CHED Application Form
CHED Application Form
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
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.
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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.
Note: All entries should be supported by authenticated photocopy of appropriate certificates/documents obtained
from the institution through the program.
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.
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.
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1. Academic Award
Name and Address of Conferring
Award Conferred Date Awarded
Organization
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 : ___________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
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.
_______________________________________________________________________________________
_______________________________________________________________________________________
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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
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)
_______________________________________________________________________________________
_______________________________________________________________________________________
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
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What is the ETEEAP?
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