Application for Admission


Applying for College Program? (For Bachelor's Degree and Teacher's Certification Program (TCP) )		Applying for Graduate School Program? (For Masters and Doctoral Degree)

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 Application

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

Do you have other Baccalaureate degree?*

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*

Click For College Level
Click For Senior High Level

What course would you like to enroll?

1^st Priority:*	2^nd Priority:*	3^rd Priority:*
4^th Priority	5^th 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:	CSU Main CSU Cabadbaran
Are you an Education Service Contracting Grantee(ESC)?:	Yes No
Are you a Qualified Voucher Recipient(QVR)?:	Yes No

**Desired Programs to take/enrol in CSU:** (Note: Number the box from 1 to 7 in rank according to your priority)
Track:	ACADEMIC	TECH. VOC.
Strand:	Science, Technology, Engineering and Mathematics (STEM)	Agricultural Crop Production (NCII)

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.

I Agree.

Please double check your application before saving!

Region
Province
Municipality/City
Purok/Barangay

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This application is only effective for -

Note: Field with * is required.

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User login

This application is only effective for 2022-20232021-20222020-2021 - 1st SemesterSummer2nd Semester

Note: Field with * is required.

This application is only effective for -