0 Republic of the Philippines DEPARTMENT OF EDUCATION

OFFICE OF PLANNING SERVICE Research and Statistics Division

District ID

School ID

GOVERNMENT ELEMENTARY SCHOOL PROFILE (END OF THE SY DATA, AS OF MARCH 31)

INSTRUCTIONS This form shall be accomplished by the head of all government elementary schools. In the case of schools with annexes, extensions, etc., a separate school profile shall be accomplished by every annex, extension, etc. The head of the school shall sign the forms certifying to the correctness of the data, and shall be responsible and accountable for any inaccuracy or false data/information reported. He/She shall submit the accomplished forms to the respective Division Office on or before April 30, 2012. Important: Read the definitions/instructions found at the bottom of each table before filling up the form. No item should be left blank. Instead, "zero ( 0 )" or "not applicable (n/a) " shall be written. Shaded boxes shall not be filled. SCHOOL INFORMATION SY 2011-2012 Name of School : CANGABO ELEM. SCHOOL
(Official name)

(If renamed, please indicate old name.)

Address

:
# Street/Sitio/Purok

CANGABO
Barangay

LA LIBERTAD
Municipality

NEGROS ORIENTAL
Province/City

Region Division School District Legislative District Tel. No. Mobile No. Fax No. E-Mail Address Annex/Extension School

: : : : : : : :

VII NEGROS ORIENTAL LA LIBERTAD 1ST 0 0 0

Integrated School
(Please check appropriate box if the school is offering both elementary and secondary levels.) Yes (Please indicate School ID of Secondary level) (Please check appropriate box if the school is an annex/extension school.) Yes (Please indicate School ID of the Mother School)

Secondary SchoolID:
X No X No

Mother SchoolID:

Certified True and Correct by : School Head : Position Title :

Checked by District Office : Head of the Office : ####### Position Title :

Verified by the Division Office : Head of the Office Position Title : :

GEMMA C. GALLOSA
(Signature Over Printed Name)

ANELITO A. BONGCAWIL Ed.D.

(Signature Over Printed Name)

MARILYN S. ANDALES Ed.D.

(Signature Over Printed Name)

ESP-1

Date :

PSDS

Date : #######

SDS

Date :

#######

99662296.xls.ms_office SchInfo

Page 1 of 10

Table A. PUPIL DATA, SY 2011-2012 (As of March 31) - Regular & SPED Kindergarten Grade 1 Particulars
Male Female Male

Grade 2
Male Female

Grade 3
Male Female

Grade 4
Male Female

Grade 5
Male Female

Grade 6
Male Female

Female

TOTAL (Grades 1-6) Male Female

Non-Graded SPED Male Female

Enrolment Number of Completers/Promotees/Graduates Number of Dropouts Number of Transferees In Number of Transferees Out

12 12 0 0 0

19 19 0 0 0

30 26 0 0 0

20 20 0 0 0

14 13 0 0 1

19 19 0 0 0

15 14 0 0 0

15 15 0 0 0

22 21 0 0 0

10 9 0 0 1

23 23 0 0 0

18 18 0 0 0

22 21 0 0 0

14 14 0 0 0

138 130 0 0 1

115 114 0 0 0

0 0 0 0 2

0 0 0 0 0

PUPIL DATA FOR PREVIOUS SY (Table A) - The data to be entered cover the previous school year as of March 31 and shall be distributed by grade level and by sex. Enrolment - includes all pupils enrolled in the school as of March 31. Number of Completers/Promotees/Graduates - Data on completers refer to Kindergarten pupils who have completed the requirements for this level. In grades 1 to 5, promotees refer to pupils who successfully completed the grade level. In Grade 6, this refer to pupils who completed the elementary level or the graduates of the level. Number of Dropouts - refers to pupils who left school before completing the prescribed grade level within the specified school year from August 01 to March 31 and should not be included in the total enrolment as of the same date. Number of Transferees In - refers to pupils who entered the school from another school, either government or private from August 01 to March 31. Number of Transferees Out - refers to pupils who left school to enter another school as evidence by the request for permanent record (Form 137) from August 01 to March 31 and should not be included in the total enrolment as of the same date.

Table B. CAUSES OF DROPOUTS SY 2011-2012 (As of March 31) Kindergarten Causes

Male Female

Grade 1
Male Female

Grade 2
Male Female

Grade 3
Male Female

Grade 4
Male Female

Grade 5
Male Female

Grade 6
Male Female

TOTAL (Grades 1-6) Male Female

Non-Graded SPED Male Female

DOMESTIC/FAMILY-RELATED FACTORS Had to take care of siblings Early marriage/pregnancy Parents attitude toward schooling Family problems INDIVIDUAL-RELATED FACTORS Illness Overage Death Drug Abuse Poor academic performance Lack of interest/Distractions Hunger/Malnutrition SCHOOL-RELATED FACTORS Teacher factor Physical conditions of classroom Peer influence GEOGRAPHIC/ENVIRONMENTAL Distance between home and school Armed conflict (incl. tribal wars & clan feuds) Calamities/Disasters FINANCIAL-RELATED Child labor, work OTHERS TOTAL

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

CAUSES OF DROPOUTS (Table B) If there are 2 or more reasons why a pupil dropped out, select only one which is considered to be the main cause. Thus, a pupil must be counted only once. Causes of dropouts should not be limited to the reasons stated in Form 18-E.

Note: Totals in this table shall tally with Table A, Number of Dropouts.
Certified True and Correct by : School Head Position Title : : Checked by District Office : Verified by the Division Office :

GEMMA C.GALLOSA
(Signature Over Printed Name)

Head of the Office 04/03/2012 Position Title

: :

ANELITO A. BONGCAWIL ED.D

(Signature Over Printed Name)

Head of the Office Position Title

: :

MARILYN S. ANDALES ED.D.

(Signature Over Printed Name)

ESP - 1

Date :

PSDS

Date :

04/23/2012

SDS

Date :

04/30/2012

99662296.xls.ms_office TablesA-B

Page 2 of 10

Table C1. EXISTING NUMBER OF INSTRUCTIONAL ROOMS IN THE SCHOOL, SY 2011-2012 (As of March 31) Instructional Rooms Used as Used as Used as Not Type Used as H.E. Used as I.A./ academic Science computer currently rooms Workshops classrooms Laboratorie rooms used Complete Incomplete Total 4 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Used for Kindergarte n classes 0 0 0

Used for SPED classes 0 0 0

Total Instructiona l Rooms 4 0 4

Table C2. EXISTING NUMBER OF NON- INSTRUCTIONAL ROOMS IN THE SCHOOL, SY 2011-2012 (As of March 31) Non-instructional Rooms Not Type Used as Used as Used as Used as Other uses currently libraries clinic canteen offices used Complete Incomplete Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Total Noninstructional Rooms 0 0 0

PHYSICAL FACILITIES DATA (Tables C1 & C2) EXISTING NUMBER OF INSTRUCTIONAL AND NON-INSTRUCTIONAL ROOMS (Makeshift and condemned/condemnable instructional and non-instructional rooms are not to be included.) Enter the number of rooms currently being used and not currently being used for instructional purposes, regardless of funding source , in the appropriate boxes. Similarly, enter the number of rooms currently being used and not currently being used for non-instructional purposes in the appropriate boxes. The columns for Totals shall include those currently being used and not currently being used. Makeshift rooms - refer to rooms which are basically made of bamboo, nipa, cogon, lumber and other light materials. They are considered temporary structures as a means of easing up classroom shortage and temporary shelter during emergencies.rooms and include those which do not meet the prescribed standard dimensions. Condemned/Condemnable rooms - refer to rooms deemed to be dangerous to the extent that life, health, property or safety of the public or its occupants are endangered. Instructional rooms - refer to rooms use for instructions (Grades 1-6) with the following dimensions regardless of the number of doors (either 1 door or 2 doors) and regardless of funding source and year constructed: 7m x 9m 7m x 7m 6m x 8m (Bagong Lipunan type) 7m x 18m (multi-purpose, workshop, science lab., computer lab.) 7m x 8m 7m x 6m 7.5m x 6m Complete classrooms construction - these are school building projects which were completed within the contract duration period and have the following features: cemented floor; smooth finished walls; painted walls, ceiling and roofing; full cathedral type ceiling; complete set of windows; two entrances with doors; complete electrical wires and fixtures (for areas with electricty); roofing or weather protection; blackboard and toilet (optional). Incomplete classrooms construction - these are school building projects which were not completed within the contract duration period and do not have the features of a COMPLETE constructions.

Table C3. EXISTING NUMBER OF ROOMS IN THE SCHOOL BY FUNDING SOURCE, SY 2011-2012 (As of March 31) DepEd with Type of Room DepEd budget counterpart LGU/SEF PTCA-funded funds Instructional Rooms (refer to Table C1) Non-Instructional Rooms (refer to Table C2) TOTAL 4 0 4 4 0 4 0 0 0 0 0 0

Congress 0 0 0

Foreign funds/ donors 0 0 0

Private sector 0 0 0

Others 0 0 0

Total 4 0 4

NUMBER OF INSTRUCTIONAL ROOMS ACCORDING TO FUNDING SOURCE (Table C3) Based on the total instructional and non-instructional rooms in Tables C1, C2 and C3, indicate the number of the rooms according to the following funding sources: DepEd budget - includes classrooms and other instructional rooms funded from the Regular School Building Program implemented by the Department of Public Works and Highways (DPWH) and DepEd (for Red and Black Schools) DepEd with counterpart funds rooms constructed using DepED funds with counterpart of at least 10% from other sources. LGU/SEF - classrooms and other instructional rooms funded from the Special Education Fund (SEF) and the budgets of Local Government Units (LGU): provincial, municipal or barangay units. PTCA-funded - includes classrooms and other instructional rooms funded by the Parents-Teachers-Community Association (PTCA). Congress - includes classrooms and other instructional rooms funded from the Congressional Initiatives, Priority Development Assistance Fund (PDAF), Countrywide Development Fund (CDF), more commonly known as "pork barrel". Foreign funds/donors - includes classrooms and other instructional rooms funded from foreign-assisted projects and bilateral agreements with donor countries. Private sector - includes classrooms and other instructional rooms funded through donations of private individuals, corporations, alumni associations, non-government organizations and philanthropic organizations. Others - these are rooms which are funded by other sources not listed above.

Note: Totals in this table shall tally with the totals in Tables C1 and C2, respectively.

Certified True and Correct by : School Head Position Title : :

Checked by District Office : Head of the Office Position Title : :

Verified by the Division Office :

___________________________________________ GEMMA C. GALLOSA

(Signature Over Printed Name)

___________________________________________ ANELITO A. BONGCAWIL ED.D.

(Signature Over Printed Name)

Head of the Office Position Title

: :

MARILYN S. ANDALES ED.D.

(Signature Over Printed Name)

ESP - 1

Date :

0/23/2012

___________________ PSDS

Date :

04/23/2012

SDS

Date :

04/30/2012

99662296.xls.ms_office TablesC1-3

Page 3 of 10

Table C4. NUMBER OF ON-GOING CONSTRUCTION BY FUNDING SOURCE, SY 2011-2012 (As of March 31) DepEd with Type of Room DepEd budget counterpart LGU/SEF PTCA-funded Congress funds Instructional Non-instructional 0 0 0 0 0 0 0 0 0 0

Foreign funds/ donors 0 0

Private sector 0 0

Others 0 0

Total 0 0

NUMBER OF ROOMS IN THE SCHOOL WITH ON-GOING CONSTRUCTION BY FUNDING SOURCE (Table C4) On-going construction - are school building projects in the process of implementation or projects with actual works being undertaken in the project site and considered not yet completed.

Table C5. NUMBER OF INSTRUCTIONAL & NON-INSTRUCTIONAL ROOMS NEEDING REPAIR, SY 2011-2012 (As of March 31) Types of Repair Type of Room Major Minor Instructional Non-instructional 4 0 0 0

NUMBER OF INSTRUCTIONAL & NON-INSTRUCTIONAL ROOMS NEEDING REPAIR (Table C5) - Regular and SPED Indicate the number of instructional rooms by type of repair needed. Major Repair - repair or replacement of schoolbuilding components which are subjected to critical structural loads and stresses and which are estimated to cost ten percent (10%) or more of the cost of a standard building unit such asroof frames, posts and exterior walls. Minor Repair - repair or replacement of schoolbuilding components which are not subjected to critical structural loads an d stresses and which are estimated to cost less than ten percent (10%) of the cost of a standard building unit such as repair of windows, doors, partitions and the like.

Table C6. BUILDABLE SPACE FOR ADDITIONAL 7x9 CLASSROOM, SY 2011-2012 (As of March 31) Does school have space for additional 7x9 classrooms? X Yes No If Yes, how many additional 7x9 classrooms can be constructed? Storey Single Storey 2-Storey 3-Storey 4-Storey No. of Rooms 4 0 0 0

Table C7. EXISTING NUMBER OF MAKESHIFT & CONDEMNED/CONDEMNABLE ROOMS USED FOR CLASSES, SY 2011-2012 (As of March 31) Makeshift Condemned/Condemnable

EXISTING NUMBER OF MAKESHIFT & CONDEMNED/CONDEMNABLE ROOMS USED FOR CLASSES (Table C7) Indicate the number of makeshift & condemned/condemnable rooms still used for classes. Refer definitions in Physical Facilities Data (Tables C1 & C2).

BUILDABLE SPACE FOR ADDITIONAL 7x9 CLASSROOMS (Table C6) Indicate the number of 7x9 classrooms that can be constructed in the available space in the school site.

Table C8. EXISTING CLASSROOM FURNITURE, SY 2011-2012 (As of March 31) Level of Education Kindergarten Elementary Desks 5 25 Chairs/ Armchairs 20 115
EXISTING CLASSROOM FURNITURE (Table C8) - Regular & SPED Count serviceable classroom furniture regardless of funding source Number of Desks - refers to the total number of serviceable two-seater desks in the school. Number of Chairs/Armchairs - refers to the total number of serviceable chairs/armchairs in the school. In case of sets of tables and chairs, count the number of seats.

Certified True and Correct by : School Head Position Title

Checked by District Office : Head of the Office Position Title

Verified by the Division Office : Head of the Office Position Title SDS

: __________________________________ GEMMA C, GALLOSA

(Signature Over Printed Name)

: __________________________________ ANELITO A. BONGCAWIL ED.D.

(Signature Over Printed Name)

MARILYN S. ANDALES ED.D

(Signature Over Printed Name)

ESP - 1

Date :

04/23/2012

PSDS

Date :

04/23/2012

Date : 04/23/2012
Page 4 of 10

99662296.xls.ms_office TablesC4-C8

Table C9. EXISTING NUMBER OF TOILETS, SY 2011-2012 (As of March 31) Toilet Bowls Usage used by pupils used by personnels Total Male 1 0 1 Female 1 0 1 Shared (Male & Female) 0 0 0 Total 2 0 2

Table C10. EXISTING NUMBER OF URINALS, SY 2011-2012 (As of March 31) Urinals Usage Individual used by pupils used by personnels 0 0

Trough 0 0

EXISTING NUMBER OF TOILETS (Table C9) - Regular & SPED

EXISTING NUMBER OF URINALS (Table C10) - Regular & SPED Individual Urinal - a single urinal is designed for one male pupil standing upright. Trough or Multiple - a urinal which can accommodate 3 more pupils at the same time. Only the physical structure shall be counted and not the number of pupils that can be accomodated.

Note: Toilet bowls and urinals located inside and outside the classroom shall be included in the count while those that are being used both pupils & personnels shall be counted in "used by pupils".

Table D1. AVAILABILITY OF WATER SUPPLY, SY 2011-2012 (As of March 31) Water Supply Sources: (Check as appropriate)

Table D2. AVAILABILITY OF ELECTRICAL SUPPLY, SY 2011-2012 (As of March 31) Electrical Supply Sources:
(Check as appropriate)

x x

Local Piped Water Water Well/Deep Well Rainwater Catchments Local water district Local water cooperative

Natural Source Without Available Water Supply

Grid Supply Generator Solar Power

No source of electricity

If Local Piped Water , check the appropriate water supply provider:

If Grid Supply , check the appropriate electrical supply provider:

Maynilad Manila Water

Others, please specify _____________

MERALCO Local Electric Cooperative

Others, please specify _____________

Average Cost of Monthly Bills/Maintenance: (Please indicate the amount) ______________ Who Pays the Cost of Monthly Bills/Maintenance: (Check as appropriate):

250.00 Average Cost of Monthly Bills/Maintenance: (Please indicate the amount) _________________

Who Pays the Cost of Monthly Bills/Maintenance: (Check as appropriate):

School MOOE LGU PTA

School Canteen Fund

PDAF/pork barrel

Private Individual/Sector Others, please specify _____________

School MOOE LGU PTA

School Canteen Fund

PDAF/pork barrel

Private Individual/Sector Others, please specify _____________

AVAILABILITY OF WATER SUPPLY (Table D1) Local piped water - water source coming from local water service providers. Water well - an excavation structure in the ground by digging, driving, boring or drilling to access water in underground aquifiers. Rainwater catchment - water sourced from rainwater and collected thru a rainwater collector. Natural source - water sourced from a spring or stream. Without available water supply - schools without existing water supply at all.

AVAILABILITY OF ELECTRICAL SUPPLY (Table D2) Grid Supply - electricity coming from major or local power distributors (e.g, electric cooperatives, Meralco, etc.). Generator - machine operated by diesel or gasoline to produce electricity. Solar Power - solar power is the conversion of sunlight into electricity thru different devices such as solar panels. No source of electricity - schools without existing electrical supply at all.

Certified True and Correct by : School Head Position Title

Checked by District Office :

Verified by the Division Office :

GEMMA C. GALLOSA
(Signature Over Printed Name)

Head of the Office Position Title

ANELITO A. BONGCAWIL
(Signature Over Printed Name)

ED.D.

Head of the Office Position Title

MARILYN S. ANDALES ED.D

(Signature Over Printed Name)

ESP - 1

Date : 04/23/2012 _______________

PSDS

Date : 04/23/2012 _______________

SDS

Date :

04/30/2012

99662296.xls.ms_office TablesC9-D2

Page 5 of 10

Table E. PERSONNEL DATA (Nationally-funded), SY 2011-2012 (As of March 31) NATIONALLY-FUNDED PERSONNEL
POSITIONS ASSIGNED IN THE SCHOOL

Position Title

Number of positions Number actually working in this school assigned in the school per latest PSIMale Female TOTAL POP
Col. 2 Col. 3 Col. 4 Col. 5

Personnel detailed to On leave Position(s) vacant DepEd office(s) within the division
Col. 8

Personnel detailed from other school(s)/ DepEd office(s) TOTAL TOTAL

(Col.5+Col.6+ Col.7+Col.11 )

TOTAL Nationally-funded personnel working in the school

DepEd office(s)/ school(s) outside the division

Col. 9

Secondary school(s) within the division

Col. 10

Male
Col. 12 Col. 13

Female
Col. 14

Total
Col. 15

Male
(Col.3+Col.13)

Female
(Col.4+Col.14)

Total
(Col.16+Col.17)

Col. 1

Col. 6

Col. 7

Col. 11

Col. 16

Col. 17

Col. 18

a. Teaching related and Non-teaching Principal IV Principal III Principal II Principal I Head Teacher III Head Teacher II Head Teacher I Guidance Coordinator/Counselor Security Guard Utility Worker
TOTAL (Nationally-funded non-teaching personnel)

1 1 1 5 6

1 -

1 1 1 4 1 5 4 4 6 6 4 6

1 1 2 2 2 -

b. Teaching Master Teacher III Master Teacher II Master Teacher I Teacher III Teacher II Teacher I SPED Teacher (I-V) TOTAL (Nationally-funded teaching personnel)

Included in the Total (Nationally-funded teaching personnel): Handling Grades 1-6 Handling SPED classes Handling Kindergarten classes Handling ALS classes (Mobile Teacher) ALS Coordinator Handling Full-Time Ancilliary Service TOTAL

PERSONNEL DATA (NATIONALLY-FUNDED) (Table E) - The data to be entered shall be as of March 31, 2012. Nationally-funded personnel - are those teaching, teaching-related and non-teaching personnel having plantilla positions, including those with provisional appointments. Number of positions assigned in the school per latest PSI-POP - refers to the number of plantilla items assigned to the school. Number actually working in the school - are those teaching, teaching-related and non-teaching personnel with plantilla positions who are actually performing their specific assignments in the school, as of March 31, 2012. On leave personnel - refers to those who are on sick, vacation, study and/or maternity leave as of March 31, 2012. Position(s) vacant - refers to the plantilla positions that are unfilled as of March 31, 2012. Personnel detailed to DepEd office(s) within the division - are those assigned/designated to the district office or to the division office. Personnel detailed to DepEd office(s)/school(s) outside the division - are those assigned/designated to the regional office, to the central office or to other schools whether elementary or secondary schools outside the division. Personnel detailed to Secondary school(s) within the division - are those assigned/designated to secondary schools within the division. Personnel detailed from other school(s)/ DepEd office(s) - are those who are actually working in the school but whose items belong from secondary school(s) or from another DepED office(s) like the district, the division, the regional, the central office or from other school division(s).

Note: In Tables E a & E b , totals in column 12 must tally with entries in column 2.

Certified True and Correct by : School Head Position Title : :

Checked by District Office : Head of the Office 04/23/2012 Position Title : :

Verified by the Division Office :

GEMMA C. GALLOSA
(Signature Over Printed Name)

ANELITO A. BONGCAWIL , ED.D

(Signature Over Printed Name)

Head of the Office Position Title

: :

MARILYN S. ANDALES , ED.D.

(Signature Over Printed Name)

ESP - 1

Date :

PSDS

Date :

04/23/2012

SDS

Date :

04/23/2012

99662296.xls.ms_office TableE

Page 6 of 10

Table F. TEACHER ASSIGNMENTS (Nationally-funded teachers only), SY 2011-2012 (As of March 31)
Position Title
Col. 1

Carries full-time class teaching load (360 min. or more)

Not assigned to ancillary services Col. 2 Assigned to ancillary services as additional load Col. 3

Assigned part-time to class teaching, part-time to ancillary services

Class teaching 200 min. per day or more Col. 4 Class teaching less than 200 min. per day Col. 5

Assigned full-time to ancillary services

Col. 6

TOTAL
(Col.2+Col.3+Col.4+ Col.5+Col.6)
Col. 7

Master Teacher III Master Teacher II Master Teacher I Teacher III Teacher II Teacher I SPED Teacher (I-V) TOTAL (Nationally-funded teaching personnel)

1 5 6

1 5 6

TEACHER ASSIGNMENTS (NATIONALLY-FUNDED TEACHERS ONLY) (Table F) - The data to be entered shall be as of March 31, 2011. Ancillary services - are those rendered as a guidance counselor, librarian, property custodian, office clerk, canteen manager, coordinator (ALS, PE, Boy/Girl Scout, etc.), teacher nurse. Class advisorship is not included.

Note: Totals in Col. 7 of this table must tally with the totals in Col. 5 of Table Eb (Total Nationally-funded teaching personnel).

Table G. PERSONNEL DATA (Locally-funded and Other Funding Sources), SY 2011-2012 (As of March 31) LOCALLY-FUNDED PERSONNEL WORKING IN THE SCHOOL Class A. Teaching Kindergarten Elementary ALS ALIVE B. Non-Teaching 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Special Educ. Fund (SEF) Provincial/City Municipal Local Gov't Unit PTCA-funded (LGU) funded Others TOTAL Locally-funded DepEd Subsidized

PERSONNEL DATA (LOCALLY-FUNDED) (Table G) - The data to be entered shall be as of March 31, 2011. Locally-funded Teaching and Non-teaching personnel working in the school are those personnel not having plantilla positions and whose compensation is not paid out of the national budget. These are classified according to the following funding sources: Special Education Fund (SEF) Teachers whose salaries are being paid by the Local School Board Fund (Provincial/City or Municipal) where the school is located. Local Government Unit (LGU) funded Those teachers paid out of the general fund (not the SEF) of the LGU. PTCA-funded Teachers who receive their salaries through the Parents-Teachers-Community Association (PTCA). Others These are teachers who are being funded by neither one of the above. DepEd subsidized These are teachers who are paid by DepEd through honorarium.

Certified True and Correct by : School Head :

Checked by District Office : Head of the Office Position Title : :

Verified by the Division Office :

GEMMA C. GALLOSA
(Signature Over Printed Name)

ANELITO A. BONGCWIL , ED.D.

(Signature Over Printed Name)

Head of the Office Position Title

: :

MARILYN S. ANDALES , ED.D.

(Signature Over Printed Name)

Position Title : ESP - 1 99662296.xls.ms_office TablesF-G

Date : 04/23/2012

PSDS

Date : 04/23/2012

SDS

Date : 04/30/2012 Page 7 of 10

Table H. NUMBER OF TEACHERS BY GRADE LEVEL (Nationally-funded teachers only), SY 2011-2012 (As of March 31)

Grade I 1

Grade II 1

Grade III 1

Grade IV 1

Grade V 1

Grade VI 1

Total (Grade I-VI) 6

NUMBER OF TEACHERS BY GRADE LEVEL (Table H)

Note: If a teacher is teaching two or more grade levels, he/she should be counted in grade where his/her teaching load has the most number of teaching loads. Total in this table shall tally with the total in Table E - Handling Grades 1-6 (Col. 18 - Total Nationally-funded personnel working in the school).
Table I. NUMBER OF TEACHERS BY TEACHING ASSIGNMENT IN GRADE V & VI (Nationally-funded teachers only), SY 2011-2012 (As of March 31)

Table J. OTHER TEACHERS DATA, SY 2011-2012 (As of March 31) Number of teachers living outside the barangay where the school is located: ______________ Number of teachers living outside the city/municipality where the school is located: ________
OTHER TEACHERS DATA (Table J) Indicate the number of teachers living outside the barangay & city/municipality .

Teaching Assignment

Grade V 1 1 1 1 1 1 1 1 1

Grade VI

English Mathematics Filipino Science Makabayan SIBIKA/HEKASI H.E./E.P.P. E.K.A.W.P. M.S.E.P.

1 1 1 1 1 1 1 1

NUMBER OF TEACHERS BY TEACHING ASSIGNMENT AND BY YEAR LEVEL (Table I)

Note: A teacher who is teaching more than one learning area or grade level can be counted more than once.

Certified True and Correct by : School Head Position Title : :

Checked by District Office : Head of the Office Position Title : :

Verified by the Division Office :

GEMMA C. GALLOSA
(Signature Over Printed Name)

ANELITO A. BONGCAWIL , ED.D

(Signature Over Printed Name)

Head of the Office Position Title

: :

MARILYN S. ANDALES , ED,D.

(Signature Over Printed Name)

ESP - 1

Date : 04/23/2012

PSDS

Date : 04/23/2012

SDS

Date : 04/23/2012

99662296.xls.ms_office, TablesH-J

Page 8 of 10

Table K. NUMBER OF COMPUTERS IN THE SCHOOL ACCORDING TO FUNDING SOURCE, SY 2011-2012 (As of March 31) NUMBER OF COMPUTERS BY FUNDING SOURCE DepEd budget Computers for Academic Use Computers for Administrative Use Computers Needing Repair TOTAL 0 0 0 0 LGU/SEF 0 0 0 0 PTCAfunded 0 0 0 0 Congress 0 0 0 0 Foreign Other Gov't. funds/donors Agencies 0 0 0 0 0 0 0 0 Private sector 0 0 0 0 Others 0 0 0 0 Total

0 0 0

NUMBER OF COMPUTERS AVAILABLE IN THE SCHOOL ACCORDING TO FUNDING SOURCE (Table K) Indicate the number of computers according to the following funding sources: DepEd budget - includes computers procured through the DepEd Computerization Program and other similar programs. LGU/SEF - computers procured from the Special Education Fund (SEF) and the budgets of Local Government Units (LGU): provincial, municipal or barangay units. PTCA-funded - computers funded from the Parents-Teachers-Community Association (PTCA). Congress - computers funded from the Congressional Initiatives, Priority Development Assistance Fund (PDAF), Countrywide Development Fund (CDF), more commonly known as "pork barrel". Foreign funds/donors - computers procured through foreign-assisted projects and bilateral agreenents with donor countries. Other Gov't Agencies - computers funded from other government agencies such as DTI, DOST, CICT, etc. Private sector - computers donated by private individuals, corporations, alumni associations, non-government organizations, philanthropic organizations Others - These are computers procured from other sources not listed above. Computers for Academic Use - are utilized in the classroom/laboratory as an aid to instruction. Computers for Administrative Use - are for encoding administrative data of the school, e.g. enrolment, attendance, disbursements, financial statements, and other reports. Computers Needing Repair - refers to damaged computers procured in the last 5 years that can still be repaired (not yet condemned).

Table L. DATA ON INTERNET CONNECTIVITY, SY 2011-2012 (As of March 31) Availability of internet connectivity : Yes If Yes, check the appropriate internet provider: Smart Globe Type of Connection Wired Fixed Wireless Satellite USB Modem

x
Bayantel Digitel

No

PLDT Others, please specify ___________

Funding Source 0 0 0 0 Bandwidth 0 0 0 0 CIR 0 0 0 0

No. of Computers Monthly Connected Service Fee Academic Administrative 0 0 0 0 0 0 0 0 0 0 0 0

If No, where does the school access internet to encode E-BEIS? Division Office Other schools (Check as appropriate). x District Office At Home Internet Cafe Others, please specify ___________
DATA ON INTERNET CONNECTIVITY (Table L) Indicate the number of computers which are connected to the internet through any of the following types of connection: Wired - internet connection using the phone lines from the service provider to client. Fixed wireless - internet connection through radio frequency bands with directional radio antenna on each end of the signal. Satellite - internet connection using satellite dish supplied by internet provider. USB Modem - internet connection using USB dongle. Monthly service fee is the amount needed to pay for the internet connection on a monthly basis. Bandwidth - refers to maximum speed of internet connection. Committed Internet Rate (CIR) - refers to the guaranteed average bandwidth of a virtual circuit in a relay network.

Certified True and Correct by: School Head : ___________________________________ GEMMA C. GALLOSA (Signature over Printed Name) Position Title : ESP - 1
99662296.xls.ms_office TablesK-L

Checked by District Office: Head of the Office : _______________________________ ANELITO A. BONGCAWIL (Signature over Printed Name) Position Title : PSDS Date : 04/23/2012

Verified by the Division Office: Head of the Office : MARILYN S. ANDALES , ED.D. _______________________________ (Signature over Printed Name) Position Title : SDS Date : 04/30/2012
Page 9 of 10

Date : 04/23/2012

Table M. AVAILABILITY OF CELLPHONE NETWORK IN THE SCHOOL (check as appropriate) Cellphone Network:

SMART GLOBE

SUN Talk N' Text

Touch Mobile Red Mobile

Others, please specify _________

AVAILABILITY OF CELLPHONE NETWORK IN THE SCHOOL (Table M)

Table N. CAUSES OF CLASS DISRUPTIONS (check as appropriate) Causes of Class x Natural Calamities x School Activities Disruptions: Armed Conflict Celebrations

Table O. NUMBER OF CLASS DAYS Actual Number of Class Days: 185

Others, please specify _________

CAUSES OF CLASS DISRUPTIONS (Table N)

NUMBER OF CLASS DAYS (Table O) Indicate actual number of class days in this school year.

Table P. FEEDING PROGRAM (check as appropriate) Does the school have a feeding program? If Yes, who subsidizes the feeding program?

Yes PTA Barangay

No

School MOOE School Canteen Fund LGU

Private Individual/Sector Others, please specify _________

School's Vegetable Garden

FEEDING PROGRAM (Table P)

Table Q. MONITORING/VISITS FOR THE PAST 3 SYs No. of times the school has been visited by the following personnel from: School Year Offices 2009-10 2010-11 2011-12 Physical Facilities District Division Regional Central 1 2 0 0 0 1 2 1 0 0 1 2 1 0 0

Table S. DISASTERS/CALAMITIES FOR THE PAST 3 SYs No. of times the school has been affected by disaster/calamity: School Year Disaster/Calamity 2009-10 2010-11 2011-12 Typhoon Flood Earthquake Landslide Tsunami Volcanic Eruption Man-made Armed Conflict Fire Others 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0

MONITORING/VISITS FOR THE PAST 3 SYs (Table Q)

Table R. SERVED AS EVACUATION CENTER FOR THE PAST 3 SYs No. of times the school has been used as an evacuation center: School Year 2009-10 2010-11 2011-12

DISASTERS/CALAMITIES FOR THE PAST 3 SYs (Table S) Affected means the disaster caused damages to school property,

SERVED AS EVACUATION CENTER FOR THE PAST 3 SYs (Table R) Certified True and Correct by : School Head : Position Title : Checked by District Office : Head of the Office Position Title : :

loss of lives of teachers, pupils and school personnel and disruption of classes. Verified by the Division Office: : :

GEMMA C. GALLOSA
(Signature Over Printed Name)

ANELITO A. BONGCAWIL , ED.D. Head of the Office

(Signature Over Printed Name)

MRILYN S. ANDALES , ED.D.

(Signature Over Printed Name)

99662296.xls.ms_office TablesM-S

ESP -1

Date : 04/23/2012

PSDS

Date : 04/23/2012

Position Title

SDS

Date : 04/30/2012Page 10 of 10