ICCT Colleges

Rizal, Philippines
PRESIDENT LIST
APPLICATION FORM

DATE: ________________________

DR. VERONICA CO-ONG

Chief Finance Officer
ICCT Colleges Foundation, Inc.

Dear Madam:

I would like to recommend for the President’s List Scholarship Grant this
Trimester:__________AY:_________________
Name:____________________________________a Year Level: _________ year bonafide student of
ICCT Colleges, with student Number:__________________taking up
__________________________and who was my student in
______________

Hoping for your kind consideration and approval.

Recommended by:

___________________________________
(College Instructor’s Signature over Printed Name)

Endorsed by:
__________________________________
(Department Chair’s Signature over Printed Name)

Noted by: CONTACT NO. _________________________

ANA LIZA R. KHO

Vice President for Academic Affairs

APPROVED

DISAPPROVED
DR. VERONICA CO-ONG
Chief Finance Officer