Faculty and Staff

Gemma R. Yao, PhD

Principal

Jennielyn Gallardo Pm, RGC

Guidance Counselor

Nelma Katrina Garcia

Student Welfare Coordinator

Rosalina Navarro

Registrar

Mica Collen Pabalan

Cashier

Anrea Pangilinan

Finance Officer

Bernadette Pangilinan RN, MAN

School Nurse

Jenelyn Tolentino, RL

Librarian

Christel Silvestre

Administrative Staff

Maria Ancheta

Rolaida Bayani

Vanessa Bombon

Jenily Celedonio

Marites Dimacali

Violeta Fariñas

Jelene Jorda

Kate Lusung

Marivic Mendoza

Marilou Miraflor, MAEd Mngt.

Anna Bellie Morales

Priza Olarte

Charmaine Santos

Maribel Sobrevilla, MAEd Mngt.

Ritchelle Ann Tabjan

Maria Angelica Tolentino

Utility and Maintenance

Annalyn Agustin

Roger Aquino

Ronald Javier

Efren Mendaro

Jerwin Paguio

Lito Paguio

Fill out this form carefully and PRINT or TYPE all information requested. Only Application Forms correctly and completely filled out will be accepted. INCOMPLETE FORMS/REQUIREMENTS WILL NOT BE PROCESSED. If Item is not applicable indicate "N/A".

I am Incoming

Grade 7

Grade 11

Transferee

Grade 8

Grade 9

Grade 10

LRN required *

FB/Messenger Account

Kindly upload Passport Size 2x2 with name tag required *

PERSONAL INFORMATION (Note: Kindly input all information inside the box.)

Last Name required *

Given Name required *

Middle Name required *

Permanent Address (House No. Brgy./Street Municipality Province) required *

Current Address (House No. Brgy./Street Municipality Province) required *

Date of Birth required *

Place of Birth required *

Age required *

Gender required *

Male

Female

Religion required *

Citizenship required *

Email address required *

Phone number required *

EDUCATIONAL INFORMATION

Name of School (Last Attended)required *

Type: required *

Private

Public

School Address required *

Last School Year Attended: required *

Average (GWA): required *

FOR INCOMING GRADE 7 AND TRANSFEREE : Are you an ESC grantee? required *

Yes

VACCINATION INFORMATION
(Note: If you click No please leave blank for Date and Type N/A for Vaccine Name.)

Is the leaner vaccinated against COVID-19? required *

Yes

If the leaner was vaccinated with Janssen, enter the date under full vaccination

First Shot: (mm/dd/yyyy)

Second Shot: (mm/dd/yyyy)

COVID-19 Vaccine Brand Name

Booster Shot: (mm/dd/yyyy)

COVID-19 Vaccine Brand Name

FAMILY INFORMATION

Father's Name (Last Name, First Name Middle Name) required *

Occupation required *

FB/Messenger Acct

Contact No. required *

Mother's Name (Last Name, First Name Middle Name) required *

Occupation required *

FB/Messenger Acct

Contact No. required *

In the absence of your parent, write the name of your guardian

Parent/Guardian (Last Name, First Name Middle Name) required *

FB/Messenger Acct

Contact No. required *

No. of your siblings (do not include yourself)

NAME OF BROTHER'S & SISTER(S) WHO ARE CURRENTLY ENROLLED (OPTIONAL)

Grade Level

I hereby declare that all information provided in this application form and all supporting documents are true and correct. I fully understand that any misinterpretation of failure to disclose pertinent information on my part as required herein, may cause the disapproval of this application. In the event that the application is approved, it is deemed that I shall accept and abide by the policies, procedures and conditions set by ST. John's Academy Inc.

St. John's

Teachers