Annex 12A SRC Template (Basic)

Name of School: School ID:

Address:
School Head:
Contact Number:
Email Address:

Insert Picture of Learners doing school activities

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 Annex 12A SRC Template (Basic)

School Profile

1. Enrollment

800

700

600

500
500 Female
400 300 315 Male

300

200
250 252
100 200

0
SY 2010 SY 2011 SY 2012

Write interpretation of the data.

2. H
ea
lt
5 h

34

10 1
20 20
4
11 100
50
75
50
20
10 4 10
7 5 4
2
Male Female Male Female

Severly wasted Wasted Normal Overweight Obese

and nutritional status

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 Annex 12A SRC Template (Basic)

Write interpretation of the data.

3. Learners materials

Excess Shortage
Subject
English 3
Mathematics 5
Textbook Science 6

Number
Books
Library Tables
Chairs

Computer Computers

Science
Equipment*
*Please enumerate existing science equipment in school.

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 Annex 12A SRC Template (Basic)

4. Teachers’
professional
Number of teachers attended training,
SY 2013
15 15

10

3 3

ICT LAC K-12 SBM Others

development

Write interpretation of the data.

Sources of School Funding, SY 2013

10,000 15,000

100,000 MOOE
Canteen 5. Funding
sources
50,000 LGUs
Donors
Others
4|Page 500,000
 Annex 12A SRC Template (Basic)

Write interpretation of the data.

6. School awards and recognitions

Title of Award Award Giving Body Level Category of

(International, Awardee
National, Region, (Student, Teacher,
Division or School School Head,
level) School)
Best Performing Division Office of Ilocos Division School
School Sur
Over-all Champion Vigan City LGU Division Student
in Sports Contest
Hall of Famer DepEd Central Office National School
Brigada Eskwela
Awardee

Performance Indicators

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 Annex 12A SRC Template (Basic)

Access

7. Number and rate of dropouts by cause

Number
Dropof
outdrop
Rateout by cause
Write interpretation of the data.
5%
4
Armed conflict
Family Problem Quality
2 Lack of allowance
Distance to School
2 Sickness
1 2% 1 8. Percentage of learners who
1 1 1 completed the School Year
2 2
2% (Promotion Rate)

5 1 1
2 2
SY 2010
SY 2010 SY 2011 SY 2012
SY 2011 SY 2012

Promotion Rate, SY 2013

100% 100%

K Grade 1

Write interpretation of the data.

9. National Achievement Test (NAT) – by Mean Percentage Score (MPS)

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 Annex 12A SRC Template (Basic)

NAT results by subject, 2013

Grade 6
88.48
77.11 76.72
70.51 68.84

English Science Mathematics Filipino Makabayan

Write interpretation of the data.

10. Literacy level

50 50
50
55

40
55
50 70

30
20
15
5

Pre-test Post-test Pre-test Post-test

Frustration Instructional Independent

Write interpretation of the data.

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 Annex 12A SRC Template (Basic)

Governance

11. School-Based Management Assessment Level

SBM Level

I Qualitative Interpretation:

Developing

12. Child-Friendly School Survey result

CFSS Points:

33 Qualitative Interpretation:

Outstanding

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 Annex 12A SRC Template (Basic)

13. Stakeholders’ participation

Number of volunteer hours

70
60
50
40
30 60
20 35
10 17 20
0 5
am
da

g
ts

rs
tin
es

he
iga

gr
nt

ou

Ot
ro
Br

Co

Sc

gP
in
os
Cl

Stakeholders' Attendance to School Activities, SY 2013

100%

95%

88%
85%

Co-curricular Extra-curricular Meetings Assemblies

Stakeholders Contribution
(In Pesos), SY 2013
Write interpretation of the data.
Cash/Inkind
8000
7000
6000
5000
4000
3000 6,000 6,923
5,875
2000
1000 2,000 1,200
0
da sts tin
g
am he
rs
ir ga nte
ou gr t
B Co Sc ro O
gP
is n
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Cl
 Annex 12A SRC Template (Basic)

14. Learner-Teacher ratio

60 Learner-Teacher Ratio, SY 2013

55
50
45
40
35
30 58
25 50 50
45
20 40
35
15
25
10
5
0
K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Write interpretation of the data.

15. Learner-Classroom ratio

Learner-Classroom Ratio, 2013

60
55
50
45
40
35
30 58
25 50 50
45 45
20 40
15
25
10
5
0
K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
Write interpretation of the data.

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 Annex 12A SRC Template (Basic)

16. Learner-Toilet ratio

Learner-Toilet Ratio, SY 2013

60

50

40

30
50
20

10

0
1

Write interpretation of the data.

17. Learner-Seat ratio

Learner-Seat Ratio, SY 2013

1.2

0.8

0.6
1
0.4

0.2

0
1

Write Interpretation of the data.

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 Annex 12A SRC Template (Basic)

Status of School Projects

18. Status of Continuous Improvement (CI) projects

*Presentation of Tables or Graphs depends on the School

Write interpretation of the data.

19. Other stakeholders’ accomplishments

*Presentation of Targets or Graphs depends on the School

Write interpretation of the data

Certified Accurate:

_________________ ___________________
School Head Teacher Representative

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 Annex 12A SRC Template (Basic)

_________________ ___________________
PTCA President Student Government President

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