERVICES back)
APPLICATION FOR COLLEGE ENTRANCE TEST

Instructions: READ ADMISSION AND APPLICATION REQUIREMENTS AT THE BACK PAGE.

Fill in all the required. Information. DO NOT leave an item blank. If item is not applicable, indicate “N/A”.

STATUS OF APPLICANT
□ Freshmen □ Transferee □ Returnee □ Shifter □ Continuer
PERSONAL INFORMATION
NAME (Last Name) (First Name) Ext. Name, e.g. Jr/Sr., if any) (Middle Name) (M.I.)

AGE DATE OF BIRTH (mm/dd/yyyy) SEX CIVIL STATUS CITIZENSHIP

- - □ Male □ Female □ Single □ Married □ Others __________________
COMPLETE PERMANENT MAILING ADDRESS
(House Number) (Street/Subdivision) (Barangay) (Municipality/City) (Province) ZIP CODE

MOBILE NUMBER (Required) TRACK/STRAND INTENDED FIRST CHOICE: E-MAIL ADDRESS (Required)
COURSE SECOND CHOICE:

EDUCATIONAL ATTAINMENT
NAME OF SCHOOL SCHOOL ADDRESS TYPE OF SCHOOL YEAR ATTENDED

ELEMENTARY: □ Public From

□ Private To

HIGH SCHOOL: □ Public From

□ Private To

SENIOR HIGH SCHOOL: □ Public From

□ Private To

COLLEGE: (for Transferees) □ Public From

□ Private To

COURSE: REASON FOR TRANSFERRING:

RAW SCORE: GWA: GUIDANCE COUNSELOR/ GUIDANCE PERSONNEL: DATE FILED:

LRN: SIGNATURE OF THE APPLICANT:

Application Number: ________ LSPU ENTRANCE TEST PERMIT

To be filled-out by Applicant

Applicant’s Name:
ID PHOTO
First Name Middle Initial Last Name Extension Name

Intended Course:

SCHEDULE OF EXAMINATION
(see Specification at the
Date: _____________________________________ Approved:
back)
Time: _____________________________________
_____________________________________
Room No.: _________________________________ Examiner’s/Proctor’s Signature

LSPU-OSAS-SF-G19 Trial Revision

INTENDED COURSE: _______________________________
COURSES OFFERED:
College of Agriculture College of Business Administration and Accountancy

Graduate Programs Undergraduate Programs

Doctor of Philosophy in Agriculture Bachelor of Science in Accountancy
Major in: Bachelor of Science in Business Administration
-Animal Science -Crop Science Major in:
Master of Science in Agriculture -Financial Management
Major in: -Marketing Management
-Animal Science -Crop Science Bachelor of Science in Office Administration
-Agricultural Education
Undergraduate Programs College of Teacher Education
Bachelor of Science in Agriculture (BSA) Graduate Programs
Major in: Master of Arts in Education with Specializations
-Crop Science -Animal Science -MAPEH -Social Science
-Organic Agriculture -Agricultural Extension -Mathematics -THE
Bachelor of Science in Agribusiness (BSAB) -English -Science and Technology
Bachelor of Science in Environmental Sciences (BSES) -Filipino -Educational Management
Bachelor of Agricultural Technology (BAT) -Guidance and Counseling
Bachelor of Science in Food Technology (BSFT) -Doctor of Philosophy
-Educational Leadership Management
College of Arts and Sciences Undergraduate Programs
Undergraduate Program Bachelor of Secondary Education (BSED)
Bachelor of Science in Psychology Major in:
-English -Filipino
College of Criminal Justice Education -Mathematics -Sciences
-Social Studies -Values Education
Undergraduate Program Bachelor of Physical Education (BPED)
Bachelor of Science in Criminology Bachelor of Technical Vocational Teacher Education (BTVTED)
Major in:
College of Computer Studies -Animal Production
-Agricultural Crops Production
Graduate Program Bachelor of Technology and Livelihood Education (BTLED)
Master of Science in Information Technology -Home Economics
Undergraduate Programs -Agri-Fishery Arts
Bachelor of Science in Computer Bachelor of Early Childhood Education
Bachelor of Elementary Education
Bachelor of Science in Information System Post-Baccalaureate Diploma in Alternative Learning System
Bachelor of Science in Information Technology Certificate in Teaching Proficiency
Associate in Computer Technology
Senior High School
College of Hospitality Management and Tourism
Accountancy Business Management (ABM)
Undergraduate Programs Humanities and Social Science (HUMMS)
Bachelor of Science in Hotel Management
Bachelor of Tourism Management Satellite Campuses

Institute of Agricultural and Bio-systems Engineering Lopez Campus Nagcarlan Campus

Bachelor of Agricultural Technology (BAT) Bachelor of Agricultural Technology (BAT)
Bachelor of Elementary Education Bachelor of Elementary Education
Undergraduate Program Bachelor of Tourism Management Certificate in Teaching Proficiency
Bachelor of Science in Agricultural and Bio-systems Bachelor of Science in Criminology
Engineering Bachelor of Science in Agro-Fishery
Magdalena Campus
Bachelor of Agricultural Technology (BAT)

ADMISSION TEST REQUIREMENTS FILING PROCEDURE

1. Fully accomplished Application Form 3. Authenticated Photocopy of Card (New Student) 1. Secure and Fill-up application form (Guidance)
2. Two (2) pieces of Identical I.D. pictures with specifica- 4. Copy of Grades/Transcript of Records (Transferees) 2. Submit accomplished application form and testing
tions, as follows: 5. Good Moral Character (Photocopy) receipt (Guidance)
• Taken within the last three (3) months prior to 6. Examination Fee (P75.00) 3. Wait for issuance of test permit and schedule of exami-
nation
Filing of application
• Philippine Passport size picture
• Colored, with white background and printed on
good quality photo paper

BRING THE FOLLOWING ON EXAMINATION DAY

1. This Entrance Permit 3. Blue or Black Ballpen/s

2. School I.D.

LSPU-OSAS-SF-G19 Trial Revision