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Mindanao State University-Iligan Institute of Technology
GRADUATE SCHOOL OF ENGINEERING
Second Floor, COE Bldg., Andres Bonifacio Avenue, Tibanga, 9200 Iligan City
Tel.: (063) 221-4050 Local 130
Website:
APPLICATION FOR ADMISSION TO GRADUATE PROGRAM
Degree Sought: ______________________________ Major: __________________________
1st 2nd Summer Academic Year __________________
INSTRUCTION: Type or print clearly in ink and submit completed application form and other requirements on or before ________________________________
Name: ______________________ _____________________ ____________________
Last First Middle/Maiden
_______________ _________________ _____________
Date of Birth Place of Birth Citizenship
Contact Information: _______________ _______________ _______________
Mobile Phone No. Landline No. email address/es
Address: ________________ ____________________ _________________ ________
No./Street City/Town Province Zip Code
Marital Status: Married Widow Single
Information on nearest relative (Father / Mother / Spouse if married / Guardian)
__________________________ _______________________ _____________
Name Address/ Tel. No. Relationship
Education (From secondary to highest university education)
Institution Location Date Degree Major
Attended Received
______________________ __________________ __________ _________ ________
______________________ __________________ __________ _________ ________
______________________ __________________ __________ _________ ________
Scholastic honors or prizes/special trainings: __________________________________
______________________________________________________________________
Civil Service Eligibility Title of Examination Date Taken Rating
__________________________ ____________ _________
Professional Licensure __________________________ ____________ _________
Professional Experience (From latest employment; include teaching and research. Use additional sheet or you may use the back of this sheet, if necessary.)
Position Employers Name/Address/Tel. No. Inclusive Dates Remarks
______________ ________________________________ _____________ ________
______________ ________________________________ _____________ ________
______________ ________________________________ _____________ ________
List two of your former professors or expert in your field as references.
Name & Title: ___________________________________ Address: ________________
Name & Title: ___________________________________ Address: ________________
I declare that the information supplied in this application and the documentation supporting it is true and complete. I acknowledge that the provision of incorrect information or documentation in relation to my application may result in cancellation of admission or enrolment. If admitted, I agree to abide by the policies, rules and regulation of the ϲ IIT Graduate School of Engineering.
_________________________ ______________
Signature Date
Name of Applicant: ______________________________________________________
Degree Sought: _________________________________________________________
Classification: (to be filled up by the Program Coordinator)
REGULAR CONDITIONAL PROBATIONAL
SPECIAL NOT QUALIFIED
Remarks: ___________________________________________________________
___________________________________________________________________
___________________________________________________________________
RECOMMENDED BY: ___________________________________________________
Program Adviser/Chairman/Graduate Program Coordinator
APPROVED: __________________________________
Dean, College of Engineering
Notes:
Admission Requirements:
A Bachelors degree from a recognized institution.
An undergraduate weighted average grade of 2.00 or better, or some evidences of potential ability to pursue a graduate degree, e.g. excellent performance in teaching or research.
Evidence of suitable background or its equivalent in the field of study sought.
Classification of Graduate Students:
Regular. A full-fledged regular graduate student who satisfactorily complies with all the requirements for admission including those prescribed by the department/college offering the degree sought.
Conditional. An applicant with deficiencies in undergraduate work as evaluated but satisfies all the basic requirements for admission. The said deficiencies should be satisfied on or before the end of the second semester of the first year of attendance.
Probation. An applicant who fails to earn an undergraduate weighted average grade of 2.00 or better but has proven to be capable to pursue a graduate degree. A student on probation should be dismissed from GSE if he fails to earn a weighted average grade of 2.00 or better in the first semester of residence.
Special. An applicant who, in writing, does not intend to pursue a graduate degree but seeks admission to the Graduate School to register in some courses. Credits earned by this type of student are, during the period as special student, not credited for any degree unless the basic requirements for admission to pursue any degree have been satisfied, approved and recommended by the department/college. Such credits shall not exceed nine (9) units.
Not Qualified. An applicant who does not have the necessary preparation to pursue the degree sought.
Other Requirements:
Submit one copy of this form to the COE Deans Office with the accomplished admission form, two letters of recommendation, one certified true copy each of Transcript of Records and Transfer Credentials/Honorable Dismissal (for non-ϲ alumnus), one (1) 2 x 2 picture and official receipt of the admission fee.
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