School Forms.xls

8/9/2019 School Forms.xls

http://slidepdf.com/reader/full/school-formsxls 1/64



LRN Sex (M/F)NAME(Last Name, First Name, Middle Name)

BIRT !ATE(mm/dd/ """")

A#E as o$ 1stFrida" %&'e


















List a'd ode o$ I'dicators &'der REMAR S col&m'I'dicator ode Re*&ired I'$ormatio'






Tra's$erred +&t T/+ Name o$ &-lic ( ) ri.ate ( R) School E$$ecti.it" !ate

Tra's$erred IN T/I Name o$ &-lic ( ) ri.ate ( R) School E$$ecti.it" !ate

!ro00ed !R Reaso' a'd E$$ecti.it" !ateLate E'rollme't LE Reaso' (E'rollme't -e"o'd 1st Frida" o$ %&'e)





M+T ER T+N# E RELI#I+N

A!!RESS

Bara'ga" M&'ici0alit"/ it" ro.i'ce

I(Eth'ic #ro&0) o&se 2/ Street/

Sitio/&ro3




A!!RESS



Sitio/&ro3




A!!RESS



Sitio/&ro3




A!!RESS



Sitio/&ro3




A!!RESS



Sitio/&ro3

ode Re*&ired I'$ormatio' RE#ISTERE!




A!!RESS



Sitio/&ro3

T T o'trol/re$ere'ce '&m-er E$$ecti.it" !ate MALE

B/A Name o$ school last atte'ded 4ear FEMALE

L5! S0eci$"T+TAL

A L S0eci$" Le.el E$$ecti.it" !ata



District

Grade Level SectionARENTS

Name Relatio'6shi0

# AR!IAN (I$'ot are't)

o'tact N&m-er o$are't or #&ardia'Father7s Name (Last Name, First

Name, Middle Name)Mother7s Maide' Name (Last Name,

First Name, Middle Name)

# AR!IAN (I$



ARENTS

Name Relatio'6shi0





# AR!IAN (I$



ARENTS

Name Relatio'6shi0





# AR!IAN (I$



ARENTS

Name Relatio'6shi0





# AR!IAN (I$



ARENTS

Name Relatio'6shi0





# AR!IAN (I$



ARENTS

Name Relatio'6shi0





Prepared by: Certi ied Correct:!oSY "oSY

ARENTS # AR!IAN (I$



ARENTS

Name Relatio'6shi0

( $'ot are't)




#Signat$re o %dviser over Printed Name& #Signat$re o School

!oSY Date: "oSYDate: !oSY Date:



REMAR S

( lease re$er to the lege'do' last 0age)

REMAR S



REMAR S


REMAR S



REMAR S


REMAR S



REMAR S


REMAR S






REMAR S




'ead over Printed Name&

"oSYDate:



School Form 8 (SF8) !ail" Atte'da'ce Re0o(This replaces Form 1, Form 2 & STS Form # - $%senteeism and ropo

School ID ()*+,- School Year ).(*/).(+ Report or th

Name o School %N%S1%CI2 "L"0"N1%RY SC'22L

(1st ro9 $or date)

1 8 : ; < = > 1? 11 18 1< 1@ 1 1= 1> 88 8: 8;

M T 5 T F M T 5 T F M T 5 T F M T 5

( D2NGG23 R%02N !%L21IC

) "L%RC2S%3 4"D"RIC2 C%P512L 6R

7 "L%RC2S%3 62NIL2 S%NG2

*"0!2R3 %L62'N S%L%8%R

+4"R2LIN3 9ILLY 2R 5ILL%N2

, LI0!%G%3 RIN%N1" !%N 5IL

; PI82N3 62'N R"Y R2DRIG2

<R%1I4IC%R3 R"0S%R 0%GS%N%Y

- S%!%D23 62S"P' D%L2GD2G

(. S2N2R3 N"S12R !"L%R0IN2 6R

(( S50ING5I13 R%0IL 1%G5I!2L2S

LEARNER7S NAME(Last Name, First Name, Middle Name)



(1st ro9 $or date)

1 8 : ; < = > 1? 11 18 1< 1@ 1 1= 1> 88 8: 8;



MALE T+TAL er !a"

( C%L%L%NG3 G"C"N 62Y L%G5I1%2

) DI0P%S23 6"NILYN C%LD2S%

7 D50%PIG3 G"00% D%0P%YL%

* "S1"!%13 R"%LYN R%1I4IC%R

+4L2R"S3 IVY GL""N 0%C%YL"

, G%L%!IN3 0IC'"L %R!2I8

; G"R82N3 %L1'"% NI==% %DRI%S

<0%GC%N1%3 6"SS% 0%RI" S%N1"

- 0%'5S%Y3 6%S5 4"RN%ND"8

(. 0%0IN1%S3 =I0!"RLY C%C'2



(1st ro9 $or date)

1 8 : ; < = > 1? 11 18 1< 1@ 1 1= 1> 88 8: 8;



(( 02R%S3 CRIS1IN" "LL2

() 2C%0I%3 R"G"LIN" V%RG%S



t o$ Lear'erst ro!ile"

0onth o Sep/(*

rade Level 4IV" Section

8< 8@ 8> :?

T F M T 5 T F %!S"N1 1%RDY

Total $or the Mo'thREMAR S #I !R+ E! + T 3 state reason3 please re er to legend

n$mber )>I TRANSFERRE! IN/+ T3 ?rite the name o School>&



8< 8@ 8> :?






8< 8@ 8> :?






Su%*ect $rea & Title Su%*ect $rea & Title Su%*ect $rea & Title Su%*ect $



N2>Date Date Date D

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


121%L 42R 0%L" @ 121%L C2PI"S




N2>Date Date Date D






N2>Date Date Date D



121%L 42R 4"0%L" @ 121%L C2PI"S

121%L L"%RN"RS @ 121%L C2PI"S

# I!ELINESC I' case o$ lost/&'ret&r'ed -oo3s, 0lease 0(> 1itle o !ooAs Iss$ed to each learner m$st be recorded by the class adviser>)> 1he Date o Iss$ance and the Date o Ret$rn shall be re lected in the orm>7> 1he 1otal N$mber o Copies iss$ed at !oSY shall be re lected in the orm>*> 1he 1otal N$mber o Copies o !ooAs Ret$rned at the "oSYshall be re lected in the orm>+> %ll teBtbooAs being $sed m$st be incl$ded> %dditional copies o this orm may be $sed i needed>

AD In Col$mn Date Ret$rned3 codes are:FMBD In Col$mn RemarAE%ction 1aAen3 codes arprepared letterEreport d$ly noted by School 'N"G&> Re erences: D2F)73 s>)..(3 D2F)+3

s Iss&ed a'd Ret&r'ed



s Iss&ed a d Ret&r ed entory o! Te)t%ooks"

Section ea & Title Su%*ect $rea & Title Su%*ect $rea & Title Su%*ect $rea & Title Su%*ect $rea & Title

te Date Date Date Date

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

R"0%R=SE%C1I2N 1%="N( lease re!er to the legend on last page"

ea & Title Su%*ect $rea & Title Su%*ect $rea & Title Su%*ect $rea & Title Su%*ect $rea & Title

R"0%R=SE%C1I2N 1%="N





R 0%R=SE%C1I2N 1%= N( lease re!er to the legend on last page"







R 0%R=SE%C1I2N 1%= N( lease re!er to the legend on last page"







R 0%R SE%C1I2N 1% N( lease re!er to the legend on last page"

o.ide i'$ormatio' 9ith the $ollo9i'g codeC re0ared B"C

#Signat$re over printed name& Date !oSY: Date "oSY:

4orce 0a e$re3 T!+ : 1rans erredEDropo$t3NE# Negligence: LLTRSec$red Letter rom Learner d$ly signed by parentEg$ardian # or code 40&3TLTR1eacherad or s$bmission to School Property C$stodian # or code 1D2&3TL Paid by the Learner # or codes>)..73 D2F(*3 )>).()>

School Form ; (SF;) Mo'thl" Lear'er7s Mo.eme't a(This replaces Form + & STS Form # $%senteeism and ropou



(This replaces Form + & STS Form #-$%senteeism and ropou

School ID 18;<@> Region I Division AMB+AN#A !EL N+RTE

School Name ANASTA I+ ELEMENTAR4 S ++L

S"C1I2N N%0" 24 %DVIS"R

ATTEN!AN E !R+ E! + T

Daily %verage #!& 4or the 0onth

0 4 1 0 4 1 0 4 1 0 4 1 0 4 1 0 4=IND"R RE4 D MARATAS * < () * < () (.. (.. (.. . . . . . . . .GR%D" ( ELLEN AD #ER +N (7 ). 77 () (- 7( -) -+ -* . . . . . . . .GR%D" ) LE+NI!E DEN+4 II (7 (< 7( (7 (< 7( (.. (.. (.. . . . . . . . . .

GR%D" 7 MELANI BD INFANTE (* ). 7* (* ). 7* (.. (.. (.. . . . . . . . . .GR%D" * %+GENTINA RD!AL M INES (( (. )( (( (. )( (.. (.. (.. . . . . . . . . .GR%D" + %+AN D ELNAS (( (+ ), (( (+ ), (.. (.. (.. . . . . . . . . .GR%D" , L ILA ED AMA ALAN (+ - )* (+ - )* (.. (.. (.. . . . . . . . . .

R BEN D EN+4 SC'22L PRINCIP%L ( E DIS1RIC1 P"SS C22RDIN%12R

GR%D"E Y"%RL"V"L

R"GIS1"R"DL"%RN"RS #%s

o "nd o the 0onth&Percentage or the

0onth#%& C$m$lative as o

Previo$s 0onth #%H!& C$

"nd o th



ELEMENTAR4/SE +N!AR4C

=IND"R * < () * < () (.. (.. (.. . . . . . .

GR%D" (EGR%D" ; (7 ). 77 () (- 7( -) -+ -* . . . . .

GR%D" )EGR%D" < (7 (< 7( (7 (< 7( (.. (.. (.. . . . . .

GR%D" 7EGR%D" - (* ). 7* (* ). 7* (.. (.. (.. . . . . . .

GR%D" *EGR%D" (. (( (. )( (( (. )( (.. (.. (.. . . . . . .

GR%D" +EGR%D" (( (( (+ ), (( (+ ), (.. (.. (.. . . . . . .

GR%D" ,EGR%D" () (+ - )* (+ - )* (.. (.. (.. . . . . . .

121%L 42R N2N/GR%D"D . . . . . . . . . . . . . .

121%L <( (.. (<( <. -- (;- -- -- -- . . . . . .G5ID"LIN"S:(> 1his orm shall be accomplished every end o the month $sing the s$mmary boB o S4) s$bmitted by the teachersEadvisers to $pdate ig$res or the month>

)> 4$rnish the Division 2 ice ?ith a copy a ?eeA a ter 6$ne 7.3 2ctober 7. 0arch 7(

Page o pages

Atte'da'ce



District +LAN + 1

School Year 8?1;68?1< Report or the 0onth o S"P1"0!"R

TRANSFERRE! + T TRANSFERRE! IN

#!& 4or the 0onth #!& 4or the 0onth

0 4 1 0 4 1 0 4 1 0 4 1 0 4 1 0 4 1

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . ) ) . ) )

. . . . . . . . . . . . ( . ( ( . (

. . . . . . . . . . . . ( ( ) ( ( )

. . . . ( ( . ( ( . . . . ( ( . ( (

#%& C$m$lative as oPrevio$s 0onth

#%H!& C$m$lative as o"nd o the 0onth

#%& C$m$lative as oPrevio$s 0onth

#%H!& C$m$lative as o"nd o the 0onth



. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . ) ) . ) )

. . . . . . . . . . . . ( . ( ( . (

. . . . . . . . . . . . ( ( ) ( ( )

. . . . ( ( . ( ( . . . . ( ( . ( (

. . . . . . . . . . . . . . . . . .

. . . . ( ( . ( ( . . . ) * , ) * ,re0ared a'd S&-mitted -"C

R BEN D EN+4 (Signature o! School ead o er rinted ame"

School Form < (SF <) Re0ort o' romotio(This replaces Forms 1.-/1, 1.-/2, 1.$ and List



Region Division

School ID School Year

School Name

LRN LEARNER7S NAME (Last Name,First Name, Middle Name)

#ENERAL AGERA#E #N$merical Val$e in )decimal places and 7

decimal places or honorlearners3 and Descriptive

Letter&

A TI+N TA ENCR+M+TE!,

IRRE# LAR orRETAINE!

IN +M LEcol$mn is or =

level t

4rom previo$o end

LEARNER7S NAME (Last Name

#ENERAL AGERA#E #N$merical Val$e in )decimal places and 7

A TI+N TA ENCR+M+TE!

IN +M LEcol$mn is or =

level t



LRN LEARNER7S NAME (Last Name,First Name, Middle Name)

decimal places and 7decimal places or honorlearners3 and Descriptive

Letter&

R+M+TE!,IRRE# LAR orRETAINE!

4rom previo$o end

121%L 0%L"





' Le.el o$ ro$icie'c" o! 0raduates"

Di i



District

C$rric$l$m

Grade Level Section

%s o end o c$rrent School Year

S MMAR4 TABLE

STAT S MALE FEMALE T+TAL

PR2021"D

IRR"G5L%R

R"1%IN"D

LEGEL +F R+FI IEN 4

E S B%E T/S #1histo () C$rric$l$m and remaining R!"C in 'igh School> "lementary grades

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

school years completed as c$rrent School Year





%s o end o c$rrent School Year school years completed as c$rrent School Year

MALE FEMALE T+TAL

PR"P%R"D !Y:

Class %dviser

#Name and Signat$re&

!"GINNNING#!: ;*J and belo?&

D"V"L2PING #D: ;+J/;-J&

%PPR2%C'INGPR24ICI"NCY

#%P: <.J/<*J&

PR24ICI"N1 #P:<+J /<-J&

%DV%NC"D #%: -.Jand above&







%s o end o c$rrent School Year school years completed as c$rrent School Year

School 4orm +: Page o

*> 0$st tally ?ith the total enrollment report as o "nd o School YearG"SP EGSSP #"!"IS&

+> Protocols o validation s$bmission is $nder the discretion o theSchools Division S$perintendent





ro$icie'c"



School Year

#RA!E < / #RA!E 11 #RA!E @ / #RA!E 18 T+TAL

0%L" 4"0%L" 121%L 0%L" 4"0%L" 121%L 0%L" 4"0%L" 121%L

0%L" 4"0%L" 121%L 0%L" 4"0%L" 121%L 0%L" 4"0%L" 121%L



SC'22LS DIVISI2N S5P"RIN1"ND"N1

School Form (SF ) School erso''el Assig'me't Li(This replaces Form 12-Monthly Status eport !or Teachers, Form 13-$ssignm

Form 23-Teacher rogram and Form +1-Summary 'n!ormation o! Teache



School ID Region Division

School Name District

(A) Natio'all"6F&'ded Teachi'g Teachi'g Related Items (B) Natio'all"6F&'ded No' Teachi'g Items

N$mber o Inc$mbent

SeB 4$nd So$rce

E! ATI+NAL ALIFI ATI+N

0a orE Speciali ation 0inor

1itle o Plantilla Position #as itappears in the appointment doc$mentEPSIP2P&

1itle o Plantilla Position #as itappears in the appointment doc$mentEPSIP2P&

N$mber oInc$mbent

1itle o Designatio

contractEdoc$G$ard3 Driv

"mployee No>#or 1aB

Identi icationN$mber /1>I>N>&

Name o School Personnel#%rrange by Position3 Descending& PositionE

Designation

Nat$re o%ppointmentE

"mployment Stat$s Degree E PostGrad$ate

SeB 4$nd So$rce


0 E S i li ti 0i

"mployee No>#or 1aB

Identi ication


Designation


"mployment Stat$s Degree E Post



0a orE Speciali ation 0inorN$mber /1>I>N>&g mployment Stat$s g

Grad$ate

SeB 4$nd So$rce


0a orE Speciali ation 0inor

"mployee No>#or 1aB

Identi icationN$ b /1>I>N>&


Designation


"mployment Stat$s Degree E Post



0a orE Speciali ation 0inorN$mber /1>I>N>& mployment Stat$sGrad$ate

# I!ELINESC

)> %ll school personnel3 regardless o positionEnat$re o appointment sho$ld be incl$ded in this orm and sho$ld be listed rom the highest ranA do?n to the lo?est>7> Please re lect s$b ects being ta$ght and i teacher handling advisory class or %ncillary %ssignment> 2ther administrative d$ties m$st also reported>*> Daily Program Col$mn is or teaching personnel only>

(> 1his 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 year3 an $pdated 4orm (- m2 ice >

t a'd Basic ro$ilent List,

s"



School Year

( ) +ther A00oi'tme'ts a'd F&'di'g So&rces

N$mber o Inc$mbent

1eaching

Daily Program #time d$ration&

1o #..:..&

%ve> 0in$tes per Day

n#as it appears in the

ent: 1eacher3 ClerA3 Sec$rityer etc>&

%ppointment:#Contract$al3 S$bstit$te3

Vol$nteer3 othersspeci y&

4$nd So$rce#S"43 P1%3 NG2Ms etc>&

Non/1eaching

S&-Ject Ta&ght #incl$deGrade Section&3 %dvisoryClass +ther A'cillar"

Assig'me'ts

RemarAs #4or DetailedItems3 Indicate name oschoolEo ice3 4or IPMs

/"thnicity&

D%Y#0E1E9E1'E

4&

4rom#..:..&

1otal %ct$al1eaching 0in$tes

per 9eeA


1o #..:..&

S&-Ject Ta&ght #incl$deGrade Section&3 %dvisory

Class +ther A'cillar"Assig'me'ts


/"thnicity&

D%Y#0E1E9E1'E 4rom

# &




Assig me ts / thnicity&4& #..:..& g

per 9eeA






1o #..:..&

S&-Ject Ta&ght #incl$deGrade Section&3 %dvisory

Class +ther A'cillar"Assig'me'ts


/"thnicity&

D%Y#0E1E9E1'E 4rom

# : &




Assig me ts / thnicity&4& #..:..& per 9eeA



S$bmitted by:

(Signature o! School ead o er rinted ame"

5pdated as o : School 4orm ;3 Page o

$st be s$bmitted to the Division

Documents

School Forms.xls