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DESCRIPTION
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School -DORP Form 2B -CONSOLIDATED SARDO Watch List Month of: JUNE
SY 2013-2014
Note: To be accomplished by the School DORP Coordinator DISTRICT: NORTH - 6
DIVISION OF CEBU CITY Name of School: MABOLO NATIONAL HS SCHOOL: BANILAD ELEM. SCHOOL
M F M F M F
1 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
2 GRADE ONE 0 23 281 0 0 0 0 16 8 10 77 18 7 35 2 2 4 7 6 6 5 1 1
3 GRADE TWO 0 0 248 26 224 15 15 52 8 7 3 6 9 3 8 2 1 1
4 GRADE THREE 0 22 130.5 4 242 0 0 168 53 25 49.5 18 12 36 5 3 2 5 1 0 0 0 1 0
5 GRADE FOUR 0 0
6 GRADE FIVE 0 0
7 GRADE SIX 0 8 204 0 200 45 9 25 14 19 39 6 6 1 17 7 3 7 2 0 1
0 53 863.5 30 666 60 24 0 0 0 0 0 0 0 0 209 75 54 0 218 50 26 80 13 5 7 22 24 12 21 9 3 3
Legend: NR - Non-Reader P - Passive Others: Others:
F - Frustration NI - Not Interested
Ins - Instructional MisB - Misbehaving Submitted by:
Ind - Independent MARJORIE C. MANLOSA
DORP Coordinator
Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.
2. A student/pupil incurring 5 absences is a SARDO.
Contents Noted:
ROMEO R. LISONDRA Principal III
CELESTINA N. GOHETIA
AP
TL
E
No.
TOTAL
Absent
KINDERGARTEN
No. of days
(Ref. fo Form 1)
Eng
Ma
th
GRADE / YEAR LEVEL
FilNR F Ins Ind
La
te
To
oth
ach
e
Oth
ers
NI
Mis
B
Fe
ve
r &
He
ad
ach
e
Ma
lnu
t
EP
Sci
Sa
ve
d
No
t
Sa
ve
d
Co
me
s w
/o
ea
tin
g /b
ao
n
No
Sch
oo
l
Supplie
sC
om
es
wa
lkin
g
w/o
fa
re
oth
ers
Ide
ntifie
d
SA
RD
O
Sto
ma
ch
ach
e
Region VII
Public Schools District Suprvisor North - 6M
ap
eh
Behavior Health & NutritionAcademic
(Ref. to PHIL-IRI / ORV)
Learning Difficulties
(Ref. to Form 137)
Republic of the Philippines
Reading
DIVISION OF CEBU CITY
Please put 1 instead of a check mark to indicate classification or choice. If "others" please specify.
Economic
PCutting
Classes
Attendance
Department of Education
S-DORP Form 3B - IDENTIFIED SARDOs MONTH OF:JUNE
(To be accomplished by the School DORP Coordinator ) S.Y. 2013-2014
Note: The IDENTIFIED SARDO consolidated report DISTRICT: NORTH - 6
will be forwared to the District HS DORP Coordinator or Elementary Name of School: BANILAD ELEM.
District DORP Coordinator.
Pro
mo
ted
Me
an
s o
f
Ve
rifi
ca
tio
n
Colle
ge
NA
T
Periodic Grades
EA
SE
/MIS
OS
A
Reasons why child
was not saved
inspite of the
interventions
Sti
ll i
n
Sc
h.
Employed
Please put a check mark on the space provided for each choice.
WHEREABOUTS
AW
AR
D
Achievemen
t
6
OH
SP
9 DA
T
5
Gra
duate
d
DIVISION OF CEBU CITY
RA
T
N
o.
IDENTIFIED SARDO
Ta
rdy
Grade/Year level
Sex
Ab
sen
ces
2
Acad
em
ic
Beh
avio
r
Republic of the Philippines
3 4 7 10
Department of Education
Region
12 O I
SII
Solutions and Interventions DoneSpecific Problems/Causes
1
H &
N
Eco
no
mic
8 11
Areas
Cu
ttin
g C
lass
es
Ab
us
e
M F
12 3 4 5 6 7 8 9 10 11 12 F
il
Eng
Math
Sci
AP
TLE
MA
P
EP M F
Lo
ca
l
Ab
roa
d
Oth
ers
Pro
mo
ted
Me
an
s o
f
Ve
rifi
ca
tio
n
Colle
ge
NA
T
EA
SE
/MIS
OS
A
Reasons why child
was not saved
inspite of the
interventions
AW
AR
D
6
OH
SP
9 DA
T
5
Gra
duate
d
RA
T
N
o. Ta
rdy
Grade/Year level Ab
sen
ces
2
Acad
em
ic
Beh
avio
r
3 4 7 10 12 O I1
H &
N
Eco
no
mic
8 11C
utt
ing
Cla
sse
s
Ab
us
e
F 1 5 1 0 0 0 0 0 0 1 1 0 1 2 0 3 0 0 1 0
I 5 0 0 0 0 2 0 2 0 0 3 0 2 1 0 1 0 2 0 0
C 1 1 0 0 1 0 0 1 0 0 0 0 0 2 0 0 1 0
S 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0
F 0 1 0 0 0 0 0 1
F 0 0 2 1 0 0 0 0 1 0 1 0 2 0 0 1 0 0 0 0
I 4 0 0 0 0 1 0 0 2 0 4 0 0 1 0 0 0 1 3 0
C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 005 GRADE FIVE 0
000
GRADE FOUR 00
3
1 03 GRADE THREE 0
The mother lacks
support in her
daughter's studies.
8 22 GRADE TWO 39 3
561 GRADE ONE 67
5
4
F 0 0 0 0 0 0 0 0
0 005 GRADE FIVE 0
F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F 0 0 0 0 0 0 0 0
F 1 5 3 1 0 0 0 0 1 1 0 0 0 0 0 2 0 3 2 0 4 0 0 1 0 0 0
I 9 0 0 0 0 3 0 2 2 0 0 0 0 0 0 7 0 2 2 0 1 0 3 3 0 0 0
C 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0
S 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
F 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
Instructions:
1. Please refer the FICS choices on problems and solutionsEconomic
2. Please use other sheets whenever necessary.
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom. Prepared by:
JONADETH J. RELAMPAGOS
Noted: DORP Coordinator
JEANNE J. EGGER
Principal III
CELESTINA N. GOHETIA
Public Schools Districts Supervisor North - 6
0 3 0 0GRAND TOTAL 12 0 0 0 000 5 3 0 0 0 0 21 9
376 GRADE SIX
24
27
DORP Form 4-Monthly Summary of SARDO MONTH OF: JUNE
Note: A copy to be given to the principal/PSDS/Div. Supervisor SY: 2013 - 2014
DISTRICT: NORTH 6 _
Name of School:ZAPATERA ELEM.
10 10 10 10 10 10 10 11 12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 KINDER.F.saved
2
3
4
5
6
7
8
Gr./Yr. &
Section
TOTAL (Not Saved)
TOTAL ( Saved)
FAMILY INDIVIDUALReasons
why not
savedNo FINANCIALCOMMUNITY SCHOOL
Risk Factor
Name of SARDO
Rec
om
men
dat
ion
s
NO
T SA
VED
(Pls. Check)
SAV
ED Interventions
FAMILY INDIVIDUAL SCHOOL FINANCIALCOMMUNITY
9
10
11
12
13
14
15
16
17
18
1920 not saved
21
22
2324
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 1.m saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
1920 not saved
21
TOTAL (Not Saved)
TOTAL ( Saved)
22
2324
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 1 f. saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 2 m.saved
2
3
4
5
6
7
8
TOTAL (Not Saved)
TOTAL ( Saved)
TOTAL (Not Saved)
TOTAL ( Saved)
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 2 f, saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
22
TOTAL ( Saved)
TOTAL (Not Saved)
23
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 3. m. saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 3. f. saved
2
3
4
5
6
7
8
9
10
11
TOTAL (Not Saved)
TOTAL ( Saved)
TOTAL (Not Saved)
TOTAL ( Saved)
12
13
14
15
16
1718 not saved
19
20
2122
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 4 m. saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 4 f. saved
TOTAL ( Saved)
TOTAL (Not Saved)
TOTAL ( Saved)
TOTAL (Not Saved)
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 5 m. saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL (Not Saved)
TOTAL ( Saved)
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 5 f. saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 6…m saved
2
3
TOTAL (Not Saved)
TOTAL ( Saved)
TOTAL (Not Saved)
TOTAL ( Saved)
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 GRADE 6…. F.saved
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL (Not Saved)
TOTAL ( Saved)
1819 not saved
20
21
2223
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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Noted by :
CELESTINA N. GOHETIAPublic Schools District Supervisor North-6
JONADETH J. RELAMPAGOS
School DORP Coordinator
JEANNE J. EGGER
TOTAL (Not Saved)
TOTAL ( Saved)
Principal
DORP Form 4-Monthly Summary of SARDO Note: A copy to be given to the principal/PSDS/Div. Supervisor
SY: _2012 - 2013
DISTRICT: _NORTH 6 _
Name of School:_ZAPATERA ELEMENTARY SCHOOL
WALA PA NI MA FORMAT
10 10 10 10 10 10 10 11
151 ,
152 ,
153 ,
154 ,
155 ,
156 ,
157 ,
158 ,
159 ,
160 ,
161 ,
162 ,
163 ,
164 ,
165 ,
166 ,
167 ,
168 ,
169 ,
170 ,
171 ,
172 ,
173 ,
174
175 ,
0
0
Noted by :
TOTAL (Not Saved)
TOTAL ( Saved)
Principal
COMMUNITY SCHOOL
School DORP Coordinator
JONADETH J. RELAMPAGOS
JEANNE J. EGGER
FAMILYSAV
ED
FAMILY INDIVIDUAL COMMUNITY SCHOOL FINANCIAL
Risk Factor
NO
T SA
VED Interventions Reasons
why not
saved
FINANCIAL
(Pls. Check)
INDIVIDUAL
Rec
om
men
dat
ion
s
No Name of SARDOGr./Yr. &
Section
SY 2012 - 2013
__________________
__________________
__________________
__________________
S - FORM 6A - MONTHLY SUMMARY REPORT ON DORP IMPLEMENTATION Month of: JUNE
SY 2013 - 2014
DISTRICT: NORTH - 6
SCHOOL: ZAPATERA ELEM. SCHOOL
FAMILY/ DOMESTIC
1. Had to take care of siblings 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
2. Early marriage/pregnancy 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 03. Parents' attitude toward schooling 0 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 4 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 14. Family problems 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
5. Too many household task 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
6. Living with relatives 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7. Dysfunction family / broken family 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4
8. Single parent supporting the family 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9. Ineffective parenting 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10. Others 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0
1. Illness 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 72. Overage 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Death 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
4. Drug abuse 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
5. Poor academic performance 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6. Lack of interest/distractions 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 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1
7. Hunger/malnutrition 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8. Lack of self-confidence /sel-esteem 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
9. Peer pressure 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 310.Others 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SUB-TOTAL (PP 1) 0 0 0 6 8 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 30
SAVED SARDO'S
TM M FFM F F MT M F
9. Proper work orientation.
10. Others
4. Guidance and Counseling
5. Give alternative remediation
6. Create conducive learning atmosphere
1. monitoring and supervision
2. Refer students to take placement examinations
3. Give special consideration
1. Counsel
2. Recommend students for employment either on the
households or establishments
6. Conduct home visitation/conference with parents
7. Introduce/implement and"Adopt-School-Program"
3. Give seminars on effective parenting
4. Prioritize needs
5. Enhance Communication with family members
T M F
0
8. Regular Health Center visit
10. others
8. Explain the disadvantagesof early marriage
9. Conduct Homeroom and General PTA meetings.
7. Feeding program in school
TM F TM F TM F TFM F T M T MM F T M F T T TM F
DROPOUT RISK FACTORS /
CAUSES
UNSAVED SARDO'S
INTERVENTIONS (PLS. CHECK)GR 4 GR 5
M F T
GR 2 GR 3GR 4 GR 5 GR 6 KINDER GR 1GRAND TOTAL
FAMILY/DOMESTIC
GR 6 GRAND TOTAL
T
KINDER GR 1 GR2 GR 3
TF
COMMUNITY/GEOGRAPHICAL
1. Distance between home and school 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0
2. Armed conflict (incl. tribal wars & clan feuds) 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3. Calamities/Disasters 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4. Presence of Gambling dens 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5. Presenceof recreational centers and internet cafes 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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
6. Uncooperative stakeholders 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
7. Presence of gangs and fraternity 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 08. Others 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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
10
SCHOOL
1. Teacher factor 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Physical condition of classroom 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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
3. Peer influence 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
4. Others 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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
00
0
FINANCIAL1. Child labor, work 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2. Others 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
001
SUB-TOTAL (PP 2) 0 0 0 0 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 5SUB-TOTAL (PP 1) 0 0 0 6 8 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 8 14 0 0 0 2 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 30
GRAND TOTAL 0 0 0 6 13 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 13 19 0 0 0 3 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 4 35
NOTE:
If there are 2 or more reasons why a student dropped out, select only one that is considered the main cause. Thus, a student must be counted only once. Causes of dropouts should not be limited to the reasons stated in Form 18-E.
* ME: MONTHLY ENROLMENT
Contents Noted:
F T MM F T F T M
GR 4
MF T
GR 6
MM F TT MM F T
KINDER
M F T MM F T
Note: For the school level, same form will be
prepared to be submitted to the District
Supervisor.
0 guardians on the schedule of the child.
4. Attend skills development trainings, & entrepreneurship
5. Distance learning
Prepared by:
7. Monitor the medium of instruction
8. Enhance teaching strategies
6. Others
11. Encouage students to join extra curricular activities
12. Others
FINANCIAL
1. Include student in the adopt-a-child program
2. Sariling sikap program
3. Conference with employers,parents,
9. Close monitoring/counseling
10. Send to seminars/workshops
9. Coordinate with local officials
10. Others
SCHOOL
1. Principal shall conduct regular class observation
2. Teachers attend seminar on Child Friendly School
4. Impose proper discipline
5.Tap stakeholders to repair dilapidated classrooms
6. Adopt-a-school program
7. Seek help from Local/Provincial Government
8. Request from LGU/Benefactors
3. Coordinate with proper authorities
4. Adopt-a-Child program
5. Motivate and involve stakeholders
6. Coordinate with local officials
M FCOMMUNITY/GEOGRAPHICAL
GR 5GR 5
M F T M
1. Report to military men
2. Construct cottage near school
F T F T M F T
GRAND TOTAL
T FF T T
GR 6
M F
GR 4 GR 1 GR 2 GR 3KINDERGRAND TOTALDROPOUT RISK FACTORS /
CAUSES
SAVED SARDO'S UNSAVED SARDO'S
INTERVENTIONS (PLS. CHECK)GR 1 GR2 GR 3
JEANNE J. EGGER Principal III
CELESTINA N. GOHETIA
Public Schools District Suprvisor North - 6
Note: For the school level, same form will be
prepared to be submitted to the District
Supervisor.
JUNE
2013 - 2014
NORTH - 6
ZAPATERA ELEM. SCHOOL
M F
REASONS WHY
CHILD IS NOT
SAVED
Pro
mo
te
Pupils' lack
of interest
WHEREABOUTS
Sti
ll in
Sc
h.
Lo
ca
l
Ab
roa
Oth
er
Gra
du
ate
Co
lle
ge Employed
M F
21 9
JONADETH J. RELAMPAGOS
School DORP Coordinator
Prepared by:
WHEREABOUTS
Employed
Lo
ca
l
Ab
roa
Pro
mo
te
Gra
du
ate
REASONS
WHY CHILD IS
NOT SAVED
Oth
er
Co
lle
ge
Sti
ll in
Sc
h.