COMMISSION ON HIGHER EDUCATION RO III

2009-01-12T11:05:00.003+08:00

Per CMO 01, s. 2009, CMO No. 05, s. 2008 otherwise known as "Policies and Standards for the Bachelor of Science in Nursing Program", is withdrawn effective end of School Year 2009-2010. Policies and Standards for the BSN program are being reviewed and HEIs offering the BSN program shall be informed by April 2009 of developments that shall be implemented effective School Year 2009-2010.

Regional Memos to Download

2008-11-03T13:57:00.002+08:00

CHEDRO III Memo No. 144, s. 2008
Subject: PROCEDURES ON SUSPENSION/REVOCATION OF GOVERNMENT AUTHORITY (PERMIT AND RECOGNITION) TO OPERATE TERTIARY PROGRAMS
Date: October 28, 2008
Links:
for page 1 please click here
for page 2 please click here

CHEDRO III Memo No. 145, s. 2008
Subject: National Training Program for NSTP Trainors on Community Based Immersion
Date: October 28, 2008
Link: please click here

CHEDRO III Memo No. 146, s. 2008
Subject: First Philippine-Latin American Conference on December 15-16, 2008 at the Pamantasan nf Lungsod ng Maynila (PLM), Intramuros, Manila and December 17, 2008 at the University of the Philippines, Diliman, Quezon City.
Date: October 28, 2008
Link: please click here

CHEDRO III Memo No. 147, s. 2008
Subject: Observance of the Drug Abuse Prevention and Control Week on November 9-15, 2008
Date: October 28, 2008
Link: please click here

Indefinite Postponement of the Zonal Orientation on the Implementing Guidelines of EO694

2008-09-26T14:16:00.006+08:00

Per Memorandum from the Officer-In-Charge, Office of the Executive Director dated September 24, 2008, please be informed that the Zonal Orientation on the Implementing Guidelines of Executive Order 694, "Enabling Higher Education Institutios to Opt to Ladderize their Education Programs without Need for Issuance of Permit from the Commission on Higher Education and the Technical Education and Skills Development Authority," of Regions I, II, II, IVA, IVB, NCR and CAR on October 2, 2008 at the Hotel Supreme was postpones. The rescheduled date and venue shall be announced later.

Reference: Memorandum from the OIC, Office of the Executive Director

National Medical Admission Test (NMAT)

2008-09-26T13:51:00.003+08:00

Per letter of the Center for Educational Measurement, Inc., please be informed that the National Medical Admission Test (NMAT) will be administered in Manila, Cebu, Iloilo, Cagayan De Oro, Zamboanga and Dagupan on December 14, 2008. Registration will be from September 15 to November 14, 2008 at

CENTER FOR EDUCATIONAL MEASUREMENT
24th Flr. Cityland, Pasong Tamo Tower
2210 Chino Roces Ave., Makati City

Application forms will be made available during the registration period in CEM-Makati, its branches in Cebu and Davao and service centers in Cagayan De Oro (Xavier University), Bacolod City (University of St. La Salle), Iloilo City (Ateneo De Iloilo) and Zamboanga (Ateneo de Zamboanga Univeristy).

Deadline for submission of application forms is November 14, 2008. Registration fee costs Five Hundred Pesos (Php 500.00). This is inclusive of the NMAT Bulletin of Information (BOI) containing the application form, the Practice sets (parts I & II which serves as review material), processing and mailing costs of admission slips and test results. Testing fee of One Thousand Four Hundred Pesos (Php 1,400.00) is charged per applicant upon filing of the NMAT form.

FYI.

Reference: Letter from the VP for Operation of CEM

Regional Conference for Nursing Education Institutions

2008-09-17T22:14:00.002+08:00

Per CHEDRO III Memorandum No. 121, s. 2008, CHEDRO III will conduct a Regional Conference for Nursing Education Institutions on October 9, 2008 at Angeles University Foundation Angeles City. Participants to the said conference are the Vice Presidents for Academic Affairs and/or Deans of the Nursing program of HEI's in Region III with Nursing program.

For further inquiries and confirmation of attendance, please email
John Wesley S. Calagui I
spenced.2000@gmail.com
or call Mrs. Carmina Padilla
(045)9634512

Download link for the memo >>>>>>> http://rapidshare.com/files/146039072/CHEDRO_III_MEMO_No._121__2008.jpg

Policies and Guidelines in the Implementation of the Electronic Verificaton and Certification System (EVCS) of Academic Records

2008-09-01T16:01:00.002+08:00

CHED Memorandum Order No. 37, series of 2008

For a copy of the CMO, please click the link below:
http://rapidshare.com/files/141734963/CMO_37s.2008.pdf

URGENT!!! Consultative Workshop and Public Hearing on the Revised Guidelines for Student Internship Abroad Program for COURSES with Practicum Subject

2008-09-01T15:22:00.004+08:00

Per Memorandum from the Chairman dated August 5, 2008, CHED in coordination with the Technical Work Group on Student Internship Abroad program will conduct a consultative workshop on September 2, 2008 for Regions 1,2,3,4A,4B,CAR,NCR at St. Scholastica's College, Sr. Caridad Barrion Hall, 1560 Leon Guinto St., Malate, Manila.

For a copy of the Memo, please click on the links below:
http://rapidshare.com/files/141728660/memo.jpg
http://rapidshare.com/files/141728661/notice.jpg

Regional I.T. Consortium: Nurturing Ethics of I.T. Professionals

2008-09-01T11:58:00.003+08:00

Per CHEDRO III Memo # 103, s. 2008, this Office hereby informs all concerned of the free seminar with the theme "Regional I.T. Consortium: Nurturing Ethics of I.T. Professionals" on September 5, 2008, Friday from 9-5 at PS307, Angeles University Foundation, Angeles City.

For more information, please download:
http://rapidshare.com/files/141700604/CHEDRO_III_MEMO_No._103__2008.jpg

Organization of Student Services Educators Inc. (OSSEI) National Conference on Campus Journalism

2008-09-01T11:45:00.003+08:00

Per CHEDRO III Memo # 101, s. 2008, this Office hereby informs all concerned of the National Conference on Campus Journalism sponsored by the Organization of Student Service Educators Inc. on September 18-20, 2008 at Hotel Supreme, Baguio City.

For more information, please download:
http://rapidshare.com/files/141700603/CHEDRO_III_MEMO_No._101__2008.jpg

Prohibition of Smoking in Higher Education Institutions

2008-09-01T11:40:00.004+08:00

Per CHEDRO III Memo # 98, s. 2008, this Office requires the proper implementation and enforcement of the smoking ban in all higher education institutions.

Download link: http://rapidshare.com/files/141696256/CHEDRO_III_MEMO_No._098__2008.jpg

CHEDRO III Memo # 93-97, s. 2008

2008-09-01T11:36:00.003+08:00

Please click on the following download links:

http://rapidshare.com/files/141696251/CHEDRO_III_MEMO_No._093__2008.jpg
http://rapidshare.com/files/141696252/CHEDRO_III_MEMO_No._094__2008.jpg
http://rapidshare.com/files/141696253/CHEDRO_III_MEMO_No._095__2008.jpg
http://rapidshare.com/files/141696254/CHEDRO_III_MEMO_No._096__2008.jpg
http://rapidshare.com/files/141696255/CHEDRO_III_MEMO_No._097__2008.jpg

CHEDRO III Memo # 88, s. 2008

2008-09-01T11:31:00.001+08:00

Subject: PAFTE III Regional Teachers' Congress

Date: July 18, 2008

Download Link: http://rapidshare.com/files/141696250/CHEDRO_III_MEMO_No._088__2008.jpg

CHEDRO III Memo # 85, s. 2008

2008-09-01T11:28:00.001+08:00

Subject: Submission of NSTP Data for AY 2007-2008

Date: July 14, 2008

Download Link: http://rapidshare.com/files/141696247/CHEDRO_III_MEMO_No._085__2008.jpg

CHEDRO III Memo # 84, s. 2008

2008-09-01T11:25:00.002+08:00

Subject: New Zealand Development Scholarship (NZDS) Program for AY 2010

Date: July 9, 2008

Download Link: http://rapidshare.com/files/141695571/CHEDRO_III_MEMO_No._084__2008.jpg

CHEDRO III Memo # 83, s.2008

2008-09-01T11:02:00.002+08:00

Subject: Master's Degree Programs under the Singapore Cooperation Program (SCP) of the Colombo Plan

Date: July 9, 2008

Download Link: http://rapidshare.com/files/141695188/CHEDRO_III_MEMO_No._083__2008.jpg

Student Conference on Information Technology Education (SCITE 2008) and I.T. Skills Competition

2008-07-24T09:48:00.002+08:00

Per CHEDROIII Memo No. 92, s. 2008, the Student Conference on I.T. Education (SCITE 2008) and I.T. Skills Competition will be held on August 21 & 22, 2008 at the Plenary Hall, Paskuhan Village, City of San Fernando, Pampanga organized by the Philippine Society of Information Technology Educators Region III Chapter (PSITE R3).

For more information, please click on the link
http://www.filesend.net/download.php?
f=7e44770fdbc613d6bc2bab7d3e4f1b39

Participation of all concerned is desired.

Source: CHEDRO III Memorandum No. 092, s. 2008

Venue for the EVCS Public Hearing

2008-07-16T10:04:00.002+08:00

In connection with CHEDRO III Memo No. 79, s. 2008, Public Hearing cum Orientation on the New Electronic Verification and Certification System (EVCS) on July 25, 2008, the venue is at the Supreme Hotel, Baguio City.

Travel expenses and accommodation of participants will be shouldered by the sending institutions and no registration fee will be collected.

TWO-YEAR/ASSOCIATE COURSES

2008-07-14T14:10:00.004+08:00

Per CHEDRO III Memorandum No. 78, s.2008 dated July 1, 2008, the Commission on Higher Education hereby informs all concerned that the Two-Year/Associate Courses are no longer the concern of this Office except for Associate in Computer Technology, Midwifery, and Three-Year Associate in Radiologic Technology effective AY 2008-2009.

Higher Education Institutions offering the abovementioned courses are hereby advised to address their concerns regarding the program to TESDA.

download link:
http://www.filesend.net/download.php?
f=9b09ec2be75fdb5b442193b704a4d0b1

Source: CHEDRO III Memorandum No. 78, s. 2008

SEMINAR ON QUALITATIVE RESEARCH

2008-07-14T13:56:00.005+08:00

Per CHEDRO III Memo No. 68, s. 2008 dated June 6, 2008, the Philippine Association for Graduate Education, Inc, Region III (PAGE III) will hold a Seminar on Qualitative Research on August 9, 2008, 8am-4pm at Case Room 1, STL Bldg., Holy Angel University, Sto. Rosario, Angeles City.

Please click the link to download the Memo for further details

http://www.filesend.net/download.php?
f=57538f08e6604969ea97125eda226b09

Source: CHEDRO III Memorandum No. 68, s. 2008

PUBLIC HEARING CUM ORIENTATION ON THE NEW ELECTRONIC VERIFICATION AND CERTIFICATION SYSTEM (EVCS)

2008-07-08T16:45:00.007+08:00

Per CHEDRO III MEMORANDUM No. 79, s. 2008, the EVCS-Technical Working Group of the Commission on Higher Education shall conduct a Public Hearing cum Orientation on the New Electronic Verification and Certification System (EVCS) on July 25, 2008 at Baguio City.

The participants to the said activity are the registrars of all Higher Education Institutions of Regions I, II, III and CAR.

The travel and accommodation expenses of the participants shall be charged against the local funds of the sending institutions.

Copy of the memorandum can be downloaded from the link below:

http://www.filesend.net/download.php?
f=dd47005181c95669ebda9c831b2c2963

Participation of all is desired.

Source: CHEDRO III MEMORANDUM No. 79, s. 2008 dated July 2, 2008

Enrolment List (CHEDROIII Memo 55, s. 2008 and not CHEDROIII Memo 99, s. 2008)

2008-07-08T14:03:00.003+08:00

Per CHEDRO III Memorandum No. 55, s. 2008 re: ENROLMENT LIST, please download the copy of the Memorandum and sample templates on the link below

http://www.filesend.net/download.php?
f=a2d7e972c449c437ef4cdb8d41f50c0f

COLLECTION OF CHEDRO III MEMORANDA FOR 2008

2008-07-08T13:09:00.003+08:00

Just to inform everyone that a zip file of CHEDRO III memoranda upto No. 63, s. 2008 can be downloaded on the link below:

http://www.filesend.net/download.php?
f=0d43bef2a65e067dfaf523ed0a485003

Updates on NSTP Implementation for Higher Education Institutions of Region III for NSTP Educators/Implementers

2008-07-02T14:49:00.003+08:00

Per CHEDROIII Memorandum No. 70, s. 2008, a one (1) day training on the Updates on NSTP Implementation for Higher Education Institutions in Region III for NSTP Educators/Implementers will be conducted on July 18, 2008 at Systems Plus College Foundation, Balibago, Angeles City organized by the Philippine Society of NSTP Educators, Inc. (PSNEI).

For further inquiries, please contact the secretariat:

MR. JOHN P. DIZON
Tel No.: (045)892-4758, 0922-8118280
Email: johndizon@spcf.edu.ph

Source: CHEDRO III Memorandum No. 70, series 2008 dated June 10, 2008

download link
http://www.filesend.net/download.php?
f=9866c1f1a3a6826106a9690d31dcd8b4

CONSULTATIVE CONFERENCE OF HIGHER EDUCATION INSTITUTIONS

2008-06-26T11:36:00.005+08:00

Per CHEDRO III Memorandum No. 75, s. 2008, the Commission on Higher Education Regional Office III's annual conference is scheduled on July 11, 2008 at SFJ Multi-Purpose Function Hall, Holy Angel University, Angeles City from 8AM-3PM.

Participants to this undertaking are School Heads/VP for Academics, and Registrars.

For any inquiries, please contact Mrs. Carmina P. Padilla at (045)963-4512/860-2472 or email us at chedro3_sfp@yahoo.com

Source: CHEDRO III MEMORANDUM No. 75, s. 2008

please click the link:
http://www.filesend.net/download.php?
f=6d6b7e87620aff34513726b681ff6bd9

GENERAL ASSEMBLY cum SEMINAR OF ARHEI-III

2008-06-26T10:05:00.003+08:00

Per CHEDRO III Memorandum No. 76, series of 20008, all School Personnel involved in Records and Archives Management are enjoined to attend the General Assembly cum Seminar of the Association of Registrars of Higher Education Institutions (ARHEI-III) on the theme: Records Continuum: Records and Archives Management at Angeles University Foundation on July 4, 2008, 8AM-4PM.

The objectives of the said undertaking are as follows:
a. Strengthen the Registrars and those involved involved in related professions of their skills in records management:
b. Reflect on the need for basic knowledge of archives management;
c. Update and discuss relevant Registrars' issues and concerns; and
d. Elect the new set of officers to steer ARHEI-III for the Academic Years 2008-2010.

For further inquiries, please contact:
Dr. Archimedes T. David
Angeles University Foundation
Tel.Nos. (045)888-5000/(045)888-6000

source: CHEDRO III Memorandum No. 76, s. 2008 dated June 18, 2008

CHEDROIII Celebrates Independence Day

2008-06-12T11:42:00.006+08:00

The Commission on Higher Education Regional Office III celebrates the 2008 Independence Day with the theme, "ADVANCING AND SHARING KNOWLEGE, TRANSFORMING LIVES." Dr. Felizardo Francisco, Director IV of CHEDROIII together with the selected staff attended the nationwide Flag Raising Ceremony held at the Heroes Hall, Municipality of Pampanga. After the parade, the team headed back to the Office for the awarding of the scholarships to grantees.

Part of the celebration is the launching of the CHEDROIII Records Management System and CHEDROIII Blogspot. The Records Management System was developed by Mr. Juanito Paras and Mr. Alvin Miclat of Angeles University Foundation.

This Office would like to congratulate all the Scholarship Grantees and we wish you all goodluck in your endeavors as college students.

Preparations for Opening of Classes for AY 2008-2009

2008-05-22T09:30:00.002+08:00

Per Memorandum from the Chairman of the Commission on Higher Education dated May 20, 2008, all students are hereby advised to enroll only in programs with CHED permit or recognition. For inquiries, you may contact CHEDROIII Office at telephone numbers (045) 9634512 or (045)8602472 (telefax) or email us at chedro3_sfp@yahoo.com.

Change of Date/Venue for the Zonal Orientation on the Approved "PSGs for BS in Computer Engineering and BS Geodetic Engineering"

2008-05-21T11:16:00.002+08:00

Per Memorandum from the Executive Director of the Commission on Higher Education dated May 2, 2008, please be informed of the change of date/venue for the Zonal Orientation on the approved "Policies and Standards for the BS in Computer Engineering and BS Geodetic Engineering as follows:

From May 28, 2008 to June 4, 2008

9:00 AM - 12:00 NN - Orientation on the Approved PS for BSCoE
1:00 PM - 5:00 PM - Orientation on the Approved PS for BSGE

for Regions 1, 2, 3, 4A, 4B, 5, CAR and NCR
at the University of the Cordilleras (Formerly Baguio Colleges)

source: Memorandum from the Executive Director

GPR Form B (Renewal Permit/Recognition)

2008-05-18T20:39:00.000+08:00

CHED FORM NO. GPR. B

APPLICATION FOR GOVERNMENT PERMIT
(For Renewal Permit/GR)
In two (2) sets of application folders

The Honorable Chairperson Date: ________________
Commission on Higher Education
Office of the President
5th Floor, DAP Bldg., Ortigas Center
San Miguel Ave., Pasig City Through channels

Sir:

The undersigned Chairman of the Board of Trustees/President of __________________________________at__________________________________________ (Name of School) (Address of School) hereby petition for GOVERNMENT PERMIT/RECOGNITION to operate the following course under the laws of the Republic of the Philippines.

COURSE CURRICULUM YEAR
__________________________________________ __________________

To support this petition are the following documents duly certified / authenticated:

______1. Updated pictures of the school site and building(s), classroom, laboratories, libraries, medical and dental health facilities, canteens, sports and recreational areas, etc.

______2. Copy of the latest financial statement for the existing programs certified by an independent Certificate Public Accountant (for existing schools only)

______3. Proposed budget/annual expenditures per program for the five (5) succeeding school years approved by the Board of Trustees/Directors

______4. Contents noted curriculum / Syllabi that should include the number of hours, course/subject descriptions, etc.

______5. Contents noted schedule of tuition and other authorized school fees

______6. Matrix list of school administrators, i. e., President, Vice-President (s), Deans, Department Heads, etc, including:

a. Educational qualifications, where and when obtained
b. Position/designation
c. Status of Employment d. Rate of salary per month
e. Other Employment benefits in accordance with prescribed standards
f. Relevant Experience/s
_____ Transcript of Records
_____ Copy of License or Eligibility
_____ Notarized contract of Employment/Appointment with conforme of appointee

_____7. Matrix list of Academic Non-Teaching personnel including (Registrar, Librarian, Guidance Counselor, Researcher)

a. Educational qualifications, where and when obtained
b. Field/s of specialization
c. Status of Employment
d. Rate of salary per hour / month
e. Other Employment benefits
f. Relevant Experience/s
_____ Transcript of Records
_____ Copy of License or Eligibility
_____ Notarized contract of Employment/Appointment with conforme of appointee)

______8. Matrix list of Teaching / Academic staff including:

a. Educational qualifications, where and when obtained
b. Field/s of specialization (per program basis)
c. Subject assignments/loads
d. Status of Employment
e. Number of teaching / contact hours per week
f. Rate of salary per hour/ month
g. Other Employment benefits
h. Relevant Experience/s
______ Transcript of Records
______ Copy of License or Eligibility
______ Notarized contract of Employment/Appointment with conforme of appointee
______ Faculty Development Plan

______9. Matrix list of Non-Academic Personnel including:

a. Educational qualifications, where and when obtained
b. Position/designation
c. Status of Employment
d. Rate of salary per month /day
e. Other employment benefits
f. Relevant Experience/s
______Transcript of Records
______ Copy of License or Eligibility
______ Notarized contract of Employment/Appointment with conforme of appointee

______10. Employees’ Social Benefits
_____SSS Latest O.R. No. __________ Date: __________
_____HDMF Latest O.R. No. __________ Date: __________
_____Retirement Membership Latest O.R. No. __________ Date: _______
(include contribution of the individuals covered by the said retirement plan)
_____Others Latest O.R. No.__________ Date: __________

______11. Matrix list of laboratory facilities, equipment, furniture, supplies and materials classified by area

______12. Matrix list of library holdings, classified into Cultural, Filipiniana and Professional (professional books are limited to the course applied for)

_____ Five (5) titles per professional subject-with 10 book copies per title
_____ Five (5) year Library Development Plan
_____ Internet Access/CD-ROM

______13. Matrix list of athletic facilities, equipment, supplies and materials

______14. Inspection fee in the amount of Four Thousand pesos (P4,000.00) per program O.R. No.________________________

I, as Chairman of the Board / President, promise to maintain the standards required for this course and to follow faithfully all the laws, the rules and regulations, and the requirements of the Commission on Higher Education governing the operation of authorized private school courses and to inform the CHED of any plan or action regarding closure or phasing out of the course or any changes in the prescribed requirements. I acknowledge that any violation of the laws, the rules and regulations, and the requirements of the Commission on Higher Education shall be deemed sufficient cause for the revocation of the authority granted.

The school will not hold classes in the course/s applied for above until and unless this application is approved and the corresponding Government Permit is issued by the Commission on Higher Education.

Very respectfully yours,

Signature over Printed Name
(Chairman of the Board / President)

Republic of the Philippines
City / Municipality of ________________
Province of ______________________

I, __________________________________of the Board of Trustees / President of (Chairman of the Board/President) the ____________________________________ Filipino, of legal age and resident of the (School) Philippines, after having been sworn to in accordance with law depose and say information in this application and in the supporting documents are true and correct. _______________________________ (Chairman of the Board/President) SUBSCRIBED AND SWORN to before me this ______ day of ______________ 200__. The affiant exhibits his /her Residence Certificate No. ___________________ issued at ___________________________________on ________________________.

_____________________________

(Notary Public)

Doc. No. ___________
Page No.___________
Book No. ___________
Series of ___________

GPR Form A (Application of New Programs)

2008-05-18T20:15:00.001+08:00

CHED FORM NO. GPR. A

APPLICATION FOR GOVERNMENT PERMIT
(For New Programs)
In two (2) sets of application folders

The Honorable Chairperson Date: ________________

Commission on Higher Education

Office of the President

5^th Floor, DAP Bldg., Ortigas Center

San Miguel Ave., Pasig City

Through channels

Sir:

The undersigned Chairman of the Board of Trustees/President of __________________________________at__________________________________________

(Name of School) (Address of School)

hereby petition for GOVERNMENT PERMIT/RECOGNITION to operate the following course under the laws of the Republic of the Philippines.

COURSE CURRICULUM YEAR

_____________________________ __________________

To support this petition are the following documents duly certified / authenticated:

______1. Board Resolution on the operation of the new courses certified by the Corporate Secretary

______2. Feasibility study for the next five (5) years indicating the need and relevance of the course to the development of the community and the resources and capabilities of the corporation / school to achieve / implement the objective of developing the community

______3. Articles of Incorporation and By-laws (to include Amendments, Purposes, etc.)

____Duly registered with the Securities and Exchange Commission

____In the name of the school

____In the area of operation

____Stock _____Non-stock

______4. Copy(ies) of the Transfer Certificate(s) of Title (TCT) of the school site

_____ 25-year lease of contract (certified photocopy)

_____ In the name of the school

_____ Adequate area stated (indicate total land area): ____________sq. meters
______5. Statement on the location of the school in relation to recreational places of questionable character and gambling establishments, bowling alleys, movie houses, markets, garbage dumps, funeral parlors, cemeteries, heavy traffic highways, jails, railroads yards, dancing halls and manufacturing and industrial establishments, and the like (Must be free from noise, unpleasant odor and dust, should be sufficiently far from the above places)

_____ Certification from the Local Government Unit

______6. Institutional Development and Campus Landscaping plans

_____Blueprint of Campus Development/Landscaping Plans

_____With vertical and lateral expansion potentials

______7. Certificate of occupancy of the school building(s) from the proper city/municipal authorities in the name of the owner/lessor

______8. Updated pictures of the school site and building(s), classroom, laboratories, libraries, medical and dental health facilities, canteens, sports and recreational areas, etc.

______9. Copy of the latest financial statement for the existing programs certified by an independent Certificate Public Accountant (for existing schools only)

______10. Proposed budget/annual expenditures per program for the five (5) succeeding school years approved by the Board of Trustees/Directors

______11. Proposed curriculum. The curriculum should conform with CHED Policies and Standards and the syllabi should include the number of hours, course/subject descriptions, etc.

______12. Proposed schedule of tuition and other authorized school fees per program

______13. Employees’ Social Benefits

_____SSS Latest O.R. No._____________ Date:________

_____HDMF Latest O.R. No._____________ Date: _______

_____Retirement Membership Latest O.R. No. ___________Date_____________

(include contribution of the individuals covered by the said retirement plan)

____Others Latest O.R. No._____________ Date:________

______14. Matrix list of school administrators, i. e., President, Vice-President (s), Deans, Department Heads, etc, including:

Educational qualifications, where and when obtained
Position/designation
Status of Employment
Rate of salary per month
Other Employment benefits in accordance with prescribed standards
Relevant Experience/s

_____ Transcript of Records

_____ Copy of License or Eligibility

_____ Notarized contract of Employment/Appointment with conforme of appointee

_____15. Matrix list of Academic Non-Teaching personnel including (Registrar, Librarian, Guidance Counselor, Researcher)

a. Educational qualifications, where and when obtained

b. Field/s of specialization

c. Status of Employment

d. Rate of salary per hour / month

e. Other Employment benefits

f. Relevant Experience/s

_____ Transcript of Records

_____ Copy of License or Eligibility

_____ Notarized contract of Employment/Appointment / Notarized Intent of Employment with conforme of appointee

______16. Matrix list of Teaching / Academic staff including:

a. Educational qualifications, where and when obtained

b. Field/s of specialization (per program basis)

c. Subject assignments/loads

d. Status of Employment

e. Number of teaching / contact hours per week

f. Rate of salary per hour/ month

g. Other Employment benefits

h. Relevant Experience/s

______ Transcript of Records

______ Copy of License or Eligibility

______ Notarized contract of Employment/Appointment / Notarized Intent of Employment with conforme of appointee

______ Faculty Development Plan

______17. Matrix list of Non-Academic Personnel including:

a. Educational qualifications, where and when obtained

b. Position/designation

c. Status of Employment

d. Rate of salary per month /day

e. Other employment benefits

f. Relevant Experience/s

______Transcript of Records

______ Copy of License or Eligibility

______ Notarized contract of Employment/Appointment / Notarized Intent of Employment with conforme of appointee

______18. Matrix list of laboratory facilities, equipment, furniture, supplies and materials classified by area

______19. Matrix list of library holdings, classified into Cultural, Filipiniana and Professional (professional books are limited to the course applied for)

_____ Five (5) titles per professional subject-with 10 book copies per title

_____ Five (5) year Library Development Plan

_____ Internet Access/CD-ROM

______20. Matrix list of athletic facilities, equipment, supplies and materials

______21. Inspection fee in the amount of Four Thousand pesos (P4,000.00) per program

______22. School bond with CHEDRO-III (for new schools) in the amount of Six Thousand pesos (P 6,000)

The school will not hold classes in the course/s applied for above until and unless this application is approved and the corresponding Government Permit is issued by the Commission on Higher Education.

Very respectfully yours,

Signature over Printed Name

(Chairman of the Board / President)

Republic of the Philippines

City / Municipality of _____________________

Province of _____________________________

I, __________________________________of the Board of Trustees / President of

(Chairman of the Board/President)

the ____________________________________ Filipino, of legal age and resident of the

(School)

Philippines

, after having been sworn to in accordance with law depose and say information in this application and in the supporting documents are true and correct.

_______________________________

(Chairman of the Board/President)

SUBSCRIBED AND SWORN to before me this ______ day of ______________ 200__. The affiant exhibits his /her Residence Certificate No. ___________________ issued at ___________________________________on ________________________.

_______________________________

(Notary Public)

Doc. No. ___________

Page No.___________

Book No. ___________

Series of ___________