SEARCH
Philippine Government Forms All in One Location
Tweet
Share
Application form and Evaluation form for Regional EDPS
OWWA application and evaluation form for regional education for development scholarship program
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
Department of Labor and Employment
Overseas Workers Welfare Administration
Regional Welfare Office - ________
Program Services Division
EDUCATION & TRAINING UNIT
Education for Development Scholarship Program (EDSP)
EVALUATION FORM
A. APPLICANT’S DATA
Name: ______________________________________________
Last
First
Middle
Birthdate:___________________________ Age:_____________
Sex: Male [ ] Female [ ]
Citizenship:_______________
Preferred Course:_____________________________________
Preferred School:______________________________________
____________________________________________________
B. OFW DATA:
Name of OFW : __________________________________
Last
First
Middle
Occupation/Jobsite : _______________________________
Category: LB [ ] SB [ ]
SEX: M [ ] F [ ]
Civil Status: S[ ] M [ ]
Latest Date of OWWA Contribution : ____________________
Term of Contract: _________________________________
Relationship to Applicant: ___________________________
C. REQUIREMENTS
1. [ ] Application Form
2. [ ] Two (2) 2” x 2” recent & Identical Photos
3. [ ] Proof of OWWA Membership
__ Official Receipt of OWWA Contribution
__ OFW Verification Sheet issued by MPC
4. [ ] Proof of Relationship to OWWA-Member/OFW
__ Birth Certificate (issued by NSO) of applicant, if child of OFW
__ Birth Certificate (issued by NSO) of both applicant & OFW, if brother/sister of OFW
__ Certificate of No Marriage (CENOMAR) from NSO (if OFW is unmarried)
5. [ ] Secondary School Record (Form 137)
6. [ ] Form 2A - Health Certificate from authorized government physician
7. [ ] Form 2B - Certificate of Good Moral Character
8. [ ] Form 2C - Certification that applicant obtained Gross Weighted Average (GWA) of 80% or higher and belongs to the
upper 20% of the Third Year / High School Graduating Class
9. [ ] Form 2D - Parent’s Certification that the applicant has not taken post secondary or undergraduate/ college units
and not a Recipient of any scholarship grant / has not taken the EDSP Qualifying Examination
10.[ ] Form 2E - Sworn Statement that applicant has no pending application for resident immigrant status
from any country & does not have dual citizenship
D. ALTERNATE/OTHER REQUIREMENTS :
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Received by: _____________________
Date: ___________________________
Evaluated by: ______________________________
Head, Education and Training Unit
Date:
_______________________________
Recommending Approval:
_______________________________________
Chief, Programs Services Division
Date: _________________________________
APPROVED:
OWWA Regional Welfare Office Director
Date
NOT FOR SALE
FORM 1
(can be reproduced)
Republic of the Philippines
Department of Labor and Employment
Overseas Workers Welfare Administration
EDSP
Regional Welfare Office - ______
Program Services Division
EDUCATION & TRAINING UNIT
Education and Development Scholarship Program (EDSP)
APPLICATION FORM
(Note: PLEASE FILL UP LEGIBLY)
Application No.: _______________
I. APPLICANT’S INFORMATION
Name:__________________________________________
Last
First
Middle
Birthdate:______________________ Age:____________
Civil Status:______________ Citizenship:____________
Permanent Address:_______________________________
_______________________________________________
Contact Nos: Landline:__________ Mobile:___________
Email Address:__________________________________
No. of Siblings: ____ Family Order: 1st[ ] 2nd[ ] 3rd [ ] Others___
High School Attended: __________________________
_____________________________________________
School Address:________________________________
_____________________________________________
School Tel. No.:________________________________
General Weighted Average (GWA):
3rd Year HS ____
4 th Year HS ____
II. PARENTS’ INFORMATION:
Name:
Citizenship:
Tribal Affiliation (if any):
Highest Education Attained:
Contact No.:
Email Address:
Employment Data:
Occupation/Position:
Employer / Company Name:
Employer Address:
Gross Monthly Income:
FATHER
__________________________________
__________________________________
__________________________________
__________________________________
Landline: _________ Mobile:__________
__________________________________
MOTHER
_________________________________
_________________________________
_________________________________
_________________________________
Landline: ________ Mobile:__________
_________________________________
__________________________________
__________________________________
__________________________________
__________________________________
_________________________________
_________________________________
_________________________________
_________________________________
I hereby certify that all information given above are true and correct to the best of my
knowledge. I will also abide with the policy of the program on the selection of qualified examinees
for EDSP Scholarship award
Attested by:
Parent / Guardian
(Signature Over Printed Name)
Applicant
(Signature Over Printed Name)
Date: __________________________
FORM 2
A. HEALTH CERTIFICATE
GOVERNMENT HEALTH AGENCY : _________________________________________________
ADDRESS
: ______________________________________________________________
______________________________________________________________
DATE: ____________
TO WHOM IT MAY CONCERN:
This is to certify that I have examined __________________________________
and found him/her to be:
Physically fit
Physically unfit
for scholarship application.
This certification is issued in connection with his/her application for the Education for Development Scholarship
Program (EDSP) for the SY _________.
____________________________
Medical Officer
(Signature Over Printed Name)
LC # _______________________
B. CERTIFICATE OF GOOD MORAL CHARACTER
This is to certify that ____________________________ is of good moral character and that no disciplinary
action has been taken against him/her as of date.
__________________________
Principal / Guidance Counselor
(Signature Over Printed Name)
C. PRINCIPAL'S CERTIFICATION
High School : _________________________________________________
Address
: _________________________________________________
TO WHOM IT MAY CONCERN:
This is to certify that ___________________________ is a candidate for graduation this March ________.
This further certifies that he/she obtained a gross weighted average of _______ and belongs to the upper 20% of the
3rd year / graduating class numbering _________ ranked as _______ in the total high school graduating class.
_________________________
Principal
(Signature Over Printed Name)
D. PARENT’S CERTIFICATION ON THE FIRST AVAILMENT
TO WHOM IT MAY CONCERN:
This is to certify that my son/daughter _____________________________________ has not
previously taken the Education for Development Scholarship Program (EDSP) Qualifying Examination and
any post secondary/ vocational or undergraduate/college units.
This is to further certify that NO ONE of my children has previously availed of the EDSP.
Attested by:
___________________________
Parent / Guardian
(Signature Over Printed Name)
E. PARENT'S CERTIFICATION ON APPLICATION
FOR IMMIGRATION / DUAL CITIZENSHIP OF APPLICANT
TO WHOM IT MAY CONCERN:
This is to certify that my son / daughter __________________________is
citizenship and has no pending application for immigration to any country.
not a holder of dual
_______________________
Parent / Guardian
(Signature over Printed Name)
