BULACAN STATE UNIVERSITY
City of Malolos, Bulacan
OFFICE OF THE STUDENT FINANCIAL ASSISTANCE
AND SCHOLARSHIPS
Tel.# (044) 919780099 local 1086/ (044) 7906520
bulsuscholarships@yahoo.com
APPLICATION FORM
PICTURE
2x2
Scholarship Category/Specification
1st Semester SY 2022- 2023
Student Number: 2020400034 Date: September 24,2022
PERSONAL DATA
Name: Celestial Arianne Claire M. _Age: 21 Course/Yr./Sec. BEED 3A
(Surname) (First Name) (Middle) major: General Education
Campus: () Main Campus (√ ) Satellite: Meneses Campus
Place of Birth: Quezon City Citizenship: Filipino
Date of Birth September 1, 2001 Civil Status Single
Permanent Address 1105 Lungos St. Santa Ana Bulakan Bulacan Contact No.09386054765
Father: Arnel Noel Celestial Occupation: _Tricycle Driver Monthly Income: Less than 3,000
per month
If retired, year of retirement ____________If with pension, amount of pension____________
Mother: Nenita Celestial Occupation _Food dispatcher Monthly Income: 2500 per month_
If retired, year of retirement __________If with pension, Amount_______________________
If both parents are unemployed, state reasons/s
(E.g. retired, old age, health, etc. source of livelihood) ________________________________
(or contributions from other sources like relatives, etc.) _______________________________
If self-employed, state type of business ____________Earnings per year P ________________
Guardian Arnel Noel Celestial Occupation: Tricycle driver Salary Less than 3,000 per month
Relation Father
(If applicant is employed)
Occupation _____________Salary ________
(If applicant is married)
Name of Husband/Wife ______________ Occupation _______________Salary ____________
Name of Children Age
__________________________________________ _________________
__________________________________________ _________________
BulSU-OP-OSFAS-01F1
Revision: 0
(For unmarried applicant only)
Names of Brother and Sister Age Civil Status If working, state income/If student, state year level
Alysa Lynn M. Celestial 18 Single Incoming 1st year college
Angel Anne Mae M. Celestial 17 Single Grade 12
Subjects taken in the Immediate Units Grade
Preceding Semester
TCW 101 The Contemporary World 3 1.00
Educ 205 Assessnent of Learning 1 3 1.75
Educ 206 The Teacher and the Community,
School Culture and Organizational Leadership 3 1.00
GEd 204 Pagtuturo ng Filipino sa Elementarya
(Estruktura at Gamit ng Wikang Filipino 3 1.50
GEd 205 Teaching Science in the Intermediate
Grades (Physics, Earth and Space Science) 3 1.50
GEd 206 Teaching Social Studies in the
Intermediate Grades (Culture and Geography) 3 1.00
GEd 207 Teaching Arts in the Elementary Grades 3 1.00
PE 13 Physical Education 4 2 1.00
Total No. of Units 23.0 GPA 1.220
Other information:
1. Are you enjoying any scholarship or financial assistance, in the University? Yes ( )
No (√ ). Outside the University? Yes ( ) No (√ )
If the answer is “yes” to either or both, specify nature and amount of grant
or salary:
2. Do your parents: (a) own real properties? Yes ( ) No (√ )
If yes, specify: __________________________Market Value ______________
Others: (ex. cars, stocks, etc.) Market value: ___________________
I hereby certify that all the statements above are true and correct.
ARIANNE CLAIRE M. CELESTIAL
SIGNATURE OVER PRINTED NAME
Recommending Approval:
MS. JANE KRISTINE G. SUAREZ ASSOC PROF. JOSEPH ROY F. CELESTINO
Head, OSFAS Vice Chancellor for Student Affairs and Services
APPROVED:
DR. CECILIA N. GASCON
President
