Residential School
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.
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.