Republic of the Philippines

Office of the President

COMMISSION ON HIGHER EDUCATION
Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP)

ETEEAP APPLICATION FORM 1 x 1 ID

Picture
(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

1. NAME (Last Name, First Name, Middle Name)

PENSADER, BILLYNDA GRACIA, ESPIRITU
2. Address : #22 SAMPAGUITA ST. SACRED HAERT SUBD.,BRGY. 11 LUCENA CITY
Zip Code : 4301
3. Telephone No(s). : 09218054047
4. Birth Date : AUGUST 18, 1984
5. Birthplace : LUCENA CITY
6. Civil Status : SINGLE
7. Sex : FEMALE Nationality : FILIPINO
8. Languages and Dialects Spoken : TAGALOG,ENGLISH AND SOME ILONGGO
9. Degree Program or field being applied for :
First Priority : AB ECONOMICS
Second Priority : BS PUBLIC ADMINISTRATION
Third Priority : BS POLITICAL SCIENCE
10. Statement of your goals/objectives/purposes in applying for the degree.
PERSONALITY & PROFESSIONAL DEVELOPMENT ARE MY GOALS & OBJECTIVES SINCE
THIS PROGRAM WILL ENHANCE MY KNOWLEDGE FOR FURTHER IMPROVING THE
DELIVERY OF PUBLIC SERVICE.
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.
I AM WILLING TO SPEND MY WEEKENDS AND IF NEEDED, WILLING TO FILE LEAVE OF
ABSENCE, AS PER CIVIL SERVICE RULES AND REGULATIONS.
12. For overseas applicants, describe how you plan to obtain accreditation/equivalency. (e.g. when you plan to
come to the Philippines)
_N/A__________________________________________________________________________________
_______________________________________________________________________________________
___
13. How soon do you need to complete equivalency/accreditation?
_____ less than one (1) year __✔___ 1 year
_____ 2 years _____ 3 years

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
FOOD & BEVERAGE TECHNOLOGY SLPC-LUCENA DUAL TRAINING & LIVELIHOOD
CENTER 2003-2004 - 1ST SEM
BS EDUCATION SACRED HEART COLLEGE/LUCENA 2003-2004 - 2ND SEM
Page 1 of 6
Property of CHED-ETEEAP
 AB COMMUNICATION ARTS SACRED HEART COLLEGE/LUCENA 2004-2005 - 1ST SEM
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.
Inclusive Dates of
Title of Training Program Title of Certificate Obtained
Attendance
REFLEXOLOGY CERTIFICATE IN REFLEXOLOGY MARCH-MAY 2001
CAREGIVING CERTIFICATE IN CAREGIVING NC II 2008-2009 -1ST SEM
BREAD MAKING-NC II TRAINING CERTIFICATE NOVEMBER 2018
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

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
ADMINISTRATIVE AIDE III;UTILITY WORKER II/CITY GENERAL SERVICES OFFICE
2. Inclusive Dates of Employment
From : SEPT. 9, 2014 to PRESENT
3. Name and Address of Company
CITY GOVERNMENT OF LUCENA - LUCENA CITY GOVERNMENT COMPLEX
BRGY. KANLURANG MAYAO, LUCENA CITY
4. Terms/Status of Employment
_______PERMANENT_______________________
5. Name and Designation of Immediate Supervisor
ROSALINA M. CASTILLO
OIC- CITY GSO
6. Reason(s) for moving on to the next job.
PROMOTION FROM AIDE 1 TO AIDE 3
7. Describe actual functions and responsibilities in position occupied:
ADMINISTRATIVE, CLERICAL,LIASON WORKS
8. In case of self-employment, name three (3) reference persons:
__N/A__________________________________________________________
____________________________________________________________
____________________________________________________________
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.

Page 2 of 6
Property of CHED-ETEEAP
 1. Academic Award
Name and Address of Conferring
Award Conferred Date Awarded
Organization
N/A

2. Community and Civic Organization Award/Citation

Name and Address of Conferring
Award Conferred Date Awarded
Organization
BASIC LIFE SUPPORT PHIL. NATIONAL RED CROSS JUNE 30-JULY1, 2008
STANDARD FIRST AID PHIL. NATIONAL RED CROSS SEPT. 25-OCT. 9, 2008
FACILITATOR CITY LIBRARY APRIL 24-28,2017

3. Work Related Award/Citation

Name and Address of Conferring
Award Conferred Date Awarded
Organization
N/Z

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 : CERTIFICATEOF APPRECIATION GIVEN BY THE CITY GOVERNMENT OF

LUCENA FOR VOLUNTEER ACTIVITY DURING TYPHHON GLENDA

2. Date Accomplished : 28TH DAY OF JULY 2014

3. Name and Address of Publishing Agency (if written, published work), or an

Association/Institution which can attest to the quality of the work.
____N/A_________________________________________________
_____________________________________________________
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 in evaluation. On the other hand, watching Negosiyete
on a regular basis can be considered a learning opportunity.
SILVER MEDALIST IN SWIMMING, COOKING PASTA AND BAKING CAKES AND COOKIES

2. Special Skills
Note down those special skills you think must be related to the field of study you want to pursue.
CLERICAL WORKS, ADMINISTRATIVE WORKS AND COMMUNITY VOLUNTEER

Page 3 of 6
Property of CHED-ETEEAP
 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)
_______________________________________________________________________________________
_______________________________________________________________________________________

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 ____________________________

Page 4 of 6
Property of CHED-ETEEAP
 What is the ETEEAP?

Page 5 of 6
Property of CHED-ETEEAP
 Qualifications of a Candidate The Expanded Tertiary Education Equivalency
and Accreditation Program (ETEEAP) is an
The basic qualifications of the candidate are the educational assessment scheme that recognizes
minimum criteria for an applicant to qualify for knowledge, skills, and prior learning obtained by
admission to the program. The deputized HEIs have individuals from non-formal and informal education
the prerogative to add on to these their own admission experiences. By establishing equivalency competence
criteria. standards and a comprehensive assessment system
employing written test, interview, skills demonstration
1. The candidate must be a Filipino citizen. and other creative assessment methodologies, higher
2. The candidate must possess a high school education institutions may administer competency-
diploma or the PEPT placement equivalent to first based evaluation. A Panel of Assessors is convened to
year college. determine the candidate’s knowledge, skills and
The candidate must have graduated from high school or attitudes relevant to a particular discipline, and the
obtained a PEPT placement at first year college. This administering higher education institution awards
ensures that competencies for basic skills and appropriate equivalency credit or academic degree to
functional knowledge must have been obtained in successful candidate
preparation for tertiary level education.
3. The candidate must have been employed for The mandate to implement the Program is
an aggregate of five (5) years in industry related to embodied in Executive Order 330 issued by President
the academic degree program or discipline he is Fidel V. Ramos on May 10, 1996 as an offshoot of the
vying for. recommendation of the First Employment Summit in
The candidate must demonstrate substantial experience September 1995.
in the field related to the degree program. He must have
experiences in decision-making and planning, some CHECKLIST OF DOCUMENTS REQUIRED FOR
supervisory responsibilities, and opportunity to INDIVIDUAL APPLICANTS
function within an organization.
4. The candidate must be at least 25 years old.  1x1 ID picture (original)
He/She must present a birth certificate to support  NSO authenticated birth certificate
the claim.  Barangay clearance/ NBI clearance/
The candidate must be mature and responsible in order Passport
to succeed in the rigorous process of assessment.  Service Record / Certificate of Employment
He/She must be able to cope with the discipline  Most recent academic record/diploma
required in the alternative learning program should  Comprehensive resume
he/she opt to avail of the competency enhancement
 Certificates of training and workshops
scheme.
completed
5. The candidate must be proficient in a branch of
 Certificates of individual proficiency in the
the discipline applied for. To validate this, he
discipline or field of interest
must submit any of the following evidences: 1)
certificate of proficiency issued by the government  Other documents or evidence of capability
regulatory body, 2) certificate of proficiency and knowledge in the field applied for
issued by the employer(s), 3) certificate of equivalency and accreditation
proficiency issued by a licensed practitioner in the  Accomplished ETEEAP application form (2
field (where applicable), or 4) a business copies)
registration certificate.
The candidate must show a certification that he has Note: Submit photocopy of all required documents in a
achieved a certain level of competence in the discipline folder
for which he/she aspires a degree. Furthermore, the
HEIs shall authenticate the documents before these are THE ETEEAP TECHNICAL SECRETARIAT
accepted as valid certification of a candidate’s Office of Programs and Standards
proficiency. Commission on Higher Education
The certificate of proficiency in some fields can be 3rd Flr., CHED-HEDC Bldg.,
obtained from the Technical Education and Skills CP Garcia Avenue corner University Ave.,
Development Authority (TESDA). The Professional UP Campus, Diliman, Quezon City
Regulation Commission also gives licensure
examinations for certain technician occupations. Tel No: +632-441-1231
Presentation of authentic certificates from any of these
two bodies shall be considered a straightforward For additional information, please check our
compliance of this requirement. website at http://www.ched.gov.ph, click on Projects
6. Ability of the candidate to submit an and Programs.
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.

Page 6 of 6
Property of CHED-ETEEAP