Publication

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.

Publication

Student Application Form For New Student

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

EDUCATIONAL INFORMATION

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

FAMILY INFORMATION

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