ATTACH

NAGA VIEW ADVENTIST COLLEGE, Inc. 2” x 2”

P.O. Box 6070 Naga City, 4400 Camarines Sur, Philippines Picture
Tel. No. (054) 478-7279, E-mail Address: nvac.registrar@yahoo.com
here

APPLICATION FORM
Date: _____________
LAST NAME FIRST NAME MIDDLE NAME

Date of Birth (MM/DD/YYYY Place of Birth (Town/City, Province) Gender Civil Status Nationality
___M ___F __S __M __W
Weight (in lbs.) Height (in ft. inches) Complexion Health Condition (please check one)
Poor Fair Good
(Home/Mailing Address)

Telephone Number Cellphone Number E-mail Address

Religion Church Membership (for SDA’s only) Mission/Conference Date of Baptism

Scholastic Record Name of School Year Award/s if any Address

Elementary:
Secondary:
Tertiary School(s) attended
State the course you want to take: Term you wish to start school: High School Gen. Ave.

Father’s Name Occupation Religion Address

Mother’s Name Occupation Religion Address

Number of persons in the family Brothers Sisters Annual Family Income:

Are your parents willing that you attend NVAC? Who encouraged you to enroll at NVAC?

Person responsible for your school account Address (if other than the parents)

Full-time study? Yes No Do you plan to stay in the dormitory? Yes No

If not, where and with whom? Relationship

Are you planning to work while studying? Yes No Work experience:

Why have you chosen Naga View Adventist College as your STUDENT PLEDGE:
school?
I recognize that attendance at Naga View Adventist College is a privilege. I
voluntarily pledge that if admitted, I will uphold to the best of my ability the
standards and principles of the school –never cheat, steal, smoke, drink
alcoholic beverages, use prohibited drugs, fight, destroy or do any act
contrary to the code of conduct. Should I be unfaithful to this pledge, or
should I prove unable to comply and obey all the rules and regulations of
Naga View Adventist College, I shall withdraw from attendance therein.

Signature of Applicant Date

FOR ADMISSIONS COMMITTEE

Date Application Received Credentials Submitted Date