Annex 1A School-Community Data Template 151030
Annex 1A School-Community Data Template 151030
Annex 1A School-Community Data Template 151030
I. SCHOOL PROFILE/DATA
Instruction: Please input required data/information in unshaded cells. Fill-in only the grade levels that are applicable
This template aims to organize existing school and community data from different sources. If you find it useful to lift
templates and transfer it here, you may do so. Otherwise, you can just attach the other data templates to this form.
IDENTIFYING INFORMATION
School ID: ____________________________________
Address: _____________________________________
District: _____________________________________
Division: ____________________________________
A. GEOGRAPHY
A.1 Location of the School. Check the appropriate description.
Along the highway
By the hillside
On top of a mountain
Distance in km
Flood
Volcanic eruption
Landslide
Storm surge
Oil Spill
Tsunami
ANNEX 1A School-Communi
Storm surge
B. LEARNING ENVIRONMENT
B.1 Classrooms and seats
B.1.1 Classroom quantity [SRC.15.]
Level
Total Enrollment,
Current SY
In Good Condition
No. of Classrooms
For Repair/
Total
Rehabilitation
Learner:classroom
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
1
B.1.2 Classroom seat quantity [SRC.17.] Indicate the total number of seats in all classrooms.
Number
Learner:seat ratio
Rainwater catchments
Natural source
NO
If YES:
with soap
without soap
NO
ANNEX 1A School-Communi
Male
Number
Ratio
Female
Number
Ratio
Male
Number
Ratio
Female
Number
Ratio
B.3 Textbooks. Indicate number of textbooks per grade level and subject [SRC.3.]
Level
Subject: ___________
Number
Subject: ___________
Ratio
Number
Subject: ___________
Ratio
Number
Ratio
Subject: ___________
Number
Ratio
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
B.4 Library:
No. of books: _________
No. of tables: _________
No. of chairs: _________
Give additional information and qualitative descriptions of the library (on the lighting, space, other fixtures present, etc.)
B.5 Other learning facilities/materials (Example: computers, science equipment. Insert new rows if necessary.)
Facility/Material
Number
Qualitative description/condition
NO
If YES, check the appropriate Internet service provider/s servicing the area:
BAYANTEL
GLOBE
SMART
DIGITEL
PLDT
SUN
ANNEX 1A School-Communi
B.7.2 Does the school subscribe to any of the Internet service provider/s listed above?
YES
NO
C. TEACHERS
C.1 Number of teachers [SRC.14.]
C.1.1 Number of nationally-funded teachers (current SY)
Male
Female
TOTAL
Learner:teacher ratio
Teacher
Teacher
Teacher
Teacher
Number
Assigned Full-Tim
Ancillary Servic
(YES/NO)
IV
III
II
I
Previous SY:
__________
Current SY:
__________
NO
C.2.4 If the response to C.2.3.b is YES, list down the top 3 training needs mentioned and indicate the number of te
trained on these [SRC.4.]
SY Before Previous SY:
__________
Training Needs
Top 1: _______________________________
No. of
Teachers
trained
% of
teachers
trained
Previous SY:
__________
No. of
Teachers
trained
% of
teachers
trained
Current SY:
__________
No. of
Teachers
trained
ANNEX 1A School-Communi
Top 2: _______________________________
Top 3: _______________________________
C.2.5 If teachers weren't trained based on identified needs (as seen in C.2.4), cite reasons for the lack of training.
D.1.2 Projects/interventions implemented in the previous SY addressing malnourished children (insert new rows if
Project/intervention
Number of Children Covere
D.2D.2.1
Health
status of children who have other health problems for the current SY. Indicate common ailments and
Number
corresponding number of children per type of ailment based on results of physical and dental examinations. Insert
columns if necessary.
Types of Ailments (Current SY)
Level
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Kindergarte
n
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
________
________
________
________
________
________
________
________
ANNEX 1A School-Communi
D.2.2 Projects/interventions implemented in the previous SY addressing needs of children with other health proble
(insert new rows if necessary)
Project/intervention
Number of Children Covere
D.3.1 Number of children who were recorded victims of abuse and violence (physical, verbal, and sexual). Should b
supported by data from the Guidance Office/teachers.
Previous SY ___
Current SY ___
Level
Total
Male
Female
Total
Male
Female
Kindergarte
n
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Percent of Total
D.3.2 Projects/interventions implemented for children that were victims or suspected victims of abuse
YES
NO
Number of Child
Covered
Status/Accom
Duration
Implementer
Program/Project Title
Start
End
Target
ANNEX 1A School-Communi
Extra-curricular Activities
Amount
ROFILE/DATA
d cells. Fill-in only the grade levels that are applicable to your school.
data from different sources. If you find it useful to lift data from other
can just attach the other data templates to this form.
Mode of
Transportation
No. of Classrooms
Learner:classroom ratio
1
Subject: ___________
Number
Qualitative description/condition
Ratio
Assigned Full-Time to
Ancillary Services
(YES/NO)
Current SY:
__________
Number of Children
Covered
ANNEX 1A School-Commun
Instruction: Please input required data/information in unshaded cells. Fill-in only the age groups/grade levels th
to your school.
1. CHILDREN NOT IN SCHOOL
1.1 Population of children in the barangay where school is located (current SY)
Total Population
No. of children NOT in School
Age
Boys
Girls
Total
Boys
Girls
Total
4
5
6
7
8
9
10
11
12
13
14
15
16
17
% of children
Boys
GRAND TOTAL
No. of
school-aged
children
not in school
Health and
Nutrition
Distance of
Affected by
Child Labor School from
Disaster
Home
Affected by
Conflict
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL
Percent of Total
School Project Teams are encouraged to conduct interviews or focus group discussions with parents/guardians/community m
deeper on reasons cited
6
1.3 Number of children in the barangay NOT in school the last two SYs, depending on data availability
Age
Male
Female
Previous SY ______
Total
Male
Female
No. of Out-of
Attending Other
Prev
Total
ANNEX 1A School-Commun
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL
1.4 Projects/interventions implemented to ensure that out-of-school children are reached or mainstreamed in sc
YES
NO
Percent of Total
Curren
Total
ANNEX 1A School-Commun
2.2 Number of children with disabilities by type of disability (insert new columns if necessary)
Level
No. of
Children
with
Disabilities
Disability:
__________
Disability:
__________
Disability:
__________
Disability:
__________
Disability:
__________
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Percent of Total
No. of Over-aged
Learners
No. of IP Learners
No. of 4Ps
Learner-recipi
ded cells. Fill-in only the age groups/grade levels that are applicable
Other
Reasons
Male
Female
No. of 4Ps
Learner-recipients
Disability:
__________
ANNEX 1A School-Commu
Instruction: Please input required data/information in unshaded cells. Fill-in only the grade levels that are applica
3. ATTENDANCE
3.1
Number of children regularly attending classes (at least 90% attendance) for the last three SYs
Level
Total
Previous SY ___
Male
Curr
Female
Total
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Percent of Total
3.2 Percentage of children regularly attending classes (at least 90% attendance) for the last three SYs
Level
Male
Female
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
OVERALL
7
no. of children regularly attending classes divided by the total enrollment x 100
Male
Curre
Female
Total
ANNEX 1A School-Commu
3.3 In the previous SY, how many children were frequently absent (below 90% attendance) and how many of th
the Conditional Cash Transfer Program (Pantawid Pamilya) of DSWD?
Level
Total
Enrollment
in Previous
SY
Male
Female
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Percent of Total
3.4 What were the reasons why children were frequently absent in the previous SY? Please indicate number of c
frequently absent according to reasons. Number of children who are frequently absent according to reasons 8 (P
Total No. of
Children
who were
Distance of
Level
Financial
Health and
Affected by Affected by
Frequently
Child Labor School from
Matters
Nutrition
Disaster
Conflict
Absent in
Home
Previous SY
Kindergarten
Grade 1
Grade 2
Grade 3
ANNEX 1A School-Commu
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
School Project Teams are encouraged to conduct interviews or focus group discussions with parents/guardians/community me
on reasons cited
8
3.5 Projects/interventions implemented to address needs of children who are frequently absent (insert new r
4. DROPOUT [SRC.7.]
4.1 Number of dropouts for the last three SYs
SY Before Previous SY: _____
Level
Total
Male
Female
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Total
Total
Curre
Total
TOTAL
Curre
Total
ANNEX 1A School-Commu
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
OVERALL
Total No. of
Dropouts
(Current SY)
Cause:
__________
Cause:
__________
Cause:
__________
Cause:
__________
Cause:
__________
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Percent of Total
4.4
YES
NO
ANNEX 1A School-Commu
- anticipate and minimize disruptions of classes
especially with respect to emergencies (disaster and
conflict)?
- track teachers' attendance and ways of ensuring their
regular presence based on CSC policy?
4.4.b What are the interventions implemented for children at risk of dropping out? Insert new
rows if necessary.
Number of
cells. Fill-in only the grade levels that are applicable to your school.
ent x 100
Current SY ___
Male
Female
Female
ent (below 90% attendance) and how many of them were recipients of
SWD?
Number of frequently absent students that were
recipients of Pantawid Pamilya
Male
Female
(Previous SY)
Other Reasons
Cause:
__________
Instruction: Please input required data/information in unshaded cells. Fill-in only the grade levels that are applicable to your school.
5. PROMOTION/GRADUATION RATES [SRC.8.]
5.1 Number of promoted learners/graduates by grade level, for the last three SYs
SY Before Previous SY: _____
Previous SY: _____
Level
Total
Male
Female
Total
Male
Female
Total
Total
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Total
Promotion rate: no. of promoted learners divided by the total enrollment x 100;
Graduation rate: no. of graduates divided by the total enrollment x 100
6.2 Projects/interventions implemented to improve basic competencies of learners (insert new rows if necessary)
Projects/interventions implemented to improve reading skills of children (insert new rows if necessary)
Teacher
School Head
School
s. Fill-in only the grade levels that are applicable to your school.
00;
Grade 10 for the Secondary Level), per subject for the last three SYs
Independent Level
Female
Pre-Test Results
Post-Test Results
Independent Level
Female
Pre-Test Results
Post-Test Results