PHILIPPINE SCIENCE HIGH SCHOOL SYSTEM

CAMPUS: Central Luzon______________

STUDENT INFORMATION SHEET

School Year 2023-2024

PLEASE PROVIDE COMPLETE INFORMATION AND PRINT LEGIBLY:

NAME: SEX:
Surname Given Name Middle Name

NICKNAME: GRADE LEVEL: SECTION:

BIRTHDATE: BIRTHPLACE: RELIGION:

NATIONALITY: CITIZENSHIP: IF DUAL, PLS. SPECIFY

COMPLETE HOME ADDRESS

HOUSE NO.:________ _ STREET: BARANGAY:

TOWN/CITY: PROVINCE: CONGRESSIONAL DISTRICT: ZIP CODE:

TELEPHONE NO.: CELLPHONE NO.: E-MAIL ADDRESS:

PREVIOUS SCHOOL ATTENDED

SCHOOL ADDRESS: DATE OF GRADUATION

NO OF GRADUATES FINAL AVERAGE HONOR/S RECEIVED

CONTACT PERSON/S DETAILS

FATHER MOTHER
NAME

SPECIMEN SIGNATURE

HOME ADDRESS (if different from

above)
TEL NO
CITIZENSHIP
CELLPHONE NO.
E-MAIL ADDRESS
OCCUPATION
OFFICE

OFFICE ADDRESS
TEL. NO.

GUARDIANS WHILE STUDYING AT PSHS-

GUARDIAN GUARDIAN
NAME

SPECIMEN SIGNATURE
RELATION TO STUDENT
HOME ADDRESS
TEL NO
OFFICE ADDRESS
TEL. NO.

NOTE TO THE STUDENT/PARENT: Please notify the REGISTRAR'S OFFICE for any change in the above information
during the school year.

PSHS-00-F-REG-03-VerO2-Rev0-02/01/20
 PHILIPPINE SCIENCE HIGH SCHOOL SYSTEM
Campus: Central Luzon

SCHOLAR’S OATH

I, a Philippine Science High School scholar, recognize the role of the school as extension of
the family and an integral part of the society. I realize the need to contribute to a general sense of order,
discipline and harmony that is crucial to the learning process and the efficient functioning of the school
system. I, therefore, pledge to uphold the following principles of the Code of Conduct that shall govern
my deportment and stay in the PSHS:

(1) Pursuit of Truth. Truth implies and encompasses the value of integrity and respect. A
scholar is always honest in thoughts, words, and deeds. He/ She demonstrates honesty,
responsibility, humility, self-respect, and modesty and decency.

(2) Passion for Excellence. A scholar always goes beyond what is expected, is determined to
do his/her best at every opportunity, and is committed to achieving outstanding performance in
all undertakings. He/ She exemplifies analytical thinking, open-mindedness, creativity,
resourcefulness, and steadfastness.

(3) Commitment to Service. A scholar uses his/her talents to render service to God, country,
and fellowmen for betterment of the society. He/She exhibits generosity and compassion,
courtesy and respect for others, respect for property, loyalty to the school, and stewardship.

I am fully aware of the possible consequences of my actions which may be deemed contrary to
the ideas of the above-cited Code. I shall accept the appropriate disciplinary sanctions that may be
imposed on me after due process, which may be any of the following:

(1) Verbal correction or oral/written reprimand;

(2) Suspension of privileges commensurate to the offense committed;
(3) One to ten days suspension;
(4) Termination of the scholarship grant; and,
(5) Other sanctions decided by the disciplinary authorities.

Signature over Printed Name of Date

SCHOLAR

Conforme:

Signature over Printed Name of Date

PARENT/GUARDIAN

RESA ANNE O. Dl, January 20, 2023

Signature over Printed Name of Date
CAMPUS DIRECTOR

PSHS-00-F-REG-18-Ver02-Rev0-02/01/20
 Philippine Science High School-Central Luzon Campus
OFFICE OF THE REGISTRAR
SY 2023-2024

Name of Student Grade Level

Name of Mother Name of Guardian other than parent

Name of Father (if any)____________________

Please paste the photos at the designated boxes.

(2"x2")

Student

(2"x2") (2"x2")

Mother Father

(2"x2")

Guardian (if any)

PSHS-CLC REG Form - Picture Form 1 / 1

REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ____________
MUNICIPALITY/CITY OF

AFFIDAVIT OF GUARDIANSHIP
I, of legal age,
Name of Guardian
and presently residing at
Civil Status
after being duly sworn to in accordance with law, depose and state:

1. That I am the of the minor named

(relationship)

below who was granted scholarship for Grades 7 to 12 at Philippine Science High School
-_______________Campus:

NAME OF MINOR
DATE OF BIRTH
PLACE OF BIRTH

2. That the parents of the above-named child__________ state circumstance why

parents cannot sign/appear at PSHS_________________
3. That I am the guardian of the above-named minor since year
4. That the said minor is under my care and custody;
5. That I am not an imbecile, insane, a vagrant or a vicious person or a habitual drunkard or
a habitual criminal, and have not abandoned, neglected or refused to support said
minor or caused him to commit offenses against the law.
6. That I shall fully commit to guide and support the above-named minor in his studies at
PSHS- CAMPUS in accordance to its school rules and regulations.

Done this date at

Name and Signature of Affiant

SUBCRIBED AND SWORN to before me, this___ at

affiant exhibiting to me his/her valid government ID issued on
at

Doc. No.
Page No.
Book No.
Series of

PSHS-00-F-REG-04-Ver02-RevO-02/01/20
 Philippine Science High School-Central Luzon Campus
STUDENT EMAIL AND SOCIAL MEDIA INSTANT MESSENGER PERMISSION FORM

An email account is needed for all students of Philippine Science High School (PSHS) as well as access to social
media instant messaging platform (e.g., Viber, FB messenger, Watsapp) in consideration of the temporary shift
to online learning brought about by COVID-19 pandemic which greatly affected everyone. These accounts and
access to said social media instant messaging platforms will be used solely for instructional and educational
purposes. The email account on the other hand will be used in order for students to access PSHS’ Learning
Management System (LMS) where learning modules, assignments, information on student activities are stored.
The email will also be used in order to access Google Meet where online classes will be held. Social media instant
messaging tools on the other hand will be used for communication between teachers and students in connection
with their lessons. Students will not be given an email account or will not be instructed to make one for themselves
(through their parents) and will not be instructed to access social media instant messaging tools/applications
(apps) without parental or guardian approval. If students are not granted permission to use email or access these
messaging apps, PSHS shall then send said messages and information from teachers through cellular calling or
short message service (SMS).

REASON: The main reason of providing student email is to support teaching and learning without sacrificing the
safety of the students. We believe that this change is needed in order to adapt to the challenges we are facing
right now.

1. Official Email Address - All students who have been allowed by their parents/guardians to have an email
(whether created by them or their parents or given by the school) shall use said email address for learning
and educational purposes only. This will be considered as his/her official PSHS email address until the time
that the student no longer needs the email as deemed by the school or until the time that he is no longer with
PSHS.
2. Prohibited Conduct - Student email and the use of social media instant messaging tools/apps should not be
used for unlawful activities, harassment, bullying, commercial purposes, personal financial gain, false identity
related activities, and misrepresentation of PSHS. Other applicable provisions of the student handbook are
also adopted.
3. Access Restriction - Access and use of the student email is a mere privilege. The school has the right to
revoke the use or block said access (to LMS) of a student when there is a reason to believe that violation of
PSHS policies and the laws have been committed.
4. Email and Social Media Instant Messaging Activities Monitoring - use of email and instant messaging
tools/apps shall be monitored by the parents especially during the days when students are at home learning.
Parents shall proactively notify PSHS for any suspicious communications/activities that they might notice while
monitoring their activities in order that the school can easily revoke access to email or block further access to
PSHS’ LMS.
5. Privacy - The general right to privacy will be afforded to the extent possible in the electronic environment.
Students using PSHS email are limited to accessing information intended to them. The school reserves the
right to access the mail system including the current and archival files of account users.

Please fill out the portion below.

PARENT/GUARDIAN:

I give permission for my child to be assigned an email (Google)/create an email and access social
media instant messaging tools/applications.

I do not give permission for my child to be assigned an email account (Google), but they may access
the learning materials through my email and mobile number:

Parent/Guardian's
Printed Name & Signature: Date:
Email Mobile
Address: Number:

STUDENT: I agree to adhere to the guidelines stated above for use of PSHS email account as well as access to
social media instant messaging tools/apps. I also recognize that my parents/guardians have the right to login to
my account at any time.

Student’s
Printed Name & Signature: Date:
Grade Level:

PSHS-CLC REG Form - Student Email And Social Media Instant Messenger Permission 1 /1
 Philippine Science High School-Central Luzon Campus

DATA PRIVACY CONSENT FORM

Philippine Science High School (PSHS) is aware of the need to keep the personal data of its stakeholders (e.g. students,
alumni, applicants) private and secured for purely legitimate purposes.
We aim to comply with the Data Privacy Act of 2012 (DPA) and cooperate fully with the National Privacy Commission
(NPC). We value your privacy. Our commitment to providing quality education to our students is as important as our
commitment in keeping your personal data safe.
In this Form, the terms, "personal data" and "information" are used interchangeably. When we talk about "personal
data," the term includes the concepts of personal information, sensitive personal information, and privileged
information. The first two are typically used to distinctively identify you. For their exact definitions, you may refer to
the DPA.

Processing of Personal Data

A. Collection of Information
We collect your personal data that includes those you provide us during your application for National Competitive
Exam (NCE), admission, information we acquire or generate upon enrolment and during the course of your stay
with us.

1. Information you provide us during your application for NCE

Upon application for NCE, we collect information about personal circumstances and contact information
such as but not limited to name, home/residence addresses, parent's email addresses, telephone
number/mobile numbers and other contact details, family history, previous schools attended, emergency
contact information, academic performance, disciplinary record, medical record etc.

2. Information we get and generate upon enrolment and during the course of your stay with us
Upon enrollment and during the course of your stay with us, we confirm/collect information which you
have previously submitted upon your application for NCE in order that we get updated information such as
but not limited to name, home/residence addresses, parent's email addresses, telephone number/mobile
numbers, emergency contact information, etc. WE will also collect information for and in relation to co-
curricular matters, such as organizations where you are affiliated, leadership positions, participation and
attendance in competitions and other related school programs. We will also be collecting information in
connection with disciplinary incident, including accompanying sanctions that you may be involved in.

B. Access to Information

Your personal information is accessed and used by PSHS, specifically the Admissions Office (AO), Knowledge and
Innovation Division (KID), Research Policy and Academics Division (RPAD) personnel who have legitimate interest
in it for the purpose of carrying out their mandated duties in connection with providing you quality education in
PSHS.

We use and share your information as permitted or required by law and PSHS' education-related mandate
including a variety of administrative, historical and statistical purposes.

Below are specific situations when we will use your information to pursue our legitimate interest as an
educational institution created by law:
1. Processing and evaluation of application for NCE;
2. Processing confirmation of incoming students (who passed the NCE) and transfer students from a different
PSHS campus to prepare for enrollment;
3. Recording, generating and maintaining student records of academic progress
4. Establishing and maintaining student information systems
5. Access to the school's Learning Management System (LMS);
6. Sharing of grades between and among faculty members, and others with legitimate official need, for
academic deliberations (e.g. graduation);
7. Processing scholarship applications/documents, grants and other forms of assistance (e.g.
stipend/allowance)
8. Investigating incidents that relate to student behavior and implementing disciplinary measures;
9. Maintaining directories and alumni records; compiling and generating reports for statistical and research
purposes;
10. Providing services such as health, counseling, information technology, library, sports/recreation,
transportation, safety and security;
11. Managing and controlling access to campus facilities and equipment;
12. Communicating official announcements; sharing promotional materials regarding school-related functions,
events, projects and activities;
13. Soliciting your participation in research and non-commercial surveys
14. Analyzing results of written tests, examinations, assessments which reflect personal data in order to improve
school programs and functions

PSHS-CLC REG Form - Data Privacy Consent 1/3

C. Sharing of Information
Below are specific situations when we may share or disclose your personal information to others:
1. Posting of acceptance to universities, including overall percentage ratings achieved by the school which may
reflect the student's name in school bulletin boards and campus websites;
2. Posting of class lists and class schedules in school bulletin boards or other places within the campus and the
school's official websites;
3. Sharing of information to persons, including parents, guardians or next of kin, as required by law or on a
need-to-know basis as determined by the school to promote your best interests, protect your health, safety
and security, or that of others;
4. Providing academic institutions, companies, government agencies, private or public corporations, or the like,
upon their request, with scholastic ranking information or certification of good moral character for purposes
of admission;
5. Sharing information to potential donors, funders or benefactors for purposes of scholarship, grants and other
forms of assistance;
6. Distributing the list of graduates and awardees during commencement exercises;
7. Reporting and/or disclosing information to the NPC and other government bodies or agencies (e.g.
Commission on Higher Education, Department of Education);
8. Sharing of information for ranking purposes;
9. Responding to inquiries verifying that you are a bona fide student or graduate of the school with
corresponding degree/s earned and honor/s when applicable;
10. Conducting research or surveys for purposes of institutional development;
11. Sharing your directory information to the school's alumni association which reflects your name, degree/s
and honor/s earned, contact information as well as such other personal information that will enable your
identity to be verified;
12. Publishing academic, co-curricular and extra-curricular achievements and success, including honors lists and
names of awardees in school bulletin boards, website, social media sites and publications;
13. In school's application for competitions, seminars, and trainings where you may belong;
14. Sharing your academic accomplishments or honors and co-curricular or extracurricular achievements with
schools you graduated from or was previously enrolled in, upon their request;
15. Marketing or advertising to promote the school, including its activities and events, through photos, videos,
brochures, website posting, newspaper advertisements, physical and electronic bulletin boards, and other
media;
16. Publishing communications with journalistic content, such as news information in PSHS' publications, social
media sites and news and media organizations;
17. Live-streaming of school events;
18. Complying with court orders, subpoenas and/or other legal obligations;

Data Protection
We shall implement acceptable and appropriate organizational, physical, and technical security measures for the
protection of personal data which we collected.
These steps of protection shall aim to maintain the availability, integrity and confidentiality of personal data against
accidental or unlawful destruction, alteration, and disclosure as well as unlawful processing.
Your personal data will only be accessed by our authorized personnel/personal data processor who hold such
information under strict confidentiality. We shall restrict access to information to anyone who wants to obtain such
data without justifiable reason.
Any incident of security breach with regard to said personal data which comes to our knowledge will immediately be
acted upon as the law mandated. PSHS will take the necessary steps to address said breach and mitigate its negative
effects. If there is a strong belief that an incident affects your personal, PSHS will notify you of such incident in an
appropriate manner.

Confidentiality
After completing the required years of stay and academic requirements in PSHS and you are already an alumnus,
your personal information will remain private and confidential. PSHS personnel shall operate and hold personal data
under strict confidentiality.
Right to Privacy
As provided by the Act, you may object to the processing of your personal data, request to access your personal
information, and/or have it corrected, erased, or blocked on reasonable grounds. For the details of your rights as
data subject, you can get in touch with our Data Privacy Officer at contact details below or at National Privacy
Commission at https://privacv.gov.ph/. PSHS will take note of your request and shall reserve the right to deal with
the matter in accordance with the law.
Right to Damages
The data subject shall be indemnified for any damages sustained due to such inaccurate, incomplete, outdated, false,
unlawfully obtained or unauthorized use of personal data, taking into account any violation of his or her rights and
freedoms as data subject.
Contact Information
For your concerns regarding your privacy rights, this Consent Form or any matter regarding Data Privacy Act of 2012,
you may contact our Data Protection Officer through the following details:
JAN MICHAEL R. IBANEZ
0966 701 3717
privacy@clc.pshs.edu.ph

PSHS-CLC REG Form - Data Privacy Consent 2/3

CONSENT

I have read this DATA PRIVACY CONSENT FORM, understood its contents and consent to the processing of my
personal data. I understand that my consent does not preclude the existence of situations/scenarios for lawful
processing of personal data and does not waive any of my rights under the Data Privacy Act of 2012.

Complete Printed Name of STUDENT:

Signature of Student:

Complete Printed Name of PARENT:

Signature of Parent:

Date:

PSHS-CLC REG Form - Data Privacy Consent 3/3

 Republic of the Philippines
Department of Science and Technology
' *«S*
PHILIPPINE SCIENCE HIGH SCHOOL-CENTRAL LUZON CAMPUS ISO 9001:2015 Certified
Certificate No. SCP000394Q

Date

Dear Sir/Madam,

Greetings!

This is to certify that is an incoming Grade 7

student and scholar of PHILIPPINE SCIENCE HIGH SCHOOL-CENTRAL LUZON CAMPUS and will
be included in its payroll (for stipend and other allowance).

We kindly ask for your usual assistance in the processing of ATM payroll account for this
student.

Thank you.

Very truly yours,

/
/

MARlElYNf. ARIZ
Administrative Officer III

Noted by:

/L
JHERESA ANNEO. DIAZ
Campus Director

Postal Address: Lily Hill St. Clark Freeport Zone, Pampanga, Philippines Tel. Nos.: (045) 499-0136
Website: http://clc.pshs.edu.ph (045) 499-5597
 Republic of the Philippines
Department of Science and Technology
SL-
£0 9001:2015 Certified
PHILIPPINE SCIENCE HIGH SCHOOL-CENTRAL LUZON CAMPUS CerfiOcate No- SCP000394Q

OFFICE OF THE REGISTRAR

January 20, 2023

Dear Sir/Madam:

In connection with the enrolment of__________________________________________

at Philippine Science High School-Central Luzon Campus as a Grade 7 student, we request

for one (1) copy of his/her Form 137 (Official Transcript of Records).

Kindly indicate on the transcript

- "Copy For PHILIPPINE SCIENCE HIGH SCHOOL-CENTRAL LUZON CAMPUS Only”

- honors or awards received by the student, if any
- his/her rank in the graduating class

- his/her Learner’s Reference Number (LRN)

Please enclose the transcript in a sealed envelope, affix your signature across the flap,
and allow the bearer to hand carry the document.

Thank you.

Yours truly,

RINA C. BUNDALIAN

Registrar

Postal Address: Lily Hill St. Clark Freeport Zone, Pampanga, Philippines Tel. Nos.: (045)499-0136
Website: http://clc.pshs.edu.ph (045) 499-5597
 ANNEX A: PSHS LIST OF APPROVED SCIENCE AND TECHNOLOGY COURSES

I. SPECIFIC DEGREES

1 BS Actuarial Science 42 BS Environmental Science

2 BS Aeronautical Engineering 43 BS Fisheries
3 BS Agricultural and Biosystems Engineering 44 BS Fisheries Technology
4 BS Agricultural Biotechnology 45 BS Food Technology
5 BS Agricultural Chemistry 46 BS Forest Product Engineering
6 BS Agricultural Education 47 BS Forestry
7 BS Agricultural Engineering 48 BS Foundry Engineering Technology
8 BS Agricultural Extension 49 BS Geodetic Engineering
9 BS Agriculture 50 BS Geology/Geophysics
10 BS Agronomy 51 BS Health Science
11 BS Animal Science/Husbandry Development 52 BS Horticulture
12 BS Applied Mathematics 53 BS Human Biology
13 BS Applied Mathematics major in Computational 54 BS in Agricultural Biotechnology
Science
14 BS Applied Mathematics major in Mathematical 55 BS Industrial Design
Finance
15 BS Applied Physics 56 BS Industrial Engineering
16 BS Architecture 57 BS Industrial Management Engineering Minor in
Service Management
17 BS Biochemistry 58 BS Industrial Pharmacy
18 BS Biology 59 BS Information Technology
19 BS Botany 60 BS Life Science
20 BS Ceramic Engineering 61 INTARMED
21 BS Chemical Engineering 62 BS Management Engineering
22 BS Chemical Engineering & Chemistry 63 BS Management Information Systems
23 BS Chemical Technology 64 BS Management of Applied Chemistry
24 BS Chemistry 65 BS Manufacturing Engineering
25 BS Chemistry minor in Business Studies 66 BS Manufacturing Engineering & Management
26 BS Chemistry Teaching 67 BS Marine Engineering
27 BS Chemistry with Computer Engineering 68 BS Marine Science/Biology
28 BS Chemistry with Materials Science and 69 BS Materials Engineering
Engineering
29 BS Civil Engineering 70 BS Materials Science & Engineering
30 BS Clothing Technology 71 BS Mathematics
31 BS Community Nutrition 72 BS Mathematics Teaching
32 BS Computer Science 73 BS Mechanical Engineering/Technology
33 BS Computer Technology/Engineering 74 BS Mechatronics Engineering
34 BS Economics 75 BS Metallurgical Engineering
35 BS Electrical Engineering/Technology 76 BS Meteorology
36 BS Electromechanical Technology 77 BS Mining Engineering
37 BS Electronics and Communications Engineering 78 BS Molecular Biology & Biotechnology
38 BS Electronics Design Engineering 79 BS Nutrition
39 BS Electronics Technology 80 BS Packaging Engineering
40 BS Environmental and Sanitary Engineering 81 BS Petroleum Engineering
41 BS Environmental Management 82 BS Pharmacy

page 1 of 3
83 BS Physics with Medical Instrumentation 93 BS Plant Pathology
84 BS Physics 94 BS PreMed Physics
85 BS Physics & Technology Teaching 95 BS Psychology
86 BS Physics minor in Economics/Finance 96 BS Public Health
87 BS Physics Teaching 97 BS Science Education (Science Teaching:
Biology, Chemistry, Physics, etc.)
*lncluding Bachelor of Secondary Education
(teaching in: science or mathematics)
88 BS Physics with Applied Computer Systems 98 BS Software Engineering
89 BS Physics with Chemistry Teaching 99 BS Soil Science
90 BS Physics with Computer Engineering 100 BS Statistics
91 BS Physics with Materials Science & Engineering 101 BS Veterinary Medicine
92 BS Physics with Math Teaching 102 BS Zoology

II. DOST - SEI APPROVED AND ACCREDITED S & T COURSES

As approved by the BOT on August 1, 2014, all approved and accredited DOST-Science Education
Institute (SEI) courses under its scholarship programs are automatically part of the approved list of
courses of the PSHS System.
Courses 1-68 should be taken in Recognized Study Placements which are as follows:
a. State Universities and Colleges (SUC) *
b. CHED identified Centers of Excellence (COE) or Centers of Development (COD) for the S&T
priority program *
c. Institutions with FAAP Level III Accreditation *
* Complete list may be found in the official website of Science Education Institute (SEI)
Course 70 should be taken at UP System only.
Courses 71-72 should be taken at DLSU only.
Course 73 refers to the BS Program.

1 Aeronautical Engineering 21 Chemistry with Applied Computer Systems

2 Aerospace Engineering 22 Chemistry with Materials Science and
Engineering
3 Agribusiness Management 23 Civil Engineering
4 Agricultural and Biosystems Engineering 24 Computer Engineering
5 Agricultural Chemistry 25 Computer Science
6 Agricultural Economics 26 Doctor of Veterinary Medicine
7 Agricultural Engineering 27 Electrical Engineering
8 Agricultural Technology 28 Electronics and Communications
Engineering/Electronics Engineering
9 Agriculture 29 Environmental Science
10 Animal Science 30 Fisheries
11 Applied Mathematics 31 Food Technology
12 Applied Physics 32 Forestry
13 Applied Physics with Applied Computer System 33 Geodetic Engineering
14 Applied Physics with Materials Science and 34 Geology
Engineering
15 Applied Statistics 35 Geothermal Engineering
16 Biochemistry 36 Industrial Design
17 Biology 37 Industrial Engineering
18 Ceramics Engineering 38 Industrial Management Engineering-Information
Technology
19 Chemical Engineering 39 Industrial Pharmacy
20 Chemistry 40 Information System

page 2 of 3
!

41 Information Technology 58 Molecular Biology and Biotechnology

42 Information Technology Systems 59 Nutrition
43 Instrumentation and Control Engineering 60 Nutrition and Dietetics
44 Manufacturing Engineering 61 Packaging Engineering
45 Marine Biology 62 Petroleum Engineering
46 Marine Science 63 Pharmacy (4-year program)
47 Materials Engineering 64 Pharmacy major in Clinical Pharmacy (5-year
Program)
48 Mathematics 65 Physics
49 Mathematics and Science Teaching 66 Public Health
50 Mathematics Teaching 67 Science Teaching (Biology, Chemistry, Physics
and Physical Science)
51 Mechanical Engineering 68 Statistics
52 Mechatronics Engineering 69 Speech Pathology
53 Medical Technology 70 Agricultural Biotechnology
54 Metallurgical Engineering 71 Manufacturing Engineering-Management-
Biomedical Engineering
55 Meteorology 72 Manufacturing Engineering-Management-
Mechatronics and Robotics
56 Microbiology 73 Psychology
57 Mining Engineering

III. Emerging Science, Technology, Engineering and Mathematics (STEM) courses

IV. Degrees in the following disciplines:

1 Animal Nutrition 17 Nuclear Physics

2 Animation 18 Nuclear Science
3 Astronomy Technology 19 Nursing
4 Community Nutrition 20 Optometry
5 Data Science 21 Occupational Therapy
6 Dentistry 22 Physical Therapy
7 Disaster Control Management 23 Space Engineering
8 Entrepreneurship 24 Space Physics
9 Food Engineering 25 Space Science
10 Game Development 26 Speech Therapy
11 Human Ecology 27 Sports Science
12 Human Nutrition 28 Statistics
13 Information Science 29 Textile Engineering
14 Library Information Science 30 Transportation Engineering
15 Multimedia Technology 31 Urban Planning
16 Nuclear Engineering

page 3 of 3
 SCHOLARSHIP AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Scholarship Agreement is entered into this day of 2023,

by and between:

The PHILIPPINE SCIENCE HIGH SCHOOL - CENTRAL LUZON CAMPUS, a public educational insti­
tution with its own charter and operating under the supervision of the Department of Science and Tech­
nology, with office address at Lily Hill St., Clark Freeport Zone, Pampanga, represented herein by its
Campus Director, THERESA ANNE O. DIAZ, and hereinafter referred to as the “PSHS";

-and-

, Filipino, a minor, and residing at____________________

_____ , hereinafter referred to as "SCHOLAR AWARDEE”,
duly represented by his/her father/mother/legal guardian,________
Filipino, of legal age, a resident of___________________________ in his/her
personal capacity, hereinafter referred to as “PARENT/GUARDIAN”;

I WITNESSETH, That:

Q WHEREAS, the 1987 Philippine Constitution in Article XIV Sec.5 paragraph 3 recognized the
■
right of every citizen to select a profession or course of study subject to fair, reasonable and equitable
admission and academic requirements;
O

WHEREAS, pursuant to Republic Act No. 3661 “An Act to Establish the Philippine Science High
School”, Republic Act No. 8496, otherwise known as the "Philippine Science High School Act of 1997',
and as amended by Republic Act No. 9036 otherwise known as "An Act Strengthening the Governance
and Defining the Scope of the Philippine Science High School (PSHS) System", the purpose of PSHS
as a public educational institution is to offer on a free scholarship basis secondary education with em­
phasis on subjects pertaining to science, mathematics and technology, with the primary purpose of pre­
paring its students for a career in the field of science and technology;

WHEREAS, the SCHOLAR AWARDEE, after evaluating his/her qualifications and passing the
prescribed examination for scholarship applicants, is qualified to receive a scholarship award from the
c PSHS;
2
WHEREAS, the PSHS offered the SCHOLAR AWARDEE the scholarship award to undertake
a specialized secondary education that emphasizes science, mathematics and technology;

WHEREAS, the SCHOLAR AWARDEE, assisted by his/her PARENT/PARENTS/GUARDIAN,

accepted the offer of PSHS to undertake the former’s secondary education in PSHS Central Luzon
Campus;

WHEREAS, pursuant to Article 220 (5) Of Executive Order No. 209, otherwise known as “The
Family Code of the Philippines", the SCHOLAR AWARDEE, shall be assisted by his/her parent or legal
guardian in this Agreement;
c
NOW THEREFORE, for and in consideration of the foregoing premises and the conditions and
stipulations hereinafter set forth, the parties mutually agree and covenant unto each other, to wit:
P
-5 ‘E I. NATURE: The PSHS Scholarship is awarded to enable the SCHOLAR AWARDEE to pur­
CO §
< sue a secondary education which gives special emphasis in the sciences, technology and
mathematics to prepare him/her in pursuing a science, technology, engineering or mathe­
matics college course.

II. DURATION OF SCHOLARSHIP: The Scholarship Award shall remain in effect during the
prescribed period of the approved PSHS curriculum by the PSHS Board of Trustees
(PSHS-BOT) unless pre-terminated by PSHS.

Scholarship Agreement page 1 of 4

 III. SCHOLARSHIP PRIVILEGES. The PSHS shall provide to the SCHOLAR AWARDEE sec­
ondary education with free tuition and loan of available textbooks. The SCHOLAR
AWARDEE may be entitled to additional benefits that the PSHS Board of Trustees may
grant, subject to the availability of funds and government accounting/auditing rules and pro­
cedures.

IV. RESPONSIBILITIES AND OBLIGATIONS OF THE SCHOLAR AWARDEE

The SCHOLAR AWARDEE shall fulfill the following responsibilities and obligations:

a. ACADEMIC PERFORMANCE: The SCHOLAR AWARDEE shall continuously maintain

a good scholastic standing that shall be in accordance with the academic standards
prescribed by existing PSHS Rules and Regulations.

b. CONDUCT: The SCHOLAR AWARDEE shall behave in a manner befitting his/her status
as a PSHS Scholar. S/he shall, at all times, comply with all rules and regulations as may
be prescribed by the Student Code of Conduct or those that may be subsequently issued
by the PSHS during his/her stay.

c. REPORT CARDS: The SCHOLAR AWARDEE undertakes to have his/her report card
properly received and signed by his/her PARENT/PARENTS/GUARDIAN.

O d. GUIDANCE AND SUPERVISION: The SCHOLAR AWARDEE undertakes to take or

■1) undergo all written tests, examinations and assessments that the PSHS may administer
5 in order for the latter to collect pertinent data to improve school programs and functions.
“3

E e. COMPLETION OF THE SECONDARY COURSE: The SCHOLAR AWARDEE is re­

CO
U quired to complete the secondary course as prescribed by the PSHS curriculum which
was duly approved by the PSHS Board of Trustees.

f. PURSUIT OF AN UNDERGRADUATE COURSE APPROVED BY THE PSHS SYTEM

BOT: After completion of the PSHS curriculum and actual graduation, the SCHOLAR
AWARDEE shall enroll in an undergraduate course approved by the PSHS System
Board of Trustees. The list of PSHS System BOT courses is attached as ANNEX A and
made an integral part hereof.

g. CHANGE OF LEGAL GUARDIAN: The scholar-awardee shall report any change of le­
gal guardian/representative and his/her respective residential addresses to the OFFICE
IE OF THE CAMPUS DIRECTOR.
£
h. MEMBERSHIP IN THE PSHS NATIONAL ALUMNI ASSOCIATION: The scholar-
awardee, after graduation from the PSHS shall automatically become a member of the
PSHS National Alumni Association.

V. RESPONSIBILITIES AND OBLIGATIONS OF THE PARENT/PARENTS/ GUARDIAN

The SCHOLAR AWARDEE’S PARENT/ PARENTS/ GUARDIAN in fulfillment of their re­

sponsibilities and obligations shall:

a. Assume any and all civil liabilities that the SCHOLAR AWARDEE may incur against the
PSHS during the effectivity of this Scholarship Award.
c

-C =1 b. Shoulder any and all related expenses should the SCHOLAR AWARDEE become sick,
ill, disabled or even die during the effectivity of this Scholarship Award.
O s
■5-E
(/) ra
The PARENT/PARENTS/GUARDIAN shall also shoulder any and all types of expense/s
<
incurred by the SCHOLAR AWARDEE which are outside the coverage of this Agree­
ment.

c. Disclose to the PSHS any condition that may affect the academic performance and well­
being of the scholar awardee.

d. Hold the PSHS free from any type of liability in case of injury or death of the SCHOLAR
AWARDEE arising from activities or endeavors not sanctioned by the PSHS.

Scholarship Agreement page 2 of 4

 e. Help in the holistic development of the SCHOLAR AWARDEE.

f. As much as possible, regularly attend parent-teacher meetings/conferences to discuss

the SCHOLAR AWARDEE’s academic and behavioral standing as well as other school
activities and concerns.

VI. LEAVE OF ABSENCE

The SCHOLAR AWARDEE may apply for a Leave of Absence subject to the approval of the
Board of Trustees and the existence of the following conditions:

a. The leave is highly justified and supported by pertinent documents; and

b. The maximum duration of the leave is one (1) academic/school year.

The SCHOLAR AWARDEE shall submit documents as may be required by the Campus
Director in support of his/her return to school.

VII. BREACH OF AGREEMENT

The following provisions shall govern in case there is a Breach of the Scholarship Agree­
ment:
2
£ a. Should any act/s of the SCHOLAR AWARDEE be subject of disciplinary proceedings as
5 stated in the Student Code of Conduct, the sanctions as prescribed therein shall be im­
3CL posed accordingly.

O
b. The PSHS shall unilaterally and extra judicially rescind the Scholarship Award from the
SCHOLAR AWARDEE with no contractual obligation for any of the following reasons:

i Failure of the SCHOLAR AWARDEE to maintain his/her good scholastic standing,

class behavior/conduct, and attendance; and

ii Commission of any of the grounds for the termination of scholarship set forth in the
Student Code of Conduct;

iii Inability to continue with the scholarship due to health conditions as approved by
the Board of Trustees.
£
iv Any valid reason as approved by the Board of Trustees.

c. For non-completion by the SCHOLAR AWARDEE of the curriculum prescribed by the

PSHS Board of Trustees, the SCHOLAR AWARDEE and the PARENT/PAR­
ENTS/GUARDIAN shall jointly and solidarily pay the PSHS the monetary value of the
Scholarship Award based on the rates approved by the PSHS Board of Trustees.

The amount to be paid includes the combined monetary value of the tuition, allowance,
stipend, and any other monetary benefit that may have been awarded or granted to the
SCHOLAR AWARDEE during the effectivity of the Scholarship Award.

The same penalty as prescribed in the immediate preceding paragraph shall also be
c imposed on the SCHOLAR AWARDEE and the PARENT/PARENTS/GUARDIAN
.9-S
should the SCHOLAR AWARDEE fail to enroll in a course as required by this Agree­
II
2%
ment as stated in relation to Part IV (f).
CO |
VIII. AMENDATORY CLAUSE: This Agreement may be amended with the mutual written con­
< sent of the participants.

IX. EFFECTIVITY CLAUSE: This Agreement shall take effect upon signing by the parties to this
Agreement and shall remain in force unless any of the parties withdraws or pre-terminates
this Agreement.

This Agreement supersedes previously executed Scholarship Agreement between PSHS

and the SCHOLAR AWARDEE, if any.

Scholarship Agreement page 3 of 4

V

IN WITNESS WHEREOF, the parties hereto, sign this Scholarship Agreement, this day of
_______________ , 2023 in_______________ .

PHILIPPINE SCIENCE HIGH SCHOOL CENTRAL LUZON CAMPUS

As represented by:

THERESA ANNE O. DIAZ

Campus Director

SCHOLARSHIP AWARDEE

Signature over Printed Name of

SCHOLAR AWARDEE

PARENTS/GUARDIAN OF SCHOLARSHIP AWARDEE

Signature over Printed Name of

PARENTS/GUARDIAN

ACKNOWLEDGEMENT

Republic of the Philippines)

BEFORE ME, a Notary Public, in the , this

personally appeared the following parties with their proof of identity as stated below:

Name Type/ID No. Issued On/At

THERESA ANNE O. DIAZ TIN 112 942 521 000

known to me be the same person who executed the foregoing Scholarship Agreement, consisting of
four (4) pages and they acknowledged to me that the same is their free voluntary act and deed.

WITNESS MY HAND AND SEAL ON THIS DATE, PLACE AND YEAR FIRST ABOVE WRITTEN.

NOTARY PUBLIC
Doc No.
Page No.
Book No.
Series of

Scholarship Agreement page 4 of 4

 PSHS CODE OF CONDUCT PART II
PSHS CORE VALUES
PARTI The Philippine Science High School, in fulfilment of its vision and mission, upholds the core values
RATIONALE that serve as guiding principles in the lives of a PSHS scholar. These core values are established to
inculcate in the scholar the right attitudes and desirable behaviors for his/her welfare, others, and
The Philippine Science High School provides its scholar a positive and nurturing learning country. In addition, these values are intended to mold him/her into a citizen imbued with positive
environment. The achievement of this goal depends largely on the scholar’s attitude towards character as the scholar embarks on his/her respective chosen career.
learning and his/her adherence to high standards of behavior. This Code serves as a guide for a
PSHS scholar to behave in a manner befitting him/her. 2.1. Pursuit of Truth

To ensure safety and well-being of the scholar, a general sense of order, discipline, and harmony A PSHS Scholar seeks the truth in all undertakings. Truth implies and encompasses the values of
must be established; thus, this Code requires a PSHS scholar to demonstrate: integrity and respect. It is an intrinsic part of the "scientific mind” that inspires personal and
intellectual humility, leading to a realization that the quest for truth is the pursuit for knowledge and
• Pursuit of TRUTH. wisdom. A PSHS scholar, then, upholds the following values:
A scholar seeks true knowledge and wisdom, and is always honest and respectful
2.1.1 Integrity. A scholar who has integrity values honesty and truth in the pursuit of knowledge.
He/She is true to his/her words, actions, and intentions. A scholar also demonstrates the
• Passion for EXCELLENCE. value of academic integrity with respect, fairness, and responsibility in all actions.
A scholar goes beyond what is expected, does his/her best at every opportunity, and
commits to achieving outstanding performance in all undertakings. 2.1.2 Respect. A respectful scholar recognizes individual differences and shows understanding
and appreciation of the unique persons. A PSHS scholar is objective and fair in his/her
• Commitment to SERVICE. consideration and regard for his/her rights, values, beliefs, and property of all people
A scholar uses his/her talents and resources to render service to God, country, and
fellowmen for the betterment of the society. Respect for Oneself. A respectful scholar is accountable for his/her behavior and well­
being; manages his/her emotions; uses resources effectively and responsibly; and
The implementation of this Code of Conduct takes into account the special rights of children as values excellence and industry. He/She takes pride in being a PSHS scholar.
embodied in Paragraph 2 of the United Nations Declaration of the Rights of the Child, to wit:
Respect for Others. A respectful scholar places high regard for authority and every
‘The child shall enjoy special protection, and shafjbe ^iven opportunities and facilities, by law member of a community. He/She is observant of school rules and policies. He/She is
and by other means, to enable him to develop physically mentally, morally, spiritually and trustworthy, fair, patient, helpful, courteous, kind, generous, compassionate,
socially in a healthy and normal manner and in conditions of freedom and dignity. In the cooperative, sensitive, and empathetic with others.
enactment of laws for this purpose, the best interests of the child shall be the paramount
consideration. ” Respect for property and environment A respectful scholar makes use of all resources
and facilities with care, foster environmental conservation and preservation, and
Section 13, Article II of the 1987 Constitution also provides that: advocates waste management strongly.

'‘The State recognizes the vita! role of the youth in nation building and shall promote and Respect for Country. A respectful scholar imbues love of country and the willingness to
protect their physical, moral, spiritual, intellectual and social well-being. It shall inculcate in the serve their country and countrymen, upholds the laws, and honors the Philippine flag.
youth patriotism and nationalism, and encourage their involvement in public and civic affairs."
2.2. Passion for Excellence
Section 6 of Rule VI of the Implementing Rules and Regulations of Republic Act No. 8496 as
amended by Republic Act No. 9036 (both known as the PSHS System Laws) states: A PSHS Scholar continuously and tenaciously strives to attain excellence in all undertakings. This
excellence goes beyond what is expected, surpassing what is usual, and achieving the highest
‘‘The philosophy of the rules of discipline for students is character formation for scholars of possible quality of performance. A PSHS scholar, then, espouses the following values:
the nation. The PSHS System Code of Conduct shall form part of this Implementing Rules and
Regulations." 2.2.1 Scientific Mind. He/She develops critical and creative thinking imbued with right attitudes.
He/She is objective, open-minded, and intellectually honest.
This code, thus, encapsulates the aspiration of PSHS to provide an academic environment conducive
to the holistic formation of each scholar. It recognizes the shared responsibility among the 2.2.2 Creativity and Resourcefulness. He/She continuously seeks innovation and uses available
stakeholders - scholars, personnel, and parents - in the development of positive scholar behavior. resources well for the betterment of the society.

PSHS Code of Conduct (BOT Approved, May 2013) 1 of 14 PSHS Code of Conduct (BOT Approved, May 2013) 2 of 14
 4.1.1,5 Grounds for intervention/Disciplinary Action 4.3 Proper Behavior

a) Having three (3) unexcused absences (in a quarter) is subject to A scholar is expected to behave appropriately at all times in a manner befitting his/her status as
intervention. PSHS scholar. A scholar values the pursuit of truth, passion for excellence, and commitment to
b) Absenteeism is subject to intervention/disciplinary action. service. As part of the community, the PSHS scholar carries the name of the school at all times.
Proper decorum in and outside the campus is called for
4.1.2 Tardiness
4.3.1 Pursuit of Truth. A scholar is always honest in thoughts, words, and deeds. He/She
4.1.2.1 A scholar is considered tardy if: demonstrates:

a) he/she is not in line formation at the start of the Flag Ceremony; or 4.3.1.1 honesty; 4.3.1.4 self-respect; and
b) he/she enters the classroom ten (10) minutes after the designated start of 4.3.1.2 responsibility; 4.3.1.5 modesty and decency.
a class period; or 4 3.1.3 humility;
c) he/she is not in the designated venue ten (10) minutes after the start of
any class activity in lieu of a regular class period (i.e., field trips, seminars, 4.3.2 Commitment to Service. A scholar uses his/her talents to render service to God, country,
contests, symposia, etc.). and fellowmen for the betterment of the society. He/She exhibits:

4.1.2.2 Grounds for intervention 4.3.2.1 generosity and compassion 4.3.2.4 loyalty to the school; and
43.2.2 courtesy and respect for others; 4.3.2.5 stewardship.
Appropriate intervention shall be done when a scholar incurs five (5) counts of 4.S.2.3 respect for property;
tardiness.
4.3.3 Grounds for Disciplinary Action
4.1.3 Cutting Classes
4.3.3.1 All forms of academic dishonesty;
4.1.3.1 The scholar is considered to have cut class/es if, for no valid reason. 4.3.3.2 Disrespect for authority and others;
4.3.3.3 Possession, use, and/or distribution of prohibited/controlled/dangerous
a) he/she is known to be on campus but is not in the classroom during a materials and substances as enumerated in the Annex of Republic Act No.
class period; or 9165 otherwise known as the Comprehensive Dangerous Drugs Act of 2002
b) he/she leaves the class and doe® not return after ten (10) minutes. including any subsequent amendment, or those substances that are deemed
dangerous by the PSHS Board of Trustees;
4.1.3.2 Grounds for Intervention 4.3.3.4 Disruptive behaviour during class hours or official activities inside and outside
the PSHS campus;
Appropriate intervention shall be done the moment a scholar incurs five (5) 4.3.3.5 Failure to observe the established PSHS rules and regulations;
counts of cutting classes. 4.3.3.6 Indecent or lewd conduct;
4.3.3.7 Any act that endangers life and/or disregards the safety of oneself and/or
4.2 On School Attire and Grooming others;
4.3.3.8 Any act that results to damage to property; and
The PSHS uniform identifies a PSHS scholar. He/She is expected to dress appropriately and observe 4.3.3.9 Any act that constitutes a crime or offense under Philippine law.
proper grooming at all times.
4.4 Security and Safety
4.2.1 Wearing of Uniform. Proper and complete school uniform must be worn during class
hours and in official off-campus activities unless otherwise prescribed. The school shall ensure the safety of the PSHS community as well as the security of facilities.

4.2.2 Proper Grooming. A scholar is expected to exemplify neatness, cleanliness, 4.4.1 A scholar observes the security and safety measures instituted by the school.
appropriateness, and decency at all times.
4.4.2 Grounds for Intervention/Disciplinary Action
4.2.3 Grounds for Intervention/Disciplinary Action
Violations to security and safety measures may include, but are not limited to:
4.2.3.1 Incomplete uniform
4.2.3.2 Inappropriate attire 4.4.2.1 Non-observance of security and safety measures instituted by the school;
4.2.3.3 Improper grooming 4.4.2.2 Causing damage to or loss of property;
4.4.2.3 Reckless or negligent behavior that endangers oneself or others; and
4.4.2.4 Other acts not included in the above but resulting in physical injuries and/or
material damages.

PSHS Code of Conduct (BOT Approved. May 2013) 5 of 14 PSHS Code of Conduct (BOT Approved. May 2013) 6 of 14
 5.2.5 Interventions in Section 5.1.3 of this Code, as well as special tasks related to the offense 5.3.6 The sixth time that a Level III offense is committed, whether it be the same act or it be a
may be required by the Discipline Officer. series of acts all covered by Section 5.3.2. shall be treated as a Level IV offense.

5.2.6 The sixth time that a Level II offense is committed, whether it be the same act or it be a 5.3.7 Taking into account the gravity of the offense, and the presence of mitigating or
series of acts all covered by Section 5.2.2, shall be treated as a Level III offense. aggravating circumstances, the Management Committee may modify the penalty to be
imposed.
5.2.7 Taking into account the gravity of the offense, and the presence of mitigating or
aggravating circumstances, the Discipline Committee/Officer may modify the penalty to 5.4 Level IV Offenses
be imposed.
5.4.1 A Level IV offense is the wilful commission of a crime which endangers life or results to
5.3 Level III Offenses considerable damage to property.

5.3.1 A Level III offense is defined as any act that is a gross and wilful disregard of PSHS rules 5.4.2 Disciplinary actions for Level IV Offenses require the approval of the PSHS Board of
and regulations that may result to serious physical and/or material injury. Trustees before implementation. They may be in the form of any of the following
sanctions:
5.3.2 The following acts constitute Level III offense:
a) Termination of Scholarship;
- academic dishonesty; b) Expulsion; and
- assaulting or assisting in the assault of a school employee or volunteer; c) Non-graduation.
- committing theft or assisting in the perpetration thereof;
- committing extortion/ blackmail against a fellow scholar, 5.4.4 Taking into account the gravity of the offense, and the presence of mitigating or
- engaging in any form of voyeurism which includes the posting of indecent or lewd aggravating circumstances, the BOT may modify the penalty to be imposed.
photos or videos on the internet;
■ falsification of school documents other than the ID and school pass; 5.4.4 A character mark of "Needs Improvement"shalI be given for one or a combination of
- gambling (second and successive commissions); any of the following areas for the quarter the offense was committed:
- membership in any organization, group or association that espouses violence or any
illegal or criminal activity; a) Integrity;
■ possessing or using, without school authority, any type offireworks or pyrotechnic b) Observance of School Rules and Regulations; and
device; c) Respect for Others and-Others' Property.
- selling, possessing, or being under the influence of any illegal or controlled drugs or
substances or possessing paraphernalia in connection with the use thereof, 5.4.5 Additional sanctions may be implemented for Level IV offenses in the form of any one or
- tampering of a Are extinguisher, Are alarm and other emergency devices; combination of the stated interventions in Section 5.1.3, and/or disciplinary actions
- committing, for the sixth time, an act or a combination of acts enumerated as a Level II stated in 5.2.3 of this Code.
offense; and
- any other circumstances of a simitar nature and analogous to those mentioned above.
PART VI
5.3.3 Disciplinary actions for Level III offenses require the approval of the Management PROCEDURES
Committee before implementation. The sanctions that may be applied, whether
simultaneously or alternatively, are the following: The PSHS, in accordance with its vision and mission, establishes disciplinary procedures that ensure
the protection of the scholar's right to due process. Interventions and disciplinary actions are given
a) reparation or restitution whenever applicable to the offence committed; after an evaluation not only of the nature, gravity and scope of the offense committed, but also of
b) suspension of privileges commensurate to the offense committed, such as but not the circumstances surrounding the scholar and the incident. Accordingly, mitigating and aggravating
limited to: usage of ICT resources; borrowing of book/s for home use; issuance of circumstances are duly considered in giving out sanctions to erring scholar.
leave pass in the case of dormers; assuming positions in organizations or school
representation; and Disciplinary proceedings are not criminal proceedings and are not subject to the rules of court.
c) suspension from classes, not exceeding ten (10) school days.
The right to appeal decisions made in the course of disciplinary proceedings is available to the
5.3.4 A character mark of “Needs Improvement”shall be given for one or a combination of aggrieved party, the scholar under investigation, as well as school personnel other than the
any of the following areas for the quarter the offense was committed: investigating authority.
a) Integrity; 6.1 The Discipline Officer
b) Observance of School Rules and Regulations; and
c) Respect for Others and Others' property. The Discipline Officer (DO) is a faculty member designated by the Campus Director to carry out
programs for maintaining discipline in the campus. The DO reports directly to the Campus Director
5.3.5 Additional actions may be implemented for Level III offenses in the form of any one or
combination of the stated interventions in Section 5.1.3, and/or disciplinary actions
stated in 5.2.3 of this Code.

PSHS Code of Conduct (BOT Approved. May 2013) 9 of 14 PSHS Code of Conduct (BOT Approved, May 2013) 10 of 14
 b) Should the parent(s)/guardian fail to respond within ten (10) school days after the 6.9 Implementation of Interventions
notice is sent with reasonable efforts exhausted, the notice of the formal inquiry shall
be sent to the surviving grandparent, oldest brother or sister over twenty-one (21) 6.9.1 Any teacher or school personnel may implement interventions of a Level I offense only
years of age, or if it should be impossible to serve notice to the foregoing, any adult within five (5) school days from the commission. However, maintenance and security
identified by the scholar. The proceedings shall commence no less than five (5) personnel shall not implement interventions; the Discipline Officer shall carry out the
school days from receipt of notice of such adult appropriate interventions on their behalf within five (5) school days from the filing date.

6.7.4 The proceedings shall be adequately documented and/or recorded, and such records 6.9.2 An anecdotal report on the intervention undertaken should be furnished to the
shall be in the custody of the Disciplinary Committee Discipline Officer immediately

6.7.5 After the Formal Inquiry: 6.10 Implementation of Disciplinary Actions

6.7.5.1 For Level II offenses, the Discipline Committee shall submit its report and 6.10.1 The Discipline Officer carries out the sanctions for Levels il and III.
decision within three (3) school days from the conclusion of the formal inquiry
to the Discipline Officer for implementation. 6.10.2 In case of termination of scholarship or expulsion, the decision of the Board of
Trustees shall be carried out by the Campus Director.
6.7.5.2 For Level III and IV offenses, the Discipline Committee shall submit its report
and recommendations to the Management Committee within three (3) school 6.10 3 One count of a Level III offense will automatically place a student on probationary
days from the conclusion of the formal inquiry. A copy of the report shall be status for the succeeding school year.
furnished to the Discipline Officer.
6 10.4 Two counts of a Level III offense within a school year shall be a ground for termination
6.7.5.3 If the Discipline Committee determines that the act(s) complained of is a Level I of scholarship.
offense, it shall refer the same back to the Disciple Officer within three (3)
school days from the conclusion of the formal inquiry for imposition of the 6.10.5 In the case of a graduating scholar involved in a Level III or IV case:
appropriate intervention.
6.10.5.1 If suspension is no longer possible, a sanction of rendition of special tasks
6.7.5.4 The findings of the formal inquiry shall be given to the scholar through the shall be imposed
parent/s.
6.10.5.2 Ail efforts shaii be exerted in resolving pending cases of graduating scholar
6.8 Determination of Sanctions before gradualwithout compromising the substantive and procedural
aspects of due process.
6.8.1 The determination of appropriate interventions and/or sanctions shall depend on the
level of the offense committed. 6.11 Appeal Procedures

6.8.1.1 Interventions for Level I offenses are determined by a teacher, school 6.11.1 A party who wishes to appeal a decision rendered pursuant to this Code of Conduct
personnel, or the Discipline Officer. shall signify his/her intent to do so by simply filing a written notice of appeal to the
authority which rendered such decision within five (5) days from receipt thereof.
6.8.1.2 Sanctions for Level II offenses are determined by the Discipline Committee.
6.11.2 It shall be the responsibility of the authority which rendered the decision to forward
6.8.1.3 Sanctions for Level III offenses are determined by the Discipline Committee and the records of the case to the reviewing authority within five (5) days from receipt of
are submitted to the Management Committee for review and approval. If after the written notice of appeal.
review, the Management Committee finds that the offense is either a Level I or
Level II offense, it shall refer the implementation of the intervention to the 6.11.3 Decisions of the Discipline Officer shall be appealable to the Discipline Committee.
Discipline Officer/Discipline Committee.
6.11.4 Decisions of the Discipline Committee, whether or not rendered at the first instance or
6.8.1.4 Sanctions for Level IV offenses are determined by the Discipline Committee, on appeal, shall be appealable to the Management Committee
and submitted to the Management Committee for review and recommendation.
This is elevated to the Board of Trustees, through the Executive Committee, for 6.11 5 Decisions of the Management Committee, whether or not rendered at the first
final approval. If after review, the Board of Trustees finds that the offense is instance or on appeal, shall be appealable to the Board of Trustees.
either a Level I, Level II. or Level III offense, it shall refer the implementation of
the intervention to the Management Committee. Discipline Committee or 6.11.6 Decisions of the Board of Trustees shall be final, unless the party aggrieved by such
Discipline Officer, as the case may be. decision wishes to appeal the same to the proper authority, in accordance with law.

6.8.2 In the determination of sanctions, mitigating and aggravating factors may be considered.
-- nothing follows --

PSHS Code of Conduct (BOT Approved. May 2013) 13 of 14 PSHS Code of Conduct (BOT Approved, May 2013) 14 of 14
 2.3. Commitment to Service 3.7 The scholar has the right to due process with respect to the application of inteiventions and
disciplinary sanctions. He/She has the responsibility to know, understand, and abide by the
A PSHS Scholar dedicates himself/herself to the service of God, country, and fellowmen. This means PSHS Scholar's Code of Conduct, and to recognize the legal authority of the PSHS to implement
using one's God-given talents with compassion and dedication. Through the spirit of service, a PSHS rules and regulations for the orderly operation of the school.
scholar adheres to the following values:
3.8 The scholar has the right to join organizations that develop harmonious relationships and
2.3.1 Responsibility. He/She takes the initiative to do what needs to be done with less prodding. promote the scholars' well-being. He/She has the responsibility to observe the guidelines and
He/She is accountable for his/her actions. policies set by the school regarding this.

2.3.2 Commitment He/She puts into practice the values learned by helping individuals and the 3.9 The scholar has the right to free inquiry and expression. He/She has the responsibility to
community. Their commitment involves willingness and determination to use their mind, observe courtesy and respect in the exercise of such right.
heart, and strength for the good of others and the nation.

PART IV
PART III BEHAVIOR EXPECTED OF A PSHS SCHOLAR
SCHOLAR’S RIGHTS AND RESPONSIBILITIES
The PSHS scholar is expected to behave in a manner befitting his/her status as scholar. This means
Anchored on the principle that the best interest of scholar is of paramount consideration in all contributing to a general sense of order, discipline, and harmony in the school. He/She knows and
actions concerning him/her, the PSHS fosters an environment where scholar's rights as individual are adheres to the contents of the PSHS Scholar's Code of Conduct.
duly recognized and respected. In the exercise of these rights, the scholar keeps in mind that he/she
has a responsibility to ensure that the learning environment of the PSHS is conducive and holistic. Ignorance of this Code does not exempt a scholar from being sanctioned. The Code is intended to
assist every scholar in adjusting to and making the most of PSHS life and to help ensure his/her
3.1 The scholar has the right to equal educational opportunity and the freedom from discrimination safety and well-being.
The scholar is admitted to PSHS regardless of his/her socio economic status, sex, political or
religious belief and ethnic origin. As such, a scholar has the responsibility to consistently meet 4.1 On Attendance
the scholarship requirements stipulated in the contract signed upon admission to the school
and pursue the mandate to take up any mandated Science and Technology course after The PSHS Scholar attends classes promptly, regularly, and diligently. Any scholar who comes to
graduation. class every day learns more, earns better grades, and achieves greater success. In establishing
patterns of regular daily attendance, it is important to avoid tardiness, the scheduling of
3.2 The scholar has the right to quality education provided by competent and committed school appointments during a school day, and having extended vacations during the school year
personnel. Accordingly, the scholar has the responsibility to put forth his/her best efforts during
the educational process, as well as show respect for the rights of all persons in the educational 4.1.1 Absences
community.
4.1.1.1 A scholar is considered absent for a whole day if he/she:
3.3 The scholar has the right to academic information. Accordingly, the scholar has the right to
know his/her class performance and to access his/her academic records. In doing so, the a) misses all classes in a school day; or
scholar has the responsibility to abide by legitimate policies and procedures set by the school b) is not present in a school-organized activity held in or off campus.
regarding this right
4.1.1.2 A scholar exhibits absenteeism if he/she is absent in school at least four (4)
3.4 The scholar has the right to be provided with a copy of the Student Handbook upon enrolment days in a quarter.
to PSHS. He/She has the responsibility to be aware of the existing school policies, rules, and
regulations governing his/her scholarship. 4.1.1.3 Excused Absences. The following are considered as valid reasons for being
absent. Any other reason not included below must have a special approval, in
3.5 The scholar has the right to be provided with adequate, clean and well-maintained school advance, by the campus director or any authorized school official:
facilities, a safe and secure environment to guarantee total development, and an academic
atmosphere conducive to learning. He/She has the responsibility to take care of the school a) If the scholar officially represents the school in any off-campus activity,
facilities, and to take an active role in ensuring safety and security of the environment. b) If the scholar is sick or has a medical emergency; or
c) If there is death of an immediate family member (parent, sibling,
3.6 The scholar has the right to be involved in any school activity for the promotion of his/her grandparent); or
holistic development. While participating in such activities, he/she has the responsibility to d) Any other reason deemed similar in nature to those mentioned above.
protect the good name and reputation of the school.
4.1.1.4 Unexcused Absences. An absence is unexcused if:

a) it is not covered by any of the provisions under Excused Absences, or

b) the scholar fails to obtain an excuse slip from the Registrar's Office within
two (2) days of their return to school.

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 PART V 5.1.4 Special tasks in the form of activities that are commensurate to the offense committed
VIOLATIONS OF THE CODE OF CONDUCT may also be required.

A PSHS scholar conducts himself/herself in an appropriate manner, with proper regard for the rights 5.1.5 The sixth time that a Level I offense is committed, whether it be the same act or it be a
and welfare of self, others, and for the care of property. He/She assumes and accepts responsibility series of acts all covered by Section 5.1.2, shall be treated as a Level II offense.
for his/her behavior, as well as the consequences of his/her misbehavior.
5.2 Level II Offenses
Any violation of the PSHS Scholar’s Code of Conduct is considered as an offense. Levels of offenses
pertain to the nature, gravity, and scope of the offense committed. School authorities are expected 5.2.1 A Level II offense is defined as any act that is a willful disregard of school rules and
to intervene and/or use disciplinary action only when necessary to establish and maintain order in regulations that results to less serious physical and/or material injury.
school, to protect the good name and reputation of the school, and most importantly, to develop the
students’ self-discipline and character. 5.2.2 The following acts constitute Level II offense:

Interventions are actions taken by school personnel in order to call the attention of erring students, - academic dishonesty;
prevent them from repeating the offense, or committing further offenses. Upon discovery of or - bullying;
witnessing an offense, confiscation may be done when necessary (receipt of confiscation should be - disobeying school mles and regulations while riding the school bus;
issued to the student by the confiscating personnel). - engaging in lewd or inappropriate conduct towards other scholars, faculty members or
employees of PSHS;
Disciplinary actions are sanctions meted out by school personnel in order to inculcate responsibility - falsification ofschool ID or schoolpass;
and accountability, respect for law and authority, and a sense of justice and fairness in general. The - fighting or inciting another to fight;
disciplinary action is determined by a designated authority, depending on the gravity of the offense. - gambling (first commission);
- possessing or consuming any alcoholic drink or beverage while in school premises or
5.1 Level I Offenses outside the campus while on official school activity;
- possessing or using any type of weapon or dangerous item such as, but not limited to,
5.1.1 A Level I offense is defined as an act that is either (1) contrary to the rules and firearms, bladed instrument, and explosive weapons or substances;
regulations of the PSHS or (2) while not resulting to any physical injury or damage to - possessing pornographic materials;
property, is inherently disruptive in nature. - using or possessing any type of tobacco product or paraphernalia connected with the
use thereof;
5.1.2 The following acts constitute Level I offense: - using profanity or vulgar, racist, or sexually inappropriate language to verbally abuse
another scholar, faculty member or an employee of the PSHS;
- absenteeism; - violating acceptable technology-use policy as defined by the DOST/PSHS;
- bringing visitors to school without following the proper procedure for entry of visitors; - committing, for the sixth time, an act or a combination of acts enumerated as a Level /
- cutting classes; offense; and
- disobedience to directives issued by teachers and other school authorities; - any other circumstances of a similar nature and analogous to those mentioned above.
- excessive teasing or taunting that degrades or humiliates another person;
* Uttering; 5.2.3 The following disciplinary actions may be imposed for Level II Offenses:
- leaving school without permission;
- loitering or being in an area designated for authorized personnel only; a) written reprimand;
- tardiness; b) execution of behavior contract;
- unauthorized use of skateboard, bikes, skates, and the like; c) restitution; and
- unauthorized use ofgadgets during class hours (paging devices, cell phones or other d) reparation.
electronic communication devices);
- violation of the dress code; In such cases, the Discipline Committee shall determine and directly impose on the
- violation of safety rules; and erring scholar, through the Discipline Officer, the disciplinary actions mentioned above.
- any other circumstances of a similar nature and analogous to those mentioned above. The said actions may be imposed alternatively or simultaneously. However, in no case
shall restitution and reparation be imposed simultaneously. Disciplinary actions may only
5.1.3 Interventions shall be done when a scholar commits a Level I offense. Interventions may be imposed on an erring scholar at the discretion of the Discipline Committee
be in the form of any one or combination of the following:
5.2.4 A character mark of “Needs Improvement"shall be given for one or a combination of
a) verbal correction/waming; any of the following areas for the quarter the offense was committed:
b) teacher/counsellor-student conference;
c) teacher-parent conference; and a) integrity;
d) letter to parents/guardian. b) Observance of School Rules and Regulations; and
c) Respect for Others and Others’ Property.

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6.2 The Discipline Committee 6.6 Conduct of Preliminary Inquiry

The Discipline Committee (DC) is composed of a Chairperson and a pool of members, drawn from A preliminary inquiry is a fact-finding exercise where the Discipline Officer gathers information
the faculty. The composition of the DC is constituted by the Campus Director at the beginning of the relevant to the case.
school year.
6.6.1 All scholars involved in a case, through their parent(s)/guardians, shall be notified in
The Chairperson and two members of the committee shall be designated to handle each case writing of the details of the incident and the schedule of inquiry The written notice may
elevated to the Committee. also be given to the scholar, and the scholar shall require his/her parent(s)/guardian to
sign the same. Should the parent(s)/guardian fail to respond within five (5) school days
6.3 Situational Assessment after the notice is sent with reasonable efforts exhausted, the notice of the preliminary
inquiry shall be sent to the surviving grandparent, oldest brother or sister over twenty-
Situational assessment is done by any school personnel who discovers, witnesses, or is informed of a one (21) years of age, or if it should be impossible to serve notice to the foregoing, any
possible offense. adult identified by the scholar.

6.3.1 If a Level I offense is determined, appropriate intervention(s) should be implemented 6.6.2 Any preliminary inquiry where a scholar is involved must be conducted in the presence
immediately. of an adult (i.e. parent/guardian/designated representative by the parent/s) and counsel
(as an observer), if desired. During the inquiry, a scholar accused of a misconduct shall
6.3.2 If a higher-level (II, III, or IV) offense is determined, the incident is referred to the be given the opportunity to defend himself/herself by presenting written and/or oral
Discipline Officer for proper action. evidence. Witnesses may also be called to provide more details on the case.

6.3.3 If the possible offense cannot be classified immediately, the case is referred to the 6.6.3 The inquiry should be conducted within ten (10) school days from the receipt of the
Discipline Officer for proper action. anecdotal report, but in no case earlier than five (5) school days from receipt by the
scholar/s involved of the notice of such preliminary inquiry. The proceedings shall be
6.4 Filing of an Anecdotal Report adequately documented and/or recorded, and such records shall be in the custody of
the Disciplinary Committee.
An anecdotal report is a narrative account of the incident, detailing the date, time, place, persons
involved, and interventions or actions done, if any, by the one filing the report. 6 6 4 After ascertaining the facts of the case, the Discipline Officer determines the level of the
offense.
6.4.1 Any member of the school community who witnesses, discovers, or learns of the
occurrence of a possible violation of the PSHS Scholar’s Code of Conduct may file the 6.6.5 If there is admission of a Levi : Hr III or IV offense, the Discipline Officer shall elevate the
report. The person filing the report must affix his/her signature on the report. case to the Discipline Commits to determine or recommend the appropriate sanction.
Otherwise, if there is no admission, the Discipline Officer will elevate the case to the
6.4.2 The anecdotal report should be submitted to the Discipline Office within three (3) school Discipline Committee for formal inquiry within three (3) school days from the conclusion
days from the commission or discovery of the incident. preliminary inquiry.

6.4.3 If an intervention is done, as in the case of Level I offenses, details of the intervention(s) 6.6.6 After the preliminary inquiry, the Discipline Officer informs in writing, all scholars
should be indicated in the anecdotal report. The report is signed by the school authority involved in a case, through their parents/guardians on the results of the preliminary
who implemented the intervention(s) and is filed with the Discipline Office inquiry.

6.5 Anecdotal Report Evaluation 6.7 Conduct of Formal Inquiry

The Discipline Officer reviews the anecdotal report and determines the nature of the offense. A formal inquiry is further investigation to determine and/or ascertain the facts of a discipline case. It
is conducted by the Discipline Committee if more information is needed.
6.5.1 If there is no indication of a violation of the Code of Conduct, the Discipline Office
disregards the report and submits his/her findings to the Campus Director. 6.7.1 The process of inquiry must commence within five (5) school days upon receipt of the
report from the Discipline Officer, but in no case earlier than three (3) school days from
6.5.2 If there is indication of a Level I violation of the Code of Conduct, the Discipline Officer receipt by the scholar/s involved of the notice of such formal inquiry.
shall make the necessary interventions), unless such intervention has already been
imposed pursuant to Sections 6.3.1 and 6.4.2 of the Code of Conduct. 6.7.2 A formal inquiry where a scholar is involved must be conducted in the presence of an
adult and counsel (as observer), if desired.
6 5.3 If there is indication of a Level II, III, or IV violation of the Code of Conduct, the Discipline
Officer shall conduct a preliminary inquiry. 6.7 3 A representative of the Student Body shall also sit and observe during formal inquiry,
but without any right to vote thereat.

a) A formal notice of inquiry shall be served to the parents) or guardian. The written
notice may also be given to the student, and the student shall require his/her
parent(s)/guardian to sign the same.

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