CCAP 2022 Philipines Application Seminar - 052422

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COMMUNITY COLLEGE ADMINISTRATOR PROGRAM PHILLIPINES


APPLICATION FOR SEMINAR PARTICIPANTS
Personal Information

Please submit this application and the following


a) a copy of the picture / data page of your passport,
b) a scanned copy of your proof of vaccination,
c) a separate digital photo of you, and
d) a brief biographical/personal statement that will be printed in the program booklet. Your personal
statement may include your current position and responsibilities, professional interests, and any other
information you would like to share.
Name of applicant (as indicated on passport, if already issued.): Gender:
MALE
Wilkie Engbino Reroma Marital status:
First: Middle: Last: Single ☐ Married ☒
Home Address: Home Phone:
Street and number: Maple Street Block 21 Lot 5
City: Minglanilla Mobile Phone:
State/province: CEBU 0932 245 6852
Postal code: 6046 E-mail:
Country: PHILIPPINES [email protected]
Place of birth (city or town and country, as listed in passport, if available): Month of birth: May
City of birth: Cebu City Day of birth: 11
Country: Philippines Year of birth: 1971
Do you have a passport? (check one) ☒ Yes ☐ No Country of citizenship:
Passport number and expiration date (mm/dd/yy): PHILIPPINES
P9212314A9PHL7105111M2810179 10/17/28
Include a copy of the picture/data page of your passport.
Name of the institution of current employment: Current position:
TECHNICAL EDUCATION and SKILLS CHIEF
DEVELOPMENT AUTHORITY Regional Training
Center-Cebu
List your administrative duties:
1. Directs, supervises and coordinates the operations and activities of the Regional Training Center-
Cebu;
2. Reviews and finalizes policy recommendations on TVET for approval of higher authorities;
3. Prepares institutional development plan;
4. Provide technical services and staff advises on TVET to VocTech institutions, industries, worker’s
organizations, LGUs, NGOs and other stakeholders;
5. Manages and implements plans, programs, projects and services;
6. Initiates social marketing, advocacy and marketing;
7. Facilitates the monitoring and evaluation programs, projects, and services;
8. Ensure active multi-sectoral participation and concerned public and private agencies on TVET;
9. Recommends measures for effective and efficient operations of the institution; and
10. Performs other related functions.

Level of degree granted by your university/school/ office: Academic programs offered at your institution:
Bachelor of Science in Mechanical Engineering and None
Bachelor of Law

The Community College Administrator Program is a program of the United States Department of State, Bureau of Educational and Cultural Affairs
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Do you have any teaching duties? If so, please describe the duties:
None

Knowledge of languages: Rate yourself Excellent, Good, Fair, or Poor. Include all languages that you speak or
have studied, including English. Also list your native language.
Language Reading Writing Speaking Listening
Native language: Good Good Good Good
ENGLISH

Language proficiency If you have taken any standard test of English language proficiency (for example TOEFL,
TOEIC, IELTS) please identify the type of test taken, give the results, and provide a copy of the test results.

Test Taken: Date Taken: Results (attach copy):

The Community College Administrator Program is a program of the United States Department of State, Bureau of Educational and Cultural Affairs
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Background Information

List All Post-Secondary Educational Institutions Attended. (Begin with the most recent.)
Dates Attended Name of Degree or
Name of Major Field of
(Month, Year) Diploma (Do not Date Received
Institution/Location Study
From To translate)
University of San Jose Mechanical 1988 1993 Bachelor of 1993
Recoletos Engineering Science in
Mechanical
Engineering
University of the Laws 2004 2011 Bachelor of Law 2011
Visayas

The Community College Administrator Program is a program of the United States Department of State, Bureau of Educational and Cultural Affairs
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Work Experience: List positions held including teaching and administrative experience. Begin with most
recent employment. (Continue on additional sheets of paper, if necessary).
Name and address of Date Date
Position held Responsibilities
employer From: To:
Current Position: Chief TESDS August Present 11. Directs, supervises and
Chief TESD Specialist 24, coordinates the operations
2020 and activities of the Regional
Training Center-Cebu;
12. Reviews and finalizes policy
recommendations on TVET
for approval of higher
authorities;
13. Prepares institutional
development plan;
14. Provide technical services
and staff advises on TVET
to VocTech institutions,
industries, worker’s
organizations, LGUs, NGOs
and other stakeholders;
15. Manages and implements
plans, programs, projects
and services;
16. Initiates social marketing,
advocacy and marketing;
17. Facilitates the monitoring
and evaluation programs,
projects, and services;
18. Ensure active multi-sectoral
participation and concerned
public and private agencies
on TVET;
19. Recommends measures for
effective and efficient
operations of the institution;
and
Performs other related functions

The Community College Administrator Program is a program of the United States Department of State, Bureau of Educational and Cultural Affairs
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List any awards or publications.


1. commendation
2. Certificate of Appreciation

List any experience you have had living, studying, working, or traveling abroad.
(Continue on additional sheets of paper, if necessary.)
Country Dates Purpose
Kingdom of Saudi February 9, 1994 Working
Arabia to December 2,
1996
Malaysia June 21, 2010 to Studying
July 1, 2010

Emergency Contact Information: Below, provide the names, addresses, and telephone numbers of individuals
to be notified in case of an emergency.
Location & address of Indicate relationship to you Languages this
Name of individual
individual (relative or friend) person speaks
List contacts in your home country
Catherine T. No. 435, lot 5, Blk 21, Wife English
Reroma Maple Street, Springwoods
Country Homes, Tulay,
Minglanilla, Cebu,
Philippines

List contact in the United States, if any


None

Getting to Know You (Please type or write on separate sheets of paper.)


Question #1: What current initiatives have you undertaken at your institution, or what initiatives would you
like to undertake in the next three years, in order to improve your institution?
Ans. Human Resource Development/People Management, Knowledge Management System and Financial
Management

Question #2: Describe the key challenges facing your institution.


Ans. Financial Constraints and lack of manpower

Question #3 What does your country and your institution most need in order to respond to local workforce
needs more efficiently?
Ans. Financial Management, Knowledge Management System and people Development
Question #4: How might this program assist you in attaining your personal or institutional goals?
Ans. Adopt best practices and learn and apply it to my own institution

Topics of Interest and Relevance (Please type or write on separate sheets of paper.)

The Community College Administrator Program is a program of the United States Department of State, Bureau of Educational and Cultural Affairs
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What are the specific aspects of the U.S. community college system that interest you?

COMMUNITY COLLEGE ADMINISTRATOR PROGRAM


APPLICATION CERTIFICATION STATEMENT
CERTIFICATION: I certify that I completed this application myself and that the information given in this application is
complete and accurate, and that I have carefully read and understand it.

I understand that program administrators reserve the right to verify all the information listed in the application. I
understand that giving false or misleading information in the application will eliminate me from the competition or cause
my dismissal from the Community College Administrator Program.

Also, I acknowledge that I am aware of the following program requirements:


 I must follow all program rules and regulations and observe all the laws of the United States during my stay there.
 CCAP Seminar program dates are tentatively October 10-November 11 with the Executive Dialogue on
November 7-11, with program-arranged travel for all participants on the weekends immediately prior to and
following the program dates.
 At the end of the program, I will return to my home country. I understand that I may not extend my stay in the
United States.

Please indicate if you will require English language resources such as translation during all or some of the program
[Please note: Selecting yes will not exclude candidates from selection for this program].
Yes: ☐
No. ☐

_________________________________ ____07/11/2022____________________________________
Signature of applicant Date (month/day/year)

The Community College Administrator Program is a program of the United States Department of State, Bureau of Educational and Cultural Affairs

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