CENTER OF EQUIVALENCY AND ACCREDITATION

EXPANDED TERTIARY EDUCATION EQUIVALENCY AND

ACCREDITATION PROGRAM (ETEEAP)

BSCRIMINOLOGY

NAME: __MORRIS M CALLEJO_____ AGENCY:_BUREAU OF FIRE PROTECTION

RANK: SENIOR FIRE OFFICER 4 DESIGNATION: FIRE MARSHAL

ACADEMIC QUALIFICATIONS 30 POINTS

1.POST GRADUATE 30 (MAX)

2.BS 20
3.UNDERGRADUATE 15
4.HS GRADUATE 10

TRAININGS/LEARNING
EXPERIENCES 60 POINTS

10 YEARS AND ABOVE 60

8-10 YEARS 50
5-8 YEARS 45

COMMUNITY INVOLVEMENT

(Barangay involvements) 10POINTS

Total

NAME OF PANEL:

_________________________________________
 Date

PERSONAL DATA:

Name: MORRIS M CALLEJO School Last Attended: Manuel S. Enverga University

City Address: Lucena City School Address : Lucena City

CONTRACT FOR CONDITIONAL ENROLMENT

I HEREBY AGREE on the following conditions concerning my enrolment in PHINMA ARAULLO

UNIVERSITY, Bitas Cabanatuan City, this _______________ SEMESTER/SUMMER, Academic
Year 20__20__, to wit:

1. I am conditionally enrolled submission of the following requirements:

a. Honorable Dismissal ( )
b. Transcript of Records ( )
c. Cert. of Good Moral Character ( )
d. CARD/FORM 138 ( )
e. Permit to Study ( )
f. Birth Certificate (NSO) ( )
g. Please specify the date___________________

2. That I will submit the said requirements within ONE (1) month.

3. That my failure to submit the required enrolment credentials within the THREE (3)
months period shall reduce my status to that of a SPECIAL STUDENT and therefore I shall not
be entitled to the credit of the subjects I have enrolled in.

IN WITNESS hereof, I hereunto affix my signature.

__________________________

PRINTED NAME & SIGNATURE

___________________________

Course & Year

APPROVED:

MANUEL V. JAUDIAN
Registrar
 E T E E A P (STUDENT’S PROFILE)
Rank : SENIOR FIRE OFFICER 4

Last Name : CALLEJO

First Name : MORRIS

Middle Name : MARTINEZ

Years in Service : 21 YEARS

Home Address : BLOCK 24 LOT 10 LESSANDRA PHASE 2, CAMELLA

Office Address : BRGY. BAYANIHAN, DOLORES, QUEZON

Prov. Office Address: QUEZON PROVINCE

Office Tel. Phone : (042)

Mobile Phone : 0999-999-7249

Home Phone : NONE

Email Address : morris.callejo@yahoo.com

School Graduated : MANUEL S. ENVERGA UNIVERSITY FOUNDATION

Signature : ________________________________________
 CENTER OF EQUIVALENCY AND ACCREDITATION

ETEEAP CHECKLIST (SELF EVALUATION)

NAME : MORRIS M. CALLEJO EDUC. ATTAINMENT: Pls. Check

SIGNATURE: ___________________________ Degree Holder ______

AGE: 47 HS Grad. ______

OCCUPATION: FIRE FIGHTER Gender M ___ F __

SCHOOL GRADUATED: MANUEL S. ENVERGA UNIVERSITY YEARS OF SERVICE: 21 YEARS

GENERAL EDUCATION SUBJECTS: Pls. Check Taken or Not Taken

PEN CODE DESCRIPTIVE TITLE TAKEN NOT TAKEN

ENG 097 English Communication Skills
FIL 011 KomunikasyonsaAkademikong Filipino at Pagbasa,
Pagsulattungosapananaliksik
MAT 016 College Algebra and Plane Trigonometry
HIS 007 Life &Works of Rizal
HIS 004 Philippine History
ITE 009 Introduction to Computer Information Technology
PSYCH 001 General Psychology
PHI 001 Introduction to Philosophy and Logic
POS 001 Politics and Governance (Phil. Constitution)
SSA 001 Society & Culture (with Family Planning & Pop. Educ.)
LIT 001 Philippine Literature
ECO 003 Basic Economics (with Taxation and Land Reform)
CHE 004 General Chemistry

PROFESSIONAL SUBJECTS:

CRIMINAL JURISPRUDENCE, PROCEDURE & EVIDENCE

CRI 057 Criminal Law Book 1

CRI 058 Criminal Law Book 2
CRI 061 Criminal Evidence
CRI 059 Criminal Procedure
CRI 062 Special Laws *

LAW ENFORCEMENT ADMNISTRATION

CRI 013 Police Organization & Adm. With Police Planning

CRI 020 Police Patrol Oper. With Police Comm. Systems
CRI 025 Police Personal and Records Management
CRI 042 Industrial Security Management
CRI 044 Comparative Police System
Cri 046 Police Intelligence

Page 1
CRIMINALISTICS

CRI 019 Personal Identification TAKEN Not TAKEN

CRI 026 Police Photography
CRI 028 Forensic Ballistics
CRI 037 Question Documents Examinations
CRI 040 Polygraphy (Lie Detection)
CRI 039 Legal Medicine
CRI 023 Forensic And Toxicology*
*Legal Medicine
*Crime Scene Operation (SOCO)
* Forensic Chemistry

CRIME DETECTION & INVESTIGATION

CRI 027 Fundamentals of Criminal Investigation

CRI 033 Special Crime Investigation
CRI 036 Traffic Management and Accident Investigation
CRI 043 Organized Crime Investigation
CRI 047 Drug Education and Control

SOCIOLOGY OF CRIMES & ETHICS

CRI 092 Intro to Criminology & Psychology of Crimes

CRI 011 Juvenile Delinquency and Crime Prevention
CRI 024 Human Behavior & Crisis Management
CRI 090 Police Ethics and Community Relations
CRI 012 Philippine Criminal Justice System
CRI 098 Criminological Research and Statistics

CORRECTIONAL ADMINISTRATION

CRI 029 Institutional Corrections

CRI 030 Non Institutional Corrections

Page 2

Approved by:

MANUEL V. JAUDIAN, Ph. D

Dean @ Large / ETEEAP Director

 COMMISSION ON HIGHER EDUCATION

Expanded Tertiary Education Equivalency and Accreditation Program (ETEEAP)

And

PHINMA ARAULLO UNIVERSITY

Cabanatuan City Nueva Ecija

ETEEAP APPLICATION FORM

1x1

ID Picture

INSTRUCTION:

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)

____________________, _______________________, ____________________

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 : BS CRIMINOLOGY

10. Statement of your goals, objectives or 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.
___________________________________________________________________________
___________________________________________________________________________
________________________________________________

12. For overseas applicants, describe how you plan to obtain accreditation/equivalency. (e.g.
when you plan to come to the Philippines)
___________________________________________________________________________
___________________________________________________________________________
________________________________________________

13. How soon do you need to complete equivalency/accreditation?

_____ less than one (1) year _____ 1 year

_____ 2 years _____ 3 years
_____ 4 years _____ more than 5 years
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

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

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
_____________________________________________

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.

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
 2. Community and Civic Organization Award/Citation

Name and Address of Conferring

Award Conferred Date Awarded
Organization

3. Work Related Award/Citation

Name and Address of Conferring

Award Conferred Date Awarded
Organization

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 : _____________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______________________________________
 2. Date Accomplished : ________________________
3. Name and Address of Publishing Agency (if written, published work), or an
Association/Institution which can attest to the quality of the work.
______________________________________________________
___________________________________________________________________________
_________________________________________________________
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.
___________________________________________________________________________
___________________________________________________________________________
________________________________________________

2. Special Skills

Note down those special skills which you think must be related to the field of study you
want to pursue.
___________________________________________________________________________
___________________________________________________________________________
________________________________________________
3. 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 which can be classified as on-the-job training or
apprenticeship.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______________________________________
4. 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)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______________________________________

5. 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 ____________________________