Post on 02-Jun-2018
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 1/18
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
Hous
Street
Pur
School F(This replaced Form
LRNSex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)
School Name
School ID Region Division
School
RELIGION
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 2/18
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
House # /
Street/Sitio/
Purok
LRNSex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)RELIGION
Indicator Code Required Information Indicator Code Required Information
List and code of Indicators under REMARK column
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 3/18
AGE as of
1st Friday
of June
(nos. of
years as
per last
birthday)
House #
Street/Sit
Purok
LRNSex
(M/F)
BIRTH
DATE (mm/
dd/yy)
BIRTH
PLACE
(Province)
MOTHER
TONGUE
IP
(Specify
Ethnic Group)
NAME
(Last Name, First Name, Middle Name)RELIGION
Transferred Ou T/O Name of Public (P) Private (PR) School & Effectivity CCT Recipient CCT
Transferred IN T/I Name of Public (P) Private (PR) School & Effectivity Balik-Aral B/A Name of school last atten
Dropped DRP Reason and Effectivity Date Learner With Dissabilit LWD SpecifyLate Enrollmen LE Reason (Enrollment beyond 1st Friday of June) Accelarated ACL Specify Level & Effectivit
CCT Control/reference nu
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 4/18
REMARK/S
(Please refer to the
legend on last page)
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 5/18
REMARK/S
(Please refer to the
legend on last page)
ct:
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 6/18
REMARK/S
(Please refer to the
legend on last page)
EoSYDate:
ol Head over Printed Name)
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 7/18
School ID School Year
Name of School
M T U W T
H F M T U W T
H F M T U W T
H F M T U W T
H F M T U
1
2
3
4
5
6
7
8
9
10
11
1
2
3
4
5
6
7
8
9
Grade Level
Report for the Month of
School Form 2 SF2 Dail Attendance Re ort of Learners
(1st row for date, 2nd row for Day: M,T,W,TH,F)
(This replaced Form 1, Form 2 & STS Form 4 - Absenteeism and Dropout Profile)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
CABUS, IVAN OLFATO
CANA, MARK DAVID MIL
EVASCO, CLARITO ALBA
GALLANO, ARVIN ESPADA
GALLANO, JELMER BADEO
LATINA, EUNARD DE VERA
NAREZ, FEDERICO JR. DELMONTE
NOLASCO, JHOSUA GRADO
PALANA, IKO GRADOREDONA, NEIL OCALA
TUBANA, ALDRIN BERONES
CAINDOY, HAZEL AMADA
CASUNOD, MICHELLE CALDA
GALLANO, JANELLE DENISE BABANTE
GRADO, ERIKA LATINA
OLARAN, JENNELYN FULGAR
PINDOT, ANGEL LATINA
PUSPUS, JHAZMIN RHED OROGO
RIPALDAA, LUZ GALLANO
MALE | TOTAL Per Day
VERTULFO, ROSALINDA DEPAZ
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 8/18
M T U W T
H F M T U W T
H F M T U W T
H F M T U W T
H
(1st row for date, 2nd row for Day: M,T,W,TH,F)
LEARNER'S NAME
(Last Name, First Name, Middle Name)
GUIDELINES: 1. CODES FOR CHECKING ATTENDANC
2. REASONS/CAUSES OF DROP-OUTS
a. Domestic-Related Factors
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
a.3. Parents' attitude toward schooling
a.4. Family problems
b. Individual-Related Factors
b.1. Illness
b.2. Overage
FEMALE | TOTAL Per Day
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
a.
b.
c.
Total Daily Attendance
Number of School Days in reporting month
Registered Learner as of End of the month
Registered Learner as of End of the Month
x 100
x 100
blank- Present; (x)- Absent; Tardy (half sh
for Late Commer, Lower for Cutting Classes
4. Every End of the month, the class adviser will submit this form to the office of the principal for recording of
summary table into the School Form 4. Once signed by the principal, this form should be returned to the adviser.
Combined TOTAL PER DAY
Enrolment as of 1st Friday of June
Average Daily Attendance =
Percentage of Enrolment =
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance.
2. Dates shall be written in the preceding columns beside Learner's Name.
3. To compute the following:
Average daily attendance
Percentage of Attendance for the month =
b.3. Death5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out b.4. Drug Abuse
6. Attendance performance of learner is expected to reflect in Form 137 and Form 138 every grading period b.5. Poor academic performance
* b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition
c. School-Related Factors
c.1. Teacher Factor
c.2. Physical condition of classroom
c.3. Peer influence
d. Geographic/Environmental
d.1. Distance between home and school
d.3. Calamities/Disasters
e. Financial-Related
e.1. Child labor, work
f. Others
5. The adviser will extend neccessary intervention including but not limited to home visitation to learner/s that committed 5 consecutive
days of absences or those with potentials of dropping out
School Form 2: Page 2 of ________
d.2. Armed conflict (incl. Tribal wars & clanf
Beginning of School Year cut-off report is every 1st Friday of School Calendar Days
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 9/18
School ID School Year
School Name
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued
TOTAL FOR MALE | TOTAL COPIES
Grade Level
(This replaced Form 1 & Inventory of Text Book)
School Form 3 (SF3) Books Issued and Returned
Section
NO.D
Subject Area & Title Subject Area & Title
LEARNER'S NAME
(Last Name, First Name, Middle Name)Date Date Date Date Date
Subject ASubject Area & Title Subject Area & Title Subject Area & Title
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 10/18
Issued Returned Issued Returned Issued Returned Issued Returned Issued Retu
NO.
Subject Area & Title Subject Area & T
LEARNER'S NAME
(Last Name, First Name, Middle Name)Date Date Date Date Date
Subject Area & Title Subject Area & Title Subject Area & Title
TOTAL FOR FEMALE | TOTAL COPIES
TOTAL LEARNERS | TOTAL COPIES
GUIDELINES: In case of losses/unreturned, please provide information with th
5. All textbooks being used must be included. Additional copy/ies of this form may use if needed.
2. The Date of Issuance and the Date of Return shall be reflected in the form.
3. The Total Number of Copies issued at BoSY shall be reflected in the form.
4. The Total Number of Copies of Books Returned at the EoSYshall be reflected in the form.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO
B. In Column Remark/Action Taken, codes are: LLTR=Secured Lett
code FM), TLTR=Teacher prepared letter/report duly noted by Scho
(for code TDO), PTL=Paid by the Learner (for code NEG). Referen
2.2012.
1. Title of Books Issued to each learner must be recorded by the class adviser.
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 11/18
School ID
M F T M F T M F T M F T M F T M F T M
ELEMENTARY/SECONDARY:
GUIDELINES:
2. Furnish copy to Division Office: a week after June 30, October 30 & March 31
3. Only teachers who are handling advisory class shall be reported. May use additional copy/ies of this form if needed.
(This replaced Form 3 & STS Form 4-Absenteeism and Dropout Profile)
School Name
Region Division
Scho
4. Small school that has one section per grade/year level i s not required to fill the columns "Name of Adviser, Grade/Year Level & Section". Instead, they will only accomplish the
summary column per grade/year level.
School Form 4 (SF4) Monthly Learner's Movement
DROPPED OUT
Daily AveragePercentage for
the Month
(A) Cumulative as
of Previous Month(B) For the Month
(A+B) Cumulative
as of End of the
Month
(A
of
NAME OF ADVISER
GRADE/
YEAR
LEVEL
SECTION
REGISTERED
LEARNER
(As of End of the
Month)
ATTENDANCE
GRADE 1/GRADE 7
KINDER
TOTAL
1. This forms shall be accomplished every end of the month using the summary box of SF2 submitted by the teachers/advisers to update figures for the month.
GRADE 2/GRADE 8
GRADE 3/GRADE 9
GRADE 4/GRADE 10
GRADE 5/GRADE 11
GRADE 6/GRADE 12
TOTAL FOR NON-GRADED
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 12/18
Region Division District
Curriculum
Grade Level Se
TOTAL MALE
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and remaining RBE
High School. Elementary grades level that still implemen
RBEC need not to fill up this column)
Completed as of end of current
SYas of End of the curren
School Form 5 (SF 5) Report on Promotion & Level of Proficiency(This replaced Forms 18-E1, 18-E2, 18A and List of Graduates)
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
School Name
School ID
LEARNER'S NAME
(Last Name, First Name, Middle Name)
School Year
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 13/18
INCOMPLETE SUBJECT/S
(This column is for K to 12 Curriculum and rem
High School. Elementary grades level that sti
RBEC need not to fill up this colu
Completed as of end of current
SYas of End o
LRN
GENERAL
AVERAGE
(Numerical Value in
3 decimal places for
honor learner, 2 for
non-honor &
Descriptive Letter)
ACTION TAKEN:
PROMOTED,
*IRREGULAR or
RETAINED
LEARNER'S NAME
(Last Name, First Name, Middle Name)
TOTAL FEMALE
COMBINED
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 14/18
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MAL
LEVEL OF PROFICIENCY MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MAL
Prepared and Submitted by: Reviewed & Validated by: Noted by:
SCHOOL HEAD DIVISION REPRESENTATIVE SCHOOLS DIV
GUIDELINES:
2. This report together with the copy of Report for Promotion submitted by the class adviser shall be forwarded to the Division Office by the end of the school year.
3. The Report on Promotion per Grade Level is reflected in the End of School Year Report of GESP/GSSP
4. Protocols of validation & submission will remain under the discretion of the Schools Division Superintendent
PROMOTED
RETAINED
School Name
School ID Region Division
District
GRADE 2 / GRADE 8 GRADE 3 / GRADE 9 GRADE 4 / GRADE 10 GRADE 5 / GRADE 11SUMMARY TABLE
School Form 6 (SF6) Summarized Report on Promotion
(This replaced Form 20)
RREGULAR
TOTAL
Nos. of BEGINNNING
(B: 74% and below)
and Level of Proficiency
GRADE 1 /GRADE 7
Nos. of APPROACHING
PROFICIENCY
(AP: 80%-84%)
Nos. of DEVELOPING
(D: 75%-79%)
Nos. of PROFICIENT
(P: 85% -89%)
1. After receiving and validating the Report for Promotion submitted by the class adviser, the School Head shall compute the Total for Grade Level in order to reflect the result in each data field.
Nos. of ADVANCED
(A: 90% and above)
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 15/18
Region
Degree / Post
Graduate
DAY
(M/T/W/
TH/F)(
District
(B) Nationally-Funded Non Teaching Items
Title of Designation
(Designation as appeared in the
contract/document: Teacher, Clerk,
Security Guard, Driver etc.)
(A) Nationally-Funded Teaching & Teaching Related Items
School Form 7 (SF7) School Personnel Assignment List and Basic Profile(This replaced Form 12-Monthly Status Report for Teachers, Form 19-Assignment List,
Form 29-Teacher Program and Form 31-Summary Information of Teachers)
School ID
School Name
Division
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
(C ) Other Appointmen
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignment
Ave.
Ave.
* Dail
Minor
Appointm(Contrac
Substitu
Volunteer,
specify
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
Number of
Incumbent
Title of Plantilla Position
(as appeared in the appointment
document/PSIPOP)
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)Sex
Fund
Source
Ave.
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 16/18
Degree / Post
Graduate
DA
(M/T/
TH/
Subject Taught
(include Grade &
Section), Advisory Class
& Other Ancillary
Assignment
Minor
EDUCATIONAL QUALIFICATION
Position/
Designation Major/
Specialization
Nature of
Appointment/
Employment
Status
Employee
No. (or Tax
Identification
Number -
T.I.N.)
Name of School Personnel
(Arrange by Position, Descending)Sex
Fund
Source
GUIDELINES:
3. Please reflect subjects being taught and i f teacher handl ing advisory c lass or Anci llary Assignment. Other administrative duties must a lso repor ted.
2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank down to the lowest. This form shall
also serve as inventory list of school personnel.
4. * Daily Program Column is for teaching personnel only.
1. This form shall be accomplished at the beginning of the school year by the school head. In case of movement of teachers and other personnel during SY, updated Form 19
must submit to the Division Office .
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 17/18
1. For the current SY, only the SF 5 Report on Promotion and SF 6 Summarized Report on Promotion wil
2. IRREGULAR Status/Action Taken is apply only to Grade 7 onwards.
3. Descriptive Value for Level of Proficiency is only for grade levels implementing K to 12 program. Othe
4. Report on Dropped out and Transferred is not to be included in SF 5 and SF 6. (SF 4 may be used or t
5. In the future, the format of the modified forms may be adjusted to align with the most recent policy
8/11/2019 Modified School Forms Spread Sheet
http://slidepdf.com/reader/full/modified-school-forms-spread-sheet 18/18
l be used to all grade/year levels both elementary and secondary, RBEC and K to 12
r grade/year level will keep that column blank.
e current form 3)
of K to 12 program.