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ETEEAP Application Form

The document is an application form for the Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP) in the Philippines. It requests personal information from applicants, as well as details of their formal education, non-formal training, work experience, honors received, and creative works. Applicants are informed that providing inaccurate information could disqualify them from the program. The multi-page form gathers comprehensive information to evaluate applicants' eligibility and suitability for degree equivalency and accreditation.
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0% found this document useful (0 votes)
195 views5 pages

ETEEAP Application Form

The document is an application form for the Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP) in the Philippines. It requests personal information from applicants, as well as details of their formal education, non-formal training, work experience, honors received, and creative works. Applicants are informed that providing inaccurate information could disqualify them from the program. The multi-page form gathers comprehensive information to evaluate applicants' eligibility and suitability for degree equivalency and accreditation.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

Republic of the Philippines

Office of the President


COMMISSION ON HIGHER EDUCATION
Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP)

1 x 1 ID
ETEEAP APPLICATION FORM
Picture
(Scanned pix
not accepted)
INSTRUCTION:

Please type or print clearly, provide complete and detailed information required. Do not leave blank unanswered;
write “Not Applicable” as the case may be. All declarations that you make herewith are under oath. Discovery of any false
claim in this application form will disqualify you from participating in the program. Use additional sheets if necessary.

I. PERSONAL INFORMATION

1. NAME (Last Name, First Name, Middle Name)


______________________, ___________________________, ______________________
2. Address : ________________________________________________________________
Zip Code : _______________
3. Telephone No(s). : _____________________________
4. Birth Date : _________________________
5. Birthplace : _________________________
6. Civil Status : ________________________
7. Sex : ___________ Nationality : ____________________
8. Languages and Dialects Spoken : _________________________________
9. Degree Program or field being applied for :
First Priority : _______________________________________________
Second Priority : _______________________________________________
Third Priority : _______________________________________________
10. Statement of your goals/objectives/purposes in applying for the degree.
_______________________________________________________________________________________
_______________________________________________________________________________________
________________________________________________________________________
11. Indicate how much time you plan to devote for personal learning activities so that you can finish the
requirements in the prescribed program. Be specific.
_______________________________________________________________________________________
_____________________________________________________________________________
12. For overseas applicants, describe how you plan to obtain accreditation/equivalency. (e.g. when you plan to
come to the Philippines)
_______________________________________________________________________________________
______________________________________________________________________________________
13. How soon do you need to complete equivalency/accreditation?
_____ less than one (1) year _____ 1 year
_____ 2 years _____ 3 years

II. EDUCATION:

This section will require you to provide information on your past formal, non-formal and informal learning
experiences.

1. Formal Education
Inclusive Dates of
Course/Degree Program Name of School/Address
Attendance

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Property of CHED-ETEEAP
Note : All entries should be supported by authenticated photocopy of appropriate certificates/documents obtained
from the institution through the program.

2. Non-Formal Education
Non-formal education refers to structured and short-term training programs conducted for a particular
purpose such as skills development, values orientation, and the like.
Inclusive Dates of
Title of Training Program Title of Certificate Obtained
Attendance

Note : All entries should be supported by authenticated photocopy of appropriate certificates/documents obtained
from the institution through the program.

3. Other Certification Examinations


Please give detailed information on certification examinations taken for vocational and other skills.
Title of Certification Name/Address of
Date Certified Rating
Examination Certifying Agency

Note : All entries should be supported by authenticated photocopy of appropriate certificates/documents obtained
from the institution through the program.

III. PAID WORK AND OTHER EXPERIENCES

1. Post/Designation
_____________________________________________
2. Inclusive Dates of Employment
From : __________________ to __________________
3. Name and Address of Company
__________________________________________________
__________________________________________________
4. Terms/Status of Employment
______________________________
5. Name and Designation of Immediate Supervisor
_______________________________________________
_______________________________________________
6. Reason(s) for moving on to the next job.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
7. Describe actual functions and responsibilities in position occupied:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
8. In case of self-employment, name three (3) reference persons:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Note : Use another sheet if necessary, following the above format.

IV. HONORS, AWARDS, AND CITATIONS RECEIVED

In this section, please describe all the awards you have received from schools, community and civic
organizations, as well as citations for work excellence, outstanding accomplishments, community service, etc.

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1. Academic Award
Name and Address of Conferring
Award Conferred Date Awarded
Organization

2. Community and Civic Organization Award/Citation


Name and Address of Conferring
Award Conferred Date Awarded
Organization

3. Work Related Award/Citation


Name and Address of Conferring
Award Conferred Date Awarded
Organization

V. CREATIVE WORKS AND SPECIAL ACCOMPLISHMENTS

In this section, enumerate the various creative works you have accomplished and other special
accomplishments. Examples of these are inventions, published and unpublished literary fiction and non-fiction
writings, musical work, products of visual performing arts, exceptional accomplishments in sports, social, cultural
and leisure activities, etc. which can lead one to conclude the level of expertise you have obtained on certain fields
of interest. Include also participation in competitions and prizes obtained.

1. Description : ___________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

2. Date Accomplished : ________________________

3. Name and Address of Publishing Agency (if written, published work), or an


Association/Institution which can attest to the quality of the work.
_____________________________________________________
_____________________________________________________
Note : Use additional sheet if necessary, following the same format.

VI. LIFELONG LEARNING EXPERIENCE

In this section, please indicate the various life experiences from which you must have derived some learning
experience. Please include here unpaid volunteer work.

1. Hobbies/Leisure Activities
Leisure activities which involve rating of skills for competition and other purposes (e.g. “belt concept in
Tae-kwon-do) may also indicate your level for ease in evaluation. On the other hand, watching Negosiyete on
a regular basis can be considered a learning opportunity.
_______________________________________________________________________________________
_______________________________________________________________________________________

2. Special Skills
Note down those special skills you think must be related to the field of study you want to pursue.
_______________________________________________________________________________________
_______________________________________________________________________________________

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Work-Related Activities
Some work-related activities are occasions for you to learn something new. For example, being assigned
to projects beyond your usual job description where you learned new skills and knowledge. Please do not
include formal training programs you already cited. However, you may include here experiences that can be
classified as on-the-job training or apprenticeship.
_______________________________________________________________________________________
_______________________________________________________________________________________

Volunteer Activities
List only volunteer activities that demonstrate learning opportunities, and are related to the course you
are applying for credit. (e.g. counseling programs, sports coaching, project organizing or coordination,
organizational leadership, and the like)
_______________________________________________________________________________________
_______________________________________________________________________________________

Travels : Cite places visited and purpose of travel


Include a write-up of the nature of travel undertaken, whether for leisure, employment, business or other
purposes. State in clear terms what new learning experience was obtained from these travels and how it helped
you become a better person.

VII. To sum up please write an essay on how your attaining a degree contribute to your personal development, your
community, your workplace, society, and country.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
________________________________________________________

I declare under oath that, the foregoing claims and information I have disclosed are true and correct.
Done in ________________________________, on this ______ day of ________________________.

Signed :

____________________________________________
Printed Name and Signature of Applicant

Community Tax Certificate ________________________


Issued on _____________________________ at ____________________________

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Property of CHED-ETEEAP
What is the ETEEAP?
Qualifications of a Candidate The Expanded Tertiary Education Equivalency and
Accreditation Program (ETEEAP) is an educational
The basic qualifications of the candidate are the assessment scheme that recognizes knowledge, skills,
minimum criteria for an applicant to qualify for and prior learning obtained by individuals from non-
admission to the program. The deputized HEIs have the formal and informal education experiences. By
prerogative to add on to these their own admission establishing equivalency competence standards and a
criteria. comprehensive assessment system employing written
test, interview, skills demonstration and other creative
1. The candidate must be a Filipino citizen. assessment methodologies, higher education
2. The candidate must possess a high school diploma institutions may administer competency-based
or the PEPT placement equivalent to first year evaluation. A Panel of Assessors is convened to
college. determine the candidate’s knowledge, skills and
The candidate must have graduated from high school or attitudes relevant to a particular discipline, and the
obtained a PEPT placement at first year college. This administering higher education institution awards
ensures that competencies for basic skills and functional appropriate equivalency credit or academic degree to
knowledge must have been obtained in preparation for successful candidate
tertiary level education.
3. The candidate must have been employed for an The mandate to implement the Program is
aggregate of five (5) years in industry related to the embodied in Executive Order 330 issued by President
academic degree program or discipline he is vying Fidel V. Ramos on May 10, 1996 as an offshoot of the
for. recommendation of the First Employment Summit in
The candidate must demonstrate substantial experience September 1995.
in the field related to the degree program. He must have
experiences in decision-making and planning, some CHECKLIST OF DOCUMENTS REQUIRED FOR
supervisory responsibilities, and opportunity to INDIVIDUAL APPLICANTS
function within an organization.
4. The candidate must be at least 25 years old. He/She  1x1 ID picture (original)
must present a birth certificate to support the claim.  NSO authenticated birth certificate
The candidate must be mature and responsible in order
 Barangay clearance/ NBI clearance/
to succeed in the rigorous process of assessment. He/She
Passport
must be able to cope with the discipline required in the
 Service Record / Certificate of Employment
alternative learning program should he/she opt to avail
 Most recent academic record/diploma
of the competency enhancement scheme.
5. The candidate must be proficient in a branch of the  Comprehensive resume
discipline applied for. To validate this, he must  Certificates of training and workshops
submit any of the following evidences: 1) certificate completed
of proficiency issued by the government regulatory  Certificates of individual proficiency in the
body, 2) certificate of proficiency issued by the discipline or field of interest
employer(s), 3) certificate of proficiency issued by  Other documents or evidence of capability
a licensed practitioner in the field (where and knowledge in the field applied for
applicable), or 4) a business registration certificate. equivalency and accreditation
The candidate must show a certification that he has  Accomplished ETEEAP application form (2
achieved a certain level of competence in the discipline copies)
for which he/she aspires a degree. Furthermore, the HEIs
shall authenticate the documents before these are Note: Submit photocopy of all required documents in a
accepted as valid certification of a candidate’s folder
proficiency.
The certificate of proficiency in some fields can be THE ETEEAP TECHNICAL SECRETARIAT
obtained from the Technical Education and Skills Office of Programs and Standards
Development Authority (TESDA). The Professional Commission on Higher Education
Regulation Commission also gives licensure 3rd Flr., CHED-HEDC Bldg.,
examinations for certain technician occupations. CP Garcia Avenue corner University Ave.,
Presentation of authentic certificates from any of these UP Campus, Diliman, Quezon City
two bodies shall be considered a straightforward
compliance of this requirement. Tel No: +632-441-1231
6. Ability of the candidate to submit an accomplished
ETEEAP Application Form. For additional information, please check our
The ETEEAP Application Form is a package of website at http://www.ched.gov.ph, click on Projects
information intended to assist the HEI faculty and staff and Programs.
to determine whether the applicant is eligible or not for
the program.

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