Document Code: OETEEAP-F-EAF

Document Title: Page No: 1 of 9

MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

ETEEAP APPLICATION FORM

INSTRUCTIONS: 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)

Penetrante, Carlo Bryann, Jumaquio
2. Address : 19 D. Camus Ext., Brgy. San Agustin, Malabon City
Zip Code : 1470
3. Telephone No(s). : 83743651
4. Mobile Number: 09279674262
5. Email address: [email protected]
6. Messenger: m.me/engrcarlobryann
7. Age: 29 years old
8. Birth Date : March 26, 1994
9. Birthplace : Caloocan City
10. Civil Status : Single
11. Sex : Male Nationality : Filipino
12. Languages and Dialects Spoken : Filipino and English

13. Degree Program or field being applied for :

First Priority : Bachelor of Science in Civil Engineering

Second Priority : ____________________________________________
Third Priority : ____________________________________________

14. Statement of your goals, objectives or purposes in applying for the degree.

The goal of my application is earn a degree in Civil Engineering wherein I can apply the
knowledge I have acquired thru the years of my experience in the Department of Public
Works and Highways and earn a spot regular position given the chance of passing civil
engineering thru ETEEAP program.

15. 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.
On weekdays, I can manage time for this program after my office hours (7am to 4pm) up to 9
pm. Also, on weekends I am willingly to devote my time from 8 am up to 5 pm.

16. For overseas applicants, describe how you plan to obtain accreditation/equivalency. (e.g.
when you plan to come to the Philippines)
Not Applicable_____________________________________________________________
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 2 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

___________________________________________________________________________
___________________________________________________________________________
How soon do you need to complete equivalency/accreditation?

_ less than one (1) year  1 year

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
Bachelor of Science in University of the East – June 2011 to April
Electrical Engineering Caloocan Campus/ 105 Samson 2016
Rd, Caloocan, Metro Manila

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
The 9 FLOOD PROTECTION The 9 FLOOD PROTECTION 06/15/2022
GUIDELINES FOR GUIDELINES FOR
ARCHITECTS AND ENGINEERS ARCHITECTS AND ENGINEERS
IIEE METRO NORTH CHAPTER IIEE METRO NORTH CHAPTER 06/11/2022
MIDYEAR GENERAL MIDYEAR GENERAL
MEMBERSHIP MEETING MEMBERSHIP MEETING
WASTE ELECTRICAL AND WASTE ELECTRICAL AND 01/08/2022
ELECTRONIC EQUIPMENT ELECTRONIC EQUIPMENT
MANAGEMENT WITH THE MANAGEMENT WITH THE
TOPIC: DISPOSAL OF TOPIC: DISPOSAL OF
ELECTRICAL DEVICES AND ELECTRICAL DEVICES AND
OTHER ENVIRONMENTAL OTHER ENVIRONMENTAL
HAZARDS HAZARDS
RA 11361 ANTI OBSTRUCTION RA 11361 ANTI OBSTRUCTION 09/18/2021
OF POWER LINES ACT OF POWER LINES ACT
RAPID SHUTDOWN OF SOLAR RAPID SHUTDOWN OF SOLAR 08/21/2021
PV SYSTEMS ON BUILDINGS PV SYSTEMS ON BUILDINGS
6TH IIEE-CDO TECHNICAL 6TH IIEE-CDO TECHNICAL 08/14/2021
WEBINAR (INTRODUCTION TO WEBINAR
SCADA)
LIGHTING CALCULATIONS LIGHTING CALCULATIONS 07/24/2021
VIA DIALUX VIA DIALUX
BASIC MOTOR CALCULATION BASIC MOTOR CALCULATION 07/18/2021
(BASED ON PEC 2017) (BASED ON PEC 2017)

INTRODUCTION TO IEC61850 INTRODUCTION TO IEC61850 07/11/2021

PROTOCOL& ITS & ITS APPLICATION TO
APPLICATION TO POWER POWER
METERS METERS
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 3 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

ROLE OF SAFETY OFFICER IN ROLE OF SAFETY OFFICER IN 07/03/2021

THE WORKPLACE THE WORKPLACE
IIEE BULACAN- MID YEAR IIEE BULACAN- MID YEAR 06/19/2021
GENERAL MEMBERSHIP GENERAL MEMBERSHIP
MEETING (GMM) MEETING (GMM)
ARC FLASH HAZARD RISK ARC FLASH HAZARD RISK 06/04/2021
ASSESSMENT: CHANGES ASSESSMENT: CHANGES
FROM IEEE1584-2002 TO IEEE FROM IEEE1584-2002 TO IEEE
1584-2018 1584-2018
ELECTRICAL SAFETY ELECTRICAL SAFETY 05/29/2021
PERFORMANCEMETRICS PERFORMANCEMETRICS
PROCESS AND PROCESS AND 05/01/2021
CONSIDERATIONS IN CONSIDERATIONS IN
ELECTRICAL DESIGN FOR ELECTRICAL DESIGN FOR
HIGH RISE BUILDINGS AND HIGH RISE BUILDINGS AND
MIXED USED MIXED USED
SHORT CIRCUIT SHORT CIRCUIT 04/23/2021
CALCULATION CALCULATION
IIEE @ 44th: DISTINCTIVE IIEE @ 44th: DISTINCTIVE 11/30/2019
JOURNEY IN ADVANCING JOURNEY IN ADVANCING
GLOBAL COMPETITIVENESS GLOBAL COMPETITIVENESS
TECHNICAL LECTURES AND TECHNICAL LECTURES AND 11/26/2017
WORKSHOPS ON ELECTRICAL WORKSHOPS ON ELECTRICAL
CONSTRUCTION AND CONSTRUCTION AND
IMPLEMENTATION OF A IMPLEMENTATION OF A
PROJECT PROJECT
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
Examination Certifying Agency
Electrical Engineering Philippine Regulatory September 20, 79.6%
Board Examination Commission 2016
Career Service Civil Service Commission November 11, 80.73%
Examination Test 2018
(Professional Level)

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
Engineer II

2. Inclusive Dates of Employment

From: November 2, 2016 to Present

3. Name and Address of Company

Department of Public Works and Highways/ 2nd St., Port Area, Manila

4. Terms/Status of Employment
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 4 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

Contract of Service

5. Name and Designation of Immediate Supervisor

Engr. Alberto P. Mandanas Jr., Engineer IV

6. Reason(s) for moving on to the next job.

For growth and betterment of my career.

7. Describe actual functions and responsibilities in position occupied:

a) Assist the Immediate Supervisor and/or the Project Engineer in the following
technical/engineering works, to wit;
a.1. Overall supervision of field operation.
a.2. Conduct of field survey inspection at the project site to ensure that the works are in
accordance with the plans and specifications.
a.3. Preparation of Estimates, Program of Works (POW), Detailed Unit Price Analysis
(DUPA), Specifications and Design Plans, Statement of Work Accomplished (SWA),
Physical/Financial Status, etc.
b) Perform other duties that may be assigned by the Immediate Supervisor/Engineer, from
time to time.

8. In case of self-employment, name three (3) reference persons; including their current
addresses and contact numbers.
Not Applicable

Note : Use another sheet if necessary, following the above format.

IV. HONORS, AWARDS, AND CITATIONS RECEIVED

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
Not Applicable Not Applicable Not Applicable

2. Community and Civic Organization Award/Citation

Name and Address of Conferring

Award Conferred Date Awarded
Organization
Not Applicable Not Applicable Not Applicable
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 5 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

3. Work Related Award/Citation

Name and Address of Conferring

Award Conferred Date Awarded
Organization
Not Applicable Not Applicable Not Applicable

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: Preparation of Short Circuit and Voltage Drop Analysis Program thru excel.
2. Date Accomplished : May 15, 2017
3. Name and Address of Publishing Agency (if written, published work), or an
Association/Institution which can attest to the quality of the work.
Not Applicable_____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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 of evaluation. On the other
hand, watching Negosiyete on a regular basis can be considered a learning opportunity.
Driving and reading of information thru websites (i.e. Wikipedia) on things we encounter on
our daily lives.

2. Special Skills

Note down those special skills which you think must be related to the field of study you want
to pursue.
Computer aided drafting thru Autocad.

Work-Related Activities
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 6 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

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 which can be classified as on-the-job training or
apprenticeship.
Witnessing slump test, process billing of the contractor, draft bidding documents for
upcoming projects, draft department and special orders and site inspections related to
structures and pumping stations.

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)
Project coordination between DPWH and consultants.

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.

I was recently in Morong, Bataan for leisure purposes and I noticed the effects of
urbanization and commercialization of the area which damages the beauty of its seas and
greenery. Garbage in its beaches and tree-cutting to make way for real estate development is
what I saw during my visit. It come to my realization if we Filipinos have nature appreciation
thru discipline and less self-interest we as a nation will achieve self-sufficiency.

During my field trip to Ilocos Sur, Ilocos Norte, and Pangasinan for my undergraduate
degree. I have appreciated the structures I have seen to which I have motivated myself to be
involved in those future engineering marvels that draws likening to the constructions in the
area visited.

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?

By profession I’m an Electrical Engineer which make it harder for me to assume

positions and acquire designations necessary to develop my skills in the field I have
chosen. Attaining a degree in Civil Engineering will catapult my career into new heights
that will allow me to handle challenging responsibilities and tasks in the Department of
Public Works and Highways.

Since I’m working in the Unified Project Management Office – Flood Control
Management Cluster, I will be able to help change the way of living of those in low lying
areas especially in the CAMANAVA area where I also reside and experience heavy
flooding during the occurrence of typhoons by being deeply involved in the
implementations of flood mitigating projects. Giving guidance in the construction stages
of drainage programs to build inundation protections that will last which will result to
better dwelling conditions.

Thru this program, helping to build a livable community without having fears of
inundation in a season were raining is frequent will be attainable in smaller time frame as
it will give immediate impact in the lives of the Filipino people thru service as
government employee.
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 7 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

I declare under oath that, the foregoing claims and information I have disclosed are true and
correct. Done in ________________________________, on this ______ day of
________________________.

Signed :

CARLO BRYANN J. PENETRANTE

Printed Name and Signature of Applicant

Community Tax Certificate ________________________

Issued on _____________________________ at ____________________________
 Document Code: OETEEAP-F-EAF
Document Title: Page No: 8 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

What is the ETEEAP?

The Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP) is a

comprehensive program of identifying, assessing, validating and assigning equivalent undergraduate level
of prior learning from formal, non-formal and informal training and relevant work experiences and
completion of competency enrichment and other program requirements toward the final granting of
appropriate undergraduate academic degrees.

By establishing equivalency competence standards and a comprehensive assessment system

employing written test, interview, skills demonstration and other creative assessment methodologies,
higher education institutions may administer competency-based evaluation. A Panel of Assessors is
convened to determine the candidates’ knowledge, skills and attitudes relevant to a particular discipline,
and consequently equivalent credits and appropriate certificates and degrees are awarded by deputized
higher education institutions.

The mandate to implement the program is embodied in Executive Order 330 issued by President
Fidel V. Ramos on May 13, 1996 as an offshoot of the recommendation of the First Employment Summit
in September 1995.

1. Qualification of the Individual Applying for Equivalency and Accreditation.

1.1. Completion of secondary school program as evidenced by a high school diploma, or the
PEPT/ALS A & E result stating “qualified to enter first year college”;

The admission of individual applicants in relation to K-12 implementation, shall be based on the
following CHED Memorandum Orders (CMOs):

1.2. CMO No.10, s.2017 Policy on Students Affected by the Implementation of the K to
12 Program and the New General Curriculum

1.3. CMO No. 105 a. 2017: Policy on the Admission of Senior High School Graduates to
the Higher Education Institutions Effective Academic Year 2018-2019

1.4. CMO No.10, s.2018 Policy on Alternative Learning System Completers and
Passers of the A & E Test in Relation to the implementation of the K to 12 Basic
Education Program Memorandum from the Chair entitled: Accommodation of
Lifelong Learners in College for 2017-2018 and SY 2018-2019 (June 13,2017)

1.5. A Filipino and at least twenty-three (23) years old as supported by a PSA
authenticated birth certificate.

1.6. For an employed applicant, they should have an aggregate of at least five (5) years
in the industry related to the academic degree program or discipline where
equivalency of learning is sought; and

1.7. For an individual with proven competency/ies but currently unemployed, they
should submit a notarized service record or other corroborative documents such as
Income Tax Return (ITR), SSS, PhilHealth, and Pag-IBIG records and in the
absence of such proofs, pass the competency assessment administered as a pre-
qualifying requirement of the deputized higher education institution.

2. Application for Grant of Second Degree through ETEEAP.

 Document Code: OETEEAP-F-EAF
Document Title: Page No: 9 of 9
MANUEL S. ENVERGA UNIVERSITY FOUNDATION ETEEAP Application
Form
An Autonomous University Revision No.: 3
LUCENA CITY Effectivity Date: September 2022
Prepared by: OETEEAP
Reviewed by: QMR
Department: OFFICE OF THE EXPANDED TERTIARY EDUCATION Approved by: President
EQUIVALENCY AND ACCREDITATION PROGRAM (ETEEAP CENTER)

A bachelor’s degree holder may apply for equivalency and accreditation of prior and work-based
learning towards the grant of up to the second degree only; provided however, that such sources of
learning are related to the second degree being sought under ETEEAP.

3. Procedure for Application and Assessment of Learning.

The procedure for application and assessment of learning should consist, at a minimum, of the
following:

3.1. The individual applicant secures the application form from any deputized HEI, or downloads the
form from the CHED website, www.ched.gov.ph, submits the accomplished form, along with the
supporting evidences that established his/her qualifications for the program, and pays appropriate
application fees to a deputized HEI of his/her choice.

3.2. The accepting HEI reviews the application, interviews the applicant and informs him/her in writing of
the results of the review and interview.

3.3. Upon approval of the application, the deputized HEI requires the applicant (candidate) to prepare and
submit his/her portfolio with the assistance of the institution’s career counselor/adviser within an
agreed period of time. This portfolio should include descriptions of prior learning in the context of
learning outcomes. The employer concerned should certify all experiences cited by the candidate as
having been completed whole in employment;

3.4. Upon receipt of the portfolio, the HEI convenes a panel of assessors to conduct the evaluation. Tests
or other forms and instruments of assessments, e.g. interviews, actual demonstration of claimed
knowledge and skills, written examination, and others that are appropriate to the candidate’s needs
may be used as needed;

3.5. After completing the evaluation, the panel of assessors determines the amount of equivalent credit
that will be awarded to the candidate by matching the demonstrated training and learning from prior
learning of the candidate with the learning outcomes and standards of the subject or course for which
the candidate seeks accreditation and equivalency. A rubric or a similar tool shall be developed for
the purpose;

3.6. A candidate may choose from a variety of learning pathways including E-Learning, Mobile learning,
or Blended learning in the completion of his/her deficiencies while outside the institution’s physical
location. Institutions may use LMS and/or any mode of communication not limited to social media
facilitating the acquisition,completion not limited to social media facilitating the acquisition,
completion, and assessment of student’s learning.

3.7. The accomplished rubric or any situation or any similar instrument that documents the learning of the
candidates from prior learning should be maintained as permanent official record in the ETEEAP
Office of the institution.

3.8. After satisfying all the learning outcomes and appropriate assessment criteria for the course, and
having complied with the requirements prescribed by CHED and the institution for completion of the
course, the candidate is awarded the appropriate equivalency credit for an academic degree;

3.9. Graduates of the ETEEAP programs are qualified to take the appropriate licensure examinations,
unless otherwise provided by law.