INTERSESSION REQUEST FORM

INTERSESSION REQUEST FORM

School Year 2025-2026
The Intersession Request Form is a required document that must be submitted by ALL scholars planning to enroll in Intersession SY 2025-2026. The Office of Admission and Aid (OAA) will review each request to determine how many units will be covered by the student's scholarship grant, if any.

Please take note of the following:
- Note that overload units are NOT COVERED by your scholarship grant. You may refer to your official curriculum for the list of subjects you need to take. Overload units usually result from the following:
  - Re-taking subjects because of WP (Withdrawal with Permission), W (Withdrawn), or F (Failing) marks
  - IPS-movements (i.e. advancing or delaying subjects) due to shifting
  - Additional units for Minor Degree
- For those who took basic courses (e.g, MATH 2), displaced subjects are covered by your scholarship grant.
- If you NEED any additional financial aid for Intersession 2025, please upload a separate Request Letter signed by you and your parents.
- For DIRLIST ONLY Scholars: Kindly note that DIRLIST Only Scholars (those who are not recipients of other scholarships) have no support during the Intersession Term. The DIRLIST grant of P100,000 is given during the First and Second Semester (P50,000 each term). DIRLIST Scholars with a 50TF financial aid grant, on the other hand, will receive a 100TF support during the Intersession term for non-overload units.
- For DOST ONLY Scholars: Please note that DOST Only Scholars (those who are not recipients of other scholarships) have a fixed DOST grant of P10,000 for the Intersession term.
The Office of Admission and Aid assures the scholars of the confidentiality of their information, and that the sharing or use of which shall be limited only to its authorized personnel.

Any questions or clarifications regarding this application process may be directed to the Office of Admission and Aid (scholarships@ateneo.edu).
PERSONAL INFORMATION
ID NUMBER*
FULL NAME*

First NameMiddle NameLast NameSuffix
INCOMING YEAR LEVEL*
DEGREE PROGRAM*
ATENEO STUDENT EMAIL*
oaa@student.ateneo.edu
TYPE OF SCHOLARSHIP*

ACADEMICAFMS / SIDLATHLETICDIRLISTDOSTFINANCIAL AID

REQUIRED SUBJECTS

I am requesting that my scholarship cover the following subject required by my curriculum to be taken specifically this Intersession Term 2025:
CATALOGUE NUMBER OF SUBJECT 1 (e.g. FILI 11):*
NO. OF UNITS OF SUBJECT 1*
CATALOGUE NUMBER OF SUBJECT 2 (e.g. MATH 33.1) (Put N/A if Not Applicable)*
NO. OF UNITS OF SUBJECT 2*
CATALOGUE NUMBER OF SUBJECT 3 (e.g. ENGL 11) (Put N/A if Not Applicable):*
NO. OF UNITS OF SUBJECT 3*
CATALOGUE NUMBER OF SUBJECT 4 (e.g. SOCSCI II) (Put N/A if Not Applicable):*
NO. OF UNITS OF SUBJECT 4*
Did you miss enrolling in any subject/s in the past Intersession terms because you lost out on class slot/space or because you took required subject/s displaced as a result of taking your Basic course/s?*

YesNo
If Yes, what is the catalogue number of the subject that you need to take this Intersession 2025 to be able to catch up? (Put N/A if Not Applicable)*
NO. OF UNITS OF THE SUBJECT*

BACK SUBJECTS
Did you take any Basic Courses?*

YesNo
If yes, please identify the basic subjects that you took (e.g., MA 2, ENGL 9). (Put N/A if Not Applicable).*
Did you fail (F) or withdraw (W or WP) from any subject?*

YesNo
If Yes, identify the subject/s and grade/s incurred (F, W or WP. For WP, these are subjects withdrawn with permission in the middle of the semester, and not during the load revision period.). (Put N/A if Not Applicable)*

SUBJECTS TAKEN IN THE PAST INTERSESSION TERMS

For Incoming Juniors, Seniors and Super Seniors only.
SUBJECTS TAKEN IN INTERSESSION 2024. (Put N/A if Not Applicable)*
Please write the course code and no. of units (e.g., FILI 11 - 3 units)
SUBJECTS TAKEN IN INTERSESSION 2023. (Put N/A if Not Applicable)*
Please write the course code and no. of units (e.g., FILI 11 - 3 units)
SUBJECTS TAKEN IN INTERSESSION 2022. (Put N/A if Not Applicable)*
Please write the course code and no. of units (e.g., FILI 11 - 3 units)

ADDITIONAL REQUESTS

Fill out this portion ONLY IF you have additional requests (additional allowance, dorm scholarship, request for additional subject, etc.).
I would like to request for*
Please note that your grant as of the Second Semester SY 2024-25 will be applied this Intersession term (except for DIRLIST ONLY and DOST ONLY Scholars). Fill out this portion only if you have additional requests (additional allowance, dorm scholarship, request for additional subject, etc.). If you already have an existing allowance or dorm scholarship, you don't need to submit another request letter for this.
If you selected Others, please specify. (Put N/A if Not Applicable).*
Reason for Request. (Put N/A if Not Applicable)*
Upload your signed letter here. Letter must be noted by one of your parents (File Name: LastName_FirstName_request letter)

Cancelof
Have you requested for scholarship for extra subject/s (due to shifting, Minor Program, etc.) in the past?*

YesNo
Should be Empty:

INTERSESSION REQUEST FORM

PERSONAL INFORMATION

REQUIRED SUBJECTS

BACK SUBJECTS

SUBJECTS TAKEN IN THE PAST INTERSESSION TERMS

ADDITIONAL REQUESTS