This document is an application form for scholarship, financial assistance, or special grants at the Polytechnic University of the Philippines. It includes sections for students to specify their achievements, eligibility criteria, and types of assistance they are applying for, such as scholarships, financial aid, and special grants. The applicant is required to promise adherence to the university's rules and scholarship committee guidelines upon approval.

1. OSFA-F3-2008
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF SCHOLARSHIP & FINANCIAL ASSISTANCE
Sta. Mesa, Manila
APPLIPCATION FORM FOR SCHOLARSHIP/FINANCIAL
ASSISTANCE/SPECIAL GRANT
______________________________
Date
The Vice President for Student Services
PUP, Sta. Mesa, Manila
Thru: The Chief, Office of Scholarship & Financial Assistance
Dear Sir/Madam:
I have the honor to apply for scholarship/grant/financial assistance.
A. SCHOLARSHIP
1. ENTRANCE
Valedictorian Salutatorian First Honorable Mention
Achiever/Awardee
Campus Journalist
Outstanding Artist
Outstanding Athlete
President of High School Student Council
2. ACADEMIC
President’s List Dean’s List
B. FINANCIAL ASSISTANCE
1. SERVICE GRANT
University Central Student Council Officers
President Vice President Secretary
Treasurer Others (Specify) _______________________
University Student Publication Staff Members
Editor-in-chief Managing editor Associate Editor
Photo Journalist Cartoonist Sports Editor
Others (Specify) _________________
University Athlete
University Cultural Group Member
Banda Kawayan Sining Lahi Polyrepertory
Brass Band Polysound Guhit Sudulungan
Lente Photoclub Ramp Artist Rondalla
LHS Choral Group LHS Lyre Drum
Bagong Himig/Serenata Sining Lahi Polyrepertory
Maharlika Dance Artists/Contemporary Dimensions
Others (Specify) ____________________
ROTC Officer
Film Center Creative Artist
2. STUDENT ASSISTANTSHIP
C. SPECIAL GRANT
Name of Grant: _____________________________________________________
Should my application be approved, I Promise to abide by the rules, regulations and
guidelines promulgated by the Scholarship Committee, as well as that of the
University, and to be a scholar worthy of the name of the University.
Respectfully yours,
_______________________________
Signature over printed name
Course/Year/Section ______________