ANNEX 1A SchoolCommunity Data Template

I. SCHOOL PROFILE/DATA
Instruction: Please input required data/information in unshaded cells. Fillin only the grade levels that are applicable to your school. This template
aims to organize existing school and 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.
IDENTIFYING INFORMATION
School ID: Name of School:
Address: Barangay:
District: Municipality:
Division: Region:

A. GEOGRAPHY
A.1 Location of the School. Check the appropriate 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

Distance in km Mode of Transportation

a. From the poblacion

b. From the nearest public elementary school
c. From the nearest private elementary school
d. From the nearest public secondary school
e. From the nearest private secondary school
f. From the District Office
g. From the Division Office

A.3 Incidence of crimes and other humaninduced hazards

A 3 1 Check if there have been incidences of the following in the last 3 years.
A.3.1 years
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:

A.3.2 What are the 3 most frequent crimes/humaninduced hazards?

1st most frequent:
2nd most frequent:
3rd most frequent:

A.4 Incidence of natural hazards

A.4.1 Check if there have been incidences of the following in the last 3 years.
Drought Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.)
Earthquake Oil Spill
Fire (includes forest fires and fires due to natural disasters) Tsunami
Flood Volcanic eruption
Landslide Others. Pls. specify:
Storm surge

A.4.2 What are the 3 most frequent natural hazards?

 ANNEX 1A SchoolCommunity Data Template

I. SCHOOL PROFILE/DATA
Instruction: Please input required data/information in unshaded cells. Fillin only the grade levels that are applicable to your school. This template
aims to organize existing school and 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.
IDENTIFYING INFORMATION
School ID: Name of School:
Address: Barangay:
District: Municipality:
Division: Region:

A. GEOGRAPHY
A.1 Location of the School. Check the appropriate 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

Distance in km Mode of Transportation

a. From the poblacion

b. From the nearest public elementary school
c. From the nearest private elementary school
d. From the nearest public secondary school
e. From the nearest private secondary school
f. From the District Office
g. From the Division Office

A.3 Incidence of crimes and other humaninduced hazards

A.3.1 Check if there have been incidences of the following in the last 3 years.
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:

A.3.2 What are the 3 most frequent crimes/humaninduced hazards?

1st most frequent:
2nd most frequent:
3rd most frequent:

A.4 Incidence of natural hazards

A.4.1 Check if there have been incidences of the following in the last 3 years.
Drought Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.)
Earthquake Oil Spill
Fire (includes forest fires and fires due to natural disasters) Tsunami
Flood Volcanic eruption
Landslide Others. Pls. specify:
Storm surge
 ANNEX 1A SchoolCommunity Data Template
A.4.2 What are the 3 most frequent natural hazards?
1st most frequent:
2nd most frequent:
3rd most frequent:

A.5 Result of disaster incidents

School used as an evacuation center in the last 3 years

B. LEARNING ENVIRONMENT
B.1 Classrooms and seats
B.1.1 Classroom quantity [SRC.15.]
No. of Classrooms
Total Enrollment,
Level For Repair/ 1
Current SY In Good Condition Total Learner:classroom ratio
Rehabilitation
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
1
Learner:classroom ratio = Total enrollment divided by the total number of classrooms

B.1.2 Classroom seat quantity [SRC.17.] Indicate the total number of seats in all classrooms.
2
Number Learner:seat ratio

2
Learner:seat ratio = Total enrollment divided by the total number of seats

B.2 Water, Sanitation and Hygiene (WASH) facilities

B.2.1 Water supply/source. Check as appropriate.
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:

B.2.2 Handwashing. Is there space for handwashing?

YES If YES: with soap without soap

NO

B.2.3 Functional toilets [SRC.16.] B.2.4 Toilet bowls

Male Female Male Female
4 4
Number Ratio 3 Number Ratio 3
Number Ratio Number Ratio

3
Learner:toilet ratio = Total enrollment divided by number of toilets
4
Learner:toilet bowl ratio = Total enrollment divided by number of toilet bowls
 ANNEX 1A SchoolCommunity Data Template
B.3 Textbooks. Indicate number of textbooks per grade level and subject [SRC.3.]
Subject: Subject: Subject: Subject: Subject:
Level
Number Ratio Number Ratio Number Ratio Number Ratio Number Ratio
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

B.4 Library:
No. of books:
No. of tables:
No. of chairs:

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

B.5 Other learning facilities/materials (Example: computers, science equipment. Insert new rows if necessary.)
Facility/Material Number Qualitative description/condition

B.6 Availability of electrical supply. What is the school's source of electricity?

Grid supply
Off-grid supply
Solar power
Generator
Others. Pls. specify:
No source of electricity

B.7 Internet connectivity

B.7.1 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:

B.7.2 Does the school subscribe to any of the Internet service provider/s listed above?
YES NO

B.7.3 Are there Internet caf/shops/WiFienabled stations in the area?

YES Pls. specify:
NO
 ANNEX 1A SchoolCommunity Data Template
C. TEACHERS
C.1 Number of teachers [SRC.14.]
C.1.1 Number of nationallyfunded teachers (current SY)
5
Male Female TOTAL Learner:teacher ratio

5
Learner:teacher ratio = Total enrollment divided by number of nationallyfunded teachers

C.1.2 Number of locallyfunded teachers and subsidized/volunteer teachers (current SY):

No. of Locallyfunded Teachers:
No. of Subsidized/ Volunteer Teachers:

C.2 Quality of teachers

C.2.1 Number of master teachers
Carries FullTime Class Assigned Assigned PartTime to Assigned FullTime to
Position Number Teaching Load Grade Class Teaching Ancillary Services
(YES/NO) Levels (YES/NO) (YES/NO)
Master Teacher IV
Master Teacher III
Master Teacher II
Master Teacher I

C.2.2 Number of teachers meeting the desired competencies based on NCBTS

SY Before Previo us SY: Previous SY: Current SY:

Total No. of Teachers

No. of Teachers meeting the standards
% meeting the standards

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

YES NO If YES, please describe
a. Does the school have mechanisms for sustained
schoolbased training?
b. Does the school use the result of the NCBTS
Teacher's Strength and Needs Assessment as basis
for planning?
c. Are there other interventions implemented to
improve competencies of teachers?

C.2.4 If the response to C.2.3.b is YES, list down the top 3 training needs mentioned and indicate the number of teachers
trained on these [SRC.4.]
SY Before Previous SY: Previous SY: Current SY:

Training Needs No. of % of No. of % of No. of % of

Teachers teachers Teachers teachers Teachers teachers
trained trained trained trained trained trained

Top 1:

Top 2:

Top 3:
 ANNEX 1A SchoolCommunity Data Template
C.2.5 If teachers weren't trained based on identified needs (as seen in C.2.4), cite reasons for the lack of training.

D. CHILDREN HEALTH AND SAFETY

D.1 Nutritional status [SRC.2.]
D.1.1 Number of malnourished children for the current SY
Wasted Severely Wasted
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

D.1.2 Projects/interventions implemented in the previous SY addressing malnourished children (insert new rows if necessary)
Project/intervention Number of Children Covered

D.2 Health status [SRC.2.]

D.2.1 Number of children who have other health problems for the current SY. Indicate common ailments and corresponding number
of children per type of ailment based on results of physical and dental examinations. Insert new columns if necessary.
Types of Ailments (Current SY)
Level Ailment: Ailment: Ailment: Ailment: Ailment: Ailment: Ailment: Ailment: Ailment:

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
 ANNEX 1A SchoolCommunity Data Template
D.2.2 Projects/interventions implemented in the previous SY addressing needs of children with other health problems (insert new
rows if necessary)
Project/intervention Number of Children Covered

D.3 Children reported as victims of abuse and violence

D.3.1 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

D.3.2 Projects/interventions implemented for children that were victims or suspected victims of abuse
Number of Children
YES NO If YES, please describe the mechanisms
Covered
a. Does the school have
mechanisms to promote
safe and protective
practices based on DepED's
Policy on Child Protection
in School?
b. Other interventions
implemented for children
that were victims or
suspected victims of abuse
(insert new rows if
necessary)

E. STATUS OF PRIORITY IMPROVEMENT PROJECTS OR CI PROJECTS [SRC.18. & SRC.19.]

These projects include those implemented by the school and other stakeholders. Insert new rows if necessary.
Duration Status/Accomplishments
Indicate progress of the program/ project, and its
Implementer Program/Project Title Target effect/impact on children's access to quality education.
Start End
 ANNEX 1A SchoolCommunity Data Template
F. STAKEHOLDER SUPPORT TO EDUCATION [SRC.13.]
Indicate the amount of contributions made by parents/guardians and other stakeholders for cocurricular activities, extracurricular
activities, and other major activities (such as meetings and assemblies), as well as stakeholder attendance during these activities.
Contributions Attendance
Activity Volunteer No. of Attendance
Cash In Kind No. invited
hours attendees rate
CoCurricular Activities

Extracurricular Activities

Other Major Activities

G. FUND SOURCES [SRC.5.]

Fund Source Amount

General Appropriations Act (School MOOE)

General Appropriations Act (Subsidy for Special Programs)
Local Government Unit funds
Canteen funds
Donations
 ANNEX 1A SchoolCommunity Data Template

II. SITUATION OF CHILDREN / LEARNERS: ACCESS IN AND OUT OF SCHOOL

Instruction: Please input required data/information in unshaded cells. Fillin only the age groups/grade levels that are applicable to your
school.

1. CHILDREN NOT IN SCHOOL

1.1 Population of children in the barangay where school is located (current SY)
Total Population No. of children NOT in School % of children NOT in School
Age
Boys Girls Total Boys Girls Total Boys Girls Total
4
5
6
7
8
9
10
11
12
13
14
15
16
17
GRAND TOTAL

6
1.2 Reasons for not attending school in the current SY
No. of school No. of children NOT in school according to reasons
Age aged children Distance of
Financial Health and Affected by Affected by Other
Child Labor School from Disability
not in school Matters Nutrition Disaster Conflict Reasons
Home
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL
Percent of Total
6
School Project Teams are encouraged to conduct interviews or focus group discussions with parents/guardians/community members to probe
deeper on reasons cited
 ANNEX 1A SchoolCommunity Data Template
1.3 Number of children in the barangay NOT in school the last two SYs, depending on data availability
No. of Outofschool Children
SY Before Previous SY Previous SY Attending Other Forms of Learning in
Age
Previous SY
Total Male Female Total Male Female Total Male Female
4
5
6
7
8
9
10
11
12
13
14
15
16
17
TOTAL

1.4 Projects/interventions implemented to ensure that outofschool children are reached or mainstreamed in school
If YES, please describe the mechanism/
YES NO
intervention used by the schoolcommunity
a. Does the schoolcommunity have a mechanism to actively
seek out children not in school and give them access to
education (e.g., family mapping, CommunityBased
Management System, etc)?

b. Did the school use interventions in the previous SYs to

ensure that outofschool children have access to education?

2. CHILDREN ENROLLED IN SCHOOL [SRC.1.]

2.1 Enrollment for the last 3 SYs
SY Before Previous SY: Previous SY: Current SY:
Level
Total Male Female 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
 ANNEX 1A SchoolCommunity Data Template
2.2 Number of children with disabilities by type of disability (insert new columns if necessary)
No. of Type of Disability (Current SY)
Children
Level
with Disability: Disability: Disability: Disability: Disability: Disability: Disability: Disability:
Disabilities
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

2.3 Other data

No. of Overaged No. of 4Ps Learner
Level No. of IP Learners No. of Muslim Learners
Learners recipients
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
 ANNEX 1A SchoolCommunity Data Template

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

Instruction: Please input required data/information in unshaded cells. Fillin only the grade levels that are applicable to your school.

3. ATTENDANCE
3.1 Number of children regularly attending classes (at least 90% attendance) for the last three SYs 7
SY Before Previous SY Previous SY Current SY
Level
Total Male Female 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

3.2 Percentage of children regularly attending classes (at least 90% attendance) for the last three SYs 7
SY Before Previous SY: Previous SY: Current SY:
Level
Total Male Female 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
OVERALL
7
no. of children regularly attending classes divided by the total enrollment x 100
 ANNEX 1A SchoolCommunity Data Template
3.3 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?

Number of frequently absent students that were recipients of Pantawid

Total Enrollment Number of children who were frequently absent
Level Pamilya
in Previous SY
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

3.4 What were the reasons why children were frequently absent in the previous SY? Please indicate number of children who are frequently absent according to reasons.
Total No. of Number of children who are frequently absent according to reasons 8 (Previous SY)
Children who
Level were Frequently Distance of
Financial Health and Affected by Affected by
Child Labor School from Other Reasons
Absent in Matters Nutrition Disaster Conflict
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

8
School Project Teams are encouraged to conduct interviews or focus group discussions with parents/guardians/community members to probe deeper on reasons cited

3.5 Projects/interventions implemented to address needs of children who are frequently absent (insert new rows if necessary) Number of Children Covered
 ANNEX 1A SchoolCommunity Data Template
4. DROPOUT [SRC.7.]
4.1 Number of dropouts for the last three SYs
SY Before Previous SY: Previous SY: Current SY:
Level
Total Male Female 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

4.2 Dropout rates for the last three SYs

SY Before Previous SY: Previous SY: Current SY:
Level
Total Male Female 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
OVERALL

4.3 Number of dropouts by cause (insert new columns if necessary)

Total No. of Number of Dropouts by Cause (Current SY)
Level Dropouts (Current Cause: Cause: Cause: Cause: Cause: Cause: Cause: Cause:
SY)

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
 ANNEX 1A SchoolCommunity Data Template
4.4 Projects/interventions implemented for children at risk of dropping out
4.4.a Does the school have mechanisms to: YES NO If YES, please describe the mechanisms used by the school

track attendance and identify children at risk of dropping out and

failing and design remedies to keep them in school?

anticipate and minimize disruptions of classes especially with respect to

emergencies (disaster and conflict)?

track teachers' attendance and ways of ensuring their regular presence

based on CSC policy?

4.4.b What are the interventions implemented for children at risk of dropping out? Insert new rows if necessary. Number of Children Covered
 ANNEX 1A School-Community Data Template

IV. SITUATION OF CHILDREN / LEARNERS: QUALITY

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

5. PROMOTION/GRADUATION RATES [SRC.8.]

5.1 Number of promoted learners/graduates by grade level, for the last three SYs
SY Before Previous SY: Previous SY: Current SY:
Level
Total Male Female Total Male Female Total Male Female
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

5.2 Promotion/graduation rates for the last three SYs 9

SY Before Previous SY: Previous SY: Current SY:
Level
Total Male Female Total Male Female Total Male Female
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
OVERALL
9
Promotion rate: no. of promoted learners divided by the total enrollment x 100;
Graduation rate: no. of graduates divided by the total enrollment x 100

6. MEAN PERCENTAGE SCORES (based on National Achievement Tests) [SRC.9.]

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 three SYs
SY Before Previous SY:
Level
English Filipino Math Science HEKASI
Grade 3
Grade 6
Grade 8
Grade 10
Previous SY:
Level
English Filipino Math Science HEKASI
Grade 3
Grade 6
Grade 8
Grade 10
Current SY:
Level
English Filipino Math Science HEKASI
Grade 3
Grade 6
Grade 8
Grade 10
 ANNEX 1A School-Community Data Template
6.2 Projects/interventions implemented to improve basic competencies of learners (insert new rows if necessary)

7. LITERACY LEVEL [SRC.10.]

7.1 Number of learners who are in the frustration, instructional, and independent levels for the current SY (ENGLISH) 10
Frustration Level Instructional Level Independent Level
Level Total Male Female Total Male Female Total Male Female
Pre-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
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
10
Based on Phil-IRI pre-test results

7.2 Number of learners who are in the frustration, instructional, and independent levels for the current SY (FILIPINO) 10
Frustration Level Instructional Level Independent Level
Level Total Male Female Total Male Female Total Male Female
Pre-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
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 (insert new rows if necessary)
 ANNEX 1A School-Community Data Template
8. AWARDS/RECOGNITIONS (TOP 3) [SRC.6.]
List down the awards/recognitions received by the school, the school head, teachers, and students. Insert new rows if necessary.
Category of Award-giving Body (Please identify)
Title Year
Awardees District Division Regional National International
Student

Teacher

School Head

School