XALAAI JURIS SCHOLARS PROGRAM 2026

APPLICATION FORM

Submit to: Dean’s Office, Xavier University – Ateneo de Cagayan
Deadline: On or before July 11, 2026

I. Personal Information

Full Name:

Student ID Number:

Year Level:

Course/Program:

Email Address:

Contact Number:

Permanent Address:

Are you enrolled as a full-time law student with full study load?

II. Academic Information

Number of Completed Semesters:

General Average as a full-time law student with full study load (Last Academic Year):

Dean’s List Rank (if applicable):

Awards/Recognitions (if any):

Attach a copy of:

  • Birth Certificate
  • Proof of enrollment
  • Dean’s List certification (if claiming automatic eligibility)
  • Transcript of Records

III. Leadership and Involvement

  1. List organizations, clubs, or programs you are or have been involved in:

Organization/Program

Role

Duration

  1. Describe briefly your leadership experience or contribution to these activities (maximum 200 words):

IV. Essay Questions

Instructions: Write your answers in your own words. Each essay should be typed, double-spaced, and not exceed 500 words.

  1. Character and Values 
  • Describe your personal values, ethical principles, and examples of how you have demonstrated good character in your academic or personal life.
  1. Commitment to Public Service 
  • Explain your motivation to serve the community, participate in legal aid programs, or contribute to XALAAI Juris Scholars activities.
  1. Financial Need (if applicable) 
  • If applying for a slot requiring financial assistance, explain your financial situation and why you seek support from the XALAAI Juris Scholars Program.

V. Declaration and Commitment

I hereby declare that the information provided in this application and all supporting documents are true and correct to the best of my knowledge. I understand that submission of false information or failure to comply with program requirements may disqualify me from consideration.

I commit to actively participate in all XALAAI Juris Scholars Program activities if admitted.

Signature of Applicant: ______________________
Date: ______________________

For Official Use Only (Selection Committee)

Item

Verified (✓)

Remarks

Birth Certificate

Proof of Enrollment

Dean’s List Certification

Transcript / Grades

Affidavit of Financial Need (if applicable)

Essays

Overall Eligibility

Selection Committee Decision:
☐ Approved ☐ Disapproved
Comments/Notes: