Faculty, REPS and Administrative Staff Development Program OVPAA FRASDP Form 11.2
Doctoral Fellowship APPLICATION FORM
Local Fellowship Foreign Fellowship
1. Name (Last, First, Middle)
2. Department/Institute College Constituent University
3. Position and rank 4. Employment status Permanent Temporary until
Years of Service
Employee No.
5. Residence Address
6. E-mail Address 7. Contact Nos.
Residence:
Mobile:
8. Date of Birth Age
9. Education
School Degree Completed Inclusive Dates Honors and Award Received
(If currently enrolled in PhD Program)
Program Name/University Number of units
completed
Status
10. Previous academic positions and/or relevant experience
11. Publications/Creative Work. Supply full bibliographic information (or equivalent information for creative work)
12. Other relevant completed research, creative and scholarly work
13. What is your unit’s Internal Academic Assessment Development System (iAADS) score? Findings? Plans for improvement? (This is a requirement)
FRASDP Form 11.2 Page 1 of 4 20220830
Faculty, REPS and Administrative Staff Development Program OVPAA FRASDP Form 11.2
Doctoral Fellowship APPLICATION FORM
14. PhD Program (or equivalent terminal degree) being applied for (Note: Acceptance is required before grant of fellowship)
School/University Name of Degree Program Period of Study
(e.g. Month/Year – Month/Year)
15. Is the PhD program offered in any of the UP Constituent Universities?
No Yes, please specify UP unit
16. Brief statement on the reason for your choice of the program and school; how it relates to your unit and CU’s thrusts and focus; its relevance to your previous graduate and other studies; and why your application should be supported.
17. Brief information on the university/school or the degree program
18. Please attach the following:
Endorsements Annex 1.
Annex 2.
Annex 3A.
Annex 3B.
Annex 4.
Annex 5A.
Annex 5B.
Annex 6.
Annex 7.
Endorsement of the Chancellor addressed to the President through the VPAA
True copy of grades/transcript of undergraduate and graduate records; include grades in current studies, if any
Recommendation letters from Department/Institute Head and Dean
(Recommendations from MS/MA advisor or senior professor may also be included) Letter of acceptance into degree program
Notice of award of scholarship, if any Unit Faculty Development Plan
For applicants for Foreign Fellowship: Proposed budget
Basis for proposed rates from school catalogue, airlines quotations, etc. (please provide the basis with printouts/screenshots of the documents with English annotations)
Copy of academic calendar and academic program of the Host University
Notification of approval of the renewal of your temporary appointment/letter from Dean/Department Head regarding the status of your faculty appointment. (For temporary appointment only)
This is to certify the correctness of the information presented above.
___________________________________
Applicant’s name and signature/ Date
FRASDP Form 11.2 Page 2 of 4 20220830
Faculty, REPS and Administrative Staff Development Program OVPAA FRASDP Form 11.2
Doctoral Fellowship APPLICATION FORM
Annex 4. Faculty Development Plan
Constituent University College Department/Institute
I. Faculty Profile (as of First/Second Semester, AY _______)
Rank/Educational Attainment PhD Master’s Baccalaureate Post-doc
Number of full professors Number of associate professors Number of assistant professors Number of instructors
Total number of faculty
II. Five-Year Faculty Development Plan
A. Niche(s) or area(s) of expertise being developed by the unit
Niche(s)/Area(s) of Expertise Name of Faculty being developed
B. Continuing Education Plan
Plan/Activity
Name of Faculty
AY 20__-20__ AY 20__-20__ AY 20__-20__ AY 20__-20__ AY 20__-20__
1. Graduate studies a. PhD
b. Master’s
2. Post-doctoral studies 3. Trainings 4. Others
Annex 5A. Proposed Budget
FRASDP Form 11.2 Page 3 of 4 20220830
Faculty, REPS and Administrative Staff Development Program OVPAA FRASDP Form 11.2
Doctoral Fellowship APPLICATION FORM
*Items/(Indicate Currency)
Year 1 Year 2 Year 3 Year 4
Amount required
Scholarship (if any)
Amount requested
Amount required
Scholarship (if any)
Amount requested
Amount required
Scholarship (if any)
Amount requested
Amount required
Scholarship (if any)
Amount requested
1.Academic Costs
a. Tuition fee (Currency) 2. Living Costs
a. Accommodation
b. Food c.Local
Transportation 3. Pre-travel
expenses
a.Visa fees
4. Foreign travel
a.Airfare (two one- way tickets; first &
last year only) 5. Books
TOTAL Estimated Grand Total
(in PhP)
Exchange rate:
As of:
*sample items only
Note:
1. For the estimate of Grand Total amount in PhP, please use exchange rates from www.xe.com.
2. Please indicate the currency used in the table.
2. Please attach screenshot of the basis for each expense item under Annex 5B.
FRASDP Form 11.2 Page 4 of 4 20220830
