Professional Documents
Culture Documents
Mapping 1
Mapping 1
office and your barangay. If there are other schools in your barangay, coordinate with them as well.
Distribute this child mapping tool to your team of teachers and volunteers. They should fill this up as they move from house to house in the barangay. This will help you get important basic information on the status of 4-17 year old children in your community which you can use in school pla
need to cover your barangay unless majority of your students come from nearby communities, in which case, you need to conduct child mapping in those barangays as well. If there are no schools in a barangay, the District or Division office will initiate the child mapping in that area (followin
2015).
Child mapping should be done at least every 3 years (preferably at the start of the SIP cycle), assuming that there are no major changes in the population of your community. After events causing major population changes (e.g. disasters), child mapping should be conducted to account for th
community.
After mapping, consolidate the data. You can encode it in the School-Community Data Template for easy reference. Share the data with your District and Division offices, barangay, and with nearby schools and communities.
Barangay: ______________________________
Municipality: ______________________________
Division: ______________________________
Region: ______________________________
TOOL FOR MAPPING OF 4-17 YR. OLD CHILDREN
NAME
DEMOGRAPHIC INFORMATION
RESIDENCE
DISABILITY
Number of
If YES,
Provided
Is residence
Has a
years in
specify
with ECCD
permanent?1 disability?
present
type of
Services?
(YES/NO)
(YES/NO)
2
address
disability
(YES/NO)
EDUCATIONAL STATUS
Last
First
Middle
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
Present address
Sabrino
Princess
Ramos
October 18,2011
YES
Apud,Oas
YES
NO
CK
YES
Apud ES
Rodriguez
Mark Nolan
Camado
January 8, 2010
YES
Apud,Oas
YES
NO
CK
YES
Apud ES
Motilla
Kurt
Lampo
10
YES
Apud,Oas
YES
NO
C4
YES
Apud ES
Diaz
Marvina
Pavilonia
June 1, 2009
YES
Apud,Oas
YES
NO
C1
YES
Apud ES
Diaz
Michelle
Pavilonia
10
May 5, 2006
YES
Apud,Oas
10
YES
NO
C4
YES
Apud ES
Sandigan
Mae
Repique
YES
Apud,Oas
YES
NO
C3
YES
Apud ES
Sandigan
Norman
Sharon
YES
Apud,Oas
YES
NO
CK
YES
Apud ES
Sandigan
John Arman
Sharon
10
YES
Apud,Oas
10
YES
NO
C3
YES
Apud ES
Saguit
Edcel
Bongay
11
April 5, 2004
YES
Apud,Oas
11
YES
NO
C6
YES
Apud ES
Espiritu
Madelyn
Miravalles
YES
Apud,Oas
YES
NO
YES
Apud ES
Currently
Educational
studying?
attainment3
(YES/NO)
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
INTERVIEWER
SKS1S2S3S4S5-
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
DATE
NAME
DEMOGRAPHIC INFORMATION
RESIDENCE
DISABILITY
Number of
If YES,
Provided
Is residence
Has a
years in
specify
with ECCD
permanent?1 disability?
present
type of
Services?
(YES/NO)
(YES/NO)
address
disability2 (YES/NO)
EDUCATIONAL STATUS
Last
First
Middle
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
Present address
Espiritu
Miguel
Miravalles
11
YES
Apud,Oas
11
YES
NO
C4
NO
Diaz
Megan
Rico
YES
Apud,Oas
YES
NO
CK
YES
Apud ES
Diaz
Michelle
Roquio
11
YES
Apud,Oas
11
YES
NO
C5
YES
Apud ES
Villaraza
Ayjay
Siaron
YES
Apud,Oas
YES
NO
C2
YES
Apud ES
Villaraza
Lawrence Mickael
Siaron
10
December 3, 2005
YES
Apud,Oas
10
YES
NO
C4
YES
Apud ES
Danganan
Bea
Siaron
YES
Apud,Oas
YES
NO
CK
YES
Apud ES
Danganan
Carlo
Siaron
YES
Apud,Oas
YES
NO
CK
YES
Apud ES
Bongat
Mark Adrian
Mauro
10
YES
Apud,Oas
YES
NO
C4
YES
Apud ES
Bongat
Graceille Ann
Mauro
YES
Apud,Oas
YES
NO
C2
YES
Apud ES
Bongat
Jhonna Mae
Mauro
YES
Apud,Oas
YES
NO
C1
YES
Apud ES
Salazar
Rheyanne
Naris
March 24,2011
NO
Apud,Oas
YES
NO
Flor
Mantes
De La Cruz
NO
Apud,Oas
YES
NO
Apud,Oas
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
3
SKS1S2S3S4S5-
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Currently
Educational
studying?
attainment3
(YES/NO)
C2
YES
Apud ES
u get important basic information on the status of 4-17 year old children in your community which you can use in school planning. You only
well. If there are no schools in a barangay, the District or Division office will initiate the child mapping in that area (following DO. No. 1 s.
munity. After events causing major population changes (e.g. disasters), child mapping should be conducted to account for the children in your
FUTURE ENROLLMENT
If studying through
ADM, specify type of
ADM
Planning to
If NO, state reason for not
study next If YES, specify the name of
planning to study next
school year?
prospective school
school year
(YES/NO)
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
DATE OF INTERVIEWS
EDUCATIONAL STATUS
FUTURE ENROLLMENT
If studying through
ADM, specify type of
ADM
Planning to
If NO, state reason for not
study next If YES, specify the name of
planning to study next
school year?
prospective school
school year
(YES/NO)
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Yes
Apud ES
Distribute this child mapping tool to your team of teachers and volunte
to cover your barangay unless majority of your students come from nea
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
Sabrino
Rodriguez
First
Princess
Middle
Ramos
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
Flor
Heidi
De La Cruz
Flor
Jade
De La Cruz
Siaron
Anne Zymon
Saguit
Macue
Jed Rick
Pavilonia
Pabilonia
John Hiden
Flor
Saclag
Karl Ian
Quimno
Saclag
Lawrence
Quimno
Saguit
Ashley Nicole
del Cantal
Saguit
Kim Jasper
Balazuela
Umpig
Andrei
Quines
Suarez
Espiritu
1
Angelo Gabriel
Omaga
Danilo II
Mariano
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
udents come from nearby communities, in which case, you need to conduct ch
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
5 October 18,2011
With Birth
Certificate?
(YES/NO)
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
YES
4 February 5, 2012
NO
YES
YES
YES
11 September 5, 2004
YES
7 July 1, 2007
YES
YES
YES
YES
11 August 8, 2005
YES
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
District or Division office and your barangay. If there are other schools in your
ey move from house to house in the barangay. This will help you get important
you need to conduct child mapping in those barangays as well. If there are no
that there are no major changes in the population of your community. After ev
reference. Share the data with your District and Division offices, barangay, an
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
5 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
6 YES
NO
4 YES
NO
8 YES
NO
9 months
7 YES
NO
8 YES
NO
11 YES
NO
7 YES
NO
1 YES
NO
10 YES
NO
YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
11 YES
NO
8 YES
NO
help you get important basic information on the status of 4-17 year old childre
s well. If there are no schools in a barangay, the District or Division office will
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
CK
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
CK
YES
NO
C3
YES
C3
YES
C3
YES
C6
YES
C2
YES
CK
YES
C4
YES
C1
YES
C7
YES
C3
YES
ear old children in your community which you can use in school planning. You
ion office will initiate the child mapping in that area (following DO. No. 1 s. 20
.g. disasters), child mapping should be conducted to account for the children
EDUCATIONAL STATUS
DATE OF INTERVIE
EDUCATIONAL STATUS
Apud ES
Age
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Rawis ES
Apud ES
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Rawis HS
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Rawis HS
YES
Rawis ES
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
First
Middle
Siaron
Zenn Luigi
Saguit
Macue
Jake
Pavilonia
Saguit
Mark Lance
Rico
Rabanzo
Sarah Jean
Rivera
Saguit
Mark Dominic
Bongay
Espiritu
Daniela
Miravalles
Sandigan
Jenny Anne
Lolo
Diaz
Realyn
Roquio
Roquio
Vanessa
Palma
Pamela Patricia
Siama
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
YES
YES
YES
YES
15 March 9, 2000
YES
YES
12 February 3, 2004
YES
YES
YES
14 February 6, 2002
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
District or Division office and your barangay. If there are other schools in your
ey move from house to house in the barangay. This will help you get importan
case, you need to conduct child mapping in those barangays as well. If there a
that there are no major changes in the population of your community. After e
reference. Share the data with your District and Division offices, barangay, an
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
12 YES
NO
12 YES
NO
13 YES
NO
16 YES
NO
15 YES
NO
15 YES
NO
12 YES
NO
17 YES
NO
15 YES
NO
14 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
help you get important basic information on the status of 4-17 year old childr
gays as well. If there are no schools in a barangay, the District or Division offic
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
C6
YES
C6
YES
C8
YES
C10
YES
C9
YES
C7
YES
C6
YES
C8
YES
C8
YES
C8
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
year old children in your community which you can use in school planning. You
r Division office will initiate the child mapping in that area (following DO. No.
e.g. disasters), child mapping should be conducted to account for the children
EDUCATIONAL STATUS
Apud ES
Apud ES
Apud ES
Maramba NHS
Rawis HS
Rawis HS
Apud ES
Rawis ES
Maramba NHS
Maramba NHS
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
Rawis HS
YES
Apud HS
YES
Maramba HS
YES
Maramba NHS
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
YES
Maramba NHS
YES
Maramba NHS
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
First
Middle
Flor
Renzel
De La Cruz
Flor
Johnrey
De La Cruz
Pablonia
Niko
Flor
Saguit
Leizel
Gilten
Sandigan
Norilyn
Repia
Francisco
Salve
Saguit
Saguit
Jessa Mel
Cutaran
Diaz
James Oliver
Bataller
Ello
Dan Carlo
Espiritu
Ello
Mark Oliver
Espiritu
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
16 August 9, 1999
YES
NO
YES
YES
YES
13 January 9, 2003
YES
YES
YES
YES
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
District or Division office and your barangay. If there are other schools in your
ey move from house to house in the barangay. This will help you get importan
case, you need to conduct child mapping in those barangays as well. If there a
that there are no major changes in the population of your community. After e
reference. Share the data with your District and Division offices, barangay, an
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
16 YES
NO
14 YES
NO
14 YES
NO
16 YES
NO
17 YES
NO
11 YES
NO
10 YES
NO
16 YES
NO
14 YES
NO
122 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
help you get important basic information on the status of 4-17 year old childr
gays as well. If there are no schools in a barangay, the District or Division offi
our community. After events causing major population changes (e.g. disasters)
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
C5
NO
C6
NO
C8
YES
C10
YES
C9
YES
C7
YES
C8
YES
C7
YES
C8
YES
C7
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
year old children in your community which you can use in school planning. You
r Division office will initiate the child mapping in that area (following DO. No.
e.g. disasters), child mapping should be conducted to account for the children
EDUCATIONAL STATUS
Apud ES
Apud ES
Rawis HS
Rawis HS
Rawis HS
Rawis HS
Rawis HS
Rawis HS
Apud HS
Apud HS
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NO
NO
Yes
Rawis HS
Yes
Rawis HS
Yes
Rawis HS
Yes
Rawis HS
Yes
Rawis HS
Yes
Rawis HS
Yes
Apud HS
Yes
Apud HS
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
Reading Difficulty
Working
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
to cover your barangay unless majority of your students come from nea
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
First
Middle
Espiritu
Saint Daryl
Mariano
Ello
Chris Joshua
Espiritu
Ello
Russel Angelo
Espiritu
Ello
Reaalyn
Espiritu
Ello
Justin Dave
Espiritu
Piano
Marlo
Siaron
Piano
Mia
Siaron
Piano
Michelle
Siaron
Espiritu
Miguel
Miravalles
Espiritu
Marielle
Marano
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
udents come from nearby communities, in which case, you need to conduct ch
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
7 February 6, 2009
YES
YES
5 May 9, 2010
YES
7 August 30,2009
NO
NO
9 January 5, 2007
YES
YES
YES
YES
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
istrict or Division office and your barangay. If there are other schools in your b
y move from house to house in the barangay. This will help you get important
ou need to conduct child mapping in those barangays as well. If there are no s
hat there are no major changes in the population of your community. After ev
reference. Share the data with your District and Division offices, barangay, and
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
7 YES
NO
8 YES
5 YES
NO
4 YES
NO
4 YES
NO
4 YES
NO
4 YES
NO
4 YES
NO
4 NO
NO
11 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
elp you get important basic information on the status of 4-17 year old childre
s well. If there are no schools in a barangay, the District or Division office will
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Asthma
Currently
Educational
studying?
attainment3
(YES/NO)
C1
YES
C2
YES
CK
YES
C2
YES
CK
YES
C3
YES
CK
YES
C5
YES
C5
YES
C5
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
ear old children in your community which you can use in school planning. You
ion office will initiate the child mapping in that area (following DO. No. 1 s. 201
EDUCATIONAL STATUS
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
cover your barangay unless majority of your students come from nearb
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
First
Middle
Ramos
Judy Ann
Saguit
Ramos
Minerva
Saguit
Pabilonia
Jolina
Flor
Diaz
Josefa
Manangcaya
Pedragosa
Ma. Edwina
Diaz
Ponteres
Arnel Jr.
Romposon
Ponteres
Angeline
Romposon
Miraballes
Cesar
Riparip
Bongay
Mary Rose
Diaz
Repique
Angela
Amaro
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
Moyco
Gimber
Sasatuna
Drio
Leni Monica
Cabanes
Drio
Maria Cecilia
Cabanes
Pedragosa
Edgar
Diaz
Rama
Cedrick
Manangcaya
Lauderez
Jerald
Ral
Satioquia
Jojie
Gonzales
Saguit
Joann
Miraballes
Saguit
Jeric
Miraballes
Bungay
Eduardo
Villaraza
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
ents come from nearby communities, in which case, you need to conduct child
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
17 November 13,1998
YES
YES
YES
15 December 7, 2000
YES
YES
YES
14 February 6, 2002
YES
YES
YES
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
YES
YES
13 February 6, 2003
YES
12 Nonember 2, 2003
YES
YES
12 June 3, 2003
YES
YES
13
YES
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
ict or Division office and your barangay. If there are other schools in your bara
ove from house to house in the barangay. This will help you get important bas
ed to conduct child mapping in those barangays as well. If there are no school
there are no major changes in the population of your community. After event
erence. Share the data with your District and Division offices, barangay, and w
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
17 YES
NO
13 YES
NO
16 YES
NO
15 YES
NO
14 YES
NO
16 YES
NO
14 YES
NO
17 YES
NO
112 YES
NO
16 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
5 YES
NO
15 YES
NO
13 YES
NO
7 YES
NO
3 NO
NO
12 YES
NO
13 YES
NO
13 YES
NO
13 YES
NO
12 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
you get important basic information on the status of 4-17 year old children in
If there are no schools in a barangay, the District or Division office will initiat
ommunity. After events causing major population changes (e.g. disasters), chi
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
NO
C7
YES
C10
YES
C9
YES
C8
YES
C9
YES
C8
YES
C10
YES
C6
YES
C9
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
C5
YES
C9
YES
C7
YES
C6
YES
C4
YES
C7
YES
C6
YES
C7
YES
C7
YES
C6
YES
old children in your community which you can use in school planning. You only
ffice will initiate the child mapping in that area (following DO. No. 1 s. 2015).
EDUCATIONAL STATUS
Maramba NHS
Rawis HS
Rawis HS
Rawis HS
Rawis HS
Rawis HS
Rawis HS
Apud ES
Rawis HS
DATE OF INTERVIE
EDUCATIONAL STATUS
Apud ES
Rawis HS
Rawis HS
Apud ES
Apud ES
Rawis HS
Apud ES
Rawis HS
Rawis HS
Apud ES
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
Maramba NHS
YES
Maramba NHS
YES
LICOM
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
Apud ES
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
YES
Apud ES
YES
Rawis HS
YES
Apud ES
YES
Rawis HS
YES
Rawis HS
YES
Rawis HS
NROLLMENT
If NO, state reason for not
planning to study next
school year
Financial Problem
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volun
unless majority of your students come from nearby communities, in w
After mapping, consolidate the data. You can encode it in the School
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
First
Middle
Pedragosa
Edrian
Diaz
Pedragosa
Elaine Jane
Diaz
Diaz
Diaz
John Arvin
Santos
Ponteres
Aljon
Romposon
Saguit
Dante
Riparip
Sedillo
Veronica
Bungay
Bungay
Princess Joy
Saguit
Bollosa
Gabrielle
Bungay
Bollosa
Trixie
Bungay
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the res
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed description
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Bungay
Kenji Vilmar
Bungay
Johnvic
Middle
Saguit
Bungay
John Osmar
Antonio
Bungay
Edsel
Satioquia
Roquro
Christine
Valladolid
Domas
Michelle
Diaz
Saguit
Anjannette
Miraballes
Saguit
Mikaela
Miraballes
Saguit
Crisanta
Miraballes
Bataller
Rosendo Jr.
Masanigsasa
Bataller
Catherine
Masanigsasa
Miravalles
Mark Angelo
Riparip
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the res
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed description
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offi
teachers and volunteers. They should fill this up as they move from house t
y communities, in which case, you need to conduct child mapping in those b
ars (preferably at the start of the SIP cycle), assuming that there are no ma
ode it in the School-Community Data Template for easy reference. Share the
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
10
11
11
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
11
11
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
trict or Division office and your barangay. If there are other schools in your b
move from house to house in the barangay. This will help you get important
mapping in those barangays as well. If there are no schools in a barangay, th
ference. Share the data with your District and Division offices, barangay, and
TOOL FOR M
RESIDENCE
With Birth
Certificate?
(YES/NO)
Present address
Number of
years in
present
address
YES
Apud
YES
Apud
10
YES
Apud
11
YES
Apud
YES
Apud
YES
Apud
11
YES
Apud
YES
Apud
YES
Apud
YES
Apud
RESIDENCE
With Birth
Certificate?
(YES/NO)
Present address
Number of
years in
present
address
YES
Apud
Apud
Apud
Apud
Apud
11
YES
Apud
YES
Apud
YES
Apud
YES
Apud
11
YES
YES
Apud
YES
Apud
YES
Apud
ll help you get important basic information on the status of 4-17 year old c
o schools in a barangay, the District or Division office will initiate the child m
your community. After events causing major population changes (e.g. disast
Is residence
permanent?1
(YES/NO)
Has a
disability?
(YES/NO)
YES
NO
YES
NO
If YES, specify
type of
disability2
Provided
with ECCD
Services?
(YES/NO)
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
NO
NO
YES
NO
DISABILITY
Is residence
permanent?1
(YES/NO)
Has a
disability?
(YES/NO)
YES
NO
YES
NO
If YES, specify
type of
disability2
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
h them as well.
status of 4-17 year old children in your community which you can use in sc
ce will initiate the child mapping in that area (following DO. No. 1 s. 2015).
d communities.
CHILDREN
EDUCATIO
Currently
Educational
studying?
attainment3
(YES/NO)
C2
YES
C5
YES
C5
YES
C1
YES
C3
YES
C6
YES
C1
YES
C1
YES
C2
YES
EDUCATIO
Currently
Educational
studying?
attainment3
(YES/NO)
C3
YES
C2
YES
C3
YES
C4
YES
C4
YES
C1
YES
NO
C4
YES
C6
YES
C2
YES
CK
YES
C1
YES
munity which you can use in school planning. You only need to cover your b
(following DO. No. 1 s. 2015).
EDUCATIONAL STATUS
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
INTERVIEWER NAME A
DATE OF INTER
EDUCATIONAL STATUS
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
ANNEX 1B Child
n in your community.
FUTURE ENROLLMENT
Planning to
study next If YES, specify the name of
school year?
prospective school
(YES/NO)
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
Yes
Rawis Hs
YES
Apud ES
Apud ES
YES
Apud ES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next If YES, specify the name of
school year?
prospective school
(YES/NO)
YES
Apud ES
YES
Rawis HS
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Rawis HS
YES
Apud ES
YES
Apud ES
YES
Apud ES
NROLLMENT
NROLLMENT
Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
Sabrino
Rodriguez
First
Princess
Middle
Ramos
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
5 October 18,2011
With Birth
Certificate?
(YES/NO)
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
e District or Division office and your barangay. If there are other schools in yo
they move from house to house in the barangay. This will help you get importa
h case, you need to conduct child mapping in those barangays as well. If there
ng that there are no major changes in the population of your community. After
sy reference. Share the data with your District and Division offices, barangay,
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
5 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
ll help you get important basic information on the status of 4-17 year old chil
angays as well. If there are no schools in a barangay, the District or Division o
your community. After events causing major population changes (e.g. disaster
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
CK
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
7 year old children in your community which you can use in school planning. Y
t or Division office will initiate the child mapping in that area (following DO. No
(e.g. disasters), child mapping should be conducted to account for the childre
EDUCATIONAL STATUS
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
First
Middle
Bungay
Sael
Dia
Bungay
Rosemarie
Dia
Capia
John Henry
Villanueva
Saguit
Angelo
Villanueva
Repique
Jerome
Ambo
Repique
Reymark
Ambo
Lauderez
Angelica
Ral
Lauderez
Angela
Ral
Lauderez
Alejandra
Ral
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
YES
YES
YES
YES
YES
YES
YES
9 december 5, 2006
YES
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
District or Division office and your barangay. If there are other schools in your
ey move from house to house in the barangay. This will help you get importan
case, you need to conduct child mapping in those barangays as well. If there a
that there are no major changes in the population of your community. After e
reference. Share the data with your District and Division offices, barangay, an
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
10 YES
NO
8 YES
NO
8 YES
NO
7 YES
NO
9 YES
NO
7 YES
NO
7 YES
NO
9 YES
NO
10 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
help you get important basic information on the status of 4-17 year old childr
gays as well. If there are no schools in a barangay, the District or Division offi
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
C5
YES
C3
YES
C3
YES
C1
YES
C4
YES
C3
YES
C2
YES
C3
YES
C5
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
year old children in your community which you can use in school planning. You
r Division office will initiate the child mapping in that area (following DO. No.
e.g. disasters), child mapping should be conducted to account for the children
EDUCATIONAL STATUS
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
Apud ES
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
YES
Apud ES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
Sabrino
Rodriguez
First
Princess
Middle
Ramos
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
5 October 18,2011
With Birth
Certificate?
(YES/NO)
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
e District or Division office and your barangay. If there are other schools in yo
they move from house to house in the barangay. This will help you get importa
h case, you need to conduct child mapping in those barangays as well. If there
ng that there are no major changes in the population of your community. After
sy reference. Share the data with your District and Division offices, barangay,
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
5 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
ll help you get important basic information on the status of 4-17 year old chil
angays as well. If there are no schools in a barangay, the District or Division o
your community. After events causing major population changes (e.g. disaster
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
CK
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
7 year old children in your community which you can use in school planning. Y
t or Division office will initiate the child mapping in that area (following DO. No
(e.g. disasters), child mapping should be conducted to account for the childre
EDUCATIONAL STATUS
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year
Distribute this child mapping tool to your team of teachers and volunte
need to cover your barangay unless majority of your students come fro
2015).
After mapping, consolidate the data. You can encode it in the School-Co
Barangay: ______________________________
Municipality: ______________________________
NAME
Last
Sabrino
Rodriguez
First
Princess
Middle
Ramos
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
NAME
Last
First
Middle
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the reside
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment
6- Serious emotional disturbance
2- Hearing Impairment
7- Autism
3- Intellectual Disability
8- Orthopedic impairment
4- Learning Disability
9- Special health problems
5- Speech/language impairment
10- Multiple disabilities
2
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten
C1- Completed Grade 1
C2- Completed Grade 2
C3- Completed Grade 3
C4- Completed Grade 4
C5- Completed Grade 5
C6- Completed Grade 6
3
your early registration activities, coordinate with the District or Division offic
teachers and volunteers. They should fill this up as they move from house to
our students come from nearby communities, in which case, you need to condu
ars (preferably at the start of the SIP cycle), assuming that there are no major
ode it in the School-Community Data Template for easy reference. Share the d
Division: ______________________________
Region: ______________________________
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
5 October 18,2011
With Birth
Certificate?
(YES/NO)
YES
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
DEMOGRAPHIC INFORMATION
Gender
Age
Date of birth
With Birth
Certificate?
(YES/NO)
or detailed descriptions)
otional disturbance
impairment
lth problems
sabilities
d Grade 7
d Grade 8
d Grade 9
ed Grade 10
ed Grade 11
ed Grade 12
SKS1S2S3S4S5S6-
Some
Some
Some
Some
Some
Some
Some
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
e District or Division office and your barangay. If there are other schools in yo
they move from house to house in the barangay. This will help you get importa
h case, you need to conduct child mapping in those barangays as well. If there
ng that there are no major changes in the population of your community. After
sy reference. Share the data with your District and Division offices, barangay,
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
5 YES
NO
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
RESIDENCE
Present address
DISABILITY
Number of
Is residence
Has a
years in
1
permanent? disability?
present
(YES/NO)
(YES/NO)
address
Some Grade 7
Some Grade 8
Some Grade 9
Some Grade 10
Some Grade 11
Some Grade 12
ll help you get important basic information on the status of 4-17 year old chil
angays as well. If there are no schools in a barangay, the District or Division o
your community. After events causing major population changes (e.g. disaster
If YES,
Provided
specify
with ECCD
type of
Services?
2
disability
(YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
CK
YES
DISABILITY
If YES,
Provided
specify
with ECCD
type of
Services?
disability2 (YES/NO)
Currently
Educational
studying?
attainment3
(YES/NO)
7 year old children in your community which you can use in school planning. Y
t or Division office will initiate the child mapping in that area (following DO. No
(e.g. disasters), child mapping should be conducted to account for the childre
EDUCATIONAL STATUS
DATE OF INTERVIE
EDUCATIONAL STATUS
ANNEX 1B Child Ma
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
YES
DATE OF INTERVIEWS
FUTURE ENROLLMENT
Planning to
study next
If YES, specify the name of
school
prospective school
year?
(YES/NO)
NROLLMENT
If NO, state reason for not
planning to study next
school year
NROLLMENT
If NO, state reason for not
planning to study next
school year