(This replaces Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
School ID 136601 School Year 2015 - 2016 Report for the Month of FEBRUARY
Name of School Timoteo Paez Elementary School Grade Level Grade 6 Section ARIES
(1st row for date)
Total for the REMARKS (If DROPPED OUT, state
NAME
No
(Last Name, First Name, Middle 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26 29 Month reason, please refer to legend number 2.
. If TRANSFERRED IN/OUT, write the name
Name) of School.)
M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F ABSENT TARDY
3 LUNZAGA, RUMER P
16 UNACIN, ANGELO
5 ILANO, JEANNE -
9 LANTIZA, ANDREA G
19 MONTANO, ANDREA T
24 SUBAYNO, MA JUMILYN -
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for Classes: M F TOTAL
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
3. To compute the following:
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance. (blank) - Present; (x)- Absent; Tardy (half shaded= Upper for
2. Dates shall be written in the columns after Learner's Name. Late Commer, Lower for Cutting Classes)
* Enrolment as of (1st Friday of June)
3. To compute the following:
2. REASONS/CAUSES FOR DROPPING OUT
Registered Learners as of end of the month a. Domestic-Related Factors Late Enrollment during the month
a. Percentage of Enrolment = x 100
Enrolment as of 1st Friday of the school year a.1. Had to take care of siblings (beyond cut-off)
a.2. Early marriage/pregnancy
Total Daily Attendance a.3. Parents' attitude toward schooling Registered Learners as of
b. Average Daily Attendance = a.4. Family problems
Number of School Days in reporting month end of month
b.1. Illness
Average Daily Attendance
b.2. Overage
4. Every end of the month, the class adviser will submit this form to the office of the principal for recording of summary b.3. Death
table into School Form 4. Once signed by the principal, this form should be returned to the adviser. b.4. Drug Abuse Percentage of Attendance for the month
5. The adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were b.5. Poor academic performance
b.6. Lack of interest/Distractions
absent for 5 consecutive days and/or those at risk of dropping out. Number of students absent for 5 consecutive
b.7. Hunger/Malnutrition
6. Attendance performance of learners will be reflected in Form 137 and Form 138 every grading period. days
Dropped out
*Beginning of School Year cut-off report is every 1st Friday of the School Year c. School-Related Factors
Transferred out
c.1. Teacher Factor
c.2. Physical condition of classroom
Transferred in
c.3. Peer influence
d. Geographic/Environmental
Attested by:
ROLANDO E SORIANO
(Signature of School Head over Printed Name)