LPU - Laguna
Application Data Entry   
Add a new Applicant   
 app.lyceum.edu > > > Add
* All indicated with (*) are mandatory or required fields.
- Application Information
Program / Strand* : Priority Course / Program of the applicant
Campus Site*:
your image
Classification:
Freshmen / New Student:*:
Year of Enrollment*:
Term*:
Year Level*:
- Personal Data
Surname*:
First Name*:
Middle Name*: click if w/o Middle Name
Gender Assigned at Birth*: Male Female Mandatory field.
Nationality*: Filipino Other Nationality Classify applicant's Nationality from available list.
    Foreigner Check if the applicant is foreigner.
Religion*: Select religion from available list.
Date of Birth*:    Encode date of birth to display automatic computation of age (YYYY-MM-DD). Mandatory field.
Place of Birth*: As per birth certificate. Mandatory field.
Civil Status*: Mandatory field.
Address*:
Select Region
Select Province
Select Municipality and Encode ZIP/Postal Code
Number, Unit, Street Name, Building
Barangay, Barrio, Village, Subdivision, District
Home Phone No.: (Area Code) Phone No.
Mobile Phone No.*: (Area Code) Mobile Phone No.
Email Address*: Personal Email Address
Enter Verification Code*: Once you entered your e-mail, click the Send Verification Code button. You'll receive a confirmation e-mail on your indox or spam folder. Copy and paste it on the place holder. You may resend another verification code after a minute.
Are you the first person in your immediate family to attend college?*: (Immediate family refers to your parents, unmarried siblings, or any relatives living under the same roof.)
Guardian Information / Contact Information:
Guardian's Name*: In case of emergency. Mandatory field.
Guardian's Contact No.*:
Home Address*
Relationship*: Relationship with the contact person given.
Guardian's Occupation*: Guardian Job. Mandatory field.
Financial Source: Identify applicant's source of financial support in college. Mandatory field.
Annual Family Income*: Indicate average/estimated monthly income of household members.
In case of emergency
Click This box if the data is the same as Contact Information Same as Contact Information
Contact Person*: In case of emergency. Mandatory field.
Address*:
Home address of contact person.
Phone No.*: Telephone number of contact person.
- Family Background*
Stat LAST NAME FIRST NAME MIDDLE NAME RELATIONSHIP OCCUPATION  
- Educational Background*
Stat SCHOOL YEAR FROM SCHOOL YEAR TO EDUCATION TYPE COURSE/PROGRAM/STRAND NAME OF SCHOOL  
- Application Survey

STUDENT APPLICATION

 
1How did you know about LPU-Laguna/ LPU-St. Cabrini?
Career Talk/ Campus Visit Social Media (Facebook, Instagram, Youtube)
Printed Advertisement (tarpaulins, flyers) Referral from Employees
Referral from Alumni Referral from Family Members
SM Malls advertisements Website
Others  
Please specify:
 
2Why did you choose LPU-Laguna/ LPU-St. Cabrini among other campuses?
 
3Are you clinically diagnosed with a mental health condition?
Yes No
Please specify:
 

Students who will enroll at LPU-Laguna/LPU-St. Cabrini are requested to adopt the "Blended Learning Scheme" activities. In this regard, you need to have the following:

  1. End devices such as Personal Computer, laptop, smart phones, etc.
  2. Internet Connection (Fiber/Broadband/Data)
  3. Microphone, Headset or Earphones
  4. Webcam (Optional)
Determine what action to take for this application.