PLEASE READ AND FOLLOW THE INSTRUCTIONS:

1. Please fill-out the form truthfully, completely and clearly. If some of the items do not apply, please type N/A or None. This will be your official record.

2. On the Applicant Type, please see descriptions:

  • Freshman - applicant who has recently graduated in Senior High School or Alternative Learning System(ALS) prior to application from Department of Education.
  • Transferee - applicant who has taken units (credit or not) from other institutions/universities and wishes to transfer to USLS
  • Supplemental - applicants who wish to enroll in specific courses to complete requirements for advanced studies or to fulfill requirements of their jobs.
  • Cross Enrollees - student who is enrolled at other institutions but wishes to take specific subject/s at USLS.
  • Auditor - special student who wishes to be admitted in a specific subject but could not receive any credit for work done.
  • Second Degree - any bachelor degree holder/graduate who applies for a new degree
  • Returnee - If you have stopped and have not previously enrolled in any university or college upon returning to La Salle Bacolod. Skip this Application Form and Go to the ITC Office
3. Enter the Captcha Image and click on "Proceed" button to print your Online Application Reference (OAR) Number using long bond paper

APPLICATION FOR ADMISSION (COLLEGE)


Academic Year: 2019-20
Semester:
*Applicant Type: *Note: If you have stopped and have not previously enrolled in any university or college upon returning to La Salle Bacolod, please select the Returnee
*Chosen Program/Course


*Have you been enrolled in USLS COLLEGE before ?

*Have you been enrolled from USLS Senior High School (Liceo-De La Salle) before ?
*Have you taken unit/s in college (credited or not) from any University or School before you seek admission to USLS?
*Are your parent/s a member of DSWD 2.0 Listahanan or 4Ps?


*Is USLS your first Priority?
Put a check mark why you choose USLS:
Holistic education experience Accessibility Complete physical learning facilities School reputation
Realistic Tuition Fee Future career edge Safety


PERSONAL DATA
*The applicant should fill in this form truthfully, completely and clearly. If some of the items do not apply, please type N/A or None
Picture Limit Image size is 70kb Only | .jpg Format
*Name
*Address
*Contact
*Birthdate
*Sex
*Religion
*Civil Status
*Citizenship


*Do you have any physical/mental conditions that may affect your performance in College?
Have you sought any psychological/psychiatric attention from any mental health professional?
*Are you a Person With Disability (PWD)?

EDUCATIONAL BACKGROUND
*Elementary
*Address
*Year Started
*Year Graduated
*Junior High School
*Address
*Year Started
*Year Graduated
*Senior High School
*Address
*Strand
*Year Started
*Year Graduated
Academic Achievement
Special Awards
*Are you a recipient of a Scholarship Program?




FAMILY BACKGROUND
*If some of the items do not apply, please type N/A or None
Father's Information
*Name
*Citizenship
*Civil Status
*Mailing Address
*Contact No.
*Employment
*Monthly Income
*Deceased
*Educational Attainment
*Does financially support your education?
Mother's Information
*Name
*Citizenship
*Civil Status
*Mailing Address
*Contact No.
*Employment
*Monthly Income
*Deceased
*Educational Attainment
*Does financially support your education?

*Siblings
Name Age If Student If Graduated Monthly Income

Person/Guardian to Contact in Case of Emergency
*Name *Address *Relation *Contact No. Email


Person/ Guardian to Contact in Case of Any Legal Transaction e.g. Promissory Note, etc
*Name *Address *Relation *Contact No. Email

Password Creation

This will be used for your online account (Viewing of Grades/Schedule/TBI/E-Clearance). The password should have a minimum of eight (8) characters in length.

*New Password: *Re-type Password:

VERIFICATION


I certify that the information written in this application is complete and accurate. Any falsification of any information on this form will automatically nullify my application and/or subject me to dismissal from the university.

I am willing to accept the Mission Statement of this Catholic University and the objectives of the College I am enrolled in and to abide all the rules and regulations of the University of St. La Salle.

I am aware of the tuition and other fees of the school at the time of the enrollment, and I understand that these are subject to annual increases per CHED policies and guidelines.


*Please Enter the Captcha Image: