TAMPIPI

CONTENTSCONTENTS 2TITLE AND COVER 3SCHOOL PROFILE 4STAKEHOLDERS 5ANECDOTAL RECORDS AND AND OBSERVATIONS 6CORE VALUES, MISSION, VISSION 8ADMISSION 10CURRICULUM 12SPECIALIZATION 14PARENT’S REMARKS 16SCHOOL POLICIES 18GALLERY 20AGREEMENT 22RECORDS OF DISCIPLINE 29STUDENT PROFILE 32NOTES 36

In Batangas culture, before the advent of the ‘novou riche' and the green pasture in the Middle East had not been discovered, an ordinary Batangueno house is not complete without TAMPIPI, metaphorically, it is the soul of the house where important and "sacred relics" like titulo Torens, birth certificates and even navels( umbilical cords of siblings that tied in one are kept in it.

Batangas Province High School for Culture and Arts, Bahay Sining at Kultura of the Batangueno Young Arts scholars, adopts the term to be the title of this student handbook for all the information, guidelines, policies and rules which the school believes are the most important an institution should have.

the title and the cover

BPHSCA STUDENT HANDBOOK 3

SCHOOL PROFILE Batangas Privince High School for Culture and Arts is a specialized public secondary school founded in the year 2002 through the joint effort of Governor Hermilando I. Mandanas, the DepEd – Batngas art pillars, Dr. Oscar S. Manalo, Dr. Obdulia V. Dimaano and Mrs. Cecilia AE. Tusing with the full support of the Batangas Provincial School Board.

BPHSCA, being first and only of its kind in the province has been created to serve Batangueño youth with special talents in the arts. The administrators assure this service should be delivered even to the farthest area of the province.

BPHSCA started with 17 pioneering scholars temporarily housed in Payapa National High School, Lemery, Batangas. A year after, they were transferred into the BPHSCA building located at the Provincial Sports Complex Compound, Bolbok, Batangas City – the site which is now their permanent home. The building is consisted of four classrooms, one function hall, one dance hall, 4 dormitories, 4 restrooms which are all conducive to the students’ need. Today, the school continues to provide quality education and exceptional training to each young artist basically due to the enduring support of the Batangas Provincial School Board headed by the governor.

4 BPHSCA STUDENT HANDBOOK

STAKEHOLDERSThe Department of Education The School is manned by a Secondary School Principal, school personnel officially appointed by the Department of Education and performs duties, function and manages the school system. He is also responsible for the implementation of educational program in the school and maintains good relationship with the community. As an instructional leader, he is expected to monitor classes and assist the teachers who are in need of instructional and classroom management.

The Provincial Government of Batangas The school is supported by the Provincial Government of Batangas through its Special Education Fund. The following expenses are shouldered by the provincial government: Scholarship allowance,

supplies and clothing allowance, telephone and internet expenses and some trainings and transportation expenses of the scholars.

Parents The PTA is also supporting the school. It provides the budget for re production of school reports and test papers, office supplies, medicine and other emergency needs, travelling and training expenses of teachers that cannot be provided by the PSB.

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LINKAGES Aside from the LGUs of different municipalities and NGOs within the province, the school is also attempting to have a link with the National Commission for Culture and Arts (NCAA). Having a linkage with NCAA will be of great help to the school in attaining its goals, in realizing its vision and in doing its mission. There are also individuals whom the school is establishing contact with (artists, etc/) who could be of great help to the school in carrying out its plans.


Observations:

Signature Over Printed Name of Class Adviser

ANECDOTAL RECORD (to be filled out by the Class Adviser)


ANECDOTAL RECORD (to be filled out by the Class Adviser)

Observations:



Leadership. We value the goals of powerful learning and positives student achievement, using collaboration and supportive interaction within the classroom, the school and the community. Service. We value commitment to service and views teaching as an opportunity to make a positive difference in the lives of others. Unity amidst diversity. We value differences, understand and appreciate differences by working sensitively and productively with issues. Everyone is an Artist: We work to enable our constituents to realize at a personal level that everyone is an artist, and we encourage them to claim the power of art making to express their stories and experiences in the larger public realm. Culture as a Contemporary experience: We believe that culture is the richness of identities that informs each person’s lived experience. Respect: We respect the diversity of opinions, experiences, and histories of our community.

MISSION, VISION AND CORE VALUES


A. CORE VALUES

A school committed to helping every student succeed. The school believes that higher expectations and attention to individual needs will result in higher student achievement and has faith that with few exceptions, its students can succeed in a rigorous program. BPHSCA recognizes that these demands collaborate effort by serious students, involved parents and devoted teachers and community.

MISSION, VISION AND CORE VALUES


In accordance with School Philosophy, the School recognizes its mission:To offer the excellent Special Program for the Arts Curriculum and Instruction for its students;To develop highly talented and gifted students through a Specialized Program for Culture and Arts geared to form artists who are excellent, responsible and dedicated to the enhancement and promotion of Filipino culture.

B. VISION C. MISSION


ADMISSION GUIDELINES

1. The candidates for admission are the elementary school graduates from different private ang public elementary schools from the province who have demonstrated talent and potential in the Arts, with a generalaverage of 85% and a final rating of 85% in MSEP, FILIPINO and ENGLISH.

2. The candidate must be a resident of any of the 33 municipalities of the Province of Batangas.

3 All applicants shall be required to submit the following at the BPHSCA a. Photocopy of Form 138-E* certified true and correct by the principal

b. Certificate of Good Moral Characterc. Elementary School ID with picture duly signed by the Principald. Certification re: chosen field of interest and proof of excellence along this line duly signed by the School Principale. Certificate of Residence duly signed by the Barangay Captainf. Medical Certificate

4. The entrance examination will be composed of three phases.a. Phase I – Written Examination. All applicants who passed the preliminary screening shall be allowed to take this test.


b. Phase II – Performance Test (Field of interest i.e., Music, Visual Arts, Dance, Theater Arts, Creative Writing). Examinees who passed in Phase I shall be allowed to take this phase.c. Phase III – Interview. Examinees who passed in Phase II shall be given interview. Examinees who undergo the three phases shall be ranked according to the following:

5. A maximum of 30 scholars shall be chosen through ranking system. Only those examinees who got a rating of 85% above shall be ranked.

6. All successful examinees who meet the requirement for this scholarship shall undertake a Memorandum of Agreement that specifically states that he/she shall take college courses related to culture and arts.

EXAMINATION PHASE TYPE OF EXAMINATION PERCENTAGE

Phase I Written Examination 20%Phase II Performance Test Field of interest (i.e., Music, Visual Arts, Dance, Theater Arts, Creative Writing) 60%Phase III Interview 20%TOTAL 100%


CURRICULUM

What is SPA?

Special Program in the Arts (SPA) is designed to cater to the needs of students who are talented in the arts.

// Vision The Special Program in the Arts aims to develop students with special inclination to music, visual arts, theater arts, creative writing, *media arts and dance to:

• express their ideas and feelings through their chosen art forms:• manifest a sense of nationalism through deepened appreciation of Filipino culture and arts;

• demonstrate aesthetic awareness and perception;• understand and appreciate other nations culture; and• be equipped with the general skills and attitudes, the habits of heart and mind needed in preparation for life and work in postmodern society regardless of their chosen career

*BPHSCA integrates media arts to visual arts.

// Scope/Coverage The Special Program in Arts (SPA) is a program for students with potential

BPHSCA offers the general high school curriculum with Special Program in the Arts:


talents in the Arts, namely, Music, Visual Arts, Theater Arts, Media Arts, Creative Writing and Dance. The Program offers a comprehensive secondary education centered in the arts, covering a range of art forms and disciplines. To be considered a school with SPA, a minimum offering of five art areas is required. However, a school may start to offer less than five areas while preparing to become one. Arts education is an integral component of a balanced educational program and also provides the background for post-secondary level work.

// Curricular Offerings The curriculum of the SPA is the general high school curriculum. The general education subject will be

an integral part and will be broaden understanding of the arts. Values Education shall be integrated in all Specialization subjects The program offers six areas: music, visual arts, theather arts, creative writing, media arts and dance. Two periods daily will be allotted for applied arts, whichever area a student will choose. The ten hours per week for applied arts will be divided into:• Four hours for major courses work (e.g. Music - Instrumental or Voice Visual Arts - Painting) • Four hours for cognate/supplementary/minor course (History, Literature, Research and Creative Work) • Two hour Interdisciplinary Studies (Collaborative Studies and Techniques)

Specialization

MusicThe music program is designed for music students with interest in vocal or instrumental/piano music. The language of instruction will be English.

Visual ArtsThe visual arts program will help students discover what they can produce through their creativity with local arts such as painting, print making creative crafts and designing sculpture etc. The language of instruction will ne English

*Media Arts The media arts program teaches students to use elements and tools of current and emerging technologies to create works and express feelings and ideas. Students will be trained to critique and create work through photography, video, audio, interactive media etc. The language of instruction will be English.

*This specialization is integrated to visual arts at BPHSCA.


Theater Arts There is a great deal of emphasis on group work skills and live performance on spoken text in a number of styles and genres in the theater Regions may also use their own theater art forms as materials. The language of instruction will be bilingual.

Creative Writing Students will be trained to explore and write their own ideas and experiences. They will study and work on all genres like poetry, fiction, nonfiction,etc. The study and use of local materials like their own folklore will be encouraged. The language of instruction will be bilingual.

Dance Students will develop techniques, movement, vocabulary, and a deeper understanding of dance as a form of communication and expression. Dance offerings may include folk, ballet and jazz. Emphasis should be given on the native dances of the region. The language of instruction will be English.


PARENTS REMARKS AND OBSERVATIONThird Year

Observations:



PARENTS REMARKS AND OBSERVATIONFourth Year

Observations:




SCHOOL POLICIES

The Student and School acknowledge that the following rules and regulations are in full force and effect for the attached leased premises, that the rules are to promote the convenience, safety, peace and welfare of the students in the premises, preserve the School’s property from abusive use, and make a fair distribution of services and facilities held out for the students generally. The Student acknowledges that these rules are sufficiently explicit in the prohibition, direction or limitation of the student’s conduct to fairly inform the student of required conduct and Student acknowledges notice of these rules when entering into the housing contract. This acknowledgement is indicated by the Student’s signature below.

GENERAL 1. All students must wear the prescribed school uniform and school ID at all times.Boys: black pants/slacks (not maong, flared or buggy pants), prescribed polo shirt/shirt

jack with school logo on the left pocket, white plain sando undershirt, black leather shoes and white socksGirls: prescribed algae green pleated skirt (2 inches below the knee), prescribed blouse with green tie with the school logo on it, black shoes and white socks (not knee-high/foot socks)PE uniform should be worn during PE classes only.Specialization uniform should be worn during Specializzation classes only.

2. Boys must have decent haircut. All boys must have 2x3 gentleman’s haircut. Skin-head type, spiked style, dyed hair is not allowed.

3. Girls should keep hair away from their faces.. hair must be brushed up, tied. Dyed hair is not allowed.

RULES AND REGULATION


4. Expensive sets of jewelry, watches or any accessories are discouraged. No dangling earrings for girls; wearing of earrings among boys is strictly prohibited.

5. No student is allowed to go out from the school during class hours. Only in exceptional cases shall a written permission and waiver from parents be considered to permit the student to leave the school.

6. Punctuality and regularity of attendance are required in all classes. In the event the student incurs three (3) instances of tardiness/absence, parents must come for a conference after which repetition of the same offense will be ground for a serious disciplinary action. Assembly time is 6:30-6:45 AM. Flag ceremony is at 6:45 AM. First period class is at 7:00 AM. Tardiness of 5 minutes is a reason for non-acceptance in the first period classes. Habitual tardiness especially during first period classes in the morning shall not be allowed. Guidance counselor shall call for the

parents of the student concerned.

1st offense – reprimand 2nd offense – non-attendance in the first period class 3rd offense – parents shall be called for a conference

In case of student’s absence from classes, parents must inform adviser and subject teachers. A written excuse letter with medical certificate (in case absence is due to illness) must be submitted on his/her return to classes.

7. Parents must confer with teachers and class advisers of his/her child’s progress in school especially at the end of each grading period after report cards have been distributed and signed.

8. A student must maintain a final grade of at least 85% to be able to continue studying at BPHSCA. Failure to meet the grade requirement shall be a reason for transfer to other schools after proper evaluation by a committee.

9. Campus security (DECS Service


Manual 2000, Chapter 3)

· Only bonafide students of the school shall be allowed inside the campus.· No visitor shall be allowed inside the campus during class hours except for valid reasons. They shall be required to sign the logbook of the security service.· Parents/guardians should confer with the teachers during the teacher’s vacant periods.· No students or visitor shall be allowed to stay inside the school building and the premises after the last class period has ended.

10. Parents are to be informed of any misconduct for which disciplinary action is necessary. (for first and other offenses which are not very serious in nature, a suspension not to exceed three (3) days may be authorized by the principal.) (DECS Service Manual 2000, Chapter 3)

DORMITORIES1. Dormitories are for sleeping purposes only.

2. Dressing Rooms are used for dressing, storing of personal belongings, sanitary and hygienic toiletries, bags, shoes, slippers, uniforms, clothing, school-related materials such as books, reference materials, notebooks, etc.

3. Students are required to bring their personal belongings that are only good for five days and must take home on Friday.

4. Students are also required to bring own pail, dipper, toiletries organizer, bedsheets, pillows and pillow case.

5. Students must arrive in the dormitory on Sunday starting from 2:00 in the afternoon. Logging in time is only until 10:00 in the evening. Students will be reprimanded for late arrival.

6. For security purposes, each student shall be provided with his / her identification card.


7. Students are required to log in and log out at the information area.

8. Visitors shall be entertained only at the receiving area on Wednesdays only from 4:00 – 6:00 in the afternoon to maintain residents privacy. Male visitors and non-residents are not allowed beyond the receiving area unless permission has been secured from the dormitory attendants and the School Head.

9. Students are not allowed to wander in dim areas (e.g. classrooms, offices, library, stock room, computer laboratory) and even outside the school premises starting 6:00 in the evening.

10. The main door shall be open from 6:00 am until 6:00 pm.

11. Students who wish to leave the dormitory beyond the inclusive time must seek permission from the dorm attendants duly noted by the teacher-adviser and approved by the school Head by filling up a Curfew

Extension Form ahead of the time until 4:00 in the afternoon.

GF D-1 – for overnight permissionGF D-2- for curfew extension

12. Students who have regular duty outside the campus beyond inclusive time must submit a duty schedule signed by the respective teacher/adviser/moderator/chaperone/coach of any event/affair for special occasion and in different extra curricular academic competitions and school representations.

13. Make your beds and arrange area neatly when arising in the morning.

14. Students must seek permission on any electrical appliance brought inside the dormitory to evaluate whether such appliances are dangerous or fire hazard.

15. Cellphones, MP3, MP4, IPAD, laptop, computer sets, radio cassette recorder, ear phones, expensive sets of jewelry, drum sets and other musical instruments are not allowed inside the dormitory. The dorm attendants are neither responsible nor liable for loss, theft or damage to any student’s jewelry, high-priced


materials, large amount of money, etc.

16. To avoid accidents, storing and possession of hazardous items/deadly weapons is strictly prohibited.

17. Silence must be observed at all times to maintain a healthy, noise-free environment.

18. Removal, alteration or modification of furniture is strictly prohibited. Use of tacks, pins, staples and other hardware leave holes in the walls shall be fined.

19. Pets and animals of any nature are not permitted inside the dormitory.

20. Television is provided to give residents a chance to unwind during leisure time, provided that school-related activities such as making assignments, review and other special tasks for every subject are well done. However, viewing time starts from 6:00 to 9:00 pm to allow other residents to do other tasks to have an environment conducive for studying.

21. No television viewing on examination week and even on review weeks.

22. Telephone shall be used for emergency/inquiry purposes. Excessive use is strictly prohibited so as to accommodate important and emergency calls.

23. Hanging of clothes and bath towels shall be at designated areas only.

24. Parents shall be provided with reports to inform them of residents’ status on academic performance, obligations, if there is any, and whereabouts.

25. The dormitories shall be closed from 7:30 AM to 12:NN; 1:00 PM – 4:00 PM.

26. Lights off shall be enforced at 10:00 PM.

27. Dorms are provided for both males and females. Respect the boundary areas and privacy of each.

28. Boys are strictly prohibited to go


upstairs especially in girls’ dormitory, dressing room and even in the girls, comfort room.

29. Girls are not allowed to go in boys’ dormitory, dressing room and even in the boys’ comfort rooms.

30. The dorm attendants reserve the right to enter at any time and on any part of the dormitory with due cause and as the need arises. Thus shall be done to ensure orderliness inside the residence.

31. Parents or the students, guests and visitors, at any rate, are not allowed to get inside or stay in the dormitory.

32. No person shall be in the housing area while under the influence of alcoholic beverages, cereal malt beverages or illegal drugs. There shall be no consumption, storage or sale of alcoholic beverages, cereal malt beverages or illegal drugs in the dormitory. Those students found in violation of this

regulation are subject to dismissal from the dormitory.

33. There will be absolutely NO SMOKING allowed in dormitory and on campus. Failure to abide by this rule will result in disciplinary action for gross misconduct.

34. There will be no firearms or deadly weapons (including paint-ball guns) permitted in the housing units.

35. No student shall interfere in any manner with any portion of the heating and lighting apparatus in or about the dormitory nor about the building containing the same.

36. No additional locks shall be placed upon any place of the building without written consent.

37. Student shall not play musical instruments/equipment at such hours and at such volume as to disturb other students in the dormitories.

38. Personal costumes of the students should be kept by themselves and should not

be included in the school’s sets of costumes. Costumes provided by the school should be under the custody of the Property Custodian and should be asked for permission before using it. Please secure Property Form noted by the subject teacher. These costumes should be used only for events outside the campus.

39. No waterbeds shall be allowed on the premises.

40. Students must follow the assigned clean-up duty. The school maintains the right to inspect for cleanliness and in the event the dorm is found unsatisfactory, the students will be given notice. If not cleaned satisfactorily, a professional cleaning person will clean the dorm and any expense incurred therefore shall be assessed to the students occupying the dorm.

41. Any damage to school and dormitory units will be assessed to all students occupying the specific unit unless responsibility can be established to the contrary. The cost of repair will be due and owing upon completion of the repairs. Students are not allowed to do repair


works in the apartments.

42. The toilets and showers are for students, teachers and those that are allowed to use in times of special events, meetings, trainings, workshops, etc. wherein the school serves as the official venue. Residents are expected to keep the facilities clean.

43. No overnight guests without prior permission from the Dormitory Attendant with the approval of the School Head. No person under the age of 18, not accompanied by parents shall be in the dormitory, or in the parking lot adjacent to the dormitory without first obtaining permission from the dormitory attendant or school personnel.

44. No vehicle repair work shall be performed near the dormitory units or along school parking areas.

45. Fire extinguishers can be found in designated areas for your protection. Any tampering with this equipment will result in disciplinary action and the cost of the


equipment will be billed to the student.

46. Report any illness or injury immediately to the dorm attendant. Injuries, accidents, quarrels, fighting or any related incidents which may cause damage or danger done by student against any of the students are considered gross misconduct and subject to disciplinary action.

47. Teen age romance is strictly prohibited. Testified by classmates/schoolmates, dormitory attendants, social network accounts and observable intimate actuations, constant togetherness, etc. could be considered indications of such violation.

48. Acts of unwanted physical contact like pushing, punching, shoving, kicking, slapping, tickling, headlocks, school pranks, teasing, fighting and the use of available objects as weapons, spreading malicious rumors, keeping the victim out of the group, ignoring the victim on purpose, whispering to another in front of a friend, eye-rolling, etc. are considered bullying acts that is strictly prohibited in the campus.

49. The dorm attendant and the school head can enforce legitimate disciplinary action aside from what has been stated herein.

50. Any violation of the dormitory rules and regulations shall be subject to sequential penalties stated below and or if in case the student committed successive offenses within years of stay and study in BPHSCA. The following are the guidelines for disciplinary actions.

· First offense – written warning and conference to student and his/her parents and narrative statement of student and or teacher/dorm attendant and promissory note.

· Second offense – written report to parents with enclosed narrative statement of student and or teacher/dorm attendant, conference and suspension not exceeding three days if case is not very serious in nature, and promissory note of students and parents.

· Third offense – written report to parents with enclosed narrative statement of student and or teacher/dorm attendant, conference and suspension not exceeding


three days if case is not very serious in nature, and promissory note of students and parents, warning letter for final exclusion or expulsion, if any rate the student committed the fourth offense.

· Fourth offense – written report to parents with enclosed narrative statement of student and or teacher/dorm attendant, conference and notice of exclusion or expulsion.

RULES OF DISCIPLINEThe school adhere the rules and regulations set by DepEd as provided in DECS Manual 2000, Chapter 3. School DisciplineIt is the policy of the school to enforce standards of behavior and disciplinary rules. For any violation of these rules, the erring student is subject to disciplinary action ranging from WARNING, SUSPENSION, DISMISSAL and EXPULSION.A. MAJOR OFFENSES· EXPULSION - a very serious sanction that refuses the admittance of the erring student from all schools as recommended by the principal and approved by the Department of Education.

· DISMISSAL - the sanction that forbids the student from studying at Bauan Technical high School.· SUSPENSION/LABOR –the sanction that forbids the student to attend regular classes after the parents had been notified. He/ She is required to come to school to help in any chores inside the campus.(a) First Offense – first suspension.(b) Second Offense – Second suspension. A student shall be placed under conditional admission. He /She is not allowed to attend classes for a maximum of 5 days (or as the case may be).A student who committed the same major offense shall be dismissed. (Major offense 1-19).(c) Third Offense - the student shall be dismissedB. CAPITAL OFFENSES - subject to dismissal or withdrawal whether the participation is major or minor/direct or indirect. The student will be subjected to major disciplinary action regardless of whether the offense is his/her first, second or third .1. Using or possessing harmful and prohibited drugs and/or participation in pot


sessions.2. Using and /or possessing deadly weapons like knives, ice picks, guns and others.3. Using and/or possessing firecrackers, TNT or other explosives.4. Fraternity/Sorority involvement and recruitment.5. Participating in initiation rites like hazing, paddling, etc

C.MAJOR OFFENSES-subject to sanctions on a case to case basis with due consideration of the following: A. Intent B. Previous record C Extent of participation D. moral and physical damage done by the offender E. Surrounding circumstances 1. Unauthorized acquisition/ possession of test materials and other important documents. 2. Acts involving question of morality. 3. Inflicting physical injuries upon another student within the school campus 4. Fighting with other students inside and

outside the school campus.5. Forging and/or tampering school records or documents of any kind.6. Vandalism.7. Gambling inside and outside the school campus.8. Stealing or any attempt to steal.9. Direct verbal and physical assault upon other students or any member of the faculty, administrative personnel, staff and non- teaching staff.10. Possession of pornographic materials.11. Cheating of any kind or any attempt to cheat.12. Dishonesty.13. Cutting Classes.14. Using someone else’s ID or ID from the previous year.15. Pierced ears and wearing of earring (for boys) and tattoo.16. Not sporting prescribed haircut. (semi-kalbo).17. Frequent absences and tardiness.18. Playing video games during class hours.19. Bringing of cell phone and other electronic gadgets20. Littering21. Bringing liquor inside the campus and


coming to school drunk

D. MINOR OFFENSES1. Coming to school without excuse letter from the parent/guardian (for students who are late, absent, or wearing incomplete uniform).2. Coming to school with colored or dyed hair.3. Entering the campus without ID, or not wearing ID inside the campus.4. Loitering, running and playing in the corridors during class hours.5. Playing outdoor games inside the classroom.6. Eating candies or chewing gums inside the classroom especially during class hours.7. Entering/leaving the classroom without permission.8. Staying inside the classroom or anywhere in the campus while a school program is ongoing.9. Not attending school activities and morning assembly. 10. Not observing silence during school official program.11. Using cellular phones and other similar

electronic materials during classes.12. Opening/Transmitting of pornographic web page in the computer laboratory.

ADMINISTRATION OF THE SANCTION

1. MINOR OFFENSES: a. The year level coordinator and adviser shall take jurisdiction of the case.

b. Five times commission of minor offense and three time commission of the SAME minor offense will be considered a major offense and therefore requiring parent’s notification. In such cases, the Prefect of Discipline shall take charge of the deliberation.

2. MAJOR OFFENSES:

a. A talk with the student. b. A conference with h the parents/guardian. c. A written recommendation for suspension will be submitted to the Committee on Discipline. d. Investigation by the Committee on Discipline


RECORDS OF DISCIPLINETo be filled out by the class adviser. For intense behavior, please report the case to the prefect of discipline.Year and Section: _____________________ School Year: ______________

Date Case Remarks



Date Case Remarks

RECORDS OF DISCIPLINE(to be filled out by the Class Adviser)



Date Case Remarks

RECORDS OF DISCIPLINE(to be filled out by the Class Adviser)


STUDENT PROFILE

Name: _________________________________________________________ Surname First Name M.I

Address: _______________________________________________________

Birthday: ______________________ Birthplace: ________________________

Age: ______ Gender : _______________ Section: _____________________

Nationality : _______________________ Religion:___________________

Living with: Parent Guardian

Family Background:

Father’s Name: _________________________________________________Occupation:______________________________ Age:_____________Contact No./s : ____________________________Mother’s name : _________________________________________________Occupation:______________________________ Age:_____________Contact No./s : ____________________________


STUDENT PROFILE

To the Administrator, faculty member and principal:

After reading the entire context of BPHSCA Handbook, I’ve gained

thorough understanding about school operation. I,

____________________________________, parent/guardian of

____________ __________________, student of _____________ , do hereby

agree and bind myself and my son/daughter to the said

rules / policies of the school.

__________________________________ ____________________ SIGNATURE OVER PRINTED NAME DATE

Witnesses:

_______________________________ _________________________SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME


STUDENT PROFILE

Specimen Signature of:

Father: 1. ______________________ 2. _____________________

Mother:1. ______________________ 2. _____________________

Guardian:1. ______________________ 2. _____________________

CLASS ADVISER/ Signature / Year & Section:

Grade 7: School Year __________________ Section ____________

Name of Adviser _________________ Signature ________

Second Year: School Year __________________ Section ____________


Third Year: School Year __________________ Section ____________


Fourth Year: School Year __________________ Section ____________



STUDENT PROFILE

Medical information/History

Check if you have the following health conditions:

Asthma

Allergy in: ______ Sea foods ______ Dusts ______ Pollen

Others (Please specify): ____________________ ____________________ ____________________ Amoebiasis

Heart Ailments

Bronchitis

Epilepsy

Others (please specify) _____________________

Person to notify in case of emergency:

Name: _______________________________

Relationship: _________________________

Contact Number: ______________________


NOTES

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Documents

TAMPIPI