ANNEX 1A School-Community Data Template

SCHOOL-COMMUNITY DATA TEMPLATE

I. COMMUNITY PROFILE/DATA
IDENTIFYING INFORMATION
Name of the Community/Barangay (s): BARANGAY SAN RAFAEL
NOTE: Community basically refers to the barangay where the school is located. If applicable, include the name(s) of other nearby barangay(s) where a
significant number of enrolled children come from. To make planning easier, this template aims to organize existing school-community data from
different sources. If you find it useful to lift data from other templates and transfer it here, you may do so. Otherwise, you can just attach the other data
templates to this form.

Municipality: DULAG
Division: LEYTE
Region: VIII

A. SOCIAL, DEMOGRAPHIC AND CULTURAL PROFILE

A.1 Population of Children [SRC A.1.]

Total Population Number of children NOT in School % of children NOT in School
Age
Boys Girls Total Boys Girls Total Boys Girls Total
3 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0!
4 16 17 33 4 3 7 25.00% 17.65% 21.21%
5 19 17 36 1 2 3 5.26% 11.76% 8.33%
6 20 15 35 3 3 6 15.00% 20.00% 17.14%
7 25 19 44 1 0 1 4.00% 0.00% 2.27%
8 22 21 43 2 0 2 9.09% 0.00% 4.65%
9 16 18 34 0 0 0 0.00% 0.00% 0.00%
10 26 26 52 3 1 4 11.54% 3.85% 7.69%
11 14 23 37 1 0 1 7.14% 0.00% 2.70%
12 26 22 48 4 1 5 15.38% 4.55% 10.42%
13 14 18 32 2 1 3 14.29% 5.56% 9.38%
14 14 24 38 0 5 5 0.00% 20.83% 13.16%
15 21 17 38 0 2 2 0.00% 11.76% 5.26%
16 29 12 41 8 2 10 27.59% 16.67% 24.39%
17 15 14 29 1 1 2 6.67% 7.14% 6.90%
18 0 0 0 0 0 0 #DIV/0! #DIV/0! #DIV/0!
GRAND
TOTAL 277 263 540 30 21 51 10.83% 7.98% 9.44%

NOTE: Data for the above may be obtained from the Community-Based Management System (CBMS). In case data are not available, a mapping of
children can be done by a team of teachers and/or community volunteers such as the Barangay Service Point Officers (BSPOs).
A.2 CBMS Basic Needs Indicators: Social

Basic Needs Core Indicators Value

Proportion of child deaths aged 0-5 years old

Health
Proportion of women deaths due to pregnancy-related causes
Nutrition Proportion of malnourished children aged 0-5 years old
Proportion of households living in makeshift housing
Shelter
Proportion of households classified as squatters/informal settlers
Proportion of households without access to safe water supply
Water & Sanitation
Proportion of households without access to sanitary toilet facilities
Proportion of children 6-12 yrs old not in elementary school
Basic Education
Proportion of children 13-16 yrs old not in secondary school

A.3 Ethnic groups present in the community: NONE

A.4 Language spoken by the majority: WARAY

A.5 Availability of basic social infrastructure and services. Check which of the following are present in the community.
✘ Elementary school(
✘ Public Private) ✘ Clean water supply/ water system
Secondary schoolPublic
( Private) Public library
✘ Day Care Center Public playground
✘ Community health center/station ✘ Road/Farm-to-market road
all kind of land transportation
Botika sa Barangay ✘ Transportation. Pls. specify: ______________

A.6 Other relevant information. Indicate below any additional information on social, demographic and cultural factors in the community which
impact on children's education.
 ANNEX 1A School-Community Data Template
B. POLITICAL/PEACE AND SECURITY/PEACE AND ORDER

B.1 CBMS Basic Needs Indicator: Peace and Order

Basic Needs Core Indicators Value
Peace and order Proportion of persons who were victims of crime 0
B.2 Local mechanisms/structures for peace, security, and order
Tick if any of the following are present.
✘ Active Barangay Council for the Protection of Children (BCPC) Indigenous/local conflict resolution mechanisms
Police station Other structures. Pls. specify: ______________
✘ Barangay tanods

B.3 Stakeholder support to education [SRC G.16.]

Percentage of parents/guardians and other stakeholders who attend Co-curricular activities, Extra-curricular activities, Meetings, and Assemblies
Participants and Attendance Total Amount of Contribution
Actual Number Target % Labor * In Kind Cash
Co-Curricular Activities
195 218 89%

Extra-curricular Activities
55 218 25%

Other Major Activities

55 218 25% 17,700 40,119.50 0

* Computed based on the existing minimum daily wage of the locality/province.

B.4 Incidence of crimes and other human-induced hazards

Tick if there are incidences of any of the following in the last 3 years.
SOURCE: Government Elementary/Secondary School Profile (GESP).
Armed conflict as a result of organized crime (terrorism, siege, etc.)
Crime against school head/s (murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against school property (theft, robbery, arson)
Crime against student/s (murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against teacher/s (murder/homicide, physical injury, rape, sexual harassment, etc.)
Fire (Electrical wiring failure, etc.)
Health Threat (i.e. Dengue, Malaria, Measles, food poisoning, disease outbreak)
Oil Spill
Security threat as a result of civilian violence (bomb threats, kidnapping threats, hostage taking, shooting, etc.)
Structural collapse (as a result of engineering failures)
Others. Pls. Specify: ______________
B.5 Other relevant information. Indicate below any additional information on political factors in the community which impact on children's
education.

C. PHYSICAL ENVIRONMENT/ECOLOGIAL PROFILE

C.1 List of local resources/features of the environment that can be used as learning resource/material
[Example: Rice terraces and water falls; other natural resources in the community]
rice field historical place; Hill 120
resort
local delicacies; peanut butter, suman latik, kakanin

C.2 Incidence of natural disasters

Tick if there are incidences of any of the following in the last 3 years.
SOURCE: Government Elementary/Secondary School Profile (GESP).
Drought ✘ Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.)
✘ Earthquake Oil Spill
Fire (includes forest fire, fires as consequence of
natural disasters such as typhoons and earthquakes) ✘ Tsunami
✘ Flood Volcanic eruption
Landslide Others. Pls. specify: ______________
✘ Storm surge
C.3 Result of Disaster Incidences
✘ School used as an evacuation center
C.4 Other relevant information. Indicate below any additional information on environmental/ecological factors in the community which impact on
children's education.
 ANNEX 1A School-Community Data Template

D. ECONOMIC PROFILE

D.1 CBMS Basic Needs Indicators: Economic

Basic Needs Core Indicators Value

Income Proportion of households with income below poverty threshold 60%

Proportion of households with income below subsistence threshold 40%
Proportion of households which experienced food shortage 62%
Employment Proportion of persons who are unemployed 65%

D.2 Primary or Major Means of Livelihood of the Households

PIGGERY, POULTRY
✘ Agriculture/forestry. Pls. specify the major products: _______________
✘ Fishery
Manufacturing
Mining
✘ Services
Others

D.3 Child Labor Practice

Are there children in the community who are employed in any work that (a) is mentally, physically, socially or morally dangerous and harmful to
children, and (b) interferes with their schooling by depriving them of the opportunity to attend school, obliging them to leave school
prematurely, or requiring them to attempt to combine school attendance with excessively long and heavy work?

Pls. specify:
✘ YES how manyTHERE HAVE BEEN INCIDENCES OF CHILD LABOR DUE TO POVERTY
children; in
what industry,
NO activity?

D.4 Other relevant information. Indicate below any additional information on economic factors in the community which impact on children's
education.

E. TECHNOLOGICAL
E.1 Availability of Electrical Supply: What is the source of electricity?
SOURCE: Government Elementary/Secondary School Profile (GESP).
✘ Grid supply
Off-grid supply
Solar power
Generator
Others. Pls. specify: ___________
No source of electricity

E.2 Internet Connectivity

SOURCE: Government Elementary/Secondary School Profile (GESP).
E.2.1 Are there internet service providers in the area?
✘ YES NO
If Yes, check the appropriate internet service provider/s servicing the area:
BAYANTEL GLOBE SMART WIT Global (Satellite)
DIGITEL PLDT SUN ✘ Others. Pls. specify: _____________

E.2.2 Does the school subscribe to any of the internet service provider/s listed above?
✘ YES NO

E.2.3 Are there internet café/shops/WiFi-enabled stations?

✘ YES Pls. specify: __________________________________________
NO

E.3 Other relevant information. Indicate below any additional information on technological factors in the community which impact on children's
education.
 ANNEX 1A School-Community Data Template

II. SCHOOL PROFILE/DATA

IDENTIFYING INFORMATION
Name of School: SAN RAFAEL ES School ID: 121335
Address: BRGY. SAN RAFAEL, DULAG, LEYTE
District: DULAG NORTH Municipality: DULAG
Division: LEYTE Region: VIII

A. LOCATION, RELATIVE DISTANCE, AND TYPE OF SCHOOL

A.1 Location of the School. Tick the applicable description.

✘ Along the highway Near a river or waterway On top of a mountain
✘ Near the coastline By the hillside

A.2 Relative Distance of the School Mode of

Distance in km Transportation
a. From the poblacion 4.5 km. All Land Transportation
b. From the nearest public elementary school 1.5 km. All Land Transportation
c. From the nearest private elementary school 4.5 km. All Land Transportation
d. From the nearest public secondary school 2.5 km. All Land Transportation
e. From the nearest private secondary school 4.5 km. All Land Transportation
f. From the District office 2.5 km. All Land Transportation
g. From the Division office 29 km. All Land Transportation

B. LEARNING ENVIRONMENT

B.1Physical Infrastructure
B.1.1 Classrooms and Seats [SRC G.10.; G.12.] Fill-in only the grade level that is applicable to your school.
No. of Classrooms No. of Seats
Total Enrolment, Pupil: Pupil:seat
Level In Good For classroom In Good For
Current SY Repair/Rehabil Total Ratio 1 Repair/Rehabil Total Ratio 2
Condition itation
Condition itation

Kindergarten 31 1 1 31:1
Grade 1 32 1 1 32:1
Grade 2 32 1 1 32:1
Grade 3 42 2 2 21:1
Grade 4 33 1 1 33:1
Grade 5 50 2 2 25:1
Grade 6 37 1 1 37:1
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 257 9 9 28.56:1
1
Pupil:classroom ratio = Total enrolment divided by the total number of classrooms
2
Pupil:seat ratio = Total enrolment divided by the total number of seats
B.1.2 Water, Sanitation and Hygiene (WASH) Facilities
B.1.2.a Water Supply/Source. Tick as appropriate. SOURCE: GESP
✘ Local piped water Rainwater catchments Without available water supply
Water well/deep well Natural source
Is the main source of water functional at present?
✘ YES NO Pls. cite reasons why: ______________________________________________
 ANNEX 1A School-Community Data Template
B.1.2.b Handwashing. Is there space for handwashing?
YES If Yes: ✘ with soap without soap
NO

B.1.2.c Functional Toilets [SRC G.11.] B.1.2.c Toilet Bowls

Male Female Male Female
Number Ratio3 Number Ratio3 Number Ratio4 Number Ratio4

3
Pupil:toilet ratio = Total enrolment divided by number of toilets
4
Pupil:toilet bowl ratio = Total enrolment divided by number of toilet bowls

B.1.3 Textbooks. Indicate number of textbooks per grade level and subject, and the pupil:textbook ratio. [SRC G.13.]
Pupil:textbook ratio = Total enrolment divided by the number of textbooks. Fill-in only the grade level that is applicable to your school.
Subject: ENGLISH Subject: MATH Subject: FILIPINO Subject: AP Subject: MAPEH
Level
Number Ratio Number Ratio Number Ratio Number Ratio Number Ratio
Kindergarten
Grade 1 70 0.46:1 59 0.54:1 23 1.39:1 60 0.53:1 30 1.07:1
Grade 2 5 6.4:1 4 8:1 4 8:1 6 5.33:1 51 0.63:1
Grade 3 53 0.79:1 32 1.31:1 26 1.62:1 32 1.31:1 70 0.6:1
Grade 4 46 0.72:1 30 1.1:1 29 1.14:1 25 1.32:1 70 0.47:1
Grade 5 25 2:1 30 1.67:1 27 1.85:1 25 2:1 30 1.67:1
Grade 6 35 1.06:1 20 1.85:1 35 1.06:1 0 #DIV/0! 35 1.06:1
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 234 1.1:1 175 1.47:1 144 1.78:1 148 1.74:1 286 0.9:1

B.1.4 Library: No. of books: 0_________ No. of tables: 0_________ No. of chairs 0

Give additional information and qualitative description of the library (lighting, space, other fixtures present, etc.)

B.1.5 Other Learning Facilities/Materials (Example: computer, science equipment)

Facility/Material Number Qualitative description/condition
 ANNEX 1A School-Community Data Template

C. TEACHERS
C.1 Number of Teachers [SRC G.9.] Fill-in only the grade level that is applicable to your school.
No. of Nationally Funded Teachers (2018-2019) No. of No. of
Total Enrolment, Current Locally Subsidized/
Level SY Funded Volunteer
TOTAL Male Female 2
Teachers Teachers

Kindergarten 31 1 0 1 31:1
Grade 1 32 1 0 1 32:1
Grade 2 32 1 0 1 32:1
Grade 3 42 2 0 2 21:1
Grade 4 33 1 0 1 33:1
Grade 5 51 2 1 1 25.5:1
Grade 6 37 1 1 0 37:1
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 258 9 2 7 28.67:1
5
Pupil:teacher ratio = Total enrolment divided by number of nationally-funded teachers.

C.2 Quality of Teachers

C.2.1 Number of Master Teachers
Assigned
Carries Full-Time Class Assigned Part-Time to Assigned Full-Time to
Number Grade
Teaching Load Class Teaching Ancillary Services
Levels
Master Teacher IV 0
Master Teacher III 0
Master Teacher II 1 Full Time Grade 3
Master Teacher I 0

C.2.2 Number of Teachers meeting the desired competencies based on NCBTS. Fill-in only the grade level that is applicable to your school.
SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023

No. of No. of No. of

Total No. of Teachers % meeting the Total No. of Teachers % meeting the Total No. of Teachers % meeting the
Teachers meeting the standards Teachers meeting the standards Teachers meeting the standards
standards standards standards

Kindergarten 1 1 100.00% 1 1 100.00% 1 1 100.00%

Grade 1 2 1 50.00% 1 1 100.00% 1 1 100.00%
Grade 2 1 1 100.00% 2 2 100.00% 1 1 100.00%
Grade 3 2 2 100.00% 1 1 100.00% 2 2 100.00%
Grade 4 1 1 100.00% 2 2 100.00% 1 1 100.00%
Grade 5 1 2 200.00% 1 1 100.00% 2 2 100.00%
Grade 6 1 1 100.00% 1 1 100.00% 1 1 100.00%
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 9 9 100.00% 9 9 100.00% 9 9 100.00%
 ANNEX 1A School-Community Data Template

C.2.3 Projects/interventions implemented to improve basic competencies of teachers

YES NO If yes, please describe
a. Does the school have a mechanism for
sustained school-based training (e.g., Learning / Teachers attend LAC sessions and INSET
Action Cell sessions)?

b. Does the school use the result of the NCBTS-

Teacher's Strength and Needs Assessment as basis /
for planning?

C.2.4 If the response to C.2.3.b above is YES,

(a) What were/are the identified top 3 training needs of teachers Current SY? Fill-in only the grade level that is applicable to your school.
Current SY:2022-2023
LEVEL
Ist 2nd 3rd

Kindergarten Lesson Planning Reading Strategies Numeracy

Grade 1
Grade 2 Lesson Planning Reading Strategies Numeracy
Grade 3
Grade 4 Lesson Planning Reading Strategies Numeracy
Grade 5
Grade 6 Lesson Planning Reading Strategies Numeracy
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

(b) Based on the top 3 training needs mentioned above, how many of the teachers were trained? [SRC G. 14.]
Fill-in only the grade level that is applicable to your school.
SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023

Total No. of No. of Total No. of No. of Total No. of No. of

Teachers % trained Teachers % trained Teachers % trained
Teachers trained Teachers trained Teachers trained

Kindergarten 1 1 100.00% 1 1 100.00% 1 1 100.00%

Grade 1 2 2 100.00% 1 1 100.00% 1 1 100.00%
Grade 2 1 1 100.00% 2 2 100.00% 1 1 100.00%
Grade 3 2 2 100.00% 1 1 100.00% 2 2 100.00%
Grade 4 1 1 100.00% 2 2 100.00% 1 1 100.00%
Grade 5 1 1 100.00% 1 1 100.00% 2 2 100.00%
Grade 6 1 1 100.00% 1 1 100.00% 1 1 100.00%
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 9 9 100.00% 9 9 100.00% 9 9 100.00%

(c) If the response to question (b) above is NO, cite reasons why teachers were not trained based on identified needs.
 ANNEX 1A School-Community Data Template

(d) What are other interventions implemented to improve competencies of teachers?

GIYA, KUMUSTAHAN, LAC SESSIONS, FGD

D. STATUS OF PRIORITY IMPROVEMENT PROJECTS OR CI PROJECTS [SRC G.18.; G.19.]

(These projects include those implemented by the school and other stakeholders)
Duration Status/Accomplishments
Indicate progress of the program/ project, and its
Implementer Program/Project Title Target effect/impact on the children's access to and
End Start quality of education.

CRISTINA
(Comprehensive
Reading Intervention
San Rafael ES Staff Strategies and December June Learners On going
Techniques In
Numeracy
Appreciation)

E. FUND SOURCES [SRC G.16.]

Fund Source Amount

26996
General Appropriations Act (School MOOE)

none
General Appropriations Act (Subsidy for Special Programs)
 ANNEX 1A School-Community Data Template

III-A. SITUATION OF CHILDREN / LEARNERS: ACCESS - IN AND OUT OF SCHOOL

Instruction: Please input required data/information in unshaded cells. Fill in only the age group/grade level that is applicable to your school.

1. CHILDREN NOT IN SCHOOL

1.1 Number of school-aged children NOT in school (last two years or previous year, depending on data availability)
No. of out-of-school children
Two Years Ago 2020 Previous Year 2021 attending other forms of learning
Age Group
Total Male Female Total Male Female Total Male Female
5 y/o 1 1 1 1
6-8 y/o 1 1 1 1
9-11 y/o 1 1
12-15 y/o
16-17 y/o
TOTAL 2 1 1 3 3
Source: Community-Based Management System (CBMS) of the Barangay; school-community mapping, if available

1.2 Reasons for not attending school in previous year 1

Number of children not in school according to reason(s)
Total number
of school- Distance of
Age Group aged children Financial Health and Affected by Affected by
Child Labor School from Other Reasons
not in school Matters Nutrition Disaster Conflict
Home

5 y/o 1 1
6-8 y/o 1 1
9-11 y/o 1 1
12-15 y/o
16-17 y/o
TOTAL 3 2 1
Percent of Total 66.67% 33.33%
1
School Planning Teams are encouraged to conduct interviews or focus group discussions with parents/guardians/community members to
probe deeper on reasons cited

1.3 Projects/interventions implemented to ensure that out-of-school children are reached or mainstreamed in school

YES NO If yes, please describe the mechanism pursued

by the school-community
1.3.a. Does the school-community have a mechanism to
actively seek out children not in school and give them access
/ Family Mapping
to education (e.g., family mapping, Community-Based
Management System, etc)

1.3.b. What interventions are being implemented in previous

School Year (s) to ensure that out-of-school children have House to house Campaign
access to education?
2. CHILDREN ENROLLED IN SCHOOL [SRC A.1.]

2.1 Enrolment for the last 3 School Years, refer to Government Elementary/Secondary School Profile or EBEIS
SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023
LEVEL
Total Male Female Total Male Female Total Male Female
Kindergarten 32 18 14 34 22 12 31 19 12
Grade 1 41 24 17 31 19 12 32 20 12
Grade 2 29 13 16 39 22 17 32 17 15
Grade 3 51 28 23 30 12 18 42 24 18
Grade 4 37 21 16 49 27 22 33 15 18
Grade 5 37 20 17 39 22 17 50 27 23
Grade 6 38 18 20 34 18 16 37 23 14
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 265 142 123 256 142 114 257 145 112
Percent of Total 53.58% 46.42% 55.47% 44.53% 56.42% 43.58%
 ANNEX 1B Child Mapping Tool
2.2 Number of children with disabilities by category

Total Number TYPE OF DISABILITY (2022-2023)

of Children
Level with Visual Physically
Disabilities
Impaired Handicapped

Kindergarten
Grade 1
Grade 2
Grade 3 1 1
Grade 4
Grade 5 1 1
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 2 2
Percent of Total 100.00%

2.3 Other data

Number of Over-aged Number of Muslim Number of 4Ps
Level Number of IP Learners
Learners Learners Learner-recipients
Kindergarten 0 0 0 0
Grade 1 0 0 0 5
Grade 2 1 0 0 4
Grade 3 1 0 0 11
Grade 4 3 0 0 12
Grade 5 3 0 0 19
Grade 6 3 0 0 15
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 11 0 0 66
 ANNEX 1A School-Community Data Template

III-B. SITUATION OF CHILDREN / LEARNERS: ACCESS - ATTENDANCE AND RETENTION

Instruction: Please input required data/information in unshaded cells. Fill-in only the grade level that is applicable to your school.

3. ATTENDANCE
3.1 Number of Children who are regularly attending classes (at least 90% attendance) for the last three School Years 1
SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023
Level
Total Male Female Total Male Female Total Male Female
Kindergarten 32 18 14 34 22 12 31 19 12
Grade 1 41 24 17 31 19 12 32 20 12
Grade 2 29 13 16 39 22 17 32 17 15
Grade 3 51 28 23 30 12 18 42 24 18
Grade 4 37 21 16 49 27 22 33 15 18
Grade 5 37 20 17 39 22 17 50 27 23
Grade 6 38 18 20 34 18 16 37 23 14
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

TOTAL 265 142 123 256 142 114 257 145 112

Percent of Total 53.58% 46.42% 55.47% 44.53% 56.42% 43.58%

1
SOURCE: Form 18

3.2 In the previous SY, how many children were frequently absent (below 90% attendance) and how many of them were recipients of the Conditional Cash Transfer Program
(Pantawid Pamilya) of DSWD?

PREVIOUS SY 2021-2022

Level Number of frequently absent students that are recipients of Pantawid

Total Enrolment Number of children who are frequently absent Pamilya
in Previous SY 2
Total Male Female Total Male Female
Kindergarten 34 0 0 0 0 0 0
Grade 1 31 0 0 0 0 0 0
Grade 2 39 0 0 0 0 0 0
Grade 3 30 0 0 0 0 0 0
Grade 4 49 0 0 0 0 0 0
Grade 5 39 0 0 0 0 0 0
Grade 6 34 0 0 0 0 0 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 256 0 0 0 0 0 0
Percent of Total 0.00% #DIV/0! #DIV/0! 0.00% #DIV/0! #DIV/0!
2
Previous SY data in Table 2.1.
 ANNEX 1A School-Community Data Template

3.3 What were the reasons why children were frequently absent in previous SY? Please indicate number of children who are frequently absent according to reasons.

Number of children who are frequently absent according to reasons 3 (2017-2018)

Total number of
children who
Level are frequently Distance of
Financial Health and Affected by Affected by
absent in Matters Nutrition Child Labor School from Disaster Conflict Other Reasons
previous SY Home

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

TOTAL

3
School Planning Teams are encouraged to conduct interviews or focus group discussions with parents/guardians/community members to probe deeper on reasons cited

3.4 Projects/interventions implemented to address needs of children who are frequently absent 4
Number of Children Covered

4
Insert row/s when necessary

4. DROPOUT [SRC A.2.]

4.1 Number of Dropouts for the last three School Years, refer to Government Elementary School Profile or EBEIS
NUMBER OF DROPOUTS
LEVEL SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023
Total Male Female Total Male Female Total Male Female
Kindergarten 0 0 0 0 0 0 0 0 0
Grade 1 0 0 0 0 0 0 0 0 0
Grade 2 0 0 0 0 0 0 0 0 0
Grade 3 0 0 0 0 0 0 0 0 0
Grade 4 0 0 0 0 0 0 0 0 0
Grade 5 0 0 0 0 0 0 0 0 0
Grade 6 0 0 0 0 0 0 0 0 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 0 0 0 0 0 0 0 0 0
 ANNEX 1A School-Community Data Template

4.2 Dropout Rates for the last three School Years

DROPOUT RATES
LEVEL SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023
Total Male Female Total Male Female Total Male Female
Kindergarten 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 1 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 2 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 3 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 4 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 5 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 6 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
OVERALL 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

4.3 Number and Rates of Dropouts by Cause

Total No. of NUMBER OF DROPOUTS BY CAUSE (2021-2022) 5

LEVEL Dropouts
(Current SY)

Kindergarten 0 0 0 0 0 0 0 0 0
Grade 1 0 0 0 0 0 0 0 0 0
Grade 2 0 0 0 0 0 0 0 0 0
Grade 3 0 0 0 0 0 0 0 0 0
Grade 4 0 0 0 0 0 0 0 0 0
Grade 5 0 0 0 0 0 0 0 0 0
Grade 6 0 0 0 0 0 0 0 0 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 0 0 0 0 0 0 0 0 0
Percent of Total #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
5
Insert column/s when necessary

4.4 Projects/interventions implemented to address children at risk of dropping out

4.4.a. Does the school have a mechanism to: YES NO If yes, please describe the mechanism pursued by the school

- track attendance and identify children at risk of dropping-out and / Daily checking of attendance
failing and design remedies to keep them in school?

- anticipate and minimize disruptions of classes especially with respect / Prioritization of activities
to emergencies (disaster and conflict)?

- track teachers attendance and ways of ensuring their regular presence

/ Dialogue with teachers
based on CSC policy?
 ANNEX 1A School-Community Data Template

4.4.b. What are the interventions implemented to address children at-risk of dropping out?
(also indicate number of children covered) 6 Number of Children Covered

giving of incentives
feeding program
adopt a child
6
Insert row/s when necessary
 ANNEX 1A School-Community Data Template

III-C. SITUATION OF CHILDREN / LEARNERS: QUALITY

Instruction: Please input required data/information in unshaded cells. Fill-in only the grade level that is applicable to your school.
5. PROMOTION/GRADUATION RATES [SRC Q.3.]
5.1 Number of promoted learners by grade level, for the last three years
SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023
LEVEL
Total Male Female Total Male Female Total Male Female
Grade 1 41 24 17 31 19 12 32 20 12
Grade 2 29 13 16 39 22 17 32 17 15
Grade 3 51 28 23 30 12 18 32 14 18
Grade 4 37 21 16 49 27 22 33 15 18
Grade 5 37 20 17 39 22 17 50 27 23
Grade 6 38 18 20 34 18 16 37 23 14
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

TOTAL 233 124 109 222 120 102 216 116 100

5.2 Promotion and Graduation Rates for the last three years 7
SY Before Previous SY 2020-2021 Previous SY 2021-2022 Current SY 2022-2023
LEVEL
Total Male Female Total Male Female Total Male Female
Grade 1 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Grade 2 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Grade 3 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 76.19% 58.33% 100.00%
Grade 4 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Grade 5 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Grade 6 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

OVERALL 87.92% 87.32% 88.62% 86.72% 84.51% 89.47% 84.05% 80.00% 89.29%

7
FORMULA: promotion rate is the no. of promoted learners (March) over the number of enrolment (March) x 100; graduation rate is the no. of graduates
(March) over the number of enrolment (March) x 100

6. MEAN PERCENTAGE SCORES(based on National Achievement Tests for Grades 3 and 6) [SRC Q.4.]
6.1 Mean Percentage Scores of NAT Grade 3 and 6 (or Grade 8 and Grade 10 for the Secondary Level), per
subject for the last 3 School Years

SY Before Previous SY: ____

Level
English Filipino Math Science HEKASI
Grade 3/8
Grade 6/10
Previous SY: ____
Level
English Filipino Math Science HEKASI
Grade 3/8
Grade 6/10
SY: ____
Level
English Filipino Math Science HEKASI
Grade 3/8
Grade 6/10

6.2 Projects/interventions implemented to improve basic competencies of learners

 ANNEX 1A School-Community Data Template

III-C. SITUATION OF CHILDREN / LEARNERS: QUALITY

7. LITERACY LEVEL [SRC Q.5.]

7.1 Number of learners who are in the frustration, instructional, and independent levels for the current School Year (ENGLISH) 8
Pre-Test Results
Level Frustration Level Instructional Level Independent Level
Total Male Female Total Male Female Total Male Female
Grade 1
Grade 2
Grade 3
Grade 4 10 5 5 2 2 0 0 0 0
Grade 5 8 6 2 4 3 1 0 0 0
Grade 6 9 6 3 7 3 4 0 0 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Level Post-Test Results
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
8
Based on Phil-IRI pre-test results (grades 2-6)

7.2 Number of learners who are in the frustration, instructional, and independent levels for the current School Year (FILIPINO) 8
Pre-Test Results
Level Frustration Level Instructional Level Independent Level
Total Male Female Total Male Female Total Male Female
Grade 1
Grade 2
Grade 3 3 1 2 3 1 2 0 0 0
Grade 4 6 4 2 6 3 3 0 0 0
Grade 5 4 3 1 6 5 1 2 1 1
Grade 6 3 2 1 9 5 4 4 2 2
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Level Post-Test Results
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

7.3 Projects/interventions implemented to improve reading skills of children

Project CRISTINA
 ANNEX 1A School-Community Data Template

III-C. SITUATION OF CHILDREN / LEARNERS: QUALITY

8. NUTRITIONAL STATUS [SRC Q.6.]

8.1 Number of malnourished children for the current School Year
Current SY 2022-2023
Level Wasted Severely Wasted
Total Male Female Total Male Female
Kindergarten 0 0 0 2 0 2
Grade 1 1 0 1 1 1 0
Grade 2 0 0 0 0 0 0
Grade 3 0 0 0 0 0 0
Grade 4 2 1 1 0 0 0
Grade 5 2 1 1 2 2 0
Grade 6 1 1 0 0 0 0
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Total 6 3 3 5 3 2
Percent of Total 50.00% 50.00% 60.00% 40.00%

8.2 Projects/interventions implemented last SY addressing malnourished children (also indicate number of children covered)
Oplan BUSOG-LUSOG-TALINO

9. HEALTH STATUS [SRC Q.6.]

9.1 Number of children who have other health problems for the current School Year
Types of Ailments 9 (Current SY)
Level

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
9
Indicate common ailments and corresponding number of children per type of ailment per column based on results of physical and dental examinations;
add columns when necessary.

9.2 Projects/interventions implemented last SY addressing needs of children with other health problems 10 Number of Children Covered

10
Insert row/s when necessary
 ANNEX 1A School-Community Data Template

III-C. SITUATION OF CHILDREN / LEARNERS: QUALITY

10. CHILDREN REPORTED AS VICTIMS OF ABUSE AND VIOLENCE

10.1 Number of Children who were recorded victims of abuse and violence (physical, verbal, and sexual),
should be supported by data from the Guidance Office/Teachers

PREVIOUS SY ___ CURRENT SY ___

Level
Total Male Female Total Male Female
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

TOTAL
Percent of Total

10.2 Projects/interventions implemented to address children reported as victims of abuse

If yes, please describe the mechanism pursued by the
YES NO school Number of Children Covered
and number of children covered last SY
a. Does the school have a
mechanism to promote safe and
protective practices based on
DepED's Policy on Child Protection
in School? / Proper implementation of CPP 72

b. Other interventions Oplan NTB (No To Bullying)

implemented to address children
suspected as victims of abuse

11. AWARDS/RECOGNITIONS (TOP 3) [SRC Q.7.]

Category of Award-giving Body (Please identify)

Awardees Title Year
District Division Regional National International
Student 1. Spelling Bee 2022 1
2
3
Teacher 1
2
3
School Head 1
2
3
School 1
2
3