UNIVERSITY OF THE PHILIPPINES-DILIMAN COLLEGE OF SOCIAL WORK AND COMMUNITY DEVELOPMENT Diliman, Quezon City 1101, Philippines Telefax No. 927-2308; 981-8500 local 4105 E-mail Add:ihfabe@upd.edu.ph/lenybro/valge_80@yahoo.com OFFICE OF THE COLLEGE SECRETARY Dear_______________: In connection with your inquiry/application for admission to the graduate program in Community Development (MCD) Social Work (MSW), Women and Development (MAWD) and Doctor in Social Development (DSD), we wish to inform you that the Admissions and Scholarships Committee (ASC) will need the following documents to evaluate your application for admission. 1. One (1) copy of duly accomplished application form (please see attached) 2. One (1) original and photocopy of the Official Transcript of Records (OTR) or academic credentials (with no remarks). 3. Two letters of reference of recommendation from two former professors and /or recognized authority in the area of specialization (please see attached form). 4. Four (4) copies of your recent photo (2x2 in size). 5. Two (2) photocopies of the Diploma or certificate of degree finished/awarded. 6. Two (2) photocopies of marriage contract or its equivalent. If surname use by the applicant is not the same as reflected on the transcript of record. 7. One (1) original and photocopy of NSO Birth Certificate. 8. Two (2) copies of program of studies, including a concept paper, on the interest area of research (for doctoral program). 9. Payment of application fee of P100 for graduate program P500 for DSD (non-refundable) Payment of this amount at the UP Cashiers Office. Personal interview may be recommended in special cases by the Admissions and Scholarships Committee. We shall appreciate your reply soonest. If you have any question/inquiries, you may write or call the Office of the College Secretary and or the Student Records Office. Sincerely yours, _______________________ (For local students only) College Secretary UNIVERSITY OF THE PHILIPPINES-DILIMAN COLLEGE OF SOCIAL WORK AND COMMUNITY DEVELOPMENT Diliman, Quezon City 1101, Philippines Telefax No. 9272-6308; 9818-500 local 4105 E-mail Add:ihfabe@upd.edu.ph/lenybro/valge_80@yahoo.com OFFICE OF THE COLLEGE SECRETARY Dear_______________: In connection with your inquiry/application for admission to the graduate program in Community Development (MCD) Social Work (MSW), Women and Development (MAWD) and Doctor in Social Development (DSD), we wish to inform you that the Admissions and Scholarships Committee (ASC) will need the following documents to evaluate your application for admission. 1. One (1) copy of duly accomplished application form (please see attached) 2. One (1) original and photocopy of the Official Transcript of Records (OTR) of academic credentials (with no remarks). 3. Two letters of reference of recommendation from two former professors and /or recognized authority in the area of specialization (please see attached form). 4. Four (4) copies of your recent photo (2x2 in size). 5. Two (2) photocopies of the Diploma or certificate of degree finished/awarded. 6. Two (2) photocopies of marriage contract or its equivalent. If surname use by the applicant is not the same as reflected on the transcript of record. 7. For foreign applicants whose medium of instruction is not English, you have to submit a TOEFL with a passing grade (either paper, computer/internet based). 8. Two (2) copies of program of studies, including a concept paper, on the interest area of research (for doctoral program). 9. Payment of application fee of ($35.00) (non-refundable), 10. Additional requirements, for visa purposes needed by the Office of Foreign Students Program (see attached). Personal interview may be recommended in special cases by the Admissions and Scholarships Committee. We shall appreciate your reply soonest. If you have any question/inquiries, you may write or call the Office of the College Secretary and or the Student Records Office. Sincerely yours, _______________________ (For foreign students only) College Secretary COLLEGE OF SOCIAL WORK AND COMMUNITY DEVELOPMENT UNIVERISTY OF THE PHILIPPINES-DILIMAN Diliman, Quezon City Passport size 2x2 Photos Application # _____ (Do not fill up) APPLICATION FOR ADMISSION Please check [/] one [ [ [ [ [ [ [ ] Diploma in Community Development [Dip. CD] ] Diploma in Social Work [Dip. SW] ] Diploma in Women and Development [Dip. WD] ] Master of Community Development [MCD] ] Master of Social Work [MSW] ] Master of Arts in Woment and Development [MAWD] ] Doctor in Social Development [DSD] 1) PERSONAL INFORMATION (Use block letters) Lastname: Age Firstname: Middlename: Maiden name (if married) Citizenship: Present Address: Provincial Address: E-mail Address: Sex: Date of Birth Civil Status Religion: Contry of Origin: Contact No.(landline) Cellphone NO. Contact No.(landline) Cellphone NO. 2) WORK EXPERIENCE Name of Office: Address: Department: Nature of Office: Government [ ] Private [ ] Others [ ] Nature of Work (Describe briefly) Inclusive Dates: Contact #: Designation: E-mail Address: Salary: Briefly indicate your reason(s) for pursuing a Diploma/Master(s) and Doctoral Degree in Community Development, Social Work, Women and Development 3. WORK EXPERIENCE FOR THE LAST TEN YEARS POSITION NAME OF OFFICE NATURE OF WORK 4. ACADEMIC/TRAINING BACKGROUND (Diploma/Degree Obtained) TITLE OF DATE RECEIVED DIP./DEGREE OBTAINED INSTITUTION/ ADDRESS HONORS RECEIVED SECONDARY COLLEGIATE GRADUATE Fellowship Awards (state,nature,awarding institution; Date and Place of Award) Training Program attended (Only in the last 5 years) Publications (Only in the last 10 years) 5. PROPOSED PLAN OF STUDY Describe briefly the relevance of DP/MA/Doctoral Program in your career plans and objectives: Program Option Full-time [ ] Part-time [ ] For MA applicants only MA Thesis [ ] MA Non-thesis [ ] Financial Support [ ] Self-supporting [ ] Agency Scholar [ ] Parents [ ] Others (specify)_______ 6. REFERENCES List the names, positions, offices and address of two or more persons whom your asked to fill up the attached reference forms. NAME POSITION OFFICES AND ADDRESS Have you ever been convicted of any crime of violation of any law, decree, ordinance, of regulation by any cour of tribunal [ ] YES [ ] NO I hereby declare under oath that this application form has been accomplished by me and it contains true and complete information: Signature: Date: RECOMMENDATION FOR ADMISSION Name of Applicant: _________________________________________________ Address of Applicant: ________________________________________________ Your assesment of applicant will help us in our evaluation of his/her applications please rate him/her on the following characteristics: AREAS INTELLECTUAL INITIATIVE CREATIVITY LEADERSHIP DEPENDABILITY INTERPERSONAL RELATIONS DILIGENCE EXCELLENT GOOD FAIR POOR How long have you known the applicant? ___________________________________ How well do you know the applicant? _____________________________________ In what capacity have you known the applicant? ______________________________ NAME:________________________________SIGNATURE:______________________ POSITION:______________________________ORGANIZATION:__________________ ADDRESS: _____________________________________________________________ (CONFIDENTIAL) MAIL DIRECTLY TO THE ADMISSIONS AND SCHOLARSHIPS COMMITTEE (SAC) AND/OR STUDENT RECORDS OFFICE (SRO), COLLEGE OF SOCIAL WORK AND COMMUNITY DEVELOPMENT (CSWCD), UNIVERSITY OF THE PHILIPPINES, DILIMAN, QUEZON CITY 1101, PHILIPPINES (2 COPIES)