This application is only effective for -

Instruction:
(1) Fill-out this application.  (2) Get the Application Number.  (3) Make an appointment for Exam.  (4) Go to your appointment date. 

 Appointment Guide
Use your application number as username and date of birth (YYYY-MM-DD) as password to Sign In at Online Appointment page.
(Example: Username: 2021-00001 | Password: 2009-01-29).
Note: If schedule is not yet available, please try visiting the online appointment page later.
Please double check your application before saving!
STUDENT'S PERSONAL INFORMATION

Note: Field with * is required.

Undergraduate
First Name*
Middle Name*
Last Name*
Extension Name
Date of Birth*
Civil Status*
Sex*
Gender*
(If straight, choose "Cisgender")
Citizenship*
Place of Birth*
Religion*
Tribe*
Current Address*
Please click Get Address button to select your address.
Home Address*
Please click Get Address button to select your address.
Contact Number*
E-mail Address
Are you a person with Disability?*Yes  No
Are you a 4P'S Beneficiary?*Yes  No
Are you a Solo Parent?*Yes  No
STUDENT'S FAMILY RELATED INFORMATION
Father's Name*Occupation*
Educ. Attainment* Estimated Annual Income*
Mother's Name*Occupation*
Educ. Attainment* Estimated Annual Income*
Parent's / Guardian's Contact No.*Estimated Family Annual Income*
Guardian(Required for School ID)*Relationship *
Address
Home Address
City/Municipality* Province*
Zip Code*Country*

What course would you like to enroll?
1st Priority:*
2nd Priority:*
3rd Priority:*
4th Priority
5th Priority

Note:
     Courses with (CSU) are offered at Caraga State University - Main Campus
     Courses with (CSUCC) are offered at Caraga State University - Cabadbaran Campus
Preferred Campus:  
Are you an Education Service Contracting Grantee(ESC)?: 
Are you a Qualified Voucher Recipient(QVR)?: 

Desired Programs to take/enrol in CSU: (Note: Number the box from 1 to 7 in rank according to your priority)

Track:ACADEMICTECH. VOC.
Strand:
LRN No.
Indigenous People Group (If available)
Philippine Educational Placement Test (PEPT) for JHS Certificate No. Month/SY Graduated
Accreditation and Equivalency (A&E) Test for JHS Certificate No. Month/SY Graduated
Philippine Validation Test (PVT) for JHS Certificate No. Month/SY Graduated
Name of Community Learning Center
Address of Community Learning Center

STUDENT'S OTHER SCHOLASTIC INFORMATION
Which school are you from?*
Inclusive Years:*
Your Elementary School*
Grade Point Average
Awards
SY Graduated:*
Your Secondary School*
Grade Point Ave:*
Award(s) Received:*
SY Graduated:*
For College Admission Only (Your Senior High School Track)*
CONSENT FORM (Please check the box if you agree to collect your data)

      I verify that I am of legal age and is going to take the Caraga State University Scholarship and Admission Test (CSAT). By using this form, I am allowing the Caraga State University to collect and process my data. This personal information will not be passed on or sold, but rather for verification and identification purposes only. By clicking the Accept button, you agree to us doing so, for further information you can visit our Policy Statement.

Please double check your application before saving!