ETEEAP Application Form
ETEEAP Application Form
INSTRUCTION:
Please type or clearly print your answers to all questions. Provide complete and detailed
information required by the questionnaire. All the declarations that you make are under oath.
Discovery of any false claim in this application form will disqualify you from participating in the
program.
I.
PERSONAL INFORMATION
1. NAME (Last Name, First Name, Middle Name)
____________________, _______________________, ____________________
2. Address : ________________________________________________________
Zip Code : _______________
3.
4.
5.
6.
7.
8.
_____ 1 year
_____ 3 years
_____ 4 years
II.
EDUCATION:
This section will require you to provide information on your past formal, nonformal and informal learning experiences.
1. Formal Education
Course/Degree Program
Name of School/Address
Inclusive Dates of
Attendance
Title of Certificate
Obtained
Inclusive Dates of
Attendance
Name/Address of
Certifying Agency
Date Certified
Rating
to
__________________
______________________________
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:
_________________________________________________
_________________________________________________
_________________________________________________
IV.
Date Awarded
Date Awarded
Date Awarded
V.
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unpublished literary fiction and non-fiction writings, musical work, products of visual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.
__________________________________________________________________________________
__________________
5. 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 ____________________________
The basic qualifications of the candidate are the minimum criteria for an applicant to
qualify for admission to the program. The deputized HEIs have the prerogative to add on to
these their own admission criteria.
1.
2.
3.
The candidate must possess a high school diploma or the PEPT placement equivalent to
first year college.
The candidate must have graduated from high school or obtained a PEPT placement at
first year college. This ensures that competencies for basic skills and functional
knowledge must have been obtained in preparation for tertiary level education.
The candidate must have been employed for an aggregate of five (5) years in industry
related to the academic degree program or discipline he is vying for.
The candidate must demonstrate substantial experience in the field related to the
degree program. He must have experiences in decision-making and planning, some
supervisory responsibilities, and opportunity to function within an organization.
The candidate must be at least 22 years old. He/She must present a birth certificate to
support the claim.
The candidate must be mature and responsible in order to succeed in the rigorous
process of assessment. He/She must be able to cope with the discipline required in the
alternative learning program should he/she opt to avail of the competency enhancement
scheme.
4.
5.
The candidate must be proficient in a branch of the discipline applied for. To validate
this, he must submit any of the following evidences: 1) certificate of proficiency issued
by the government regulatory body, 2) certificate of proficiency issued by the
employer(s), 3) certificate of proficiency issued by a licensed practitioner in the field
(where applicable), or 4) a business registration certificate.
The candidate must show a certification that he has achieved a certain level of
competence in the discipline for which he/she aspires a degree. Furthermore, the HEIs
shall authenticate the documents before these are accepted as valid certification of a
candidates proficiency.
The certificate of proficiency in some fields can be obtained from the Technical
Education and Skills Development Authority (TESDA). The Professional Regulation
Commission also gives licensure examinations for certain technician occupations.
Presentation of authentic certificates from any of these two bodies shall be considered a
straightforward compliance of this requirement.
Ability of the candidate to submit an accomplished ETEEAP Application Form.
The ETEEAP Application Form is a package of information intended to assist the HEI
faculty and staff to determine whether the applicant is eligible or not for the program.