Scribd
Upload
210 views

CPD 6 Application Form

This document is an application for accreditation of a continuing professional development program submitted to the Professional Regulation Commission of the Philippines. It provides details of a proposed two-day orientation program for newly hired teachers in Sorsogon City, including the program objectives to increase teachers' mastery of roles and responsibilities, passion for teaching, and knowledge of government benefits. The program will be held on April 25-26, 2019 at Sorsogon Pilot Elementary School for 250 teachers. The application is submitted by the National Educators Academy of the Philippines and includes a checklist of required supporting documents for accreditation.

Uploaded by

Mj Ong Pierson
Copyright
© © All Rights Reserved
210 views

CPD 6 Application Form

This document is an application for accreditation of a continuing professional development program submitted to the Professional Regulation Commission of the Philippines. It provides details of a proposed two-day orientation program for newly hired teachers in Sorsogon City, including the program objectives to increase teachers' mastery of roles and responsibilities, passion for teaching, and knowledge of government benefits. The program will be held on April 25-26, 2019 at Sorsogon Pilot Elementary School for 250 teachers. The application is submitted by the National Educators Academy of the Philippines and includes a checklist of required supporting documents for accreditation.

Uploaded by

Mj Ong Pierson
Copyright
© © All Rights Reserved
You are on page 1/ 2

Professional Regulation Commission

APPLICATION FOR ACCREDITATION OF CPD PROGRAM

CPD Council for Professional Teachers


Part I. General Information
Name of Provider: NATIONAL EDUCATORS ACADEMY OF THE PHILIPPINES

Accreditation No.: 2017-115 Expiration Date: December 11, 2020

Contact Person: John Arnold S. Siena Designation: Director IV

Contact No.: 09498889501 Date of Application: January , 2019

Proposed Program:
/ Seminar Seminar/Workshop Residency Training Tours & Visits Others
Title of the Program: Orientation Teacher Induction Program

Date to be offered:  Time / Duration:


April 25-26, 2019 2 days

Place / Venue: No. of times program to be conducted:


Sorsogon Pilot Elementary School

Course Description: This is a two-day Orientation Pogram intended for Newly Hired Teachers of the DepEd Sorsogon
City.

Objectives:
Increase mastery on the roles and responsibilities of a Filipino teacher
Develop passion,dedication,creativity and love for teaching among thev participants
Increase the knowledge of teachers on the different welfare and benefits being offered by the government

Target Participants / No.: Registration / Seminar Fee to be collected: none


250 teachers
Part II. Acknowledgment
I HEREBY CERTIFY that the above information written by SUBSCRIBED AND SWORN to before me this _____ day
me are true and correct to the best of my knowledge and of _______________ 20__ at ____________________,
belief. I further authorize PRC and other agencies to affiant exhibited to me his/her valid government issued ID
investigate the authenticity of all the documents presented. _______________ issued at _______________ on
_______________.
JOHN ARNOLD S. SIENA
Signature Over Printed Name
Director IV _____________________________
Position (Notary Public)

Date:
Part III. Action Taken
Standards & Inspection Division – CPD: Cash Division:

Processed by: _______________ Amount : ______________


Date : _______________ O.R.No./Date : ______________
Issued by : ______________
Reviewed by:

OIC, Standards and Inspection Divison

SID-CPD-02
Rev. 01
July 26, 2016
Page 1 of 2
ACTION TAKEN BY THE CPD COUNCIL

Approved for _____ Credit Units Accreditation No. _______________


Disapproved
Deferred pending compliance ______________________________________
______________________________________________________________

______________________________
Chairperson

_____________________________ _____________________________
Member Member
Date____________________

PROCEDURE FOR ACCREDITATION OF CPD PROGRAM


Step 1. Secure Application Form at the Standards and Inspection Division counter (Window 3) or download
at PRC website (www.prc.gov.ph).
Step 2. Fill-out Application Form and comply the required documents. Application should be filed in three (3)
copies: One (1) original signed and two (2) photo copies with the complete requirements with folder
and fastener. (Please provide one (1) set for receiving copy)
Step 3. Proceed to Standards and Inspection Division processing window for evaluation and assessment.
Step 4. Pay prescribed fee (in cash, Postal Money Order, Manager’s Check, Bank Draft payable to
Professional Regulation Commission) of One Thousand Pesos (P 1,000.00) per offering of the
program.
Step 5. Submit Application Form with attached supporting documents and three (3) photocopies of official
receipt to the Standards and Inspection Division designated window.
CHECKLIST OF REQUIREMENTS
SUPPORTING DOCUMENTS
[ ] Specific course Objectives stating competencies to be gained from program
[ ] Evaluation tool specific to course objectives set
[ ] Program of Activities showing time/duration of topics/workshop
[ ] Resume of Speakers for program applied for, showing expertise in the topic/s; show certificates or
citations (if any)
[ ] Current Prof. ID of speaker if registered professional; if foreigner, current Special Temporary Permit,
if applicable
[ ] Breakdown of expenses for the conduct of the program
Additional Requirements:
[ ] Short brown envelope for the Certificate of Accreditation
[ ] One set of metered documentary stamps worth Twenty-Five Pesos (P25.00) to be affixed to the
Certificate of Accreditation. (Available at PRC Customer Service and PRC Regional Offices)
Note:
1. Application for accreditation should be filed 45 days before the offering of the program/training.
2. Representative/s filing application/s for accreditation and claiming the Certificate of Accreditation in
behalf of the applicant must present a letter of authorization and valid identification cards of both the
authorized signatory and the representative.
3. The period for processing the application is 45 days.
4. If additional requirement/s is/are needed, a period of 7 days is given to submit the same. Failure to
comply within the period shall be construed as abandonment of application and the prescribed fee shall
be forfeited in favor of the government.

SID-CPD-02
Rev. 01
July 26, 2016
Page 2 of 2

You might also like