sip annex 1a_school-community data template 321121

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    I. SCHOOL PROILE!DATA

    IDENTI"IN# INOR$ATION

    School ID% &'11'1 Name o( School% CATALINO

    A**+e,,% a+anay% MALIMPEC

    Di,t+ict% &RD CON#RESSIONAL

    Di/i,ion% SCHOOLS DI0ISION OICE I PAN# I

    A. #EO#RAPH"

    A.' Relati/e Di,tance o( the School

    a. From the poblacion

    b. From the nearest public elementary school

    c. From the nearest private elementary school

    d. From the nearest public secondary school

    e. From the nearest private secondary school f. From the District Oce

    !. From the Division Oce

    A.& Inci*ence o( c+ime, an* othe+ human-in*uce* haa+*,

    A.&.1 Chec2 i( the+e ha/e 3een inci*ence, o( the (ollo4in in the la,t & yea+,.

    A.&.' 5hat a+e the & mo,t (+e6uent c+ime,!human-in*uce* haa+*,7"st most fre#uent$ child %!ht and bullyin!

    &nd most fre#uent$

    'rd most fre#uent$

    Instruction: Please input required data/information in unshaded cells. Fill-in only the gratemplate aims to organize eisting school and community data from di!erent sources. If

    templates and transfer it here# you may do so. $ther%ise# you can &ust attach the other

    $unicipality% $ALASI9:

    Reion%

    A.1 Location o( the School. Check the appropriate description.Alon! the hi!h(ay

    )ear the coastline

    )ear a river or (ater(ay

    *y the hillside

    On top of a

    Armed con+ict as a result of or!ani,ed crime -terrorism sie!e etc./

    Crime a!ainst school head0s -murder0homicide physical in1ury rape se2ual harassment etc./

    Crime a!ainst school property -theft robbery arson/

    Crime a!ainst student0s -murder0homicide physical in1ury rape se2ual harassment etc./

    Crime a!ainst teacher0s -murder0homicide physical in1ury rape se2ual harassment etc./

    Fire -Electrical (irin! failure etc./

    3ealth 4hreat -i.e. Den!ue Malaria Measles food poisonin! disease outbrea5/

    Oil 6pill

    6ecurity threat as a result of civilian violence -bomb threats 5idnappin! threats hosta!e ta5in! shootin! etc./

    6tructural collapse -as a result of en!ineerin! failures/

    Others. Pls. 6pecify$ 77777777777777

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    A.; Inci*ence o( natu+al haa+*,

    A.;.1 Chec2 i( the+e ha/e 3een inci*ence, o( the (ollo4in in the la,t & yea+,.

    A.;.' 5hat a+e the & mo,t (+e6uent natu+al haa+*,7

    "st most fre#uent$ 77777777 tropical cyclones

    &nd most fre#uent$ 777777777777777777777777777777777

    'rd most fre#uent$ 777777777777777777777777777777777

    A.< Re,ult o( *i,a,te+ inci*ent,

    . LEARNIN# EN0IRON$ENT

    .1 Cla,,+oom, an* ,eat,

    Le/elNo. o( Cla,,+o

    In #oo* Con*ition

    8inder!arten

    9rade "

    9rade &

    9rade '

    9rade :

    9rade ;

    9rade

    9rade ? ;& " >

    9rade @ ;< " >9rade "> '? " >

    9rade ""

    9rade "&

    4O4AL '=& < =

    Num3e+

    "@> ".>=$"

    .' 5ate+> Sanitation an* Hyiene ?5ASH@ (acilitie,

    .1.1 Cla,,+oom 6uantity SRC.1Cu++ent S" '=1

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    computers ;= ;> brand ne( and func

    pro1ectors : in !o

    pro1ector screen " in !o

    microscope &

    electronic microscope " functional

    . A/aila3ility o( elect+ical ,upply. 5hat i, the ,choolG, ,ou+ce o( elect+icity7

    . Inte+net connecti/ity

    If E6 chec5 the appropriate Internet service provider0s servicin! the area$

    ..' Doe, the ,chool ,u3,c+i3e to any o( the Inte+net ,e+/ice p+o/i*e+!, li,te* a3o/e

    ..& A+e the+e Inte+net ca(!,hop,!5ii-ena3le* ,tation, in the a+ea7

    Pls. specify$ 7 !i% enabled &iso'net

    C. TEACHERS

    C.1.1 Num3e+ o( nationally-(un*e* teache+, ?cu++ent S"@

    $ale emale TOTAL

    & < ? &;.;$"

    C.1.' Num3e+ o( locally-(un*e* teache+, an* ,u3,i*ie*!/oluntee+ teache+, ?cu++ent

    )o. of Locallyfunded 4eachers$ >

    )o. of 6ubsidi,ed0 Bolunteer 4eachers$ >

    C.' 9uality o( teache+,

    C.'.1 Num3e+ o( ma,te+ teache+,

    Po,ition Num3e+

    ..1 A+e the+e Inte+net ,e+/ice p+o/i*e+, in the a+ea7

    C.1 Num3e+ o( teache+, SRC.1;.B

    Lea+ne+%teache+ +atio

    $a,te+ Teache+ III >

    $a,te+ Teache+ II >

    $a,te+ Teache+ I >

    C.'.' Num3e+ o( teache+, meetin the *e,i+e* competencie, 3a,e* on NCTS

    Total No. o( Teache+, >

    C.'.& P+oFect,!inte+/ention, implemente* to imp+o/e 3a,ic competencie, o( teache+,

    "ES NO

    yes

    yes

    yes

    C.'.; I t e +e,pon,e to C.'.&. , "ES> ,t o4n t e top & t+a n n nee , ment one

    T+ainin Nee*,

    Top 1% 8888888888888888888888888888888

    Top '% 8888888888888888888888888888888

    Top &% 8888888888888888888888888888888

    C.'.< I( teache+, 4e+enGt t+aine* 3a,e* on i*entiJe* nee*, ?a, ,een in C.'.;@> cite +ea

    D. CHILDREN HEALTH AND SAET"

    D.1.1 Num3e+ o( malnou+i,he* chil*+en (o+ the cu++ent S"

    S" e(o+e P+e/iou, S"%'=1&-'=1;

    P+e/i'=1;

    a. Doe, the ,chool ha/e mechani,m, (o+,u,taine* ,chool-3a,e* t+ainin7

    3. Doe, the ,chool u,e the +e,ult o( the NCTS-Teache+G, St+enth an* Nee*, A,,e,,ment a,3a,i, (o+ plannin7

    c. A+e the+e othe+ inte+/ention, implemente*to imp+o/e competencie, o( teache+,7

    t+aine* on the,e SRC.;.B

    S" e(o+e P+e/iou, S"%'=1&-'=1;

    P+e/i'=1;

    No. o(Teache+,t+aine*

    o(teache+,t+aine*

    No. o(Teache+,t+aine*

    D.1 Nut+itional ,tatu, SRC.'.B

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    Le/el5a,te* Se/e+ely 5a,te*

    Total $ale emale Total $ale emale

    #+a*e 1

    #+a*e '#+a*e &

    #+a*e ;

    #+a*e ; 5m motor cycle tricycle car

    e levels that are applicable to your school. Thisyou "nd it useful to lift data from other

    ata templates to this form.

    motorcycle 1eepney buscar

    mountain

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    ANNEX 1A School-Community Data Template

    m,

    Total

    & &?.;$"

    " ;&$"

    " ;

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    ANNEX 1A School-Community Data Template

    emale

    Num3e+

    & ;;$"

    Subject: Science Subject: ral. &an.

    Num3e+ Ratio Num3e+ Ratio

    er %2tures present etc./

    *e,c+iption!con*ition

    Ratio :

    s i" necessar#.$

    ilable (ater supply

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    ANNEX 1A School-Community Data Template ional : old but functional ' for repair

    d (or5in! condition

    d (or5in! condition

    functional

    "@%

    a+t-Time toeachin!NO@

    A,,ine* ull-Time toAncilla+y Se+/ice,

    ?"ES!NO@

    -6atellite/

    specify$ 7777777777777

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    ANNEX 1A School-Community Data Template

    = ?

    = ?

    .>> ">>.>>

    I( "ES> plea,e *e,c+i3e

    LAC session

    n n cate t e num e+ o teac e+,

    ,on, (o+ the lac2 o( t+ainin.

    u, S"%-'=1 *epen*in on *ata a/ai

    I( "ES>inte+/enti

    Doe, the ,chool-community ha/e a mechani,m to

    ti/ely ,ee2 out chil*+en not in ,chool an* i/e themce,, to e*ucation ?e..> (amily mappin> Community-,e* $anaement Sy,tem> etc@7

    Di* the ,chool u,e inte+/ention, in the p+e/iou, S", to,u+e that out-o(-,chool chil*+en ha/e acce,, toucation7

    CHILDREN ENROLLED IN SCHOOL SRC.1.B

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    ANNEX 1A

    a*e &

    a*e ;

    a*e "@ &" ;> &' &=

    a*e ;: &: '> :" "? &'

    a*e 1=

    a*e 11

    a*e 1'

    TAL '=< 1=1 1=; 1 = 1=

    +cent o( Total ;.'

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    ANNEX 1A

    a*e

    a*e

    a*e K

    a*e

    a*e 1=

    a*e 11

    a*e 1'

    TAL

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    chool-Community Data Template

    O:T O SCHOOL

    o( chil*+en NOT in School

    oy, #i+l, Total

    Di,a3ility

    s/grade levels that are applicable

    to +ea,on,

    AQecte* 3yConict

    Othe+Rea,on,

    ians0community members to probe

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    chool-Community Data Template

    Total $ale emale

    ain,t+eame* in ,chool

    Cu++ent S"% '=1

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    chool-Community Data Template

    ;= &? &@;& &; &=

    ;< &; '"

    '@ "< &'

    '=; ; 11=

    ;.=K

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    chool-Community Data Template

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    ANNEX 1A Sch

    III. SIT:ATION O CHILDREN ! LEARNERS% ACCESS - ATTENDANCE AND RETEN

    struction: Please input required data/information in unshaded cells. Fill-in only the grade levels that are applicable to your school.

    ATTENDANCE

    Le/el S" e(o+e P+e/iou, S" '=1&-'=1; P+e/iou, S" '=1;-'=1< Cu++Total $ale emale Total $ale emale Total

    n*e+a+ten

    a*e 1

    a*e '

    a*e &

    a*e ;

    a*e >

    & In the p+e/iou, S"> ho4 many chil*+en 4e+e (+e6uently a3,ent ?3elo4 = atten*ance@ an* ho4 many o( them 4e+e +ecipient, o( o+am ?Panta4i* Pamilya@ o( DS5D7

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    ANNEX 1A S

    a*e ;1

    a*e 1=

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    ANNEX 1

    a*e 1=

    a*e 11

    a*e 1'

    0ERALL

    & Num3e+ o( *+opout, 3y cau,e ?in,e+t ne4 column, i( nece,,a+y@

    Le/elNum3e+ o( D+opout, 3y Cau,e ?Cu++ent S"@

    n*e+a+ten

    a*e 1

    a*e '

    a*e &

    a*e ;

    a*e &'#+a*e K '@ "? &" :@ &&

    #+a*e ;: &: '> :" "?

    #+a*e 1= >.>>#+a*e K @=.;> @:.=: ">>.>> @?.>> @;.>.>> ">>.>> ">>.>> ">>.>>

    #+a*e 1= ">>.>> ">>.>> ">>.>> @?.&" ">>.>>

    #+a*e 11

    #+a*e 1'

    O0ERALL 1==.== .=1 1==. K.K K.K

    .1 $ean Pe+centae Sco+e, o( NAT #+a*e & an* ?o+ #+a*e K an* #+a*e 1= (o+ the Se

    S" e(o+e P+e/iou, S"% 8888

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    Enli,h ilipino $ath Science

    9rade '

    9rade 9rade ""9rade "&

    Le/el+u,t+ation Le/el In,t+uctional Le

    Total $ale emale Total $ale

    P+e-Te,t Re,ul9rade "9rade &9rade '9rade :9rade ;9rade 9rade ""9rade "&

    .& P+oFect,!inte+/ention, implemente* to imp+o/e +ea*in ,2ill, o( chil*+en ?in,e+t ne

    Li,t *o4n the a4a+*,!+econition, +ecei/e* 3y the ,chool> the ,chool hea*> teache+,> a

    Title "ea+A4

    Di,t+ict Di/i,ion

    Stu*ent

    Teache+

    School Hea*

    ">*ased on PhilII pretest results

    .' Num3e+ o( lea+ne+, 4ho a+e in the (+u,t+ation> in,t+uctional> an* in*epen*ent le/el

    K. A5ARDS!RECO#NITIONS ?TOP &@ SRC..B

    Cateo+y o(A4a+*ee,

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    School

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    ANNEX 1A School-Community Data Template

    ERS% 9:ALIT"

    de levels that are applicable to your school.

    '=1< Cu++ent S"% '=1

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    ANNEX 1A School-Community Data Template

    HEMASI

    HEMASI

    HEMASI

    +t ne4 +o4, i( nece,,a+y@

    el In*epen*ent Le/el

    emale Total $ale emale

    ,

    t,

    (o+ the cu++ent S" ?EN#LISH@ 1=

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    ANNEX 1A School-Community Data Template

    el In*epen*ent Le/elemale Total $ale emale

    ,

    t,

    4 +o4, i( nece,,a+y@

    * ,tu*ent,. In,e+t ne4 +o4, i( nece,,a+y.

    +*-i/in o*y ?Plea,e i*enti(y@

    Reional National Inte+national

    (o+ the cu++ent S" ?ILIPINO@ 1=

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    ANNEX 1A School-Community Data Template