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CHED Application Form

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Republic of the Philippines

Office of the President


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

1 x 1 ID Picture
ETEEAP APPLICATION FORM (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.

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_______________________________________________________________________________________
_____________________________________________________________________________
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

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
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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

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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.

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 : ___________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

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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.
_______________________________________________________________________________________
_______________________________________________________________________________________

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

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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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government regulatory body, 2) certificate of
proficiency issued by the employer(s), 3)
Qualifications of a Candidate certificate of proficiency issued by a licensed
practitioner in the field (where applicable), or 4)
The basic qualifications of the candidate are the a business registration certificate.
minimum criteria for an applicant to qualify for The candidate must show a certification that he
admission to the program. The deputized HEIs have has achieved a certain level of competence in
the prerogative to add on to these their own the discipline for which he/she aspires a
admission criteria. degree. Furthermore, the HEIs shall
authenticate the documents before these are
1. The candidate must be a Filipino citizen. accepted as valid certification of a candidate’s
2. The candidate must possess a high school proficiency.
diploma or the PEPT placement equivalent to The certificate of proficiency in some fields can
first year college. be obtained from the Technical Education and
The candidate must have graduated from high Skills Development Authority (TESDA). The
school or obtained a PEPT placement at first Professional Regulation Commission also gives
year college. This ensures that competencies licensure examinations for certain technician
for basic skills and functional knowledge must occupations. Presentation of authentic
have been obtained in preparation for tertiary certificates from any of these two bodies shall
level education. be considered a straightforward compliance of
3. The candidate must have been employed for an this requirement.
aggregate of five (5) years in industry related to 6. Ability of the candidate to submit an
the academic degree program or discipline he accomplished ETEEAP Application Form.
is vying for. The ETEEAP Application Form is a package of
The candidate must demonstrate substantial information intended to assist the HEI faculty
experience in the field related to the degree and staff to determine whether the applicant is
program. He must have experiences in eligible or not for the program.
decision-making and planning, some
supervisory responsibilities, and opportunity to What is the ETEEAP?
function within an organization.
4. The candidate must be at least 25 years old. The Expanded Tertiary Education Equivalency
He/She must present a birth certificate to and Accreditation Program (ETEEAP) is an
support the claim. educational assessment scheme that recognizes
The candidate must be mature and responsible knowledge, skills, and prior learning obtained by
in order to succeed in the rigorous process of individuals from non-formal and informal education
assessment. He/She must be able to cope with experiences. By establishing equivalency
the discipline required in the alternative learning competence standards and a comprehensive
program should he/she opt to avail of the assessment system employing written test,
competency enhancement scheme. interview, skills demonstration and other creative
5. The candidate must be proficient in a branch of assessment methodologies, higher education
the discipline applied for. To validate this, he institutions may administer competency-based
must submit any of the following evidences: 1) evaluation. A Panel of Assessors is convened to
certificate of proficiency issued by the determine the candidate’s knowledge, skills and

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attitudes relevant to a particular discipline, and the
administering higher education institution awards For additional information, please check our
appropriate equivalency credit or academic degree website at http://www.ched.gov.ph, click on
to successful candidate Projects and Programs.

The mandate to implement the Program is


embodied in Executive Order 330 issued by
President Fidel V. Ramos on May 10, 1996 as an
offshoot of the recommendation of the First
Employment Summit in September 1995.

CHECKLIST OF DOCUMENTS REQUIRED FOR


INDIVIDUAL APPLICANTS

1x1 ID picture (original)


NSO authenticated birth certificate
Barangay clearance/ NBI clearance/
Passport
Service Record / Certificate of
Employment
Most recent academic record/diploma
Comprehensive resume
Certificates of training and workshops
completed
Certificates of individual proficiency in
the discipline or field of interest
Other documents or evidence of
capability and knowledge in the field
applied for equivalency and accreditation
Accomplished ETEEAP application form
(2 copies)

Note: Submit photocopy of all required documents in


a folder

THE ETEEAP TECHNICAL SECRETARIAT


Office of Programs and Standards
Commission on Higher Education
3rd Flr., CHED-HEDC Bldg.,
CP Garcia Avenue corner University Ave.,
UP Campus, Diliman, Quezon City

Tel No: +632-441-1231

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