Republic of the Philippines

Mindanao State University-Iligan Institute of Technology 2x2

I.D.
GRADUATE SCHOOL OF ENGINEERING Photo
Second Floor, COE Bldg., Andres Bonifacio Avenue, Tibanga, 9200 Iligan City
Tel.: (063) 221-4050 Local 130
Website: https://www.msuiit.edu.ph

APPLICATION FOR ADMISSION TO GRADUATE PROGRAM

Degree Sought: ______________________________ Major: __________________________
1st 2nd Summer Academic Year __________________

INSTRUCTION: Type or print clearly in ink and submit completed application form and other
requirements on or before ________________________________

1. Name: ______________________ _____________________ ____________________

Last First Middle/Maiden

2. _______________ _________________ _____________

Date of Birth Place of Birth Citizenship

Contact Information: _______________ _______________ _______________

Mobile Phone No. Landline No. email address/es

3. Address: ________________ ____________________ _________________ ________

No./Street City/Town Province Zip Code

4. Marital Status: Married Widow Single

5. Information on nearest relative (Father / Mother / Spouse if married / Guardian)

__________________________ _______________________ _____________
Name Address/ Tel. No. Relationship

6. Education (From secondary to highest university education)

Institution Location Date Degree Major
Attended Received

______________________ __________________ __________ _________ ________

______________________ __________________ __________ _________ ________
______________________ __________________ __________ _________ ________

7. Scholastic honors or prizes/special trainings: __________________________________

______________________________________________________________________

8. Civil Service Eligibility Title of Examination Date Taken Rating

__________________________ ____________ _________
Professional Licensure __________________________ ____________ _________
9. Professional Experience (From latest employment; include teaching and research. Use
additional sheet or you may use the back of this sheet, if necessary.)
Position Employer’s Name/Address/Tel. No. Inclusive Dates Remarks
______________ ________________________________ _____________ ________
______________ ________________________________ _____________ ________
______________ ________________________________ _____________ ________
10. List two of your former professors or expert in your field as references.
Name & Title: ___________________________________ Address: ________________
Name & Title: ___________________________________ Address: ________________

I declare that the information supplied in this application and the documentation
supporting it is true and complete. I acknowledge that the provision of incorrect
information or documentation in relation to my application may result in cancellation of
admission or enrolment. If admitted, I agree to abide by the policies, rules and regulation
of the MSU – IIT Graduate School of Engineering.

_________________________ ______________
Signature Date
Name of Applicant: ______________________________________________________

Degree Sought: _________________________________________________________

A. Classification: (to be filled – up by the Program Coordinator)

REGULAR CONDITIONAL PROBATIONAL

SPECIAL NOT QUALIFIED

B. Remarks: ___________________________________________________________
___________________________________________________________________
___________________________________________________________________

RECOMMENDED BY: ___________________________________________________

Program Adviser/Chairman/Graduate Program Coordinator

APPROVED: __________________________________
Dean, College of Engineering

Notes:
A. Admission Requirements:
1. A Bachelor’s degree from a recognized institution.
2. An undergraduate weighted average grade of 2.00 or better, or some evidences
of potential ability to pursue a graduate degree, e.g. excellent performance in
teaching or research.
3. Evidence of suitable background or its equivalent in the field of study sought.

B. Classification of Graduate Students:

1. Regular. A full-fledged regular graduate student who satisfactorily complies with
all the requirements for admission including those prescribed by the
department/college offering the degree sought.
2. Conditional. An applicant with deficiencies in undergraduate work as evaluated
but satisfies all the basic requirements for admission. The said deficiencies
should be satisfied on or before the end of the second semester of the first year
of attendance.
3. Probation. An applicant who fails to earn an undergraduate weighted average
grade of 2.00 or better but has proven to be capable to pursue a graduate
degree. A student on probation should be dismissed from GSE if he fails to earn
a weighted average grade of 2.00 or better in the first semester of residence.
4. Special. An applicant who, in writing, does not intend to pursue a graduate
degree but seeks admission to the Graduate School to register in some courses.
Credits earned by this type of student are, during the period as special student,
not credited for any degree unless the basic requirements for admission to
pursue any degree have been satisfied, approved and recommended by the
department/college. Such credits shall not exceed nine (9) units.
5. Not Qualified. An applicant who does not have the necessary preparation to
pursue the degree sought.

C. Other Requirements:
Submit one copy of this form to the COE Deans Office with the accomplished
admission form, two letters of recommendation, one certified true copy each of
Transcript of Records and Transfer Credentials/Honorable Dismissal (for non-
MSU alumnus), one (1) 2” x 2” picture and official receipt of the admission fee.