ESC Application

1

Student Name* This field is required.

First Name

Middle Name (or Middle Initial)

Last Name

2

Student's Email* This field is required.

example@example.com

3

What is your LRN?* This field is required.Note: Use your ID Number if you are a current LICS student.

4

Applicant type* This field is required.

OLD Student

NEW Student

5

Name of previous school* This field is required.

6

ESC Applicant Type* This field is required.

New ESC Applicant (Grade 7 only)

ESC Grantee From A Previous School (Grade 8 to 10 only)

7

What documents are you submitting?* This field is required.See the list of documents need above. Check all that apply.

ESC Application Form

ESC Grantee Enrolment Contract

Latest Report Card (Form 138)

(Grade 7 only) Proof of Parent(s) Income [ex. ITR, Certificate of Employment/Indigency, etc.]

(Grade 8 to 10 only) ESC Certification

PSA Certified Birth Certificate

2x2 ID Photo on white background

8

File Upload* This field is required.Upload your files here.

Drag and drop files here

Select files to upload

Max. file size: 20.0MB

9

Parent's Name* This field is required.

First Name

Middle Name

Last Name

10

Mobile Number* This field is required.

Please enter a valid phone number.

11

Email* This field is required.

example@example.com