FAMILY BACKGROUND PROFILE

STS FORM 2

Grade: Three-One School Name: MACATBONG ELEMENTARY SCHOOL

Grade Type MonogradeMultigradeGrade Cluster____________________

Birth
Ethnic Place of Regis- Pupil Dropout
No Pupil Name Age Sex Address National Affiliati Religio Date of Birth tered History
ity on n Birth Y/N
Y/N How Reasons
long
?
1 8 M Macatbong Filipino Tagalog INC 12-6-02 Cabanatuan Yes No
2 8 M Macatbong Filipino Tagalog Methodist 8-21-03 Cabanatuan Yes No
3 8 M Macatbong Filipino Tagalog Catholic 2-12-03 Cabanatuan Yes No
4 8 M Macatbong Filipino Tagalog Catholic 6-12-03 Cabanatuan Yes No
5 7 M Macatbong Filipino Tagalog Catholic 10-1-03 Cabanatuan Yes No
6 8 M Macatbong Filipino Tagalog Methodist 2-13-03 Cabanatuan Yes No
7 8 M Macatbong Filipino Tagalog Catholic 1-31-03 Cabanatuan Yes No
8 9 M Macatbong Filipino Tagalog Methodist 4-29-02 Cabanatuan Yes No
9 10 M Macatbong Filipino Tagalog Catholic 1-7-00 Cabanatuan Yes No
10 8 M Macatbong Filipino Tagalog Catholic 5-13-03 Cabanatuan Yes No
11 8 M Macatbong Filipino Tagalog Methodist 2-6-03 Cabanatuan Yes No
12 9 M Macatbong Filipino Tagalog Methodist 6-8-02 Cabanatuan Yes No
13 8 M Macatbong Filipino Tagalog Catholic 2-12-03 Cabanatuan Yes No
14 8 M Macatbong Filipino Tagalog Catholic 5-16-03 Cabanatuan Yes No
15 8 M Macatbong Filipino Tagalog Catholic 10-2-02 Cabanatuan Yes No
16 9 M Macatbong Filipino Tagalog Catholic 3-4-02 Cabanatuan Yes No
17 8 M Macatbong Filipino Tagalog Catholic 3-28-03 Cabanatuan Yes No
18 8 M Macatbong Filipino Tagalog Catholic 1-24-03 Cabanatua Yes No
n
19
1
2 9 F Macatbong Filipino Tagalog Methodist 5-17-02 Cabanatuan Yes No
3 8 F Macatbong Filipino Tagalog Catholic 3-14-03 Cabanatuan Yes No
4 8 F Macatbong Filipino Tagalog INC 5-21-03 Cabanatuan Yes No
5 9 F Macatbong Filipino Tagalog Catholic 8-15-02 Cabanatuan Yes No
6 8 F Macatbong Filipino Tagalog Baptist 2-17-03 Cabanatuan Yes No
7 9 F Macatbong Filipino Tagalog Methodist 2-28-02 Cabanatuan Yes No
8 8 F Macatbong Filipino Tagalog Methodist 5-10-03 Cabanatuan Yes No
9 8 F Macatbong Filipino Tagalog Catholic 1-22-03 Cabanatuan Yes No
10 8 F Macatbong Filipino Tagalog Catholic 3-22-03 Cabanatuan Yes No
11 8 F Macatbong Filipino Tagalog Methodist 3-10-03 Cabanatuan Yes No
12 8 F Macatbong Filipino Tagalog Catholic 12-31-02 Cabanatuan Yes No
13 8 F Macatbong Filipino Tagalog Catholic 3-9-03 Cabanatuan Yes No

Address Nationality Ethnic Affiliation Religion Language/Dialect Spoken Parental Member Monhtly
Father Mother Father Mother Father Mother Father Mother Father Mother Status of Com Household
Devt Income
Org
(Y/N)
Filipino Filipino Tagalog Tagalog Catholic Catholic Tagalog Tagalog/Ilocano Married No
Filipino -do- Catholic Tagalog Married Below 5000
-do- Filipino -do- Tagalog Catholic Catholic Tagalog Tagalog Married No
-do- -do- Tagalog Tagalog Catholic Catholic Tagalog Tagalog Married No Below P1000
-do- Tagalog Tagalog Catholic Catholic Tagalog Tagalog Married No P2500-P5000
Tagalog Tagalog Catholic Catholic Tagalog Tagalog/Ilocano Married No Below P1000
-do- -do- -do- -do- -do- -do- Tagalog Tagalog No P5000-P8000
-do- -do- Tagalog Tagalog Methodi Methodist Tagalog/Ilocano Tagalog Married No Below 10000
st
-do- -do- -do- -do- -do- -do- Tagalog Tagalog Married
 -do- -do- -do- Tagalog Not No BelowP3000
married
-do- -do- Tagalog Tagalog Methodi Catholic Tagalog Tagalog Married No P5000-P8000
st
-do- -do- Tagalog Tagalog -do- -do- Tagalog Tagalog Married No Below 10000
-do- -do- -do- Tagalog Married Yes BelowP4000
-do- -do- Catholic catholic Ilocano Tagalog/Ilocano Married No P5000-P8000
-do- -do- -do- -do- -do- -do- Tagalog/Ilocano Tagalog Married No
Ilocano Tagalog Catholic Catholic Tagalog/Ilocano Tagalog Married No P2000-P5000
-do- -do- Tagalog Catholic Tagalog/Bisaya Not No P5000-P8000
married
-do- -do- -do- -do- -do- -do- Tagalog Tagalog Married No P2500-P5000
-do- -do- -do- -do- Methodi Methodist Tagalog Tagalog Married No P2500-P5000
st
-do- -do- Ilocano Ilocano Catholic Catholic Ilocano Ilocano Married No Below 8000
-do- -do- -do- -do- INC INC Tagalog Tagalog Married No P5000-P8000
-do -do Tagalog Tagalog Catholic Methodist Tagalog Tagalog Married
-do -do Ilocano Tagalog Methodi Catholic Tagalog Tagalog Married
st
-do -do- Tagalog Tagalog Methodi Methodist Tagalog Tagalog Married No BelowP10000
st

Address Nationality Ethnic Affiliation Religion Language/Dialect Spoken Parental Member Monthly
Father Mother Father Mother Father Mother Father Mother Father Mother Status of Com Household
Devt Income
Org
(Y/N)
-do- -do- Ilocano Ilocano Methodist Methodist Ilocano Tagalog/Ilocano Married No
-do- -do- -do- -do- -do- -do- Tagalog Tagalog Married No BelowP1000
 -do- -do- Ilocano Ilocano INC INC Tagalog Tagalog Married No
-do- -do- Tagalog Tagalog -do- -do- Tagalog Tagalog Married No P15000
-do- -do- -do- -do- Catholic Catholic Tagalog Tagalog Married Yes P5000-P8000
-do- -do- -do- -do- -do- Catholic Tagalog Tagalog Married No P2500-P5000
-do- -do- -do- -do- Methodist Methodist Tagalog Tagalog Married Yes P5000-P8000
-do- -do- -do- -do- Catholic Catholic Tagalog Tagalog Married No P1000-P2500
-do- -do- -do- -do- -do- -do- Tagalog Tagalog Married No P8000-P15000
-do- -do- Ilocano -do- Methodist Methodist Tagalog Tagalog Married No P2500-P5000
-do- -do- Ilocano -do- Catholic Catholic Tagalog Tagalog Married No P2000-P5000
-do- -do- -do- -do- -do- -do- Tagalog Tagalog Married No P1000-P2500
-do- -do- -do- -do- Methodist Methodist Tagalog Tagalog Married No P1000-P2500
-do- -do- Tagalog Tagalog/Ilocano Methodist Methodist Tagalog Tagalog Married No BelowP1000
-do- -do- -do- -do- INC INC Tagalog Tagalog Married No P8000-P15000

Distance of Means of Family Recipient of Pupils lives Person who helps Parents Name Age Living/Deceased
Sch. From Transpo to Member Financial Assistance? with child in
Home School Dropout homework
(Y/N) Y/N Sources Father Mother Father Mother Father Mother
1. Walking None no Auntie Auntie 39 Living Living
2. Walking None no Parents father 45 43 Living Living
3. Walking None no -do- -do- 30 29 Living Living
4. Walking 31 29 Living Living
5. Walking None No Father father 34 33 Living Living
6. Walking None No Parents -do- 44 40 Living Living
7. Walking yes No Parents Parents 47 42
8. Walking no No Parents Father 37 39 Living Living
9.. Walking no No Parents sister 40 35 Living Living
10. Tricycle None No Mother mother 34 Living Living
11. walking None No Parents Parents 33 34 Living Living
12. None no Parents sister 40 42 Living Living
13. walking none no Mother mother 45 44 living Living
14. walking none no Auntie auntie 47 44 Living Living
15. None No Parents parents 53 47 Living Living
16.
17. walking none no Parents parents Living Living
18. walking none no Parents parents 36 Living Living
1. walking None No Parents parents 36 Living Living
2. none no Mother 33 35 Living Living
3. walking none No Parents mother 38 32 Living Living
4. Walking none No 39 36 Living Living
5. walking None no 44 40 Living Living
6.. walking none no Mother mother 33 32 Living Living
7.. walking none no Parents parents 49 46 Living Living

Distance of Means of Family Recipient of Pupils lives Person who Parents Name Age Living/Deceased
Sch. From Transpo to Member Financial Assistance? with helps child in
Home School Dropout homework
(Y/N) Y/N Sources Father Mother Father Mother Father Mother
8. walking none Parents none 8. Mario Dominga 43 40 Living Living
9. Walking none no Parents none 9. Alfredo Mary Jane 42 40 Living Living
10. walking none yes Tito Parents parents 10. Joseph Wendy 41 38 Living Living
11. Tricycle none yes grandmother Mother parents 11. Dennis Ella 35 30 Living Living
12. Walking none yes Tita Father none 12. Harold Marita 30 28 Living Living
13. Tricycle None No Parents mother 13. Roland Marivic 30 31 Living Living
14. Walking None no Parents mother 14. Benedick Edelyn 42 39 Living Living
15. walking None no Father sister 15. Arnold Emelda 41 39 Living Living
16. walking none No Parents mother 16. Edilberto Luisa 38 36 Living Living
17. walking None No Parents mother 17. Carlos Lorna 37 34 Living Living
18. walking None No Father father 18. Norberto Laine 35 Living Living
19. walking yes yes Tita Parents parents 19. Reymundo Enelia 42 31 Living Living
20. walking None No Parents Parents 20. Manolito Mylene 35 32 Living Living
21 walking yes yes grandmother sister 21. Danilo Rita 46 35 Living Living
22. walking None yes Tita Parents parents 43 45 Living Living

Family Dwelling Materials/Appliances Available at Home Source of Power Supply

House/Lot Type of House Type of Toilet Source of water
Ownership Supply
1.owned Concrete flashed Deep well electric fan, computer Electricity
2.owned semi-concrete Deep well tv,radio, electric fan Electricity
3.owned concrete Deep well Refrigerator, electric fan, Electricity
4.Owned Semi-concrete Deep well TV, Radio Electricity
5.Owned Concrete Deep well tv,radio,books Electricity
6.Owned concrete Deep well TV ,, electric fan, Electricity
7.owned concrete deep well tv,radio,books Electricity
8Owned Semi-concrete flashed Deep well TV ,Refrigerator, electric fan, Electricity
9.owned concrete Deep well tv, books Electricity
10.owned concrete deep well TV , electric fan, Electricity
11.Owned Concrete Deep well Refrigerator. TV, radio Electricity
12.owned semi-concrete deep well TV ,Refrigerator, electric fan,books Electricity
13.owned semi-concrete Deep well TV ,Refrigerator, electric fan, Electricity
14.owned semi-concrete faucet books,magazine,tv Electricity
15.owned concrete faucet tv,radio,books Electricity
16.owned Concrete Deep well TV, Radio, Newspaper, Magazines Electricity
17owned Concrete Television ,computer Electricity
18.owned semi-concrete deep well tv,radio,books Electricity
1..owned semi-concrete deep well tv, radio, books Electricity
2..Owned Semi-concrete Faucet TV, Radio, Books Electricity
3.owned semi-concrete deep well TV, Radio, Books,computer Electricity
4. owned Semi-concrete Deep well
5. onwed Semi concrete

Family Dwelling Materials/appliances Available at Home Source of Power Supply

 House/Lot Type of House Type of Toilet Source of water
Ownership Supply
6.living with semi-concrete deep well tv,books Electricity
7.owned semi-concrete deep well tv,books,radio Electricity
8.owned concrete deep well tv,books,radio Electricity
9.owned concrete deep well tv,books,radio,computer Electricity
10.owned semi-concrete deep well book,magazine Electricity
11.owned Concrete Faucet TV,books,radio,computer Electricity
12. owned semi-concrete faucet tv,radio Electricity
13..owned concrete deep well tv, radio, dvd Electricity
14.renting concrete Faucet Tv,radio,book,magazine Electricity
15.Owned Concrete deep well Book Electricity
16.Owned semi-concrete Deep well TV, book Electricity
17.owned semi-concrete deep well book,magazine Electricity
18.Owned semi-concrete Deep well TV, Radio, Newspaper, Magazines Electricity
19.owned concrete Deep well TV, Radio, Newspaper, Magazines Electricity
20.owned semi-concrete Deep well TV, Radio Electricity
21.living with concrete deep well Radio, Newspaper, Magazines Electricity
22..Owned Concrete deep well TV, Radio, Newspaper, Magazines Electricity