CROSS Education - Student Application Form

Student Application Form

Cross Education
Student Information
Parent's E-mail*
example@example.com
Student's Name*

First NameMiddle NameLast Name
Gender*
Age*
Date of Birth*

MonthDayYear
Grade Level for Incoming School Year*
Last School or Homeschool Provider
Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Language*
Please indicate any other information you would like to share about your child/ren.
Parental Information
Father
Father's Name

First NameMiddle NameLast Name
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number

Country CodeArea CodePhone Number
Telephone Number

Country CodeArea CodePhone Number
Email Address
example@example.com
Occupation
Employer
Hobbies/ Interests / Affiliations
Mother
Mother's Name

First NameMiddle NameLast Name
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number

Country CodeArea CodePhone Number
Telephone Number

Country CodeArea CodePhone Number
Email Address
example@example.com
Occupation
Employer
Hobbies/ Interests / Affiliations
Emergency Contact Details
Name*

First NameMiddle NameLast Name
Mobile Number*

Country CodeArea CodePhone Number
Email Address*
example@example.com
Relationship*
Package Information
Choose a program:*
Choose a program:*

MEP HOME+ (K-G6, Inquiry + Facilitator)MSP HOME+ (G7-10, Research Action + Facilitator)Literacy Program (K-6)Numeracy Program (K-8)
Textbooks
Note: Items with asterisk (*) are OPTIONAL.*
Note: Items with asterisk (*) are OPTIONAL.*

Literacy Textbook - P2,000 (required if availing Literacy Package, K-6)Math Textbook - P2,000 (required if availing Numeracy Package, K-8)Science - P2,000*Social Studies - P2,000*Filipino - P1,300*Penmanship - P1,500*MAPE - P1,300*Character - P1,200*Will purchase elsewhere
Payment Terms
Choose Payment Terms:
Notes: Post-dated cheques are required for installment/term payments. Installment Terms is not applicable for Textbooks.
Upload Requirements
Requirements Details:
1. BIRTH CERTIFICATE: Original copy issued by the Philippine Statistics Authority
2. PROOF OF GRADE LEVEL: Original copy of the most recent report card (Form 138) duly signed by the school head. The report card should clearly indicate the grade level completed and certify eligibility for admission or Transfer
3. TRANSCRIPTS/RECORDS:
  - From Philippine-based schools: SF10/Form 137 from last school attended
  - From schools outside the Philippines: Original school records
4. LRN (Learning Reference Number) For incoming Kinder and Grades 1-10 student from Philippine schools
5. ID picture: Digital copy of the child’s updated photo (taken within 6 months)
File Upload

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Student Application Form

Student Information

Parental Information

Father

Mother

Emergency Contact Details

Package Information

Textbooks

Payment Terms

Upload Requirements