ANNEX B – Curriculum Vitae

Republic of the Philippines

OFFICE OF THE PRESIDENT
COMMISSION ON HIGHER EDUCATION

INSTITUTIONAL QUALITY ASSURANCE THROUGH

MONITORING AND EVALUATION (IQuAME)

Curriculum Vitae
(CV) of the
Candidate / 2X2
Nominee for CHED
IQuAME Assessor Latest ID picture

1. Name of Candidate/Nominee ______________________________________________________

(Family) (First Name) (Middle Initial)
2. Employment/Name of Institution and Address _________________________________________
______________________________________________________________________________
3. Present Job Position/Job Assignment ________________________________________________
4. Status of Employment/Job Engagement ______________________________________________
5. Contact Details:

5.1. Telephone number (Office) ____________________ 5.2. Fax No. _______________

5.3. Mobile Number _______________________________________________________
5.4. Email Address ________________________________________________________

6. Education Background/Training:

6.1. Highest Educational Attainment __________________________________________

6.2. Field of Specialization _________________________________________________
6.3. School/Institution where the Degree was Earned _____________________________
6.4. Address of the Institution _______________________________________________
6.5. Year When the Degree was Earned _______________________________________
6.6. Other Specialized Training/Certification Received Related to or similar to IQuAME
Assessment, please indicate:
6.6.1.1. Name /Title of Training _______________________________________
6.6.1.2. Training or Organizing Body ___________________________________
6.6.1.3. Duration/Date of Training:
a. Date of Training ___________________________________________
b. Number of days ___________________________________________

7. Experience/Involvement as Assessor/Evaluator/Accreditor in the last 3 years (you are requested

to answer only the items applicable to you)
 7.1. As Team Leader/Head

7.1.1. Local/Regional
a. Type of Engagement / b. Date of c. Name of Evaluating Accrediting
Involvement Involvement Body/Group

* attached photocopies of certifications (attendance or participation)

7.1.2. International
a. Type of Engagement / b. Date of c. Name of Evaluating Accrediting
Involvement Involvement Body/Group

* attached photocopies of certifications (attendance or participation)

7.2. As Member

7.2.1. Local/Regional
a. Type of Engagement / b. Date of c. Name of Evaluating Accrediting
Involvement Involvement Body/Group

* attached photocopies of certifications (attendance or participation)

7.2.2. International
a. Type of Engagement / b. Date of c. Name of Evaluating Accrediting
Involvement Involvement Body/Group

* attached photocopies of certifications (attendance or participation)

8. Experience as faculty member of higher education institution in the last 3 years (you are
requested to answer only the items applicable to you)

8.1. Subjects 8.2. Name of 8.3. Students (ex. undergraduate 8.4. Date
Taught: Institution level, graduate level, etc., pls. (semester,
Indicate) School year)

* attached certification from school or other related documents

 9. In a separate sheet (maximum of two-page) describe the evaluation / accreditation / assessment /
quality audit work done including names and possible contact details of the head of the
institution(s) attached photocopies of certifications (attendance or participation) (s) who can
certify/vouch your work.

10. Other type of academic involvement, please indicate (ex. as panel member, consultant, Technical
Working Committee Member, Editor, Reviewer, Technical Expert etc.) please indicate the
activities/type of involvement)
a. Type and Scope b. Activities / Terms of c. Date of d. Status (ex. Contract
of Involvement Reference (briefly describe) Involvement ends)

*necessary documents may be attached

11.Significant Accomplishments Made Related to Evaluation / Accreditation / Quality Audit /

Assessment Work during the last three (3) years such as but not limited to the following:

11.1. Awards/Incentives Received

a. Awards Received b. Award Giving Body c. Purpose of the Award e. Date

*Sample program, photocopies of Certificate of Recognition and pictures (scanned copies) must
be attached

12. References (with permission) at least three (3)

a. Complete Name b. Company /School c. Company / School d. Contact
Affiliation Address Details

*with recommendation letters in a signed-sealed envelopes attached.

This is to certify that the information given in this CV is true and correct.

________________________________
Name and Signature of the Nominee
Date of Submission ________________

Submit the CV together with the required documents including a medical certificate taken within the last
six (6) months and a 2 X 2 picture on or before April 30, 2010 to your respective CHED Regional Office
Director: