Residential School

Topics: Higher education, Academic degree, Tertiary education Pages: 8 (1663 words) Published: August 26, 2013
Republic of the Philippines
Office of the President
COMMISSION ON HIGHER EDUCATION
Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP)

ETEEAP APPLICATION FORM

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
Course/Degree Program|Name of School/Address|Inclusive Dates of Attendance| |||
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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. Title of Training Program|Title of Certificate Obtained|Inclusive Dates of 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 Examination|Name/Address of Certifying Agency|Date Certified|Rating| ||||

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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
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