CERTIFICATE OF PROGRAM COMPLIANCE
SELF-EVALUATION DOCUMENT
Name of HEI : Cagayan State University-Carig Campus
Address : Carig, Tuguegarao City, Cagayan
Program Being Applied For : Bachelor of Science in Geodetic Engineering
Academic Year : SY 2023-2024
No. DOCUMENTS With W/O REMARKS
1 HEI’s application letter duly signed by Chairman of Board
of Trustees/President or authorized representative
including notarized affidavit
2 For private HEI: Articles of Incorporation and By-Laws duly
registered with Securities and Exchange Commission
For local college: Copy of original Ordinance approving
establishment
For SUCs: Copy of Charter
3 Copy(ies) of Transfer of Certificate(s) Title (TCT)/Lease
Contract/Ownership of School Building
4 Certificate of Occupancy for building(s) to be used in the
name of HEI and indicated for educational purpose issued
by City/Municipality’s Office of Building Officials
5 Feasibility study to include:
Brief description of proposed program
Institutional mandate & philosophy and goals of pro-
posed program
Management viability such as:
o Management capability and administrative compe-
tence as reflected in Organizational chart and qualifi-
cations of Management personnel
Market viability in terms of:
o Demand for graduates/employment opportunities (at
least in the next 5 years)
o Prospective students (enrollment projection)
o Presence of existing higher education institutions
(HEIs) offering same course within the area
Financial viability in terms of sustainability of operation
such as:
o Financial soundness
o Projected income and expenditure
o Schedule of proposed tuition & other fees
Other operational aspects
o Location of schools in relation to factors that are not
conducive to learning such cockpits, dancing halls,
bars or recreational places of questionable character,
bowling alleys, movie houses, markets, garbage
dumps, funeral parlors, jails, cemeteries and others
6 School Administrators (President, Vice President(s),
Director(s), Dean(s), Program Chair(s)/Head(s),
Coordinator(s), etc.)
a. Spreadsheet should include following information:
Name
Position/Designation
Educational qualifications (where and when
obtained)
Professional License Number & Expiration date (if
applicable)
Nature of appointment (permanent/temporary)
Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of Resume/Curriculum Vitae
e. Copy of notarized appointment/contract of employment
(to be submitted if already hired)
f. Letter of commitment (if not yet hired but to submit
notarized appointment/contract before issuance of initial
permit/recognition)
g. Approved resignation from previous employer (to be
submitted before issuance of initial permit/recognition)
7 Faculty Members
a. Spreadsheet should include following information
(separate spreadsheet for faculty handling General
Education subjects and Professional subjects):
Name
Educational qualifications (where and when
obtained)
Professional License Number & Expiration date (if
applicable)
Field of specialization
Subjects to be taught
Nature of appointment (permanent/temporary)
Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of Resume/Curriculum Vitae
e. Copy of notarized appointment/contract of employment
(to be submitted if already hired)
f. Letter of commitment (if not yet hired but to submit
notarized appointment/contract before issuance of initial
permit/recognition)
g. Approved resignation from previous employer (to be
submitted before issuance of initial permit/recognition)
8 Non-teaching personnel (Registrar, Guidance Counselor,
Administrative staff, etc.)
a. Spreadsheet should include following information:
Name
Educational qualifications (where and when
obtained)
Professional License Number & Expiration date (if
applicable)
Nature of appointment (permanent/temporary)
Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of notarized appointment/contract of employment
9 Curriculum
Distribution of subjects per term
Summary of units
Course description (by subject)
Course Syllabus (by subject)
10 Library
a. Librarian (copy of Transcript of Record, appointment,
professional license)
b. Facilities (floor space in sq. m.) – to include pictures
c. Seating capacity (combined number of students &
faculty at one time)
d. Library collections (books, journals, magazines,
dictionaries, almanacs, etc.)
List of 5 non- duplicated book titles per subject in
the curriculum published within the last 5 years
List of book collections/accessioned books
o Start-up -3,000 library collections (for initial
permit)
o Minimum of 5,000 library collections (for
recognition)
List of subscription to relevant professional journals
Note: List should be in spreadsheet to include author, title
of book, year of publication and number of volumes
11 Physical facilities to be used exclusively for tertiary
programs (to include pictures)
School site
Total floor area (in sq. m.)
Buildings
Number & size of classrooms/ lecture rooms
Number & types of laboratories
Note: Refer to PSG for the Program applied for
12 List of equipment and other instructional devices/aids
13 Support facilities
Audio visual room
Sports and recreational, if outsourced to include
notarized MOA
Canteen
Faculty lounge
Student lounge
14 Support services
a. Guidance and counseling
b. Medical and dental services for students and faculty, if
outsourced to include notarized MOA
15 NSTP
a. Coordinator (copy of Transcript of Record &
appointment)
b. NSTP office
c. Affiliation to Accredited NSTP Provider, if outsourced, to
include notarized MOA
16 School bond in the amount of One Hundred Thousand
Pesos (P100,000.00) per CHED AO No. 4 s.2014
17 Application fee in the amount of eight thousand pesos
(P8,000) in cash or check payable to CHED Caraga
per CHED AO No. 4 s.2014
18 Inspection fee in the amount of Fifteen Thousand Pesos
(P15,000) in cash or check payable to CHED Caraga
per CHED AO No. 4 s.2014
CSU Application Letter
CSU Charter
Copies of Transfer
Certificates Title
Certificate of
Occupancy
Feasibility Study
6.School Administrators
7.Faculty Members
8.Non-Teaching
Personnel
Laboratory Personnel
9.Curriculum
10.Library
11.Physical Facilities
12. List of equipment
and other instructional
devices/aids
13.Support Facilities
14. Support Services
15. NSTP
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
CSU Charter
