School Forms Spread Sheet With Sample Entries

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    LRN Sex (M/F)NAME

    (Last Name, First Name, Middle Name) BIRTH DATE(mm/ dd/yy)

    AGE as o !stFriday o "#$e

     BIRTH %LA&E(Province)

    (nos. of years

    as per lastbirthday)

    108425090062Regondola, Jan Axel Nicoleson G.

    M

    108537090246Rey, Rica!d G.

    M

    108425090063 Rod!ig"e#, $o!ence R. M

    108425090064 %a&as, Jon 'a!los A. M

    108425090065 %alig"(&a, )ancy *. M

    108425090066 %al+ado!, Jon Ma!in $. M

    108425090071 %i&"g, Mel Jo+e! $. M

    108425090072 %o!iano, Jo(a!ie -. M

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    LRN Sex (M/F)NAME

    (Last Name, First Name, Middle Name) BIRTH DATE(mm/ dd/yy)

    AGE as o !stFriday o "#$e

     BIRTH %LA&E(Province)

    (nos. of years

    as per lastbirthday)

    108425090076 a!!on, Ma!/ Anony -. M

    108425090004

    alla!an, Angelica

    108425090016 olingo, Ai!a G.

    108425090023 'an"o, Micaela .

    108425090026 -eno!e, Ra(elyn Jane M.

    108425090035 "le, *dcel G.

    108425049 Ma!iana, ayla R.

    A&endaño, Jessielyn

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    LRN Sex (M/F)NAME

    (Last Name, First Name, Middle Name) BIRTH DATE(mm/ dd/yy)

    AGE as o !stFriday o "#$e

     BIRTH %LA&E(Province)

    (nos. of years

    as per lastbirthday)

    108425090052Mo!illo,Micelle .

    108425090061"inana, A!cielyn M.

    108425090069

    %ane, *lla May+ille

    108425120092%aylones, -ienisse -anielle

    108971090172%oo(ayo!, Angelica -.

    108425090077e!ano, $o!ea -.

    10842990267icene, ae Ann .

    108425090078illa!eal, Alea R.

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    LRN Sex (M/F)NAME

    (Last Name, First Name, Middle Name) BIRTH DATE(mm/ dd/yy)

    AGE as o !stFriday o "#$e

     BIRTH %LA&E(Province)

    (nos. of yearsas per lastbirthday)

    108425090079illa!eal, Joan .

      List a$d 'ode o I$di'ators #$der REMAR 'ol#m$

    I$di'ator &ode Re#ired I$ormatio$ I$di'ator

    Tra$serred *#t T/* Name o %#+li' (%) %riate (%R) S'-ool . Ee'tiity Date &&T Re'iie$t

    Tra$serred IN T/I Name o %#+li' (%) %riate (%R) S'-ool . Ee'tiity Date Bali01Aral

    Droed DR% Reaso$ a$d Ee'tiity Date Lear$er 2it- D

    Late E$rollme$t LE Reaso$ (E$rollme$t +eyo$d !st Friday o "#$e) A''elarated

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    RELIGI*N

    ADDRESS

    Bara$3ay M#$i'iality/ &ity

    M*THERT*NG4E

    I%(Specify Ethnic

    Group)Ho#se 5 / Street/Sitio/

    %#ro0

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    RELIGI*N

    ADDRESS

    Bara$3ay M#$i'iality/ &ity

    M*THERT*NG4E

    I%(Specify Ethnic

    Group)Ho#se 5 / Street/Sitio/

    %#ro0

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    RELIGI*N

    ADDRESS

    Bara$3ay M#$i'iality/ &ity

    M*THERT*NG4E

    I%(Specify Ethnic

    Group)Ho#se 5 / Street/Sitio/

    %#ro0

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    RELIGI*N

    ADDRESS

    Bara$3ay M#$i'iality/ &ity

    M*THERT*NG4E

    I%(Specify Ethnic

    Group)Ho#se 5 / Street/Sitio/

    %#ro0

    &ode Re#ired I$ormatio$

    &&T &&T &o$trol/reere$'e $#m+er . Ee'tiity Date

    B/A Name o s'-ool last atte$ded . 6ear

      issa+ility L2D Se'iy

    A&L Se'iy Leel . Ee'tiity Data 

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    NAME *F %ARENTS G4ARDIAN (I $ot %are$t)

    %roi$'e Name Relatio$s-i

    Fat-er (!st $ame o$ly i amily

    $ame ide$ti'al to lear$er)

    Mot-er (Maide$7 !st Name, Middle .

    Last Name)

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    NAME *F %ARENTS G4ARDIAN (I $ot %are$t)

    %roi$'e Name Relatio$s-i

    Fat-er (!st $ame o$ly i amily

    $ame ide$ti'al to lear$er)

    Mot-er (Maide$7 !st Name, Middle .

    Last Name)

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    NAME *F %ARENTS G4ARDIAN (I $ot %are$t)

    %roi$'e Name Relatio$s-i

    Fat-er (!st $ame o$ly i amily

    $ame ide$ti'al to lear$er)

    Mot-er (Maide$7 !st Name, Middle .

    Last Name)

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    NAME *F %ARENTS G4ARDIAN (I $ot %are$t)

    %roi$'e Name Relatio$s-iFat-er (!st $ame o$ly i amily

    $ame ide$ti'al to lear$er)

    Mot-er (Maide$7 !st Name, Middle .

    Last Name)

    !ea!ed &yo%) *o%)

    MALE

    FEMALE%igna"!e o Ad+ise! o+e! !ined Na(e:

    T*TALo%) -ae *o%)-ae

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    REMAR/S

    &o$ta't N#m+er(%are$t /G#ardia$)

    (%lease reer to t-e le3e$d o$

    last a3e)

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    REMAR/S

    &o$ta't N#m+er(%are$t /G#ardia$)

    (%lease reer to t-e le3e$d o$

    last a3e)

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    REMAR/S

    &o$ta't N#m+er(%are$t /G#ardia$)

    (%lease reer to t-e le3e$d o$

    last a3e)

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    REMAR/S

    &o$ta't N#m+er(%are$t /G#ardia$)

    (%lease reer to t-e le3e$d o$

    last a3e)

    'e!iied 'o!!ec

    %igna"!e o %cool ead o+e! !ined Na(e:

    o%) -ae *o%)-ae

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    Re"&lic o e ili

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    -ea!(en o *d"

    Region 1-i+ision o angasi

    MANGALDAN NATI*NALMangaldan, anga

    S'-ool Form 8 SF8 Dail Atte$da$'e(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism a

    %cool ;- 108425 %cool )ea! 2013

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    (!st ro9 or date, 8$d ro9 or Day7 M,T,2,TH,F)LEARNER:S NAME

    (Last Name, First Name, Middle Name)

    MALE ; T*TAL %er Day

    (!st ro9 or date, 8$d ro9 or Day7 M,T,2,TH,F)LEARNER:S NAME

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    LEARNER S NAME(Last Name, First Name, Middle Name)

    FEMALE ; T*TAL %er Day

      &om+i$ed T*TAL %ER DA6

    G4IDELINES7 !< &*DES F*R &HE&

    1. =e aendance sall &e acco(lised daily. Ree! o e codes o! cec/ing lea!ne!s? aendance.2. -aes sall &e @!ien in e !eceding col"(ns &eside $ea!ne!?s Na(e.

    3. =o co("e e ollo@ing

    a. Percenta!e of "nrolment #Regise!ed $ea!ne! as o *nd o e Mon

    x 1008< REAS*NS/&A4SES

    *n!ol(en as o 1s !iday o J"ne a< Domesti'1Related Fa 

      #=oal -aily Aendance a.1. ad o a/e ca!e o

    +la$01 !esen x:< A&'o((e!, $o@e! o! '"i

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    (!st ro9 or date, 8$d ro9 or Day7 M,T,2,TH,F)LEARNER:S NAME

    (Last Name, First Name, Middle Name)

    .  N"(&e! o %cool -ays in !eo!ing (on a.2. *a!ly (a!!iageD!eg

    c. Percenta!e of Attendance for the month #A+e!age daily aendance

    x 100a.3. a!ens? ai"de o@

    Regise!ed $ea!ne! as o *nd o e (on a.4. a(ily !o&le(s

    +< I$diid#al1Related F

    &.1. ;llness

    &.2. >+e!age

    &.3. -ea

    &.4. -!"g A&"se

    6. Aendance e!o!(ance o lea!ne! is execed o !elec in o!( 137 and o!( 138 e+e!y g!ading e!iod &.5. oo! acade(ic e!

    E eginning o %cool )ea! c"

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      aion 

    nan ;;  IGH S&H**L

      sinan

      e ort o Lear$ers  d Dropout Profile

    eo! o! e Mon o

    G!ade $e+el ; %ecion 1 M. R>HA%:

     

    A%*N= =AR-)

    Total or t-e Mo$t-REMAR/S ; DR*%%ED *4T, sae !eason, lease !ee! o

    legend n"(&e! 2.; TRANSFERRED IN/*4T, @!ie e na(e o %cool.:

     

      Total or t-e Mo$t-REMAR/S ; DR*%%ED *4T sae !eason lease !ee! o

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    A%*N= =AR-)

    REMAR/S ; DR*%%ED *4T, sae !eason, lease !ee! olegend n"(&e! 2.

    ; TRANSFERRED IN/*4T, @!ie e na(e o %cool.:

      Total or t-e Mo$t-REMAR/S ; DR*%%ED *4T sae !eason lease !ee! o

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    A%*N= =AR-)

    REMAR/S ; DR*%%ED *4T, sae !eason, lease !ee! olegend n"(&e! 2.

    ; TRANSFERRED IN/*4T, @!ie e na(e o %cool.:

      ING ATTENDAN&E Mo$t-7No< o Days o &lasses7

    S#mmary or t-e Mo$t-

    M F T*TAL

    "nrolment as of (1st Frida% of 'une

      F DR*%1*4TS

      'tors

      i&lings

      en =a!dy al sadedB Ce! o! $aeng 'lasses:

    ate "nrollment during the month(be%ond cut-off

     

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    A%*N= =AR-)

    Total or t-e Mo$t-REMAR/S ; DR*%%ED *4T, sae !eason, lease !ee! o

    legend n"(&e! 2.; TRANSFERRED IN/*4T, @!ie e na(e o %cool.:

      ancy

      a!d scooling

      'tors  A$era!e Dail% Attendance

    Percenta!e of Attendance for the month

    *umber of students +ith consecuti$e da%s of absences

      !(anceDro o#t

      acions

    Tra$serred o#t  rs

    Tra$serred i$  class!oo(

    e$tal . certif% that this is a true and correct report/

      (e and scool

      =!i&al @a!s F clane"ds:  (Si!nature of Teacher o$er Printed *ame

     

    Aesed &y

     (Si!nature of School 0ead o$er Printed *ame

     

    Percenta!e of "nrolment as of  end of the month

    Subect Area & Title Subect Area & Title Subect Area & Title Subect Area & Title

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    N>.-ae -ae -ae -ae

    ;ss"ed Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned ;

    LEARNER:S NAME(Last Name, First Name, Middle Name)

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    N>.

    Subect Area & Title Subect Area & Title Subect Area & Title Subect Area & Title

    -ae -ae -ae -ae

    ;ss"ed Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned ;

    LEARNER:S NAME(Last Name, First Name, Middle Name)

    =>=A$ >R *MA$* I =>=A$ '>;*%

      =>=A$ $*ARN*R% I =>=A$ '>;*%

    G4IDELINES7 I$ 'ase o losses/#$ret#r$ed, lease roide i$ormatio$ 9it-

    1. =ile o oo/s ;ss"ed o eac lea!ne! ("s &e !eco!ded &y e class ad+ise!.

    2. =e -ae o ;ss"ance and e -ae o Re"!n sall &e !eleced in e o!(.

    3. =e =oal N"(&e! o 'oies iss"ed a o%) sall &e !eleced in e o!(.

    4. =e =oal N"(&e! o 'oies o oo/s Re"!ned a e *o%)sall &e !eleced in e o!(.

    5. All ex&oo/s &eing "sed ("s &e incl"ded. Addiional coyDies o is o!( (ay "se i needed.

    AK23, s.2001, ->K25, s.2003, ->K14, 2.2

      ea & Title Subect Area & Title Subect Area & Title Subect Area & Title

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    e -ae -ae -ae

    Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned

    R*MARDA'=;>N =A*N(Please refer to the le!end on last pa!e

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      ea & Title Subect Area & Title Subect Area & Title Subect Area & Title

    e -ae -ae -ae

    Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned ;ss"ed Re"!ned

    R*MARDA'=;>N =A*N(Please refer to the le!end on last pa!e

      i$3 'ode7 %reared By7

      %igna"!e o+e! !ined na(e:

      -ae o%) -ae *o%)  

    %cool o!( 3 age 2 o  

      !!edD-!oo", NEGBNegligence

      ea!ne! d"ly signed &y a!enDg"a!dian o! code M:, TLTRB=eace!!oe!y '"sodian o! code =->:, %TLBaid &y e $ea!ne! o! code

    Re"&lic o e iliines

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    -ea!(en o *d"caionRegion 1

    -i+ision o angasinan ;;MANGALDAN NATI*NAL HIGH S&

    Mangaldan, angasinan

    S'-ool Form = (SF=) Mo$t-ly Lear$er:s Moeme$(This replaced Form & STS Form 4-Absenteeism and Dropout Profil 

    Region ;

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    ELEMENTAR6/SE&*NDAR67

    ;N-*R

    GRA-* 1DGRA-* 7

    GRA-* 2DGRA-* 8

    GRA-* 3DGRA-* 9

    GRA-* 4DGRA-* 10

    GRA-* 5DGRA-* 11

    GRA-* 6DGRA-* 12

    =>=A$ >R N>N=A$

    GC;-*$;N*%1. =is o!(s sall &e acco(lised e+e!y end o e (on "sing e s"((a!y &ox o %2 s"&(ied &y e eace!sDad+ise!s o "dae ig"!es o! e (on.

    2. "!nis coy o -i+ision >ice a @ee/ ae! J"ne 30, >co&e! 30 F Ma!c 31

    3. >nly eace!s @o a!e andling ad+iso!y class sall &e !eo!ed. May "se addiional coyDies o is o!( i needed.

    4. %(all scool a as one secion e! g!adeDyea! le+el is no !e"i!ed o ill e col"(ns Na(e o Ad+ise!, G!adeD)ea! $e+el F %ecion. ;nsead, ey @ill only acco(lis e s"((a!y col"(n e! g!adeDyea!

     

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    **L

     t a$d Atte$da$'e

      e

    -is!ic%an ed!o

    %cool )ea! 2013

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    %reared a$d S#+mitted +y7

      (Si!nature of School 0ead o$er Printed *ame

     

    G*N*RA$A*RAG*N"(e!ical A'=;>N =A*N

    ;N'>M$*=is col"*le(ena!

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    LRN

    'o(lee

    LEARNER:S NAME (Last Name,First Name, Middle Name)

    G*N*RA$ A*RAG* N"(e!icalal"e in 3 deci(al laces o!

    ono! lea!ne!, 2 o! non

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    LRN

    'o(lee

    LEARNER:S NAME (Last Name,

    First Name, Middle Name)

    G*N*RA$ A*RAG* N"(e!icalal"e in 3 deci(al laces o!

    ono! lea!ne!, 2 o! nonM$*=is col"*le(ena!

    108425120092 %aylones, -ienisse -anielle

    108971090172 %oo(ayo!, Angelica -.

    108425090077 e!ano, $o!ea -.

    10842990267 icene, ae Ann .

    108425090078 illa!eal, Alea R.

    108425090079 illa!eal, Joan .

      =>=A$ *MA$*

      '>M;N*-

    * %CJ*'=D%n is o! o 12 '"!!ic"l"( and !e(aining R*' in ig %cool.

    y g!ades le+el a sill i(le(ening R*' need no o ill " is

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    d as o end o c"!!en %) as o *nd o e c"!!en %)

    y g!ades le+el a sill i(le(ening R*' need no o ill " iscol"(n:

    R*AR*- )

    R>%* MA) G. 'AN;N->

    'lass Ad+ise!

    Na(e and %igna"!e:

    '*R=;;*- '>RR*'= F %CM;==*-

    R*NAN=* R. %>R;AN>

    %cool ead

    Na(e and %igna"!e:

    R*;*O*- )

    Na(e and %igna"!e:

    -i+ision Re!esenai+e

    G4IDELINES7

    1. o! All G!adeD)ea! $e+els

    2. =o &e !ea!ed &y e Ad+ise!. inal !aing e! s"&ec a!ea so"ld&e a/en !o( e !eco!d o s"&ec eace!. =e class ad+ise! so"ld

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    d as o end o c"!!en %) as o *nd o e c"!!en %)

    =* %CJ*'=D%n is o! o 12 '"!!ic"l"( and !e(aining R*' in ig %cool.

    y g!ades le+el a sill i(le(ening R*' need no o ill " is

    col"(n:

    %cool o!( 5 age 2 o 2 

     

    .

    3. >n e s"((a!y a&le, !elec e oal n"(&e! o lea!ne!s!o(oed, !eained and i!!eg"la! Eo! g!ade 7 on@a!ds only: and ele+el o !oiciency acco!ding o e indi+id"al gene!al a+e!age

    4. M"s allied @i e oal en!oll(en !eo! as o *nd o %cool )ea!G*% DG%% *;%:

    5. !oocols o +alidaion F s"&(ission @ill !e(ain "nde! e disc!eiono e %cools -i+ision %"e!inenden

    Re"&lic o e iliines-ea!(en o *d"caion

    Region 1

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    Region 1-i+ision o angasinan ;;

    MANGALDAN NATI*NAL HIGH S&H**LMangaldan, angasinan

    S'-ool Form > (SF>) S#mmari?ed Reort o$ %romotio$a$d Leel o %roi'ie$'y

    (This replaced Form 23

    %cool ;- 1342 Region .5-A -i+ision

    %cool Na(e MAG%A)%A) *$*M*N=AR) %'>>$ -is!ic %

    S4MMAR6 TABLEGRADE ! /GRADE @ GRADE 8 / GRADE GRADE / GRADE C GRADE = / GRADE ! GRADE / GRAD

    MA$* *MA$* =>=A$ MA$* *MA$* =>=A$ MA$* *MA$* =>=A$ MA$* *MA$* =>=A$ MA$* *MA$*

    %R*M*TED

    IRREG4LAR

    RETAINED

    LEEL *F %R*FI&IEN&6 MA$* *MA$* =>=A$ MA$* *MA$* =>=A$ MA$* *MA$* =>=A$ MA$* *MA$* =>=A$ MA$* *MA$*

    Nos. o *G;NNN;NG 74P and &elo@:

    Nos. o -**$>;NG -75P;';*N')A 80P;';*N=

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    T*TAL

    !ea!ed and %"&(ied &y R*NAN=* R. %>R;AN> Re+ie@ed F alidaed &y Noed &y

    %'>>$ *A- -;;%;>N R*R*%*N=A=;*

    G4IDELINES7

    1. Ae! !ecei+ing and +alidaing e Reo! o! !o(oion s"&(ied &y e class ad+ise!, e %cool ead sall co("e e =oal o! G!ade $e+el in o!de! o !elec e !es"l in eac daa ield.

    2. =is !eo! ogee! @i e coy o Reo! o! !o(oion s"&(ied &y e class ad+ise! sall &e o!@a!ded o e -i+ision >ice &y e end o e scool yea!.

    3. =e Reo! on !o(oion e! G!ade $e+el is !eleced in e *nd o %cool )ea! Reo! o G*%DG%%

    4. !oocols o +alidaion F s"&(ission @ill !e(ain "nde! e disc!eion o e %cools -i+ision %"e!inenden

    Nos. o R>;';*N= 85P

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    A67*A

    AN *-R> %cool )ea! 8!18!=

      E !! GRADE > / GRADE !8 T*TAL

    =>=A$ MA$* *MA$* =>=A$ MA$* *MA$* =>=A$

    =>=A$ MA$* *MA$* =>=A$ MA$* *MA$* =>=A$

     

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    %'>>$% -;;%;>N %C*R;N=*N-*N=

     

    ED4&ATI*NAL 4ALIFI&ATI*N

    *(loyee No. =

    Na(e o %cool e!sonnelosiionD

    Na"!e oS#+e't Ta#3

    G!ade F %ecio

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    %ex "nd %o"!ce

    Mao!D %eciali#aion Mino!

    o! =ax;deniicaion

    N"(&e!

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    %ex "nd %o"!ce

    Mao!D %eciali#aion Mino!

    o! =ax;deniicaion

    N"(&e! ice .

    3. lease !elec s"&ecs &eing a"g and i eace! andling ad+iso!y class o! Ancilla!y Assign(en. >e! ad(inis!ai+e d"ies ("s also !eo!ed.

    4. E -aily !og!a( 'ol"(n is o! eacing e!sonnel only.

    2. All scool e!sonnel, !ega!dless o osiionDna"!e o aoin(en so"ld &e incl"ded in is o!( and so"ld &e lised !o( e iges !an/ do@n o e lo@es. =is o!( sall also se!+e as in+eno!y lis o sce!sonnel.

    E -aily !og!a( i(e d"!aion:

    Re(a!/Ds o! -eailed;e(s, ;ndicae na(e o=oal Ac"al

  • 8/9/2019 School Forms Spread Sheet With Sample Entries

    47/48

    =o 0000:

    ;e(s, ;ndicae na(e oscoolDoice, o! ;?s

  • 8/9/2019 School Forms Spread Sheet With Sample Entries

    48/48

    =o 0000:

    ,scoolDoice, o! ;?s