School ID
Address
:
# Street/Sitio/Purok Barangay
Region Division Legislative District Tel. No. Mobile No. Fax No. E-Mail Address
: : : : : : :
Municipality
Province/City
Write appropriate information Kindergarten With Permit With Recognition Permit on Process (Permit No.) (Recognition No.) (Date of submission of documents to Regional/Division Office)
Secondary
Date :
:
Page 1 of 8
A. ELEMENTARY EDUCATION
Table A1. PUPIL DATA, SY 2011-2012 (As of July 31) Kindergarten Particulars
Male
Grade 1
Male Female
Grade 2
Male Female
Grade 3
Male Female
Grade 4
Male Female
Grade 5
Male Female
Grade 6
Male Female
Grade 7
Male Female
Female
TOTAL ENROLMENT (Regular & SPED) Monograde Multigrade Included in the TOTAL ENROLMENT, number of: SPED (graded) Repeaters Transferees In Balik-Aral Muslim Pupils Pupils enrolled in ALIVE classes Indigenous People Total Number of Monograde Classes Total Number of Multigrade Classes Included in these classes: ALIVE Monograde Classes ALIVE Multigrade Classes
PUPIL DATA (Tables A1) - The data to be entered cover the current school year and shall be distributed by grade level and by sex. Total Enrolment - includes all pupils enrolled in the school as of July 31. In the case of multigrade pupils, the enrolment figures shall be distributed across the appropriate grades. Kindergarten Enrolment - refers to enrolment before Grade 1 (includes Kindergarten1, Kindergarten2 and Preparatory only). Monograde Enrolment - refers to pupils being taught in classes consisting of a single grade only. Multigrade Enrolment - refers to pupils being taught in classes consisting of two or more grades under one teacher. SPED (graded) Enrolment - refers to SPED pupils who are mainstreamed in the regular classes as well as those who are enrolled in self-contained class (purely SPED-graded). This shall tally with Table 3, Children with Special Needs Data. SPED (non-graded) Enrolment - refers to pupils who are enrolled in self-contained class with limited capability for mainstreaming (purely SPED non-graded). This includes those who are classified by level of skills: Level 1, Level 2, Level 3 and Transition. The data shall tally with Table A3, Children with Special Needs Data. Number of Repeaters - refers to pupils who failed or left a particular grade level in any previous school year and are enrolled in the same grade level where they left or failed, as of July 31. Number of Transferees In - refers to pupils who entered the school from another school, either government or private. Number of Balik-Aral - refers to pupils who finished a grade level, stopped schooling and enrolled in the next grade level after a year or more, as of July 31. ALIVE means Arabic Language and Islamic Values Education. Indigenous People - a group of people or homogenous societies identified by self-ascription and ascription by others who have continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, customs, traditions and other distinctive cultural traits. (Source: RA 8371 Indigenous Peoples Act of 1997) Number of Classes per grade level (Grades 1-7) - refers only to monograde classes. Classes with two or more grade levels shall be counted under the multigrade category.
Note: Totals in this table shall tally with the totals in Tables A2 & A3.
Date :
Page 2 of 8
Table A2. ELEMENTARY AGE PROFILE, SY 2011-2012 (As of July 31) Grade 1 Kindergarten Age With ECD Experience Without ECD Experience
Male Female Male Female Male Female
Grade 2
Male Female
Grade 3
Male Female
Grade 4
Male Female
Grade 5
Male Female
Grade 6
Male Female
Grade 7
Male Female
Note: Totals in this table shall tally with the totals in Tables A & C. Table A3. PUPILS WITH SPECIAL NEEDS DATA , SY 2011-2012 (As of July 31) Kindergarten Grade 1 Grade 2 SPED
Male Female Male Female Male
Grade 3
Male Female
Grade 4
Male Female
Grade 5
Male Female
Grade 6
Male Female
Grade 7
Male Female
Female
Gifted/Fast Learners With Area of Exceptionality Learning Disability Hearing Impaired Visually Impaired Blindness Low Vision Intelectually Disabled/Mental Retardation Multiple Handicapped Behavioral Problem Orthopedically Handicapped Autism Communication Disorder Cerebral Palsy Special Health Problems TOTAL
PUPILS WITH SPECIAL NEEDS DATA (Table A3)
Note: Totals in this table shall tally with the SPED graded and non-graded in Tables A1 & A2. Certified True and Correct by :
Head of Institution Designation :
(Signature Over Printed Name)
Date :
Page 3 of 8
Table A4. PUPIL DATA FOR PREVIOUS SCHOOL YEAR 2010-2011 (As of March 31) Kindergarten Grade 1 Grade 2 Particulars
Male Female Male Female Male
Grade 3
Male Female
Grade 4
Male Female
Grade 5
Male Female
Grade 6
Male Female
Grade 7
Male Female
Female
Male
Female
Male
Female
Enrolment Number of Completers/Promotees/Graduates Number of Dropouts Number of Transferred In Number of Transferred Out
PUPIL DATA FOR PREVIOUS SY (Table A4) - The data to be entered cover the previous school year as of March 31 and shall be distributed by grade level and by sex. Enrolment - includes all pupils enrolled in the school as of March 31. Number of Completers/Promotees/Graduates - Data on completers refer to Kindergarten pupils who have completed the requirements for this level. In grades 1 to 5, promotees refer to pupils who successfully completed the grade level. In Grade 6/7, this refer to pupils who completed the elementary level or the graduates of the level. Number of Dropouts - refers to pupils who left school before completing the prescribed grade level within the specified school year from August 01 to March 31 and should not be included in the total enrolment as of the same date. Number of Transferees In - refers to pupils who entered the school from another school, either government or private from August 01 to March 31. Number of Transferees Out - refers to pupils who left school to enter another school as evidence by the request for permanent record (Form 137) from August 01 to March 31 and should not be included in the total enrolment as of the same date.
Table A5. CAUSES OF DROPOUTS SY 2010-2011 (As of March 31) Kindergarten Causes
Male Female
Grade 1
Male Female
Grade 2
Male Female
Grade 3
Male Female
Grade 4
Male Female
Grade 5
Male Female
Grade 6
Male Female
Grade 7
Male Female
Male
Female
Male
Female
DOMESTIC/FAMILY-RELATED FACTORS Had to take care of siblings Early marriage/pregnancy Parents attitude toward schooling Family problems INDIVIDUAL-RELATED FACTORS Illness Overage Death Drug Abuse Poor academic performance Lack of interest/Distractions Hunger/Malnutrition SCHOOL-RELATED FACTORS Teacher factor Physical conditions of classroom Peer influence GEOGRAPHIC/ENVIRONMENTAL Distance between home and school Armed conflict (incl. tribal wars & clan feuds) Calamities/Disasters FINANCIAL-RELATED Child labor, work OTHERS TOTAL
CAUSES OF DROPOUTS (Table A5) If there are 2 or more reasons why a pupil dropped out, select only one which is considered to be the main cause. Thus, a pupil must be counted only once.
Note: Totals in this table shall tally with Table A4, Number of Dropouts. Certified True and Correct by :
Head of Institution Designation :
(Signature Over Printed Name)
Date :
Page 4 of 8
B. SECONDARY EDUCATION
Table B1. STUDENT DATA, SY 2011-2012 (As of July 31) Particulars TOTAL ENROLMENT (Regular & Special Programs) Included in the TOTAL ENROLMENT, number of: SPED (graded) Repeaters Transferees In Balik-Aral Muslim Students Students enrolled in ALIVE classes Indigenous People Total Number of Classes Included in these classes: ALIVE Classes
STUDENT DATA (Table B1) - The data to be entered cover the current school year and shall be distributed by year level and by sex. Total Enrolment - includes all students enrolled in the school regardless of curricular or program offerings as of July 31. SPED (graded) Enrolment - refers to SPED students who are mainstreamed in the regular classes as well as those who are enrolled in self-contained class (purely SPED-graded). This shall tally with Table D, Children with Special Needs Data. SPED (non-graded) Enrolment - refers to students who are enrolled in self-contained class with limited capability for mainstreaming (purely SPED non-graded). This includes those who are classified by level of skills: Level 1, Level 2, Level 3 and Transition. The data shall tally with Table B3, Children with Special Needs Data. Number of Repeaters - refers to students who failed or left a particular year level in any previous school year and are enrolled in the same year level where they left or failed, as of July 31. Number of Transferees In - refers to students who entered the school from another school, either government or private. Number of Balik-Aral - refers to students who finished a year level, stopped schooling and enrolled in the next year level after a year or more, as of July 31. ALIVE means Arabic Language and Islamic Values Education. Indigenous People - a group of people or homogenous societies identified by self-ascription and ascription by others who have continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, custom, traditions and other distinctive cultural traits. (Source: RA 8371 Indigenous Peoples Act of 1997)
Year 1
Male Female Male
Year 2
Female Male
Year 3
Female Male
Year 4
Female Male
Year 5
Female
Note: Totals in this table shall tally with the totals in Tables B2 & B3.
Date :
Page 5 of 8
Year 2
Female Male Female Male
Year 3
Female Male
Year 4
Female Male
Year 5
Female
Note: Totals in this table shall tally with the totals in Tables B1 & B3. Table B3. STUDENTS WITH SPECIAL NEEDS DATA , SY 2011-2012 (As of July 31) Year 1 Year 2 SPED
Male Female Male
Year 3
Male Female Male
Year 4
Female Male
Year 5
Female
Female
Gifted/Fast Learners With Area of Exceptionality Learning Disability Hearing Impaired Visually Impaired Blindness Low Vision Intelectually Disabled/Mental Retardation Multiple Handicapped Behavioral Problem Orthopedically Handicapped Autism Communication Disorder Cerebral Palsy Special Health Problems TOTAL
STUDENTS WITH SPECIAL NEEDS DATA (Table B3)
Note: Totals in this table shall tally with the SPED graded and non-graded in Tables B1 & B2. Certified True and Correct by :
Head of Institution Designation :
(Signature Over Printed Name)
Date :
Page 6 of 8
Table B4. STUDENT DATA FOR PREVIOUS SCHOOL YEAR 2010-2011 (As of March 31) Year 1 Year 2 Particulars
Male Female Male
Year 3
Male Female Male
Year 4
Female Male
Year 5
Female
Female
Enrolment Number of Promotees/Graduates Number of Dropouts Number of Transferred In Number of Transferred Out
STUDENT DATA FOR PREVIOUS SY (Table B4) - The data to be entered cover the previous school year as of March 31 and shall be distributed by year level and by sex. Enrolment - includes all students enrolled in the school as of March 31. Number of Promotees/Graduates - In years 1 to 3, promotees refer to students who successfully completed the year level. In Year 4/5, this refer to students who completed the secondary level or the graduates of the level. Number of Dropouts - refers to students who left school before completing the prescribed grade level within the specified school year from August 01 to March 31 and should not be included in the total enrolment as of the same date. Number of Transferees In - refers to students who entered the school from another school, either government or private from August 01 to March 31. Number of Transferees Out - refers to students who left school to enter another school as evidence by the request for permanent record (Form 137) from August 01 to March 31 and should not be included in the total enrolment as of the same date.
Table B5. CAUSES OF DROPOUTS SY 2010-2011 (As of March 31) Year 1 Causes
Male
Year 2
Male Female Male
Year 3
Female Male
Year 4
Female Male
Year 5
Female
Female
DOMESTIC/FAMILY-RELATED FACTORS Had to take care of siblings Early marriage/pregnancy Parents attitude toward schooling Family problems INDIVIDUAL-RELATED FACTORS Illness Overage Death Drug Abuse Poor academic performance Lack of interest/Distractions Hunger/Malnutrition SCHOOL-RELATED FACTORS Teacher factor Physical conditions of classroom Peer influence GEOGRAPHIC/ENVIRONMENTAL Distance between home and school Armed conflict (incl. tribal wars & clan feuds) Calamities/Disasters FINANCIAL-RELATED Child labor, work OTHERS TOTAL
CAUSES OF DROPOUTS (Table B5) 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.
Note: This table shall tally with Table B4, Number of Dropouts. Certified True and Correct by :
Head of Institution Designation :
(Signature Over Printed Name)
Date :
Page 7 of 8
Table B6. STUDENT DATA ON EDUCATION SERVICE CONTRACTING (ESC) & EDUCATION VOUCHER SYSTEM (EVS), SY 2011-2012 (As of July 31) Year 1 Year 2 Year 3 Year 4 Year 5 Particulars
Male Female Male Female Male Female Male Female Male
Table B7. STUDENT DATA FOR PREVIOUS SCHOOL YEAR 2010-2011 (As of March 31) Year 1 Year 2 Particulars
Male Female Male
Year 3
Male Female Male
Year 4
Female Male
Year 5
Female
Female
Enrolment ESC EVS Number of Promotees / Graduates ESC EVS Number of Dropouts ESC EVS Number of Transferred In ESC EVS Number of Transferred Out ESC EVS
STUDENT DATA FOR PREVIOUS SCHOOL YEAR (Table B4) - Please refer to Table B4 for the definitions.
C. PERSONNEL DATA
Table C1. SEX PROFILE OF PERSONNEL, SY 2011-2012 (As of July 31) Secondary Particulars
Male
Kindergarten
Female Total Male
Elementary
Female Total Male
Total Secondary
Female Total
No. of Teachers with Full-time Teaching Load No. of Teachers with Part-time Teaching Load No. of Administrative and Support Personnel
SEX PROFILE OF PERSONNEL (Table C1) Teachers with Full-time Teaching Load - refer to those who are handling not less than 15 teaching hours a week. Per MECS Circular No. 6, series of 1974, a teacher gets an equivalent of one subject load reduction for each regular extra-curricular activity assigned to him. Therefore, a teacher whose total actual teaching load plus equivalent load is at least 15 hours is considered as a teacher with full-teaching load. Teachers handling more than one level shall be entered in the row for "No. of Teachers with Part-Time Teaching Load" and under the column where he/she spends the most number of hours teaching. A part-time teacher shall only be counted once.
Date :
Page 8 of 8