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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
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