305R Duterte Street,

Banawa, Cebu City 6000

Land line: (032)888-7269

COLLEGE SCHOLARSHIP APPLICATION FORM

for Enfants du Mékong Center
Applicant Contact
Name: # :
Address :
Email add:
Name of Barangay Captain/Council/ BHW:
Contact number of Barangay Captain/Council/ BHW:

Qualifications Requirements to apply

 Parent’s combined income not more than Php  Application form
6,000 per month  Motivation letter
 Highly motivated to study in college  Photocopy of Senior High School
 Grade 12 graduate with minimum of 80% general card
average with no below 75 grade in any subject  Authenticated Birth certificate
 NO college graduate among the siblings  Certificate from Barangay Health
 Between 18 to 20 years old on June 2021 Nurse/Doctor/BHW stating that you
 NO OFW within the family are physically fit
 NO other scholarship  Photocopy of NCAE result
 Sketch

You may submit your application and

requirements thru LBC, email, or hand carry
Scholarship Selection Process
on or before June 07, 2021 in the address
below:
1. Submission of application
2. Pre-screening Ivy Fernandez
3. Attendance to the Orientation Forum Enfants du Mékong Cebu Center
4. Interview 305 R. Duterte Street, Banawa, Cebu City
5. Home visit Contact no. 888 – 7269 / 0965 387 0646
6. Final selection and acceptance to the
scholarship or email to

[email protected]

ONLY COMPLETE APPLICATION WILL BE PROCESSED

This portion is for Enfants du Mékong use only
Requirements
Complete Application Motivation Letter High School Card

Birth Certificate NCAE Result Sketch

Check by:
Qualification Reviewed by:
Parent’s combined income not more than Php
6,000 per month
Highly motivated to study in college
Senior High School graduate on or before April 2020
Page 1 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

Minimum of 80% general average in high school Social Worker & Center Coordinator
18 - 20 years old on June 2021 Date:
No college graduate among the siblings
No OFW within the family
No other scholarship
Remarks/Status:

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 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

Instruction: Please supply the needed information to the best of your knowledge
with full honesty. Kindly put “none/not applicable” for items you do not have
answers because it does not fit to you.

Good luck!

APPLICANT’S INFORMATION

THE APPLICANT’S BASIC INFORMATION

Family Name First Name Sex
Address
Age Birthdate Birth Place
Who introduced Are you already an EDM
you to EDM? scholar?(yes or no)
Religion SHS Strand:
Name of school Graduation Date:

Health Information (please attach medical records)

Health Concerns

(Allergies, tooth
Brief History Medication Physician’s Advice
issues, physical
defects, in-borne
illnesses,etc.)

Does ones of your

relatives have
chronic disease Are you having
(Hepa A/B, heart such disease right
failure, etc.)? now?

If yes, what is this?

Have you encountered personal problems?

Yes No

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 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

FAMILY COMPOSITION

Father
Surname/Name Birthdate & Age
Highest educational
Occupation / Job
attainment
Incomes/Salary
Address of the job
(monthly, weekly, daily)
# of years in the Employment status
(regular, contractual,
current job job-order…)
Sickness, illness,
Live with your family
disabilities…

Mother
Surname/Name Birthdate & Age
Highest educational
Occupation / Job
attainment
Incomes/Salary
Address of the job
(monthly, weekly, daily)
# of years in the Employment status
(regular, contractual,
current job job-order…)
Sickness, illness,
Live with your family
disabilities…

Other financial help (relatives, brothers, government,

4p’s, NGO…)

Other scholarships applied (CHED, DOST, NGO’s)

Kindly put your personal verdict as to the

percentage you will pass the scholarship.
Ex. DOST – 90%

DESCRIPTION OF THE HOUSE

Kindly describe your house, materials being used, lot ownership, source of water and electricity
and if you have any appliances and livestock. (Please attached a picture of your house)

Page 4 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

BROTHERS AND SISTERS

Your position in the family among your siblings (1st, 2nd child etc…): /

Income
Current level Who
How Live with Reasons for (Please
of schooling or supported Comments
Civil many your Occupation/ stopping indicate if its
Name Sex Age highest him/her (disabilities, sickness,
Status children family? Yes student schooling if weekly or
educational during his/her others …)
? or No? applicable monthly
attainment studies?
income)

Page 5 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

SIBLINGS OF YOUR PARENTS (Write down your uncle/s and auntie/s who have combined income of more than P10,000.00 / month)

Name Occupation Monthly Income Civil Status # of Children

Page 6 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

ABOUT YOUR STUDIES

Describe your life as a student especially during Senior high school

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What are your preferred subjects in school and the most challenging/difficult? How did you manage
the challenging/most difficult subject?
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Top three courses in college Reasons

1st priority:

2nd priority:

3rd priority:

Have you had the opportunity to discuss your choice with someone who has already taken that
course? How do you envision College life?

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What are the courses that your parents want you to take? And the reason they chose this course.

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Page 7 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

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SITUATION IN EDM CENTER

Common Rules:
(Compulsory study hour every evening from 8:00 pm to 9:30 pm, curfew at 10pm, individual tasks
(dishwashing, cleaning, budgeting, marketing, cooking), only one week-end family visit per month,
no girlfriend/boyfriend, at least average of 2.5 (80%) per subject in college, life in a community,
compulsory Saturday activities and weekly community service…

What are the three rules mentioned above that are most difficult for you to adjust in the center?
Why and how do you plan to manage it?

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Is it your first time to be separated from your family/guardian? ____Yes _____ No,
If Yes, how will you manage it and what are the possible problems that you will encounter?
If No, how did you manage it? What are the problems have you encountered?

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Page 8 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

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MOTIVATION LETTER:

Write a motivation letter in ENGLISH minimum of 2 short bond papers about yourself and your
family.
Why do you need help to pursue schooling? What are your plans and dreams? What are you proud of
yourself? How do you see yourself 5 years from now? Who will support your personal
needs/allowance? And what would you do if you were not considered in this scholarship?

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Page 9 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

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Page 10 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

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Page 11 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

Applicant’s Name : Draw a sketch: How to get to your parent’s/guardian’s house

Address :
Contact # : Name of the street, stores nearby and the people we can ask, what to ride
and how much is the fare and other details to facilitate our visit.

Sketch

Page 12 of 13
 305R Duterte Street,
Banawa, Cebu City 6000
Land line: (032)888-7269

How many hours will it take to travel to reach your house from the center location in Banawa, Guadalupe, Cebu City?

Page 13 of 13