Application For Admission To Graduate Program: School of Graduate Studies

Republic of the Philippines
Mindanao State University-Iligan Institute of Technology 2x2

I.D.
SCHOOL OF GRADUATE STUDIES Photo
Ground Floor, CSM Bldg., Andres Bonifacio Avenue, Tibanga, 9200 Iligan City
Tel.: (063) 221-4050 Local 138 Tel./Fax: (063) 223-2345
Website: http://csm.msuiit.edu.ph/sgs
APPLICATION FOR ADMISSION TO GRADUATE PROGRAM
Degree Sought: DOCTOR OF PHILOSOPHY Major: FILIPINO

1st 2nd Summer Academic Year 2018-2019
INSTRUCTION: Type or print clearly in ink and submit completed application form and other
requirements on or before ________________________________
1. Name: ENERO JENELIN SEGUIS

Last First Middle/Maiden
2. JUNE 24, 1985 LIPATA, SURIGAO CITY FILIPINO

Date of Birth Place of Birth Citizenship
Contact Information: 09262029051 N/A [email protected]

Mobile Phone No. Landline No. email address/es
3. Address:B29, L10, P2, VTS, BUGO CAGAYAN DE ORO MISAMIS ORIENTAL 9000
No./Street City/Town Province Zip Code
4. Marital Status: Married Widow Single
5. Information on nearest relative (Father / Mother / Spouse if married / Guardian)

PHILIP C. ENERO BUGO, CDOC/09067361127 HUSBAND
Name Address/ Tel. No. Relationship
6. Education (From secondary to highest university education)

Institution Location Date Degree Major
Attended Received
REGIONAL SCIENCE HIGH SCHOOL SURIGAO CITY 1998-2002 _________ ___________
MSU-IIT ILIGAN CITY 2003-2007 _________ ___________
CAPITOL UNIVERSITY CAGAYAN DE ORO 2010-2017 _________ ___________
7. Scholastic honors or prizes/special trainings:

a) TRAINER – SENIOR HIGH SCHOOL MASS TRAINING OF TEACHERS 2017
b) TRAINEE – BASIC CIVIL MILITALY TRAINING BATCH 2016
8. Civil Service Eligibility Title of Examination Date Taken Rating

Professional Licensure PROFESSIONAL EXAMINATION SEPT. 2010 75%
FOR TEACHERS
9. Professional Experience (From latest employment; include teaching and research. Use additional
sheet or you may use the back of this sheet, if necessary.)
Position Employer’s Name/Address/Tel. No. Inclusive Dates Remarks

SST III BUGO NATIONAL HIGH SCHOOL 2013 – PRESENT PERMANENT
INSTRUCTOR II COC-PHINMA EDUCATION NETWORK 2010 – 2012 CONTRACTUAL
TEACHER I ST. MATTHEW SCHOOL OF ILIGAN, INC. 2007 – 2008 CONTRACTUAL
PRESENTER INTERNATIONAL RESEARCH CONGRESS 2016
10. List two of your former professors or expert in your field as references.
Name & Title Address
REYNALDO B. TIOSEN, M.A. CASS – MSU - IIT

NERISSA L. HUFANA, Ph.D. CASS – MSU - IIT
I declare that the information supplied in this application and the documentation
supporting it is true and complete. I acknowledge that the provision of incorrect information or
documentation in relation to my application may result in cancellation of admission or enrolment.
If admitted, I agree to abide by the policies, rules and regulation of the MSU – IIT School of
Graduate Studies.
_________________________ ______________
Signature Date
Name of Applicant: ______________________________________________________
Degree Sought: _________________________________________________________
A. Classification: (to be filled – up by the Program Coordinator)
REGULAR CONDITIONAL PROBATIONAL
SPECIAL NOT QUALIFIED
B. Remarks: ___________________________________________________________
___________________________________________________________________
___________________________________________________________________
RECOMMENDED BY: ___________________________________________________

Program Adviser/Chairman/Graduate Program Coordinator
APPROVED: __________________________________
Dean, School of Graduate Studies
Notes:
A. Admission Requirements:
1. A bachelor’s degree, or master’s degree, from a recognized institution is required for
admission to a master’s or doctoral program, respectively.
2. For an applicant to a master’s program, an undergraduate Grade-Point-Average (GPA) of
2.00 or better, and for an applicant to a doctoral program, a GPA of 1.75 or better in the
master’s program; or some evidence of potential ability to pursue a graduate degree,
e.g., excellent performance in teaching or research, etc.
3. Evidence of suitable background or its equivalent in the field of study sought.
B. Classification of Graduate Students:
1. Regular - a full-fledged regular graduate student who satisfactorily complies with all the
requirements for admission, including those prescribed by the department/college offering
the degree.
2. Conditional - an applicant with deficiencies, e.g., prerequisite courses, but satisfies all the
basic requirements for admission. The said deficiencies should be satisfied on or before
the end of the second semester of the first year of attendance. A student on conditional
status should be dismissed from the School of Graduate Studies if he/she fails to earn a
GPA of 2.00 or better in the first semester of residence for the master’s degree, or a GPA
of 1.75 or better for the doctoral degree.
3. Probational - an applicant who fails to earn an undergraduate GPA of 2.00 or better but
has proven to be capable to pursue a master’s degree, or an applicant who fails to earn a
GPA of 1.75 or better in the master’s degree but has proven to be capable to pursue
doctoral studies. A student on probation should be dismissed from the School of Graduate
Studies if he/she fails to earn a GPA of 2.00 or better in the first semester of residence for
the master’s degree, or a GPA of 1.75 or better for the doctoral degree.
4. Special - an applicant who, in writing, does not intend to pursue a graduate degree but
seeks admission to the School of Graduate Studies to register in some courses. Credits
earned during the period as a special student are not credited for any degree unless the
basic requirements for admission to the degree have been satisfied, approved and
recommended by the department/college. Such credits shall not exceed nine (9) units.
5. Not Qualified. An applicant who does not have the necessary preparation to pursue the
degree sought.
C. Other Requirements:
Submit one copy of this form to the GS Office with the accomplished admission form, two
letters of recommendation, one certified true copy each of Transcript of Records and
Transfer Credentials/Honorable Dismissal (for non-MSU alumnus), one (1) 2” x 2” picture
and official receipt of the admission fee.

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Republic of the Philippines

Mindanao State University-Iligan Institute of Technology 2x2

APPLICATION FOR ADMISSION TO GRADUATE PROGRAM

Degree Sought: DOCTOR OF PHILOSOPHY Major: FILIPINO

1. Name: ENERO JENELIN SEGUIS

2. JUNE 24, 1985 LIPATA, SURIGAO CITY FILIPINO

Contact Information: 09262029051 N/A [email protected]

4. Marital Status: Married Widow Single

5. Information on nearest relative (Father / Mother / Spouse if married / Guardian)

6. Education (From secondary to highest university education)

7. Scholastic honors or prizes/special trainings:

8. Civil Service Eligibility Title of Examination Date Taken Rating

Position Employer’s Name/Address/Tel. No. Inclusive Dates Remarks

REYNALDO B. TIOSEN, M.A. CASS – MSU - IIT

Name of Applicant: ______________________________________________________

Degree Sought: _________________________________________________________

A. Classification: (to be filled – up by the Program Coordinator)

REGULAR CONDITIONAL PROBATIONAL

SPECIAL NOT QUALIFIED

RECOMMENDED BY: ___________________________________________________

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