Modified School Forms Spread Sheet

8/11/2019 Modified School Forms Spread Sheet

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AGE as of

1st Friday

of June

(nos. of

years as

per last

birthday)

Hous

Street

Pur

School F(This replaced Form

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)

School Name

School ID Region Division

School

RELIGION



AGE as of

1st Friday

of June

(nos. of

years as

per last

birthday)

House # /

Street/Sitio/

Purok

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)RELIGION

Indicator Code Required Information Indicator Code Required Information

List and code of Indicators under REMARK column



AGE as of

1st Friday

of June

(nos. of

years as

per last

birthday)

House #

Street/Sit

Purok

LRNSex

(M/F)

BIRTH

DATE (mm/

dd/yy)

BIRTH

PLACE

(Province)

MOTHER

TONGUE

IP

(Specify

Ethnic Group)

NAME

(Last Name, First Name, Middle Name)RELIGION

Transferred Ou T/O Name of Public (P) Private (PR) School & Effectivity CCT Recipient CCT

Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Balik-Aral B/A Name of school last atten

Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD SpecifyLate Enrollmen LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivit

CCT Control/reference nu



REMARK/S

(Please refer to the

legend on last page)



REMARK/S



ct:



REMARK/S



EoSYDate:

ol Head over Printed Name)



School ID School Year

Name of School

M T U W T

H F M T U W T

H F M T U W T

H F M T U W T

H F M T U

1

2

3

4

5

6

7

8

9

10

11

1

2

3

4

5

6

7

8

9

Grade Level

Report for the Month of

School Form 2 SF2 Dail Attendance Re ort of Learners

(1st row for date, 2nd row for Day: M,T,W,TH,F)

(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)

LEARNER'S NAME


CABUS, IVAN OLFATO

CANA, MARK DAVID MIL

EVASCO, CLARITO ALBA

GALLANO, ARVIN ESPADA

GALLANO, JELMER BADEO

LATINA, EUNARD DE VERA

NAREZ, FEDERICO JR. DELMONTE

NOLASCO, JHOSUA GRADO

PALANA, IKO GRADOREDONA, NEIL OCALA

TUBANA, ALDRIN BERONES

CAINDOY, HAZEL AMADA

CASUNOD, MICHELLE CALDA

GALLANO, JANELLE DENISE BABANTE

GRADO, ERIKA LATINA

OLARAN, JENNELYN FULGAR

PINDOT, ANGEL LATINA

PUSPUS, JHAZMIN RHED OROGO

RIPALDAA, LUZ GALLANO

MALE | TOTAL Per Day

VERTULFO, ROSALINDA DEPAZ



M T U W T

H F M T U W T

H F M T U W T

H F M T U W T

H

(1st row for date, 2nd row for Day: M,T,W,TH,F)

LEARNER'S NAME


GUIDELINES: 1. CODES FOR CHECKING ATTENDANC

2. REASONS/CAUSES OF DROP-OUTS

a. Domestic-Related Factors

a.1. Had to take care of siblings

a.2. Early marriage/pregnancy

a.3. Parents' attitude toward schooling

a.4. Family problems

b. Individual-Related Factors

b.1. Illness

b.2. Overage

FEMALE | TOTAL Per Day

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out

a.

b.

c.

Total Daily Attendance

Number of School Days in reporting month

Registered Learner as of End of the month

Registered Learner as of End of the Month

x 100

x 100

blank- Present; (x)- Absent; Tardy (half sh

for Late Commer, Lower for Cutting Classes

4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of

summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.

Combined TOTAL PER DAY

Enrolment as of 1st Friday of June

Average Daily Attendance =

Percentage of Enrolment =

1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.

2. Dates shall be written in the preceding columns beside Learner's Name.

3. To compute the following:

Average daily attendance

Percentage of Attendance for the month =

b.3. Death5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out b.4. Drug Abuse

6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance

* b.6. Lack of interest/Distractions

b.7. Hunger/Malnutrition

c. School-Related Factors

c.1. Teacher Factor

c.2. Physical condition of classroom

c.3. Peer influence

d. Geographic/Environmental

d.1. Distance between home and school

d.3. Calamities/Disasters

e. Financial-Related

e.1. Child labor, work

f. Others

5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive

days of absences or those with potentials of dropping out

School Form 2: Page 2 of ________

d.2. Armed conflict (incl. Tribal wars & clanf

Beginning of School Year cut-off report is every 1st Friday of School Calendar Days



School ID School Year

School Name

Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued

TOTAL FOR MALE | TOTAL COPIES

Grade Level

(This replaced Form 1 & Inventory of Text Book)

School Form 3 (SF3) Books Issued and Returned

Section

NO.D

Subject Area & Title Subject Area & Title

LEARNER'S NAME

(Last Name, First Name, Middle Name)Date Date Date Date Date

Subject ASubject Area & Title Subject Area & Title Subject Area & Title



Issued Returned Issued Returned Issued Returned Issued Returned Issued Retu

NO.

Subject Area & Title Subject Area & T

LEARNER'S NAME

(Last Name, First Name, Middle Name)Date Date Date Date Date

Subject Area & Title Subject Area & Title Subject Area & Title

TOTAL FOR FEMALE | TOTAL COPIES

TOTAL LEARNERS | TOTAL COPIES

GUIDELINES: In case of losses/unreturned, please provide information with th

5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.

2. The Date of Issuance and the Date of Return shall be reflected in the form.

3. The Total Number of Copies issued at BoSY shall be reflected in the form.

4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.

A. In Column Date Returned, codes are: FM=Force Majeure, TDO

B. In Column Remark/Action Taken, codes are: LLTR=Secured Lett

code FM), TLTR=Teacher prepared letter/report duly noted by Scho

(for code TDO), PTL=Paid by the Learner (for code NEG). Referen

2.2012.

1. Title of Books Issued to each learner must be recorded by the class adviser.



School ID

M F T M F T M F T M F T M F T M F T M

ELEMENTARY/SECONDARY:

GUIDELINES:

2. Furnish copy to Division Office: a week after June 30, October 30 & March 31

3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.

(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)

School Name

Region Division

Scho

4. Small school that has one section per grade/year level i s not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the

summary column per grade/year level.

School Form 4 (SF4) Monthly Learner's Movement

DROPPED OUT

Daily AveragePercentage for

the Month

(A) Cumulative as

of Previous Month(B) For the Month

(A+B) Cumulative

as of End of the

Month

(A

of

NAME OF ADVISER

GRADE/

YEAR

LEVEL

SECTION

REGISTERED

LEARNER

(As of End of the

Month)

ATTENDANCE

GRADE 1/GRADE 7

KINDER

TOTAL

1. This forms shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.

GRADE 2/GRADE 8

GRADE 3/GRADE 9

GRADE 4/GRADE 10

GRADE 5/GRADE 11

GRADE 6/GRADE 12

TOTAL FOR NON-GRADED



Region Division District

Curriculum

Grade Level Se

TOTAL MALE

INCOMPLETE SUBJECT/S

(This column is for K to 12 Curriculum and remaining RBE

High School. Elementary grades level that still implemen

RBEC need not to fill up this column)

Completed as of end of current

SYas of End of the curren

School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)

LRN

GENERAL

AVERAGE

(Numerical Value in

3 decimal places for

honor learner, 2 for

non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

School Name

School ID

LEARNER'S NAME


School Year



INCOMPLETE SUBJECT/S

(This column is for K to 12 Curriculum and rem

High School. Elementary grades level that sti

RBEC need not to fill up this colu

Completed as of end of current

SYas of End o

LRN

GENERAL

AVERAGE

(Numerical Value in

3 decimal places for

honor learner, 2 for

non-honor &

Descriptive Letter)

ACTION TAKEN:

PROMOTED,

*IRREGULAR or

RETAINED

LEARNER'S NAME


TOTAL FEMALE

COMBINED



MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MAL

LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MAL

Prepared and Submitted by: Reviewed & Validated by: Noted by:

SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIV

GUIDELINES:

2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.

3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP

4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent

PROMOTED

RETAINED

School Name

School ID Region Division

District

GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11SUMMARY TABLE

School Form 6 (SF6) Summarized Report on Promotion

(This replaced Form 20)

RREGULAR

TOTAL

Nos. of BEGINNNING

(B: 74% and below)

and Level of Proficiency

GRADE 1 /GRADE 7

Nos. of APPROACHING

PROFICIENCY

(AP: 80%-84%)

Nos. of DEVELOPING

(D: 75%-79%)

Nos. of PROFICIENT

(P: 85% -89%)

1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.

Nos. of ADVANCED

(A: 90% and above)



Region

Degree / Post

Graduate

DAY

(M/T/W/

TH/F)(

District

(B) Nationally-Funded Non Teaching Items

Title of Designation

(Designation as appeared in the

contract/document: Teacher, Clerk,

Security Guard, Driver etc.)

(A) Nationally-Funded Teaching & Teaching Related Items

School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,

Form 29-Teacher Program and Form 31-Summary Information of Teachers)

School ID

School Name

Division

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

(C ) Other Appointmen

Subject Taught

(include Grade &

Section), Advisory Class

& Other Ancillary

Assignment

Ave.

Ave.

* Dail

Minor

Appointm(Contrac

Substitu

Volunteer,

specify

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

Number of

Incumbent

Title of Plantilla Position

(as appeared in the appointment

document/PSIPOP)

Employee

No. (or Tax

Identification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source

Ave.



Degree / Post

Graduate

DA

(M/T/

TH/

Subject Taught

(include Grade &

Section), Advisory Class

& Other Ancillary

Assignment

Minor

EDUCATIONAL QUALIFICATION

Position/

Designation Major/

Specialization

Nature of

Appointment/

Employment

Status

Employee

No. (or Tax

Identification

Number -

T.I.N.)

Name of School Personnel

(Arrange by Position, Descending)Sex

Fund

Source

GUIDELINES:

3. Please reflect subjects being taught and i f teacher handl ing advisory c lass or Anci llary Assignment. Other administrative duties must a lso repor ted.

2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall

also serve as inventory list of school personnel.

4. * Daily Program Column is for teaching personnel only.

1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during SY, updated Form 19

must submit to the Division Office .



1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion wil

2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.

3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Othe

4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or t

5. In the future, the format of the modified forms may be adjusted to align with the most recent policy



l be used to all grade/year levels both elementary and secondary, RBEC and K to 12

r grade/year level will keep that column blank.

e current form 3)

of K to 12 program.

Documents

Modified School Forms Spread Sheet