`MESSIAH BAPTIST LEARNING CENTER OF BUTUAN CITY INC.

(FORMERLY TMBGB Inc)

P-14 Upper Mandacpan, San Vicente Butuan City
Cell No. 09096216551
Tell No. 817-6785
SEC. NO 201824071
TIN: 733-844-218-000
ES
Please take time to answer the questions so we can assist you and your kids better. Thank you.
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Name of Student :______________________ Contact Number :

Name of Parents/ Guardian : _________________________

Email address, if any: ___________________________

Address : _____________________________

A1. Will you enroll in our school this school year 2020-2021?

Yes No

If not, where will you enroll your student?______________________

A2. Category level of student

________Preschool ________Elementary

A3 . What gadgets are available in your house?

______Laptop ________ Desktop computer ________ Tablet _______ Android phone

______ Ipad ________ Radio ________ TV

A4. Internet connectivity source

Mobile Data Wifi DSL None

A5. What mode of learning do you like for your child?

face to face _______ Home based online digital learning _______

Modular Approach _________ Blended Learning (face to face, modular, online) ___________

A6. Who will guide the child in doing the lessons at home?
_________ Mother
_________ Father
_________ Brother/Sister
_________ Others