ORP Form 1- INDIVIDUAL STUDENT PROFILE

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE
CORDOVA NATIONAL HIGH SCHOOL
Instruction: To be filled up by the student or parent.

(Pls check) Remarks

NAME OF PUPIL./STUDENT:__________________________________________ Signature: New
Year level: Continuing
Repeater
Date of Birth: Sex: Transferee
Age: Working
Home Address: Balik-aral

Address where you are presently living/staying while schooling: If Balik-aral,:

last grade/ year level Grade
Previous Address: attended Year
Number of brothers and sisters presently
enrolled Distance of home from school Means of Transportation:
Male Female Total less than a kilometer Remarks
Elementary 1 kilometer none
Secondary more than a kilometer PDCab
College more than 2 kilometers Habalhabal
Total more than 3 kilometers Jeepney/Bus
horse
Membership in organization: Others
Name of Organization Position
Officer Member Which of the following programs have you
Student Government availed of
STEP/YECS/GO-Negosyo Remarks
BSP/GSP PEPT
Fraternity/Sorority A&E
Religious EASE
Sangguniang Kabataan OHSP
Others (Pls specify) OEP

Family Background

Living with parents? Yes Are both parents living together

No Separated

if yes,
Occupation
Name of Father: Income : none 1001-8000
Highest Grade/Level attained 3,000 below 8000-10000
3,001-5000 10000 above
Occupation
Name of Mother: Income : none 1001-8000
Highest Grade/Level attained 3,000 below 8000-10000
Address of Parents 3,001-5000 10000 above
if no,
Sister Employer
Name of Guardian: Relationship
/Brother
Uncle/Aunt
Grand Cousin Others:
parents
Pls specify:
1 1 ###
2 2 ###
Number of 3 Number of 3 Total number ###
of household
Brothers: 4 Sisters: 4 members ###
5 5 ###
6 6 ###

Are you the Eldest Youngest Midchild

: To be included in the individual student/pupil profile/portfolio.
Remarks Recommendations

Prepared by:
______________________________________
Adviser
S - DORP Form 2 - SARDO Watch List (To be accomplished by Advisers Republic of the Philippines MONTH OF:______________________________
every month.) Department of Education SY 2017-2018
Note: To be submitted to the School DORP Coordinator Region VII, Central Visayas DISTRICT: _______________________________
DIVISION OF CEBU PROVINCE
Name of School:__ CORDOVA NHS
Grade/Year Level__:___
Section:
Please put 1 instead of a check mark to indicate classification or choice. If "others" please specify.

Attendance Academic Behavior Health & Nutrition Economic

IDENTIFIED

not saved
Saved
No. of days

SARDO
No Reading Grade Level Learning Difficulties comes comes
Name of Pupil/Student Fever& Stoma no
. (Ref. Form 1) (Ref. PHILIRI) (Ref. Form 137) Tootha w/o walkin
P NI MisB Malnut Heada ch
che
Others
eating
sch.su
g, w/o
Others
ches ache pplies
& baon fare
late Absent NR F Ins Ind Eng. Fil Sci Math AP TLE MAP EP
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
Please reflect the following symbols Legend: NR- Non-Reader P - Passive Others: Others:
after the name of the pupil F - Frustration NI - Not Interested
if Transferee - Asterisk * Ins - Instructional MisB-Misbehaving Submitted by:_____________________________
if Repeater - plus sign + Ind- Independent Name of Teacher
if Balikaral - X sign Plantilla Position:
S-DORP Form 3 - IDENTIFIED SARDOs Republic of the Philippines MONTH OF:___________________________
(To be accomplished by Advisers) Department of Education SY 2017-2018
Note: To be submitted to the S-DORP Coordinator for consolidation Region VII, Central Visayas DISTRICT: ___ CORDOVA
third week of every month. The IDENTIFIED SARDO consolidated report DIVISION OF CEBU PROVINCE
will be forwared to the District HS DORP Coordinator or Elementary Name of School:__ CORDOVA NHS
District DORP Coordinator. Grade/Year Level:
Section: ______________________________
Areas Please put a check mark on the space provided for each choice.
WHEREABOUTS
IDENTIFIED SARDO Specific Problems/Causes Solutions and Interventions Done Reasons why
Periodic Grades Achievement

Community
Absences
Academic

Individual
Behavior
Employed

Still in Sch.
child was not

Graduated
School
Family
Abuse
SII

Promoted
Tardy

H&N
Means of

College
Sex

Economic
No. saved inspite of
Name of Pupil/Student Verification

OHSP
EASE

Abroad
the

Others
OI

Local
(Male/ 1 2 3 4 5 6 7 8 9 10 11 12
2 3 4 5 6 7 8 9 10 11 12 Eng. Fil Sci Math AP TLE MAP EP interventions NAT RAT DAT AWARD
Female)
1

I
1
C

I
2
C

I
3
C

I
4
C

I
5
C

SUBTOTAL

GRAND TOTAL

Instructions: ON SUBMISSION OF REPORTS: Submitted by:

1. Please refer the FICS choices on problems and so Economic FORM 1 - RETAINED BY THE ADVISER/GUIDANCE COUNSELOR
2. Please use other sheets whenever necessary. FORM 2 - TO BE SUBMITTED TO THE SCH. DORP COOR. MONTHLY __________________________
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom. FORM 3 - TO BE SUBMITTED TO THE SCH. DORP COOR. QUARTERLY Name
4. Legend: - SCH. DORP COOR SUBMITS CONSOLIDATED FORM 3 TO THE __________________________
F - BLACK Examples of MOVs (Means of verfication) DIVISION DORP COORDINATOR EVERY LAST WEEK OF 3RD MONTH Plantilla Position
I - GREEN Pictures, Annectodal record, letter from parents, etc QUARTER
 FICS ANALYSIS SHEET

DIRECTIONS: CHECK THE PROBLEMS INITIALLY ASSESSED BY YOU AS ADVISER AS WELL AS THE SUGGESTED SOLUTIONS
ONE OR MORE PROBLEMS AND SOLUTIONS CAN BE CHECKED DEPENDING ON ASSESSMENT

FACTORS PROBLEMS ( ) INITIAL SOLUTIONS ( )

1. Too many siblings to care for/ large family 1. Counsel
size. 2. Recommend students for
2. Need to work to augment family income employment either on the
3. Lack of parental or family educational households or establishments
support 3. Give seminars on effective
4. Ineffective parenting parenting
5. Broken family 4. Prioritize needs
6, Too many household tasks 5.Visit health center regularly
7. Sickly family members 6. Conduct home visitation/
FAMILY 8. Drunkard and gambler family members conference with parents
9. Unstable family income 7. Introduce/implement and
10. Extravagant "Adopt-School-Program"
11. Others 8. Explain the ill effects of too
much drinking and gambling
9. Conduct Homeroom and
General PTA meetings.
10. Sariling Sikap
11. Others

1. Less commitment to work 1. Provide adequate activities

2. Absenteeism such as oral recitations, group
3. Laziness sessions, & club membership
4. Tardiness 2. monitoring and supervision
5. Early pregnancy 3. Give special consideration
6. Poor health/Disability 4. Guidance and Counseling
7. Broken marriage/ Broken families 5. Give alternative remediation
INDIVIDUAL 8. Many vices 6. Create conducive learning
9. Lack of self confidence/ self- esteem atmosphere
10. Peer pressure 7. Teach reproductive health
11. Others 8. Close monitoring and
supervision
9. Regular Health Center visit
10. Proper work orientation.
11. Others

1. Presence of gambling dens 1. Report to police officers

2. Presence of recreational centers 2. Talk to the concerned owners
3. Presence of internet cafe's 3. Coordinate with proper
4. No internet cafe's for research authorities
5. Uncooperative stakeholders 4. Use other research methods
6. Busy parents 5. Motivate and involve stake-
COMMUNITY 7. Rugged terrain in going to school holders
8. Unavailabilty of transportation 6. Home visitation
9. Presence of insurgency 7. Seek help from Local/Provin-
10. No support from LGU/Barangay cial Government
11. Others 8. Request from LGU/Benefactors
9. Report to military men
10. Coordinate with local officials
11. Others

1.Distance of house from school 1. Construct cottage near the

2. Limited funds school
3. Negative attitude of teachers/SH 2. Tap stakeholders
4. Unruly students/pupils 3. Values formation seminar
5. Lack of teachers 4. Impose proper discipline
6. Overlapping activities 5. Request for more teacher
7. Overcrowded classrooms items/ Aides
SCHOOL 8. Teachers are teaching subjects that they 6. Prioritize/schedule activities
are not majors and minors 7. Request for additional
9. Poor attendance of teachers teachers
10. Lack of school facilities 8. Mentor and coach
11. Teachers are not sent to seminars 9. Close monitoring/counseling
12. Others 10. Request from DEPED, LGU
11. Send to seminars/workshops
12. Others