Adventist Medical Center College

College Application for Admission Form (For All Students only)

Note: Prepare the required documents below before filling up the form.

Enrollment Form Type

FOR ALL STUDENT


Enrollment Information

Program you wish to enroll *
Account Code / Student ID (Ex. 22388888) *

Applicant Information

Date of Birth *
Gender *
Blood Type
Marital Status
Place of Birth

Physical Characteristics

Health Condition *
Weight
Height
Complexion

Nationality / Citizenship

Are you a foreigner? *
Dialect
Nationality

Religion

Religion / Denomination
If Adventist, baptized?
Year baptized

Church membership (for SDA's)
Mission (for SDA's)

Contact Information

Email Address or Institutional Email Address *
Fax Number
Mobile Number * (format: 09xxxxxxxxx)

Check for the accuracy of your telephone number as SMS messages will be sent to this number.

Residence Information

Present Address *
Check if your Home Address is the same as your Present Address.

Home Address

Parents Information

Father Information




Mother Maiden Information



Guardian Information



Guardian Address

Spouse Information

Applicable to married applicants only.




Spouse Address

Sponsorships, Grants, and Scholarships

If sponsored, Sponsor's Name



Sponsor Address
Scholarship grant, if any

Working Scholar / Student

Are you a working scholar / student?

Residence Location

Admission Survey

Have you ever used: Prohibited drugs?
If yes, what is the approximate date of last use?

Have you ever used: Alcoholic Beverages?
If yes, what is the approximate date of last use?

Have you ever used: Tobacco?
If yes, what is the approximate date of last use?

Are you a member of a fraternity/sorority?

If yes, what fraternity/sorority?
Are you active?

Have you ever gone to the: Cinema/Theater?

Have you ever gone to the: Disco?

Have you played cards?

Is it your own decision to study at AMCC?
If no, whose decision is it?
CHED Survey

Are you an Rebel Returnee?

Are you an Indigenous People (IP)?

Are you a Solo Parent?

Are you a Senior Citizen?

Are you an Orphan?

Are you a Homeless Citizen?

Are you a person with disability (PWD)?
I enroll in this school because
The environment is green, cool, and clean
The place is away from "earthly pleasure"
My parents forced me to study here
My sponsor highly recommended this school
No choice
My friends are here
My expenses are subsidized (my parents are working in the denomination)
I have the desire to start a new life
To strengthen my faith
To eat vegetarian food
Nearest Adventist School
I want to enhance my talent in singing, musical instrument, etc.
Others
How did you know about AMCC?
Radio advertisement
School campaign (personnel from AMCC visited and advertised AMCC)
My brother/sister is studying here
My parents are alumni here
My sponsor choose this school
My relative highly recommended this school
I am a faculty kid
My relatives are working here
Others

Educational Attainment

Please indicate your current or most recent level of educational attainment.

Reference Person
Elementary School *
Secondary School *
Senior High School *
College School


K-12 Graduate

Senior High General Average

Recommendations

Furnish the names and contact information of two refutable persons who can recommend you.

Mode of Payment


Choose how you intend to pay for your enrollment fees.


Pay your fees to the cashier and upload your receipt



The proof of payment is a copy of your receipt (scanned, photo, or in PDF format) or a screenshot of the transaction. Make sure that important details like your name and the amount of payment are clearly visible in the document.


You will receive an SMS for instructions on how to pay online. Make sure that a valid Mobile Number is given above.
Available payment options that you can choose from: Visa Credit/Debit Card, E-wallets (GCash, GrabPay), OTC or Coins.ph (7-Eleven, M Lhuillier, Cebuana)
Additional 10% charge will apply.
Use this option if you have made a bank transfer already.



The proof of payment is a copy of your receipt (scanned, photo, or in PDF format) or a screenshot of an online bank transaction. Make sure that important details like your name and the amount of payment are clearly visible in the document.

Philippines National Bank

Account Number: 4114-1000-8102
Account Name: Adventist Medical Center College

Land Bank of the Philippines

Note: Don't use GCASH/any E-wallets
Account Number: 0321-227-805
Account Name: Adventist Medical Center College



Please Upload the Certificate


Required Documents




Required Documents for NEW STUDENTS


Required Documents for TRANSFEREE STUDENTS


Required Documents for SDA ONLY


Required Documents for MARRIED Applicants


Required Documents for NURSING / MED TECH Applicants



Attach a Recent Photo

Use 2x2 dimension photo with white background.


Required Student Contract

Download Your Copy of the Student Contract (Non-SDA Students) Download PDF

Download Your Copy of the Student Contract (SDA Students) Download PDF


Final Step - Captcha



Type the characters here you see above. Letters are case-sensitive so be careful on each characters
Example: 1( number one ) l ( lowercase L ) I ( uppercase i ) P ( uppercase P) p ( lowercase P) O ( lowercase o 'ow') O ( uppercase O 'ow') 0 ( number zero )


Adventist Medical Center College recognizes its moral and legal role and responsibilities under the Republic Act No. 10173 (Act), otherwise known as Data Privacy Act of 2012, with respect to the data and to protect all forms of information collected, recorded, organized, updated, and consolidated from our clientele. In processing personal data, we seek to adhere to the general privacy principles of transparency, legitimate purpose and proportionality in all relevant principles in AMCC. The system policy of the college authorized information and communications system can only be used and accessed by the authorized personnel. AMCC has instituted appropriate organizational, technical and physical security measure the protection of all information, be in private, personal or sensitive of the gathered personal data.