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SPA Application Form

This document is an application form for a Special Program in the Arts at Mariveles National High School-Cabcaben. It requests information such as the applicant's name, date of birth, home address, elementary school attended, and contact information for parents. It also asks for details on any special talents or skills and requires a teacher's certification that the applicant has participated in art-related events. Finally, it provides admission details for the qualifying examination, to take place on April 13, 2018.

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40 views1 page

SPA Application Form

This document is an application form for a Special Program in the Arts at Mariveles National High School-Cabcaben. It requests information such as the applicant's name, date of birth, home address, elementary school attended, and contact information for parents. It also asks for details on any special talents or skills and requires a teacher's certification that the applicant has participated in art-related events. Finally, it provides admission details for the qualifying examination, to take place on April 13, 2018.

Uploaded by

IdeaGamingHorizon // IGH
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Department of Education

Region III
Division of Bataan
MARIVELES NATIONAL HIGH SCHOOL-CABCABEN
Cabcaben, Mariveles, Bataan

SPECIAL PROGRAM IN THE ARTS


PHOTO
Application Form

Name: ___________________________________________________________________
(Last Name) (First Name) (Middle Name)

Date of Birth: ______________ Place of Birth: _____________________ Sex: _________ Age: ________
Home Address: ________________________________________ Contact No.: _______________________
Elementary School: ________________________________ Year Graduated: ___________________
General Average: _________________
Name of Father: ______________________________________ Occupation: _______________________
Contact Number: _____________________ Work Address: _______________________________________
Name of Mother: ______________________________________ Occupation: _______________________
Contact Number: _____________________ Work Address: _______________________________________
Special Talent/ Skills: _____________________________________________________________________________

Signature Over Printed Name of Applicant

CERTIFICATION

TO WHOM IT MAY CONCERN


This is to certify that ____________________________________________ participated in different contest,
events, programs and activities related to any art discipline (singing contest, dance contest, poster making
contest, etc.).
He/She is recommended to take the qualifying examination for prospective enrollees in the Special
Program in the Arts.
If further certifies that he/she possesses good moral character.

Teacher Coach
(if any)

ADMISSION SLIP

Name of Student: _________________________________________________________


Name of Elementary School: ______________________________________________
PHOTO
Date of Examination: April 13, 2018, 8:00 AM
Place of Examination: SPA Building Room #1, Mariveles National High School-Cabcaben
(Bring your school ID, ballpen and this admission slip during examination date. Please come on time)

(For more inquiries please contact: 0995-398-4818 / 0905-513-6815 / 0995-970-7306 / 0946-121-7206)

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