HOPE CHRISTIAN HIGH SCHOOL

2x2
GRANT-IN-AID (GIA) APPLICATION FORM Student Photo
SCHOOL YEAR 20__ - 20___

Application No.:

COMPLETION OF All sections of the form must be answered. If any of the form does not apply to
APPLICATION you, please write "N.A." or "NOT APPLICABLE". The use of dash (-) is not acceptable.
Provide all CURRENT information.

REJECTION OF HOPE CHRISTIAN HIGH SCHOOL RESERVES THE RIGHT TO REJECT FORMS THAT ARE
APPLICATION INCOMPLETE OR INACCURATELY ACCOMPLISHED.

Name of Student Applicant: (English) (Chinese)

Grade/Year Level: (English) GPA: Deportment:

Grade/Year Level: (Chinese) GPA: Deportment:

Birthday: Sex: Age:

Home Number:

Address:

Type of Application: New Renewal (Grantee since Grade ____ / High ___)

Name and grade / year level of siblings who are in Hope Christian High School:
GRADE/YEAR LEVEL GPA DEPORTMENT
NAME OF SIBLINGS APPLYING FOR GIA?
ENGLISH CHINESE ENGLISH CHINESE ENGLISH CHINESE
Yes No

Yes No

Yes No

Yes No

Applicable Type of Scholarship/Grant:

HCHS Faculty/Staff Dependent Hope Financial Scholarship
(Child / Grandchild)

Multiple Children UECP Pastor/Missionary

Pastor Affilliated w/ PCEC or CCOWE; please specify which affiliation and church:

INFORMATION ON GRANT

Grant Requested Grant Given Grant Requested

Last S.Y. __________ Last S.Y. __________ For S.Y. ___________

Full Tuition Full Tuition Full Tuition

75% Tuition 75% Tuition 75% Tuition

50% Tuition 50% Tuition 50% Tuition

25% Tuition 25% Tuition 25% Tuition

Others: _________ Others: _________ Others: _________

We are applying for a scholarship grant because (please check all applicable statements):
We cannot avail of our son's educational plan. (Please specify)

Parents are separated and there is no support from ____ mother ____ father ____ both parents.
 A family member is sick and is undergoing medical treatment. (Please attach supporting
documents from your doctor.)
Our income is not enough because we are sending children to school.
(Please specify how many in: grade school high school college.)
Only one parent is working.
Others (please specify)

PARENTS' INFORMATION FATHER MOTHER

Name
Date of Birth / Age
If deceased, specify the year of death
High School Attended
College Attended
Degree
Graduate Studies
Other Studies (if any)

Residence Address

Residence Telephone Number

Cellphone Number
Name of Church Affiliation
Occupation / Business
Company / Business Name
Company / Business Address
Company / Business Tel. No/s.
Position (current)
Number of Years in Present Job
Yearly income including salary per
day, differentials, bonuses,
auxillary business, annual
commissions, fees or
allowances, etc.

NAME OF OTHER SCHOOL GRADE/YEAR TUITION PER CHECK TUITION STATE THE
CHILDREN WHO AGE OR LEVEL OR SEM/MONTHLY IF AMOUNT PAID REASON FOR
ARE NOT AT HOPE COMPANY OCCUPATION SALARY SCHOLAR BY PARENTS UNEMPLOYMENT

FAMILY STATUS (Please check any statement that applies)

Applicant lives with both parents. Applicant lives with father only.
Applicant lives with grandparents. Applicant lives with mother only.
Parents are separated. Father is deceased.
Mother is deceased. Others
FINANCIAL STATUS

Do you receive financial assistance from your family association or any other affiliations?
Yes No
If yes, please list all the names of associations and their corresponding amount of assistance per annum.

NAME OF ASSOCIATION AMOUNT RECEIVED

If house is not owned, how much monthly rental do you pay?

FAMILY PICTURE

Please provide a recent family

picture here.

CERTIFICATION
We hereby certify that all information declared in the application are true and accurate. We also agree and
promise to cooperate with representatives of the school who will visit us for an interview in connection with this
application. We further agree that if any information is found inaccurate, the Committee reserves the right to
disapprove our application.

Printed Name of Father Signature Date

Printed Name of Mother Signature Date

Kindly sketch below the road map to your residence.

Please submit the following with this application form:

Photocopy of report card

At least two utility bills (water bill, meralco, house rental, etc.)

Income Tax Return; if not employed, please ask for certification of non-employment from your barangay.

Medical certificate for those who indicated that a family member is sick and undergoing treatment at
the time that this application is submitted.

Recommendation letter from a teacher, counselor, or pastor who knows the student's family FINANCIAL
background.

FOR OFFICIAL USE ONLY

REMARKS: Grant-In-Aid applications are subject for approval by the Scholarship Committee

Approved Type of Scholarship/Grant:

Disapproved
Comment/s:

Application Reviewed By: