COMMUNITY PROFILE AND BASELINE DATA

A. Brief Description of the Project or Community of Study

1. Location map
2. Spot Map
3. Barangay Officials and their functions
4. Core Group Structure/Organizational Framework/Committees and their functions
B. Community Profile
1. Historical Background
2. Physical Profile
a. Land Area
b. Transportation System
c. Topography
d. Climate and Rainfall
e. Water Resource
f. Toilet, Sanitation and Sewage System
g. Solid Waste Disposal System
h. Light System
i. Sports and Recreation Facilities
j. Business and Economic Opportunities
k. Educational, Health and Cultural Facilities
C. Demographic Profile
1. Population
2. Fertility, Mortality and Migration Rate
3. Distribution of Age and Sex
4. Educational Background and Attainment
5. Period of Residency and Home life Category
6. Ownership and Economic Status
7. Religious Affiliation and Denomination
8. Mother Tongue or Ethnic Origin
D. Social Services Available
1. City/Municipality or Barangay Programs, Services and Projects
2. Health, Medical and Nutrition Services
3. Waste Management and Garbage Disposal System
4. Sanitation and Flood Control System
5. Peace and Order, Protection against women and children
6. Neighborhood Associations, Civic – oriented groups and support groups
7. Government Social Services available and accessible
8. Private or NGOs Support Services and Facilities
9. Economic Status, Resources and Distribution
I. COMMUNITY DEVELOPMENT PLANS AND INTERVENTION
A. Identified Priority Problems and Needs based on the above findings/data (Top 5)
B. Data Gathering and Analysis Tools
1. Appreciative Inquiry
2. Needs Assessment or Minimum Based Need Approach
3. SWOT Framework

C. Proposed Community Development Plan (Application of CO Helping Models)

D. Justification on the use of model – guided theoretical framework

Reference/s:
Prepared By:
Social Work Practitioner Noted By:

Punong Barangay

Please Note of the Following:

1. Indicate your references/sources in the preparation of your community baseline study report (community case
study).
2. The Community Profile and Baseline Data must be noted by the Punong Barangay and attached a photocopy of
the Valid ID of the Punong Barangay and his/her original signature must be affixed beside his/her photo copied
ID.
LOGO (of the agency) – follow Heading Format

COMMUNITY CASE STUDY REPORT

A. NAME OF COMMUNITY

Barangay

B. BRIEF DESCRIPTION OF THE COMMUNITY

1. History
2. Location/Map
3. Barangay Officials/Organizational Structure
4. Vision/Mission
C. IDENTIFIED ISSUES AND CONCERNS

1)

D. ASSESSMENT

E. SWOT Analysis
Strength

Weakness

Opportunities

Threats

F. COMMUNITY DEVELOPMENT PLAN (According to the school format given)

G. RECOMMENDATION

Prepared By:

___________________
SW Student Practitioner
Noted By:

_____________________
Agency Field Supervisor
 COMMUNITY DEVELOPMENT PLAN

RESOURCE PLAN PERSON RESPONSIBLE

OBJECTIVELY VERIFIABLE INDICATOR

OBJECTIVES ACTIVITIES/ STRATEGIES TIME FRAME SOURCES OF VERIFICATION (SOV)
(OVI)
IN KIND IN CASH

COMMUNITY PROBLEM NO.1

COMMUNITY PROBLEM NO. 2

COMMUNITY ORGANIZING PROCESS – Narrative Report Format
1. COMMUNITY LEARNING INSIGHTS

I. Stages of Community Organizing Efforts

1. Area Selection
2. Entry to the Community
3. Social Integration and Immersion
4. Social Mapping and Investigation
5. Preliminary Community Study and Analysis
6. Core Group Formation
7. Organizing and Strengthening Community Leaders and the Organization
8. Community Planning and Implementation Scheme
9. Method of System of Evaluation

II. Problems, Limitations and Barriers Encountered

III. Actions taken

As a Community Organizer
With the Group
With the Community Leaders
With the Community People
IV. Recommendations

V. Exit Plan

2. MAJOR LESSONS LEARNED DURING THE PLACEMENT

a. Strengths and Weaknesses
b. Knowledge applied and gained
c. Coping with Contradictions between theories
3. PROSPECTS AND CHALLENGES
A. SELF – as a Community Development Worker
B. AGENCY – priority and concerns for programs and services
1. Delivery System
2. Policy Improvements
C. COMMUNITY – as a living social system
1. As a partner in nation – building and development
Prepared By:
_________________________
Social Work Practitioner

Noted By:

_____________________
Immediate Supervisor
 GROUP PROFILE
A. Brief Description of the group
1. Name of the Group
2. Address
3. Group Officers Structure and their functions

President

Vice-president

Treasurer Secretary Auditor

Sgt.-at-Arms Business managers

P.R.O
1. 1.
2. 2.
3.
OFFICER SY: ___________

4. List of member (with the indication of active or not)

NAMES (Alphabetically arranged) STATUS

ACTIVE INACTIVE

B. Group Contextual
1. History/ Background about the group
2. Group Vision, Mission, Goals and Objectives
a. VISION
b. MISSION
c. GOALS
d. OBJECTIVES
3. Group Concerns/ Problems/ Issues
4. Group Plan of Action (refer to the format given)
5. SWOT Analysis
a. Strength
b. Weaknesses
c. Opportunities
d. Threat
6. Group Assessment
7. Recommendations

Prepared By:
___________________
Social Work Practitioner Noted By:
____________________
President, (Group Name)
Date: ________________
Reviewed By:
_____________________
Punong Barangay
Date: ________________
Approved by:
_____________________
Agency Supervisor
Date: ________________

Please Note of the Following:

1. Indicate your references/sources in the preparation of your group baseline study report (group case study).
2. The Group Profile must be noted by the President of the organization, reviewed by the Punong Barangay and
attached a photocopy of their Valid with his/her original signature must be affixed beside his/her photo copied ID.
LOGO (of the agency) – follow Heading Format

INDIVIDUAL PROFILE
Date: ________________

BASIC INFORMATION:

Name of Member: _________________ __________________ _______________

Family Name First Name Middle Name
Position in the Organization: ___________________
Nickname:___________
Birth Place: _______________________ Birth Date: _________________ Age: _____
Home Address: _________________________________________________________
Citizenship: ____________ Religion: _____________Sex: ______Civil Status: _______
Contact Number: __________________Email (Optional): ________________________
Educational Attainment: __________________________________________________
Occupation: _____________________ Income: _____________

FAMILY HOUSEHOLD/ COMPOSITION:

CIVIL EDUCATIONAL
NAME AGE SEX OCCUPATION RELATIONSHIP
STATUS ATTAINMENT

BACKGROUND:
__________________________________________________________________________________________
___________________________________________________________________________

ASSESSMENT:

__________________________________________________________________________________________
___________________________________________________________________________________

RECOMMENDATION:

__________________________________________________________________________________________
_________________________________________________________________________________________

Prepared by: Reviewed by:

___________________ ____________________
Social Work Practitioner Name of Member/Officer
Date: ________________
Approved by:
_______________________
President of the Organization
Date: ________________

LOGO (of the agency) – follow Heading Format

GROUP PLAN OF ACTION

Group Goal/s: (What the group and worker expect to achieve at the end of the helping relationship)
GROUP ACTIVITIES/ TIME RESOURCES PERSON EXPECTED
OBJECTIVES INTERVENTIONS/ TASKS FRAME NEEDED RESPONSIBLE OUTPUT

Issue # 1
LOGO (of the agency) – follow Heading Format

GROUP CASE STUDY REPORT

Date: ________________

A. NAME OF GROUP/ORGANIZATION:
Address:

B. GROUP VISION, MISSION, GOALS and OBJECTIVES

VISION:
MISSION:
C. HISTORY/ GROUP INFORMATION
D. GROUP OFFICERS AND MEMBERS
STATUS
NAMES
(Alphabetically POSITION/
arranged) ACTIVE INACTIVE REMARKS
DESIGNATION

E. GROUP ISSUES AND CONCERNS

1.
2.

F. ASSESSMENT
__________________________________________________________________________________________
_________________________________________________________________________________________________
______

G. GROUP PLAN OF ACTION

H. RECOMMENDATION

__________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________

Prepared By:
___________________
Social Work Practitioner Noted By:
____________________
President, (Group Name)
Date: ________________
Reviewed By:
____________________
Punong Barangay
Date: ________________
Approved by:
____________________
Agency Supervisor
Date: ________________