school forms template

5/21/2018 School Forms Template

1/27

AGE as of

1st Friday

of June

(nos. of

years as

per lastbirthday)

House # /

Street/Sitio/

Purok

Barangay Municipality/ City Province

Father (1st na

family name id

learne

School Form 1 (SF 1) School Register(This replaced Form 1, Master List & STS Form 2-Family Background and Profile)

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)

School Name

School IDRegion Division District

School Year

RELIGION

ADDRESS

Grade Level


2/27

AGE as of

1st Friday

of June

(nos. of

years asper last

birthday)

House # /

Street/Sitio/Purok


Father (1st name only if

family name identical tolearner)

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)RELIGION

ADDRESS NAM


3/27

AGE as of

1st Friday

of June

(nos. of

years asper last

birthday)

House # /

Street/Sitio/

Purok


Father (1st name o

family name ident

learner)

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)RELIGION

ADDRESS

Transferred Ou T/O Name of Public (P) Private (PR) School & Effectivity CCT Recipient CCT MALE

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Balik-Aral B/A Name of school last attended & Year FEMALE

Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD SpecifyLate Enrollmen LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivity Data

TOTAL

CCT Control/reference number & Effectivity Date


4/27

REMARK/S

(Please refer to the

legend on last page)


5/27

REMARK/S

(Please refer to thelegend on last page)


6/27

REMARK/S

(Please refer to the

legend on last page)

EoSYDate:

ol Head over Printed Name)


7/27

School ID

Name of School

School Year

SectionGrade Level

Report for the Month of

ABSENT TARDY

REMARK/S(IfDROPPED OUT,state reason,

please refer to legend number 2.

If TRANSFERRED IN/OUT, write the name of

School.)

School Form 2 SF2 Dail Attendance Re ort of Learners

(1st row for date, 2nd row for Day: M,T,W,TH,F)

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

LEARNER'S NAME


Total for the

Month

MALE | TOTAL Per Day


8/27

ABSENT TARDY

REMARK/S(IfDROP

please refer to

If TRANSFERRED IN

Sc

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME


Total for the

Month

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month:

2. REASONS/CAUSES OF DROP-OUTS

a. Domestic-Related Factors

a.1. Had to take care of siblingsa.2. Early marriage/pregnancy

a.3. Parents' attitude toward schooling

a.4. Family problems

b. Individual-Related Factors

b.1. Illness

b.2. Overage

FEMALE | TOTAL Per Day

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out

a.

b.

c.

Total Daily AttendanceNumber of School Days in reporting month

Registered Learner as of End of the month

Registered Learner as of End of the Month

x 100

x 100

Registered Learner as of end of the month

blank- Present; (x)- Absent; Tardy (half shaded= Upper

for Late Commer, Lower for Cutting Classes) * Enrolment as of (1st Friday of June)

No. of Days of

Classes:

4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of

summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.

Combined TOTAL PER DAY

Percentage of Enrolment as ofend of the mon

Average Daily Attendance

Late Enrollment during the month

(beyond cut-off)Enrolment as of 1st Friday of June

Average Daily Attendance =

Percentage of Enrolment =

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.

2. Dates shall be written in the preceding columns beside Learner's Name.

3. To compute the following:

Average daily attendancePercentage of Attendance for the month =

Number of students with 5 consecutive days of

absences:

Percentage of Attendance for the month

b.3. Death5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive



absences:b.4. Drug Abuse

6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance

* b.6. Lack of interest/Distractionsb.7. Hunger/Malnutrition

c. School-Related Factors

c.1. Teacher Factor

c.2. Physical condition of classroom

c.3. Peer influence

d. Geographic/Environmental I certify that this is a true and correct report.

d.1. Distance between home and school

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive


Transferred in

Beginning of School Year cut-off report is every 1st Friday of School Calendar Days Drop out

Transferred out


absences:


9/27

School ID School Year

School Name

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

Grade Level

(This replaced Form 1 & Inventory of Text Book)

School Form 3 (SF3) Books Issued and Returned

Date

Section

NO.Date Date

Subject Area & Title Subject Area & Title

LEARNER'S NAME


REMARK/ACTIO

(Please refer to the l

page)Date Date Date Date Date

Subject Area & Title Subject Area & TitleSubject Area & TitleSubject Area & Title Subject Area & Title Subject Area & Title


10/27

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

DateNO.

Date Date

Subject Area & Title Subject Area & Title

LEARNER'S NAME

(Last Name, First Name, Middle Name)Date Date Date Date Date

Subject Area & Title Subject Area & TitleSubject Area & TitleSubject Area & Title Subject Area & Title Subject Area & Title

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with the following code: Prepared By:

2. The Date of Issuance and the Date of Return shall be reflected in the form. A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence

1. Title of Books Issued to each learner must be recorded by the class adviser.


11/27

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F

Kinder 1 21 21 42 21 21 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kinder 2 21 21 42 21 21 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kinder 3 17 23 40 17 23 40 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kinder 4 21 19 40 21 19 40 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kinder 5 20 21 41 20 21 41 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One SSC 21 21 42 21 21 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Pink 32 10 42 32 10 42 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Violet 19 16 35 19 16 35 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Yellow 21 14 35 21 14 35 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Blue 20 15 35 20 15 35 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Golden 20 16 36 20 16 36 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Red 20 17 37 20 17 37 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

One Green 19 18 37 19 18 37 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Two SSES 14 15 29 14 15 29 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Two 1 24 28 52 24 28 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Two 2 32 23 55 32 23 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Two 3 28 27 55 28 27 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Two 4 33 22 55 33 22 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Two 5 34 21 55 34 21 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Three SSES 3 21 24 3 21 24 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Three 1 24 31 55 24 31 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Three 2 23 32 55 23 32 55 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

(A+

Cumulat

of End

Mon

Glaiza C. Garcia

Jenefer M. Lenon

GRADE/

YEAR

LEVEL

SECTION

III TARLAC PROVINCE

1606383

JUNE2014 - 2015CAPAS WEST CENTRAL ELEMENTARY

(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School Name

Region Division District

School Year Report for the Month of

CAPAS WEST

School Form 4 (SF4) Monthly Learner's Movement and Attendance

DROPPED OUT TRANSFERRED OUT TRANSFERRED IN

Daily AveragePercentage for

the Month

(A) Cumulative

as of Previous

Month

(B) For the

Month

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(A+B)

Cumulative as

of End of the

Month

(A) Cumulative

as of Previous

Month

(B) For the

Month

Rebsam C. Divad

REGISTERED

LEARNER

(As of End of

the Month)

ATTENDANCE

(B) For the

Month

NAME OF ADVISER

Flordhelyn C. Castaeda

Gizelle M. Dizon

Ann Marie S. Flores

Lilibeth G. Gamboa

Crizaly S. Estrella

Marilou S. Tansioco

Alicia C. Tolentino

Jennalyn V. Capunfuerza

Rosalina G. Payumo

Elma Y. Alcantara

Lutgarda M. Canono

Grace O. Espino

Millette C. Torales

Jona G. Cunanan

Gennalyn D. Vergara

Rizalia P. Subido

Maylyn C. Asuncion

Cherish Joy N. Dimal

Shiella Marie R. Nunag

School ID


12/27

Three 3 18 54 72 18 54 72 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Three 4 30 19 49 30 19 49 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Three 5 35 16 51 35 16 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four SSES 14 12 26 14 12 26 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 1 29 24 53 29 24 53 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 2 28 24 52 28 24 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 3 28 23 51 28 23 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 4 27 25 52 27 25 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 5 31 20 51 31 20 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 6 32 19 51 32 19 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Four 7 36 14 50 36 14 50 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Five SSES 10 14 24 10 14 24 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0Five 1 18 34 52 18 34 52 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Five 2 24 27 51 24 27 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Five 3 26 25 51 26 25 51 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Five 4 32 21 53 32 21 53 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Five 5 37 13 50 37 13 50 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Six 1 17 28 45 17 28 45 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Six 2 20 24 44 20 24 44 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Six 3 23 22 45 23 22 45 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Six 4 22 23 45 22 23 45 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Six 5 24 19 43 24 19 43 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Six 6 24 17 41 24 17 41 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ELEMENTARY:

100 105 205 100 105 205 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

172 127 299 172 127 299 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

165 136 301 165 136 301 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

133 173 306 133 173 306 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

225 161 386 225 161 386 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

147 134 281 147 134 281 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

130 133 263 130 133 263 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1072 969 2041 1072 969 2041 100% 100% 100% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

GUIDELINES: Prepared and Submitted by:

GRADE 5

GRADE 6

TOTAL FOR NON-GRADED

TOTAL

KINDER

GRADE 1

GRADE 2

GRADE 3

GRADE 4

Florina M. Estrada

Mercedita E. Mercado

Arlyn Josephine G. Cadiang

Marielyn P. Santos

1. This forms shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.

Esmeralda M. Medina

Sherrylyn S. Cayabyab

Reya D. Manalo

Jerson D. Gania

Mylene M. Diaz

Mirasol C. Pineda

Jessica O. Balatbat

Ma. Johnna A. Garcia

Lani Z. Pineda

Hazel G. Vitug

Ma. Virginia A. Abalos

Purificacion T. Vistan

Silkhy S. Diego

Haydee C. Pangilinan

Carol P. Simbulan

Lizzet Grace M. Gonzales

Cyril E. Dionida

Jean Aura G. MarianoTeresita I. Capitulo


13/27

2. Furnish copy to Division Office: a week after June 30, October 30 & March 31

3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed. (Signature of School Head over Printed Name)

ALLADIN M. QUIAMBAO

4. Small school that has one section per grade/year level is not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only

accomplish the summary column per grade/year level.


14/27

T

0

0

0

00

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

e as

the


15/27

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


16/27


17/27

M F TOTAL M F TOTAL M F

Number of students with 5 consecutive days

of absences:

Percentage of Enrolment as ofend of the

month




(beyond cut-off)


Grade _________ Section ___________

JULYNo. of Days of

Classes:

Summary for the

* Enrolment as of JULY


of absences:


month




(beyond cut-off)


Grade _________ Section ___________ Grade _________ Section ___________

JULYNo. of Days of

Classes:

Summary for the Month



(beyond cut-off)



of absences:



No. of Days of

Classes:

Summary for the Month


JULY


month


of absences:


of absences:


of absences:

M F TOTAL M F TOTAL M F


Number of students with 5 consecutive daysof absences:


Average Daily Attendance Average Daily Attendance Average Daily Attendance

Percentage of Attendance for the month Percentage of Attendance for the month



month


month


month

Registered Learner as of end of the monthRegistered Learner as of end of the month Registered Learner as of end of the month


(beyond cut-off)


(beyond cut-off)

No. of Days of

Classes:

Summary for the

* Enrolment as of JULY * Enrolment as of JULY


(beyond cut-off)


Grade _________ Section ___________ Grade _________ Section ___________ Grade _________ Section ___________

JULYNo. of Days of

Classes:

Summary for the MonthJULY

No. of Days of

Classes:

Summary for the MonthJULY

Transferred out

Transferred in


of absences:

Drop out

Transferred out

Transferred in


of absences:

Drop out

Transferred in


of absences:

Drop out

Transferred out




Drop out Drop out

Drop out





18/27

Transferred inTransferred in Transferred in


19/27

TOTAL

TOTAL

Month

Month


20/27


21/27


Curriculum

Grade Level Section

66 B RETAINED

#N/A 0 STATUS MALE FEMALE TOTAL

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0 MALE FEMALE TOTAL

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

#N/A 0

School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

School ID

SUMMARY TABLE

School Name

LRN LEARNER'S NAME


ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

INCOMPLETE SUBJECT/S

(This column is for K to 12 Curriculum and remaining RBEC in

High School. Elementary grades level that still implementing

RBEC need not to fill up this column)

Completed as of end of current

SY as of End of the current SY

0

*IRREGULAR 0 0

PROMOTED 0 0

0

0RETAINED 0 0

LEVEL OF PROFICIENCY

1

DEVELOPING (D:

75%-79%)0 0

BEGINNNING

(B: 74% and below)1 0

0

APPROACHING

PROFICIENCY

(AP: 80%-84%)

0 0 0

0

ADVANCED (A:

90% and above)0 0

PROFICIENT

(P: 85% -89%)0 0

0 TOTAL MALE

School Year

GENERAL AVERAGE

(Numerical Value in 3

decimal places for

honor learner, 2 for

non-honor &

Descriptive Letter)


22/27

LRNLEARNER'S NAME


ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED





Completed as of end of currentSY

as of End of the current SY

GENERAL AVERAGE

(Numerical Value in 3

decimal places for


non-honor &

Descriptive Letter)

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF!#REF!

#REF! #REF! #REF! CERTIFIED CORRECT & SUBMITTED:

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF!#REF!

#REF! #REF! #REF! REVIEWED BY:

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF! GUIDELINES:

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

TOTAL FEMALE

COMBINED

Class Adviser

(Name and Signature)

PREPARED BY:

School Head


Division Representative


1. For All Grade/Year Levels

2. To be prepared by the Adviser. Final rating persubject area should be taken from the record of subje

teacher. The class adviser should make the

computation of General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and irregular ( *for grade

onwards only) and the level of proficiency according t

the individual general average

School Form 5: Page 2 of ______

5. Protocols of validation & submission will remain

under the discretion of the Schools Division

Superintendent

4. Must tallied with the total enrollment report as of En

of School Year GESP /GSSP (BEIS)


23/27


Curriculum

Grade Level Section

STATUS MALE FEMALE TOTAL

MALE FEMALE TOTAL

TOTAL MALE

RETAINED





Completed as of end of current

SYas of End of the current SY

School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

LRN

GENERAL

AVERAGE

(Numerical Value in

3 decimal places for


non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

School Name

School ID

LEARNER'S NAME


School Year

PROMOTED

*IRREGULAR

SUMMARY TABLE

LEVEL OF PROFICIENCY

DEVELOPING (D:

75%-79%)

BEGINNNING

(B: 74% and below)

PROFICIENT

(P: 85% -89%)

ADVANCED (A:90% and above)

APPROACHING

PROFICIENCY

(AP: 80%-84%)


24/27





Completed as of end of currentSY as of End of the current SY

LRN

GENERAL

AVERAGE

(Numerical Value in

3 decimal places for


non-honor &Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


CERTIFIED CORRECT & SUBMITTED:

REVIEWED BY:

GUIDELINES:

TOTAL FEMALE

COMBINED

2. To be prepared by the Adviser. Final rating per

subject area should be taken from the record of subject

teacher. The class adviser should make the

computation of General Average.

3. On the summary table, reflect the total number of

learners promoted, retained and irregular ( *for grade 7

onwards only) and the level of proficiency according to

the individual general average

4. Must tallied with the total enrollment report as of End

of School Year GESP /GSSP (BEIS)

School Form 5: Page 2 of ________

PREPARED BY:

Class Adviser


School Head


1. For All Grade/Year Levels

5. Protocols of validation & submission will remain

under the discretion of the Schools Division

Superintendent


Division Representative


25/27

MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:

SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIVISION SUPERINTENDENT

GUIDELINES:

2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.

3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP

4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent

PROMOTED

RETAINED

School YearSchool Name

School ID Region Division

District

GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11 GRADE 6 / GRADE 12 TOTALSUMMARY TABLE

School Form 6 (SF6) Summarized Report on Promotion

(This replaced Form 20)

IRREGULAR

TOTAL

Nos. of BEGINNNING

(B: 74% and below)

and Level of Proficiency

GRADE 1 /GRADE 7

Nos. of APPROACHING

PROFICIENCY

(AP: 80%-84%)

Nos. of DEVELOPING

(D: 75%-79%)

Nos. of PROFICIENT

(P: 85% -89%)

1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.

Nos. of ADVANCED

(A: 90% and above)


26/27

Region

TeachingNon-

Teaching

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

District

(B) Nationally-Funded Non Teaching Items

Title of Designation

(Designation as appeared in the

contract/document: Teacher, Clerk,

Security Guard, Driver etc.)

(A) Nationally-Funded Teaching & Teaching Related Items

School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,

Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School Year

School ID

School Name

Division

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

(C ) Other Appointments and Funding Sources

Subject Taught

(include Grade &

Section), Advisory Class

&Other Ancillary

Assignment

Ave. Minutes per Day


* Daily Program (time duration)

Fund Source

(SEF, PTA, NGO's

etc.)

Remark/s (For

Detailed Items,

Indicate name of

school/office, For

IP's -Ethnicity)

Number of

Incumbent

Minor

Appointment:

(Contractual,

Substitute,

Volunteer, others

specify)

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

Employee

No. (or TaxIdentification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source



27/27

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)

From

(00:00)

To

(00:00)

Total Actual

Teaching

Minutes

Assignment

per Week

Subject Taught

(include Grade &

Section), Advisory Class

&Other Ancillary

Assignment

* Daily Program (time duration)Remark/s (For

Detailed Items,

Indicate name of

school/office, For

IP's -Ethnicity)

Minor

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

Employee

No. (or TaxIdentification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source

GUIDELINES: Submitted by:

(Signature of School Head over Printed Name)

3. Please reflect subjects being taught and i f teacher handl ing advisory c lass or Anci llary Assignment. Other administrative duties must a lso repor ted. Updated as of: ___________________________

2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall

also serve as inventory list of school personnel.

4. * Daily Program Column is for teaching personnel only.

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during SY, updated Form 19

must submit to the Division Office .



School Form 7, Page 2 of ________



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