PRE ENROLLMENT
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Student's Profile
Family Background
Educational Background
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Student's Profile
Student Type
New
Old
Transferee
Cross Enrollee
Earning Units
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Student ID No.
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Select Course
Bachelor of Science in Hotel and Restaurant Management
Bachelor of Science in Criminology
Bachelor of Science in Business Administration Major in Financial Management
Bachelor of Science in Management and Accountancy
Bachelor of Science in Computer Science
Bachelor of Secondary Education Major in English
Bachelor of Secondary Education Major in Mathematics
Bachelor of Secondary Education Major in Filipino
Bachelor of Secondary Education Major in Social Studies
Bachelor of Elementary Education
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Year Level
1st Year
2nd Year
3rd Year
4th Year
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Firstname
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Middlename
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Lastname
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Birthday
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Birth Place
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Gender
Male
Female
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Contact No.
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Email Address
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Civil Status
Single
Married
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Permanent/Home Address
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Masbate City Address
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Type of City Residence
Living with Relative/Parents
Apartment
boarding House
Board and Lodging
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Name of Guardian
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Guardian Address
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Guardian Contact No.
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Family Background
Father's Name
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Occupation
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Contact No.
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Mother's Name
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Occupation
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Contact No.
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Educational Background
Tertiary
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Date Graduated
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Address
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Contact No.
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Senior High School
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Date Graduated
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Address
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Elementary
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Date Graduated
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Address
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Modality/ies
What devices are available at home that the learner can use for learning? Check all that applies
Basic Cellphone
Smart Phone
Tablet
Desktop Computer
Laptop
None
Others
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Do you have a way to connect to the Internet?
Yes
No
What distance learning modality/ies do you prefer?
Check all that applies
Online Learning
Television
Radio
Modular Learning
Combination of face to face with other modalities
Others
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