Name:    

Sex:    Male Female      Date of Birth:   

Mailing Address:

City: State:

Zip:

Telephone Number(s):

Use mailing address until:

Permanent Address:

City: State:

Zip:

Telephone Number(s):

Is this permanent address/tel. no. that of your parents?
      Yes No

E-Mail Address(es):                  Valid Until
        
        
        

2. Academic Information

University you are currently enrolled at or had attended:

Major field of study:

Year Level:   Freshman Sophomore Junior Senior Fresh Graduate Graduate Student Professional

If you are a professional or are currently employed, please describe your job or profession:
Type your job description in this field.

Were you born in the Philippines? Yes No

If yes, at what age did you migrate to a different country?

Have you ever visited the Philippines? Yes No

If yes, when and for how long?

Pre and Post-program Housing:
I do not have relatives/friends to stay with in Manila and will need the assistance of TOS in finding alternative housing during my stay in the city. I will need the assistance of TOS in finding housing: (Check all that apply).

Before the seven-week language program.
After the seven-week language program.
After the optional Cordillera exposure trip (8th week)
I have friends/relatives I can stay with and will not need assistance with housing.

Please state topics of interest you have regarding Philippine society and culture.
Your answers and those of other applicants will help in planning the lecture/workshop series and exposure trips. Please feel free to elaborate on your statement below.
type your answer here.

Language Proficiency

Upon arrival in Manila, participants will be tested for Tagalog proficiency and assigned classes according to skill level. Please indicate what you think your Tagalog proficiency level will be at the start of the TOS Summer/Fall Program:

Beginning Intermediate Advanced

Have you had formal lessons or tutorials in Tagalog?
      Yes    No

If yes, where and for how long?
type your answer here.

How did you learn about Tagalog On Site? (Please be as specific as you can.)
type your answer here.

Were you ever under psychiatric/psychological treatment and therapy?
      Yes    No

Please specify the conditions and circumstances that required such treatment.
type your answer here.
(This information is not a criterion for the selection of applicants.)

Dietary Needs and Preferences:

Please check the box(es) if the information applies to you:
I eat beef
I eat pork
I eat seafood and fish
I am strictly vegetarian
I cannot eat because of health problems (please specify) .

Note: TOS will try to accommodate its participants’ food needs due to health reasons (e.g. allergies) but cannot guarantee that it can meet everyone’s food preferences.

Personal Statement

Write a statement about yourself. Include any information that you think would be of interest to the admissions committee in evaluating your application. Please answer the following questions. (Your essay should be at least 500 words)

1. Why is joining Tagalog On Site important to you?
2. How would joining the program enhance your personal growth?
3. Describe some of your extra-curricular activities (e.g. membership in organizations both in-campus and in the community outside of school, volunteer work, etc.)
4. What are your future plans? What type of work do you see yourself in the future?
5. How would TOS complement your future plans?

type your answer here.

Insurance

It is the responsibility of the participant to ensure that he/she is adequately covered by medical and accident insurance for the duration of his or her stay in the Philippines

Deposit

Upon acceptance to the program participants will be required to give a non-refundable $400 deposit to hold their slot. This deposit will be used for pre-arrival preparations such as board and lodging advances, orientation material purchases, etc. The deposit will be applied toward the total program fee of $2,598.00. All participants are expected to have paid in full by the start of the TOS program.

For additional information, please e-mail the Program Director, Susan Quimpo at tagalog@pldtdsl.net.

I warrant that all information given above is true. I accept that giving any false information is basis for non-acceptance or termination from the Tagalog On Site program.