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  • 8/10/2019 School Forms - Latest Blank

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    School Form 1 (SF 1) School Register(Thisreplaces Form 1, MasterList & STS Form 2-FamilyBackground andro!ile"

    School ID Region VIII Division District

    School Name School Year Grade Level Section

    LRN Sex (M/F) MOTHER TONGUE RELIGION

    ARESS !ARENTS REMAR"

    #$r$%g$& !ro'i%ce N$me Rel$tio%shi

    NAME(L$st N$me* First N$me* Mi++le N$me)

    #IRTH ATE(mm/++/ &&&&)

    AGE $s o, 1stFri+$& -.%e

    I!(Eth%icGro.)

    GUARIAN(I, %ot !$re%t)

    o%t$ct N.m0er o,!$re%t or G.$r+i$%Ho.se / Street/

    Sitio/!.ro2

    M.%ici$lit&/it&

    F$ther3s N$me (L$st N$me* FirstN$me* Mi++le N$me)

    Mother3s M$i+e% N$me(L$st N$me*First N$me* Mi++le N$me)

    (!le$se re,er to tho%l$st $g

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    LRN Sex (M/F) MOTHER TONGUE RELIGION

    ARESS !ARENTS REMAR"

    #$r$%g$& !ro'i%ce N$me Rel$tio%shi

    NAME(L$st N$me* First N$me* Mi++le N$me)

    #IRTH ATE(mm/++/ &&&&)

    AGE $s o, 1stFri+$& -.%e

    I!(Eth%icGro.)

    GUARIAN(I, %ot !$re%t)

    o%t$ct N.m0er o,!$re%t or G.$r+i$%Ho.se / Street/

    Sitio/!.ro2

    M.%ici$lit&/it&

    F$ther3s N$me (L$st N$me* FirstN$me* Mi++le N$me)

    Mother3s M$i+e% N$me(L$st N$me*First N$me* Mi++le N$me)

    (!le$se re,er to tho%l$st $g

    List $%+ o+e o, I%+ic$tors .%+er REMAR"S col.m%Prepared by: Certiied Correct:

    I%+ic$tor o+e Re4.ire+ I%,orm$tio% o+e Re4.ire+ I%,orm$tio% REGISTERE !oSY "oSY

    Tr$%s,erre+ O.t T/O N$me o, !.0lic (!) !ri'$te (!R) School 5 E,,ecti'it& $te T T o%trol/re,ere%ce %.m0er 5 E,,ecti'it& $te MALE

    Tr$%s,erre+ IN T/I N$me o, !.0lic (!) !ri'$te (!R) School 5 E,,ecti'it& $te #/A N$me o, school l$st $tte%+e+ 5 6e$r FEMALE#S ig na t$ re o % dv is er ov er Pri nt ed N am e& #S ig na t$ re o S ch oo l ' ea d ov er Pri nt ed N

    roe+ R! R e$so% $%+ E,,ecti'it& $te L7 Seci,&TOTAL

    L$te E%rollme%t LE Re$so% (E%rollme%t 0e&o%+ 1st Fri+$& o, -.%e) AL Seci,& Le'el 5 E,,ecti'it& $t$ !oSY Date: "oSYDate: !oSY Date: "oSYDate:

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    School Form 8 (SF8) $il& Atte%+$%ce Reort o, Le$r%ers(This replaces Form 1, Form 2 & STS Form # - $%senteeism and ropout ro!ile"

    School ID School Year Report or the (onth o

    Name o School Grade Level Section

    (1st ro9 ,or +$te)Tot$l ,or the Mo%th

    M T 7 TH F M T 7 TH F M T 7 TH F M T 7 TH F M T 7 TH F %!S"N) )%RDY

    MALE : TOTAL !er $&

    LEARNER3S NAME(L$st N$me* First N$me* Mi++le N$me)

    REMAR"S#IRO!!E OUT*state reason* please reer to l egeI TRANSFERRE IN/OUT* -rite the name o School,

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    (1st ro9 ,or +$te)Tot$l ,or the Mo%th

    M T 7 TH F M T 7 TH F M T 7 TH F M T 7 TH F M T 7 TH F %!S"N) )%RDY

    LEARNER3S NAME(L$st N$me* First N$me* Mi++le N$me)

    REMAR"S#IRO!!E OUT*state reason* please reer to l ege

    I TRANSFERRE IN/OUT* -rite the name o School,

    FEMALE : TOTAL !er $&

    om0i%e+ TOTAL !ER A6

    GUIELINES; 1< OES FOR HE"ING ATTENANE Mo%th;No< o, $&s o, l$sses;

    S.mm$r&

    ., )he attendance shall be accomplished daily, Reer to the codes or chec/ing learners0 attendance, M F

    +, Dates shall be -ritten in the col$mns ater Learner0s Name,' nrolment as o! (1st Friday o! )une"

    1, )o comp$te the ollo-ing: 8< REASONS/AUSES FOR RO!!ING OUT

    a, ercentage o! nrolment *Registered Learners as o end o the month

    2 .33$< omesticRel$te+ F$ctors

    "nrolment as o .st 4riday o the sc hool year a,., 'ad to ta/e care o siblings

    b,$+erage aily $ttendance *)otal Daily %ttendance a,+, "arly marriage5pregnancy

    N$mber o School Days in reporting month a,1, Parents0 attit$de to-ard schooling

    c, ercentage o! $ttendance !or the month *%verage daily attendance

    2 .33a,6, 4amily problems

    Registered Learners as o end o the month0< I%+i'i+.$lRel$te+ F$ctors

    b,., Illness$+erage aily $ttendance

    b,+, 7verage

    b,1, Deathercentage o! $ttendance !or the month

    b,6, Dr$g %b$se

    b,8, Poor academic perormanceum%er o! students a%sent !or consecuti+e days.

    9, %ttendance perormance o learners -ill be relected in 4orm .1 and 4orm .1; every grading period, b,9, Lac/ o interest5Distractions

    d,., Distance bet-een home and school

    d,+, %rmed conlict #incl, )ribal -ars > clane$ds& / certi!y that this is a t rue and correct report0

    d,1, Calamities5Disasters

    e< Fi%$%ci$lRel$te+

    e,., Child labor* -or/ (Signature o! Teacher o+er rinted ame"

    ,< Others (Seci,&)

    School 4orm + : P age ??? o ????????%ttested by:

    (Signature o! School ead o+er rinted ame"

    #blan/& Present@ #2&= %bsent@ )ardy #hal shadedA Bpper or Late Commer* Lo-eror C$tting Classes&

    Late nrollment during the month (%eyond cut-o!!"

    egistered Learners as o! end of the month

    ercentage o! nrolment as o!end of the month

    6, "very end o the month* the class adviser -ill s$bmit this orm to the oice o the principal or recording o s$mmary table into School 4orm 6, 7nce signed by theprincipal* this orm sho$ld be ret$rned to the adviser,

    8, )he adviser -ill provide neccessary interventions incl$ding b$t not limited to home vi sitation to learner5s -ho -ere absent or 8 consec$tive days and5or those at ris/ odropping o$t,

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    School Form = (SF=) #oo2s Iss.e+ $%+ Ret.r%e+(This replaces Form 1 & /n+entory o! Te3t%ooks"

    School ID School Year

    School Name Grade Level Section

    N7,

    Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & T it le Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e

    Date Date Date Date Date Date Date Date

    Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned

    )7)%L 47R (%L" )7)%L C7PI"S

    LEARNER3S NAME(L$st N$me* First

    N$me* Mi++le N$me)

    R"(%RS5%C)I7N )(

    to the legend on la

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    N7,

    Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & T it le Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e Su% 4ect $rea & Ti tl e

    Date Date Date Date Date Date Date Date

    Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned Iss$ed Ret$rned

    LEARNER3S NAME(L$st N$me* First

    N$me* Mi++le N$me)

    R"(%RS5%C)I7N )(

    to the legend on la

    )7)%L 47R 4"(%L" )7)%L C7PI"S

    )7)%L L"%RN"RS )7)%L C7PI"S

    GUIELINES; I% c$se o, lost/.%ret.r%e+ 0oo2s* le$se ro'i+e i%,orm$tio% 9ith the ,ollo9i%g co+e; !re$re+ #&;

    ., )itle o !oo/s Iss$ed to each learner m$st be recorded by the class adviser,

    +, )he Date o Iss$ance and the Date o Ret$rn shall be relected in the orm,

    1, )he )otal N$mber o Copies iss$ed at !oSY shall be relected in the orm, #Signat$re over printed name&

    6, )he )otal N$mber o Copies o !oo/s Ret$rned at the "oSYshall be relected in the orm, Date !oSY:???????????? Date "oSY: ???????????

    8, %ll te2tboo/s being $sed m$st be incl$ded, %dditional copies o this orm may be $sed i needed,

    A

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    School Form > (SF>) Mo%thl& Le$r%er3s Mo'eme%t $%+ Atte%+$%ce(This replaces Form 5 & STS Form #-$%senteeism and ropout ro!ile"

    School ID Region Division District

    School Name School Year Report or the (onth o

    S"C)I7N N%(" 74 %DVIS"R

    ATTENANE RO!!E OUT TRANSFERRE OUT TRANSFERRE IN

    Daily %verage Percentage or the (onth #!& 4or the (onth #!& 4or the (onth #!& 4or the (onth

    ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) ( 4 ) (

    ELEMENTAR6/SEONAR6;

    IND"R

    GR%D" .5GR%D"

    GR%D" +5GR%D" ;

    GR%D" 15GR%D"

    GR%D" 65GR%D" .3

    GR%D" 85GR%D" ..

    GR%D" 95GR%D" .+

    )7)%L 47R N7N= GR%D"D

    )7)%L

    GBID"LIN"S: !re$re+ $%+ S.0mitte+ 0&;., )his orm shall be accomplished every end o the month $sing the s$mmary bo2 o S4+ s$bmitted by the teachers5advisers to $pdate ig$res or the month,

    +, 4$rnish the Division 7ice -ith a copy a -ee/ ater H$ne 13* 7ctober 13 > (arch 1.

    (Signature o! School ead o+er rinted ame"

    Page ????? o ????? pages

    GR%D"5Y"%R L"V"L

    R"GIS)"R"DL"%RN"RS #%s o

    "nd o the (onth%& C$m$lative as o

    Previo$s (onth#%!& C$m$lative as o

    "nd o the (onth#%& C$m$lative as o

    Previo$s (onth#%!& C$m$lative as o

    "nd o the (onth#%& C$m$lative as o

    Previo$s (onth#%!& Co "nd

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    LRN

    %s o end o c$rrent School Year

    LEARNER3S NAME (L$st N$me*First N$me* Mi++le N$me)

    GENERAL A@ERAGE#N$merical Val$e in +decimal places and 1

    decimal places or honorlearners* and Descriptive

    Letter&

    ATION TA"EN;!ROMOTE*

    IRREGULAR orRETAINE

    INOM!LETE SU#-ET/S #)hiscol$mn is or to .+ C$rric$l$m and remaining R!"C in 'igh School, "lementary grades

    level that are still implementing R!"C need not to ill $p these col$mns&

    4rom previo$s school years completed as oend o c$rrent School Year

    C"R)I4I"D C7RR"C) > SB!(I))"D:

    ELISA !< !A6OT

    School 'ead

    #Name and Signat$re&

    R"VI"K"D !Y:

    ENA RELOS SUAREB

    #Name and Signat$re&

    Division Representative

    GUIELINES;

    ., 4or %ll Grade5Year Levels

    )7)%L 4"(%L"

    C7(!IN"D School 4orm 8: Page ???? o

    +, )o be prepared by the %dviser, 4inal rating per s$bEect arebe ta/en rom the record o s$bEect teachers, )he class adviscomp$te or the General %verage,

    1, 7n the s$mmary table* relect the total n$mber o learnerspromoted* retained and

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    School Form C (SFC)S.mm$riDe+ Reort o% !romotio% $%+ Le'el o, !ro,icie%c&

    (This replaces Form 28"

    School ID 181>8 Region @III Division LE6TE

    School Name ONALUM ELEMENTAR6 SHOOL District INO!AAN School Year

    SUMMAR6 TA#LEGRAE 1 /GRAE GRAE 8 / GRAE GRAE = / GRAE GRAE > / GRAE 1 GRAE ? / GRAE 11 GRAE C / GRAE 18 TOTAL

    (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L

    !ROMOTE

    IRREGULAR

    RETAINE

    LE@EL OF !ROFIIEN6 (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L (%L" 4"(%L" )7)%L

    TOTAL

    Prepared and S$bmitted by: ELISA !< !A6OT* !I Revie-ed > Validated by: Noted by: RONELO AL "< FIRMO* !h

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    School Form (SF) School !erso%%el Assig%me%t List $%+ #$sic !ro,ile(This replaces Form 12-Monthly Status eport !or Teachers, Form 19-$ssignment List,

    Form 29-Teacher rogram and Form 51-Summary /n!ormation o! Teachers"

    School ID Region VIII Division Leyte

    School Name o%$l.m Eleme%t$r& School District I%o$c$% School Year

    (A) N$tio%$ll&F.%+e+ Te$chi%g 5 Te$chi%g Rel$te+ Items (#) N$tio%$ll&F.%+e+ No% Te$chi%g Items ( ) Other Aoi%tme%ts $%+ F.%+i%g So.rces

    N$mber o Inc$mbe

    )eaching

    Se2 4$nd So$rce

    EUATIONAL UALIFIATION Daily Program #time d$ration&

    (aEor 5 Special iation (inor 4rom #33:33& )o #33:33&

    %ve, (in$tes per Day

    %ve, (in$tes per Day

    %ve, (in$tes per Day

    %ve, (in$tes per Day

    %ve, (in$tes per Day

    )itle o Plantilla Position #as it appearsin the appointment doc$ment5PSIP7P&

    N$mber oInc$mbent

    )itle o Plantilla Position #as itappears in the appointment doc$ment5PSIP7P&

    N$mber oInc$mbent

    )itle o Designation#as it appears in the

    contract5doc$ment: )eacher* Cler/* Sec$rityG$ard* Driver etc,&

    %ppointment:#Contract$al* S$bstit$te*

    Vol$nteer* others speciy&

    4$nd So$rce#S"4* P)%* NG70s etc,&

    Non=)eachi

    "mployee No, #or )a2Identiication N$mber =),I,N,&

    Name o School Personnel#%rrange by Position*

    Descending&

    Position5Designation

    Nat$re o%ppointment5"mployment

    Stat$s

    S.0ect T$.ght#incl$de Grade> Section&* %dvisory Class >

    Other A%cill$r& Assig%me%ts

    Remar/s #4or DetaileItems* Indicate name school5oice* 4or IP0

    ="thnicity&Degree 5 Post

    Grad$ate

    D%Y#(5)5K5)'54

    &

    )otal %ct$al)eaching (in$tes

    per Kee/

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    Se2 4$nd So$rce

    EUATIONAL UALIFIATION Daily Program #time d$ration&

    (aEor 5 Special iation (inor 4rom #33:33& )o #33:33&

    "mployee No, #or )a2Identiication N$mber =),I,N,&

    Name o School Personnel#%rrange by Position*

    Descending&

    Position5Designation

    Nat$re o%ppointment5"mployment

    Stat$s

    S.0ect T$.ght#incl$de Grade> Section&* %dvisory Class >

    Other A%cill$r& Assig%me%ts

    Remar/s #4or DetaileItems* Indicate name school5oice* 4or IP0

    ="thnicity&Degree 5 Post

    Grad$ate

    D%Y#(5)5K5)'54

    &

    )otal %ct$al)eaching (in$tes

    per Kee/

    %ve, (in$tes per Day

    %ve, (in$tes per Day

    GUIELINES; S$bmitted by:

    ., )his orm shall be accomplished at the beginning o the school year by the school head, In case o movement o teachers and other personnel d$ring the school year* an $pdated 4orm . m$st be s$bmitted to the Division 7ice ,

    +, %ll school personnel* regardless o position5nat$re o appointment sho$ld be incl$ded in this orm and sho$ld be listed rom the highest ran/ do-n to the lo-est, (Signature o! School ead o+er rinted ame"

    1, Please relect s$bEects being ta$ght and i teacher handling advisory class or %ncillary %ssignment, 7ther administrative d$ties m$st also reported,

    6, Daily Program Col$mn is or teaching personnel only, Bpdated as o: ???????????????????????????

    School 4orm * Page ??? o ????