COLLEGE OF FINE ARTS

UNIVERSITY OF THE PHILIPPINES Bartlett Hall, E. Jacinto Street Diliman, Quezon City

Application No. _______

Instructions: 1. Please type entries or write legibly. 2. Proper noun should be written in full, and not in abbreviated form. 3. Please mark or check boxes properly.

TALENT DETERMINATION TEST (TDT) APPLICATION FORM

(CFA-TDT FORM-001)

Please attach recent colored photo ID here 3.50 cm X 3.50 cm

PERSONAL INFORMATION
NAME ADDRESS BIRTHDAY BIRTHPLACE SEX MALE CITIZENSHIP: RELIGION: CIVIL STATUS SINGLE MARRIED NAME OF PARENTS/GUARDIAN OCCUPATION OCCUPATION FEMALE WIDOW/ER SEPARATED
LAST FIRST MIDDLE/MAIDEN

ANNUAL FAMILY INCOME SOURCE OF EDUCATIONAL FUND FAMILY INCOME SCHOLARSHIP TELEPHONE/TELEFAX NUMBER OTHERS MOBILE PHONE NUMBER E-MAIL ADDRESS

APPLYING FOR ADMISSION AS

Beginning Freshman
has not earned any college credit ______ UPCAT qualifier ______ Non-UPCAT ______________________________________ High School graduated from ______________________________________ Address

Transfer Student

has earned college credit from ______ other UP Units ______ Other school ______________________________________ School coming from ______________________________________ Address

Working on a Second Degree

continuing education ___________________________ (degree earned from other schools) ______________________________________ University or College graduated from ______________________________________ Address

Course Applied for:

Bachelors Degree Certificate Program

Course Applied for:

Bachelors Degree Art Education Art History Industrial Design Painting Sculpture Visual Communication

Course Applied for:

Bachelors Degree Certificate Program

Art Education Art History Industrial Design Painting Sculpture Visual Communication

Art Education Art History Industrial Design Painting Sculpture Visual Communication Application No. _______

COLLEGE OF FINE ARTS

UNIVERSITY OF THE PHILIPPINES Bartlett Hall, E. Jacinto Street Diliman, Quezon City

Please present this on the day of the examination

TDT TEST PERMIT

This is to certify that M _________________________________________ is eligible to take the TALENT DETERMINATION TEST (TDT) for the AY20____ - 20____ on ___________________ from 8:00 AM to 12:00 NN, College of Fine Arts, Bartlett Hall, UP Diliman, Quezon City.
NOTE: For the test, you are required to bring any coloring medium of your choice like craypas, watercolor, acrylic, EXCEPT OIL. College Secretary

Please attach recent colored photo ID here 3.50 cm X 3.50 cm

COLLEGE OF FINE ARTS

UNIVERSITY OF THE PHILIPPINES Bartlett Hall, E. Jacinto Street Diliman, Quezon City

MENTAL ABILITY TEST PERMIT

Please present this on the day of the examination

Application No. _______

This is to certify that M _________________________________________ is eligible to take the MENTAL ABILITY (CFIT & SSHA TESTS)for the AY20____ - 20____ on __________________ from _______ to _______, at the College of Fine Arts, Bartlett Hall, UP Diliman, Quezon City.
see reverse side College Secretary

Please attach recent colored photo ID here 3.50 cm X 3.50 cm

Use this space to explain your choice of major (minimum of 200 words, please provide additional sheet of paper).

This is to certify that all information given in this form are true and correct to the best of my knowledge.

Applicants signature Date: DO NOT WRITE INSIDE THE BOX To be accomplished by the College Admission Office Course Applied for: ___________________________________ Date Received: ___________________________________ Recommendation: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Application Requirements: Bachelor of Fine Arts q Official UP OUR Admission Notice (UPCAT Qualifiers only) q Certificate of Conduct Eligibility from UPD (UPD transfer only) q Letter addressed to the College Secretary that he/she will secure a Permit to Transfer (for UP transfer only) q Certified True Copy of Grades (Form 137; Transfer Applicants) q NSO Birth Certificate q Certificate of Good Moral Character q Three 1 1/2 X 1 1/2 colored ID pictures q Official Transcript of Records ( for second degree applicants) q Certificate of Employment, if employed (2nd degree applicant only) Application Requirements: Certificate Program q At least, 80% GWA in the third grading period, ________ % q Certified True Copy of Grades (Form 137) q NSO Birth Certificate q Certificate of Good Moral Character q Three 1 1/2 X 1 1/2 colored ID pictures Application Processed by:

Name and Signature of processor Date processed: ________________ Approved by:

Name and signature of Admission Officer Date: ________________________