GPR Form Checklist - Initial Permit

PROGRAM APPLICATION CHECKLIST

Name of HEI: COLLEGE OF SAINT ANTHONY
Address : TUNGKONG MANGGA, CITY OF SAN JOSE DEL MONTE, BULACAN
Program Being Applied For: BACHELOR OF MULTIMEDIA ARTS
Academic Year: 2020-2021

No. DOCUMENTS With W/O REMARKS

1 HEi’s application letter duly signed by the Chairman of the
Board of Trustees/President or authorized representative /
including notarized affidavit

2 Board Resolution on the operation of the new course / With Board

certified by the Corporate Secretary Resolution No.
2019-001
3 Feasibility study to include: The HEI has
• Brief description of proposed program / submitted a
• Institutional mandate and philosophy and goals of comprehensive
proposed program feasibility study.
• Management viability such as:
o Management capability and administrative
competence as reflected in Organizational Chart and
qualifications of Management personnel
• Market viability in terms of:
o Demand for graduates/employment opportunities (at
least in the next five years)
o Prospective students (enrollment projection)
o Presence of existing higher education institutions
(HEIs) offering same course within the area
• Financial viability in terms of sustainability of operation
such as:
o Financial soundness
o Projected income and expenditure
o Schedule of tuition and other fees
• Other operational aspects
• Location of schools in relation to factors that are not
conducive to learning such as cockpits, dancing halls,
bars or recreational places of questionable character,
bowling alleys, movie houses, markets, garbage
dumps, funeral parlors, jails, cemeteries and others

4 For private HEI: Articles of Incorporation and By-Laws duly

registered with the Securities and Exchange /
Commission
For local college: Copy of original Ordinance approving
establishment
For SUCs: Copy of the Charter
5 Copy(ies) of Transfer of Certificate(s) Title (TCT)/Lease /
Contract/Ownership of School Building

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6 Statement on the location of schools in relation to factors
that are not conducive to learning such as cockpits, /
dancing halls, bars or recreational places of questionable
character, bowling alleys, movie houses, markets, garbage
dumps, funeral parlors, jails, cemeteries and others. The
Local Government Unit issued a certification that the
location of the school is free from noise, unpleasant odor
and dust and sufficiently far from the aforementioned
places.

7 Five Year Institutional Development and Landscaping

Plans /

8 Certificate of Occupancy for the building(s) to be used in

the name of the HEI and indicated for educational purpose /
issued by the City/Municipality’s Office of Building Officials

9 Updated pictures of the school site and building(s),

classroom, laboratories, libraries, medical and dental health /
facilities, canteens, sports and recreational areas, etc.

10 Copy of the latest financial statement for the existing

programs certified by an independent Certified Public
Accountant (for existing schools only)

11 Proposed budget/annual expenditures per program for the /

five (5) succeeding school years approved by the Board of
Trustees/Directors

12 Curriculum The institution is

• Distribution of subjects per term advised to design
• Summary of units X and submit a
• Course description (by subject) curriculum for the
• Course Syllabus (by subject) Bachelor of
Mutimedia Arts
program with CMO
No. 20, S. 2017 as
reference.
13 Proposed schedule of tuition and other authorized school Energy Fee and
fees per program X Facilities
Maintenance Fee
are not allowed to
be collected from
the students, per
CMO No. 3, S.
2012.

14 Employees’ Social Benefits

• SSS /
• HDMF
• PHIC
• Retirement Membeship (if there is any)

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15 / The proposed
School Administrators (President, Vice President(s), Program
Director(s), Dean(s), Program Chair(s)/Head(s), Coordinator is Mr.
Coordinator(s), etc.) Anthony Charles
a. Spreadsheet should include the following information: A. Coralejo with an
• Name MAin Film, Cinema
• Position/Designation and Video Studies
• Educational qualifications (where and when at the New York
obtained) Film Academy.
• Professional License Number & Expiration date (if
applicable)
• Nature of appointment (permanent/temporary)
• Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of Resume/Curriculum Vitae
e. Copy of notarized appointment/contract of employment
(to be submitted if already hired)
f. Letter of commitment (if not yet hired but to submit
notarized appointment/contract before issuance of initial
permit)
g. Approved resignation from previous employer (to be
submitted before issuance of initial permit)

16 Academic Non-teaching personnel (Registrar, Guidance /

Counselor, Administrative staff, etc.)
a. Spreadsheet should include the following information:
• Name
• Educational qualifications (where and when
obtained)
• Professional License Number & Expiration date (if
applicable)
• Nature of appointment (permanent/temporary)
• Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of notarized appointment/contract of employment

17 Faculty Members
a. Spreadsheet should include the following information
(separate spreadsheet for faculty handling General X Please submit a
Education subjects and Professional subjects): matrix of faculty to
• Name handle
• Educational qualifications (where and when Professional
obtained) subjects.
• Professional License Number & Expiration date (if
applicable)
• Field of specialization____________ ________ __
 • Subjects to be taught
• Nature of appointment (permanent/temporary)
• Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of Resume/Curriculum Vitae
e. Copy of notarized appointment/contract of employment
(to be submitted if already hired)
f. Letter of commitment (if not yet hired but to submit
notarized appointment/contract before issuance of initial
permit)
g. Approved resignation from previous employer (to be
submitted before issuance of initial permit)
h. Five-Year Faculty Development Plan

18 Non-Academic personnel /
a. Spreadsheet should include the following information:
• Name
• Educational qualifications (where and when
obtained)
• Professional License Number & Expiration date (if
applicable)
• Nature of appointment (permanent/temporary)
• Status (fulltime/part-time)
b. Certified true copy of Transcript of Records
c. Certified true copy of Professional License (if
applicable)
d. Copy of notarized appointment/contract of employment

19 Physical facilities to be used exclusively for tertiary I

programs (to include pictures)
• School site
• Total floor area (in sq. m.)
• Buildings
• Number & size of classrooms/ lecture rooms
• Number & types of laboratories
Note: Refer to PSG for the Program applied for

20 List of equipment and other instructional devices/aids /

21 Library
a. Librarian (cop of Transcript of Records, appointment,
professional license)
b. Facilities (floor space in sq. m.) - to include pictures /
c. Seating capacity (combined number of students &
faculty at one time)
d. Library collections (books, journals, magazines,
X Please submit list
dictionaries, almanacs, etc.)
of books specific to
• List of 5 non- duplicated book titles per subject in
the Bachelor of
the curriculum published within the last 5 years
Multimedia Arts
program.

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 • List of book collections/accessioned books
o Start-up -3,000 library collections (for initial
permit)
o Minimum of 5,000 library collections (for
recognition)
• List of subscription to relevant professional journals

e. Five-Year Development Plan /

Note: List should be in spreadsheet to include author,

title of book, year of publication and number of
volumes
22 Support facilities /
• Audio visual room
• Sports and recreational, if outsourced to include
notarized MOA
• Canteen
• Faculty lounge
• Student lounge
• Dormitories

23 Support services /
a. Guidance and counseling
b. Medical and dental services for students and faculty, if
outsourced to include notarized MOA

24 NSTP
a. Coordinator (copy of Transcript of Records & X
appointment)
b. NSTP office
c. Affiliation to Accredited NSTP Provider, if outsourced, to
include notarized MOA

25 School bond in the amount of One Hundred Thousand

Pesos (Php100,000.00) in cash or check payable to
CHEDRO III (for newly established private HEI only)

26 Application fee in the amount of Eight Thousand Pesos

(Php8,000.00) in cash or check payable to CHEDRO III X
(per program)

27 Inspection fee in the amount of Fifteen Thousand Pesos

(Php15,000.00) in cash or check payable to CHEDRO III X
(per program)

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Evaluated by: Date: June 7, 2019

CRIS JtTA L TARAN, ES II

Reviewed and Noted by:

MS. LORAL.YUSI
Chief Education Program Specialist
Officer-in-Charge
Office of the Director IV