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Please do not leave any blanks.

Application can also be sent to raga.steven@gmail.com

 

Applicant Information
 
First name:
MI:
Last name:
Age:
Sex:
   
Date of Birth:
Place of Birth:
Address Line 1:
Address Line 2:
City
State:
Zip Code:
Country:
Daytime Phone:
Evening Phone:
E-mail:
University / College:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Country:
Course:
Year:
GPA:
 
Parent / Guardian Information
   
First name:
MI:
Last name:
Occupation
Address Line 1:
Address Line 2:
City
State:
Zip Code:
Country:
Daytime Phone:
Evening Phone:
E-mail:
 
Reference / Filipino or Philippine Studies
Teacher Information
 
First name:
MI:
Last name:
Daytime Phone:
Evening Phone:
E-mail:
Relationship to Applicant:
 
 
Questionnaire
 
1.. Please select the program you are applying for.


2..
If you are applying for the Basic Course on Philippine
Studies, are you planning to join all four components
(Philippine Studies Lecture Series, Beginning and
Intermediate Filipino Language Classes; Workshops on
Philippine Culture; and Field Trips/Immersion Program)?
*Note that students who are competent in Filipino
have the option not to join the language classes.



3.. If you are applying for the Specialized Research Course,
please give a 2-3 sentence description of the research
project you plan to do.



4.. How many Filipino units have you earned in college?


5.. Why would you like to join the program? (minimum 500 words)


6.. What are your expectations from the program? (minimum 300 words)


7.. What are your limitations? (personal, religious, health, etc.)


8.. How did you learn about the program?

 
  
 


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