Admissions Center (As stated in Birth Certificate. Please PRINT or TYPE.

)
STUDENT APPLICANT Surname
2544 Taft Avenue, Manila, Philippines 1004
Tel Nos: (+63) 230-5100 1801 to 1803
Email: admissions@benilde.edu.ph First Name
Website: admissions.benilde.edu.ph
Office Hours: Mon-Fri. 8:00am-12:00nn Middle Name
& 1:30pm-5:00pm/Sat. 8:00am-12:00nn

Nickname

Application Form-B Gender Male Female

Dear Applicant: Data generated from this form will be used for research purposes and will not be listed in any. Rest
assured your response will be kept completely confidential. Moreover, your answers will not in any way affect the results
of your application to De La Salle-College of Saint Benilde. PRINT OR TYPE YOUR ANSWER.

1. Date of Birth 9. Educational attainment of Mother

M M D D Y Y Y Y Elementary
2. Application Type High School
Technical/Vocational
Freshman College
Transferee Post-College
2nd Undergraduate Degree
Graduate School 10. Educational attainment of Father
Others, please specify
Elementary
High School
Technical/Vocational
3. Nationality College
Filipino Post-College
Non-Filipino, please specify 11. Current employment of Mother
Government
4. Religion Employed in a Private Company
Own Business/Self-employed
Catholic None
Non-Catholic, please specify Deceased
12. Current employment of Father
5. Philippines City Address Government
Employed in a Private Company
ZIP CODE Own Business/Self-employed
None
6. Who among your family members are alumni
of any La Salle School? Deceased

Grandparent(s) 13. Preferred Benilde Degree Program

Father
1st Choice
Mother
Sibling 2nd Choice
None
3rd Choice
7. Who among your parents are working aboard?
Father 14. What are the top three Universities/Colleges
Mother you would most likely enroll in? Do not abbreviate.
None Write complete school name.

8. Who will finance your studies in Benilde? Did you apply

Were you Accepted?
University/College Name for admission
Yes/No
Yes/No
Parent
Top 1
Sibling
Relative
Spouse Top 2

Self
Scholarship Top 3
Company (for working students)
15. Sources of information. How did you learn about Benilde? (select all that applies to you)
a. Grandparent j. Colleague or Co-worker (for working applicants) r. Movie/TV/Radio
b. Mother k. Career Talk/School Fair s. Billboards/Posters/Announcements
c. Father l. Public Events, Expo, Exhibits, Conventions t. Online Advertisements
d. Sibling m. Campus Tours/Exhibit u. Social Media
e. Friend n. Benilde Website v. Email Correspondence
f. Spouse (for married applicants) o. Benilde Alumni or current students w. Phone call
g. Classmate Benilde Personnel (Faculty, Admissions Center, x. Brochures/Flyers
p.
h. Teacher etc.) y. Others, please specify
i. School Counselor q. Newspaper/Magazine

16. Please choose from the sources of information the top three that greatly influenced you to apply in Benilde?

Top 1 Source Top 2 Source Top 3 Source

Why? _______________________________________ Why? _______________________________________ Why? _______________________________________

17. The following is a list of factors that you might have considered in choosing a school to go to.
Please indicate the level of importance of each item in choosing a school.
Very Moderately Slightly Not
Important Important Important Important

a. Availability of scholarship and student grants

b. Awards, Recognition and Reputation of the school, professors, students,
or alumni
c. Campus location (closeness of school to home, surrounding environment,
transportation accessibility, etc.)
d. Campus safety security
e. Academic facilities (classroom, laboratory, study area, etc.)

f. Sports Program and Facilities

g. Dormitory and housing facilities
h. Campus Internet Speed and Accessibility
i. Curriculum and Degree Program Offering
j. Employability of Students after graduation

k. Academic Programs and Services

l. Community Outreach Programs and Services
m. Cultural and Arts Programs and Services
n. Inclusive Education Programs and Services
o. International Student Programs and Services

p. Formation, Counseling and Career Placement Programs

and Services
q. Recommendation from Family Members
r. Recommendation of Friends or Colleagues
s. Recommendation of School Counselor or Teacher
t. School Linkages with other institutions or industry

u. Student Population or Diversity of Student Background/Nationality

v. Student Organizations and Activities
w. School Tradition and Practices
x. Tuition Fee cost
y. Vision-Mission of the School

18. Please indicate the top three factors why you want to study in Benilde.

Top 1 Factor Top 2 Factor Top 3 Factor