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S - DORP Form 1-

INDIVIDUAL STUDENT PROFILE


Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF CEBU CITY

Instruction: To be filled up by the student or parent.

(Pls check)
NAME OF PUPIL./STUDENT:__________________________________________

Signature:

New

Year level:

Continuing
Repeater

Date of Birth:

Sex:

Transferee

Age:

Working

Home Address:

Balik-aral

If Balik-aral,:

Address where you are presently living/staying while schooling:

last grade/ year level


attended

Previous Address:

Number of brothers and sisters presently enrolled


Male

Female

Total

Distance of home from school

Means of Transportation

less than a kilometer

Elementary

1 kilometer

none

Secondary

more than a kilometer

PDCab

College

more than 2 kilometers

Habalhabal

Total

more than 3 kilometers

Jeepney/Bus
horse

Membership in organization:

Others

Name of Organization

Position
Officer

Member

Which of the following programs have

Student Government
STEP/YECS/GO-Negosyo
BSP/GSP

PEPT

Fraternity/Sorority

A&E

Religious

EASE

Sangguniang Kabataan

OHSP

Others (Pls specify)

OEP

Family Background

Living with parents?

Yes
No

Are both parents

living together
Separated

if yes,

Occupation

Name of Father:

none

Income :

Highest Grade/Level attained

3,000 below
3,001-5000

Occupation

Name of Mother:

none

Income :

Highest Grade/Level attained

3,000 below

Address of Parents

3,001-5000

if no,
Name of Guardian:

Relationship

1
2
3
4
5
6

Number of
Brothers:

Are you the

Number of
Sisters:

Eldest

Youngest

Sister
/Brother

Uncle/Aunt

Grand
parents

Cousin

1
2
3
4
5
6

Total number
of household
members

2
3
4
5
6
7

Midchild

NOTE: To be included in the individual student/pupil profile/portfolio.

Remarks

Recommendations

Remarks

Balik-aral,:
last grade/ year level
attended

Grade
Year

Means of Transportation:

Remarks

Which of the following programs have you availed of

Remarks

1001-8000
8000-10000
10000 above
1001-8000
8000-10000
10000 above

Employer
Others:
Pls specify:

ommendations

School -DORP Form 2 -SARDO Watch List (To be accomplished by Advisers every month.)

Republic of the Philippi

Department of Educat
Note: To be submitted to the School Grade/Year Leader.

Region VII

OF CEBUNAT
C
Name ofDIVISION
School: MABOLO

DIVISION OF CEBU CITY

Please put 1 instead of a check mark to indicate cla

Academic

Attendance

Ins

Ind

TOTAL

Please reflect the following symbols

Legend:

NR - Non-Reader

AP

NR

Sci

(Ref. to Form 137)


Math

(Ref. to PHIL-IRI / ORV)


Eng

(Ref. fo Form 1)

Fil

Learning Difficulties

Absent

Name of Student

Reading

Late

No.

No. of days

after the name of the pupil

F - Frustration

if Transferee - Asterisk *

Ins - Instructional

if Repeater

- plus sign +

Ind - Independent

if Balikaral

X sign
Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.
2. A student/pupil incurring 5 absences is a SARDO.

School-DORP Form 2A -CONSOLIDATED SARDO Watch List (Grade/Year level)

Republic of the Philippi

Department of Educat
Note: To be accomplished by the School Grade/Year Leader.

Region VII

OF CEBUNAT
C
Name ofDIVISION
School: MABOLO

DIVISION OF CEBU CITY

Please put 1 instead of a check mark to indicate cla

Academic

Attendance

Ins

Ind

25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
TOTAL

Legend:

NR - Non-Reader

AP

NR

Sci

(Ref. to Form 137)


Math

(Ref. to PHIL-IRI / ORV)


Eng

(Ref. fo Form 1)

Fil

Learning Difficulties

Absent

SECTION

Reading

Late

No.

No. of days

F - Frustration
Ins - Instructional
Ind - Independent

Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.


2. A student/pupil incurring 5 absences is a SARDO.

School -DORP Form 2B -CONSOLIDATED SARDO Watch List

Republic of the Philippi

Department of Educat
Note: To be accomplished by the School DORP Coordinator

Region VII

OF CEBUNAT
C
Name ofDIVISION
School: MABOLO

DIVISION OF CEBU CITY

Please put 1 instead of a check mark to indicate cla

Academic

Attendance

Ins

Ind

AP

NR

Sci

(Ref. to Form 137)


Math

(Ref. to PHIL-IRI / ORV)


Eng

(Ref. fo Form 1)

Fil

Learning Difficulties

Absent

GRADE / YEAR LEVEL

Reading

Late

No.

No. of days

TOTAL

Legend:

NR - Non-Reader
F - Frustration
Ins - Instructional
Ind - Independent

Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.


2. A student/pupil incurring 5 absences is a SARDO.

DORP Form 2C-CONSOLIDATED SARDO Watch List (District / Division level)

Republic of the Philippi

Department of Educat
Note: To be accomplished by the Division DORP Coordinator

Region VII

OF CEBUNAT
C
Name ofDIVISION
School: MABOLO

DIVISION OF CEBU CITY

Please put 1 instead of a check mark to indicate cla

Academic

Attendance

Ins

Ind

AP

NR

Sci

(Ref. to Form 137)


Math

(Ref. to PHIL-IRI / ORV)


Eng

(Ref. fo Form 1)

Fil

Learning Difficulties

Absent

SCHOOL

Reading

Late

No.

No. of days

TOTAL

Legend:

NR - Non-Reader
F - Frustration
Ins - Instructional
Ind - Independent

Instructions: 1. PHIL-IRRI/ORV will be applied only to the NR and F.


2. A student/pupil incurring 5 absences is a SARDO.

Republic of the Philippines

Month of:

Department of Education

______________

SY ___________

Region VII

DISTRICT: ________________

DIVISION OF CEBU CITY

SCHOOL: __________________

Grade / Year level:

_______

Section: __________________

P - Passive

Others:

Others:

Saved

Identified SARDO

others

Comes walking
w/o fare

No School Supplies

Comes w/o
eating /baon

Economic

Others

Fever &
Headache

NI

Malnut

P
EP

Mapeh

TLE

ef. to Form 137)

MisB

arning Difficulties

Toothache

Health & Nutrition


Stomachache

Behavior

Not Saved

stead of a check mark to indicate classification or choice. If "others" please specify.

NI - Not Interested
MisB - Misbehaving

Submitted by:
Name of Teacher

only to the NR and F.

Plantilla Position:

________

nces is a SARDO.
Republic of the Philippines

Month of:

Department of Education

______________

SY ___________

Region VII

DISTRICT: ________________

DIVISION OF CEBU CITY

SCHOOL: __________________

Grade / Year level:

_______

P - Passive

Others:

Others:

Saved

Identified SARDO

others

Comes walking
w/o fare

No School
Supplies

Comes w/o
eating /baon

Economic

Others

Fever &
Headache

NI

Malnut

P
EP

Mapeh

TLE

ef. to Form 137)

MisB

arning Difficulties

Toothache

Health & Nutrition


Stomachache

Behavior

Not Saved

stead of a check mark to indicate classification or choice. If "others" please specify.

NI - Not Interested
MisB - Misbehaving

Submitted by:
Grade/Year leader

only to the NR and F.

nces is a SARDO.

Republic of the Philippines

Month of:

Department of Education

______________

SY ___________

Region VII

DISTRICT: ________________

DIVISION OF CEBU CITY

SCHOOL: __________________

only to the NR and F.

nces is a SARDO.

P - Passive

Others:

Others:

NI - Not Interested
MisB - Misbehaving

Submitted by:
DORP Coordinator

Saved

Identified SARDO

others

Comes walking
w/o fare

No School
Supplies

Comes w/o
eating /baon

Economic

Others

Fever &
Headache

NI

Malnut

P
EP

Mapeh

TLE

ef. to Form 137)

MisB

arning Difficulties

Toothache

Health & Nutrition


Stomachache

Behavior

Not Saved

stead of a check mark to indicate classification or choice. If "others" please specify.

Republic of the Philippines

Month of:

Department of Education

______________

SY ___________

Region VII

DISTRICT: ________________

DIVISION OF CEBU CITY

Saved

Identified SARDO

others

Comes walking
w/o fare

No School
Supplies

Comes w/o
eating /baon

Economic

Others

Fever &
Headache

NI

Malnut

P
EP

Mapeh

TLE

ef. to Form 137)

MisB

arning Difficulties

Toothache

Health & Nutrition


Stomachache

Behavior

Not Saved

stead of a check mark to indicate classification or choice. If "others" please specify.

only to the NR and F.

nces is a SARDO.

P - Passive

Others:

Others:

NI - Not Interested
MisB - Misbehaving

Submitted by:
DORP Coordinator

Not Saved

Not Saved

Not Saved

Not Saved

S-DORP Form 3 - IDENTIFIED SARDOs

Republic of the Philippines

(To be accomplished by Advisers)

Department of Education

Note: To be submitted to the grade/year leader for consolidation

Region

third week of every month. The IDENTIFIED SARDO consolidated report

DIVISION OF CEBU CITY

will be forwared to the District HS DORP Coordinator or Elementary


District DORP Coordinator.

Please put a ch

10

11

12

SII

OI

OHSP

Solutions and Interventions D


EASE/MISOSA

Economic

H&N

Specific Problems/Causes
Abuse

Behavior

Academic

Name of Pupil/Student
(Male/ Female)

Tardy

No.

Sex

IDENTIFIED SARDO

Absences

Areas

F
I
C
S
F
F
I
C
S
F
F
I
C
S
F
F
I
C
S
F
F
I
TOTAL

C
S
F

Instructions:
1. Please refer the FICS choices on problems and solutiEconomic
2. Please use other sheets whenever necessary.
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom.
S-DORP Form 3A - IDENTIFIED SARDOs

Republic of the Philippines

(To be accomplished by the grade/year leader)

Department of Education

Note: To be submitted to the S-DORP Coordinator for consolidation

Region

third week of every month. The IDENTIFIED SARDO consolidated report

DIVISION OF CEBU CITY

will be forwared to the District HS DORP Coordinator or Elementary


District DORP Coordinator.

Please put a ch

10

11

12

SII

OI

OHSP

Solutions and Interventions D


EASE/MISOSA

Economic

H&N

Specific Problems/Causes
Abuse

Behavior

Section

Academic

No.

Tardy

Sex

IDENTIFIED SARDO

Absences

Areas

F
I
1

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I
TOTAL

C
S
F

Instructions:
1. Please refer the FICS choices on problems and solutiEconomic
2. Please use other sheets whenever necessary.
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom.

S-DORP Form 3B - IDENTIFIED SARDOs


(To be accomplished by the School DORP Coordinator )

Republic of the Philippines


Department of Education

Note: The IDENTIFIED SARDO consolidated report

Region

will be forwared to the District HS DORP Coordinator or Elementary

DIVISION OF CEBU CITY

District DORP Coordinator.

Please put a ch

F
I
1

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I
TOTAL

C
S
F

10

11

12

SII

OI

OHSP

Solutions and Interventions D


EASE/MISOSA

Economic

H&N

Specific Problems/Causes
Abuse

Behavior

Grade/Year level

Academic

No.

Tardy

Sex

IDENTIFIED SARDO

Absences

Areas

Instructions:
1. Please refer the FICS choices on problems and solutiEconomic
2. Please use other sheets whenever necessary.
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom.
DORP Form 3C - IDENTIFIED SARDOs

Republic of the Philippines

(To be accomplished by the School DORP Coordinator )

Department of Education

Note: The IDENTIFIED SARDO consolidated report

Region

will be forwared to the District HS DORP Coordinator or Elementary

DIVISION OF CEBU CITY

District DORP Coordinator.

Please put a ch

F
I
1

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F
F
I

C
S
F

10

11

12

SII

OI

OHSP

Solutions and Interventions D


EASE/MISOSA

Economic

H&N

Specific Problems/Causes
Abuse

Behavior

School

Academic

No.

Tardy

Sex

IDENTIFIED SARDO

Absences

Areas

F
I
TOTAL

C
S
F

Instructions:
1. Please refer the FICS choices on problems and solutiEconomic
2. Please use other sheets whenever necessary.
3. In encoding, please remember to change the check mark into number 1, so you can tally and make the summation or total at the bottom.

Philippines

MONTH OF:___________________________

Education

SY _______________
DISTRICT: ____________________________

EBU CITY
Name of School:_______________________
Grade/Year Level:
Section:

______________________________

al at the bottom.

Abroa
d
Other
s

DAT

RAT

Achievement

NAT

Employed
Local

College

12

EP

11

MAP

10

AP

TLE

Sci

Math

Fil

Eng

SII

Graduated

Reasons why child was


not saved inspite of the
interventions

Promoted

Periodic Grades

Still in
Sch.

WHEREABOUTS

Means of Verification

Please put a check mark on the space provided for each choice.

olutions and Interventions Done

Philippines

__________________

Submitted by:
__________________________
Name
MONTH OF:___________________________

Education

SY _______________
DISTRICT: ____________________________

EBU CITY
Name of School:_______________________
Grade/Year Level:

__________________

______________________________

al at the bottom.

Abroa
d
Other
s

DAT

RAT

Achievement

NAT

Employed
Local

College

12

EP

11

MAP

10

AP

TLE

Sci

Math

Fil

Eng

SII

Graduated

Reasons why child was


not saved inspite of the
interventions

Promoted

Periodic Grades

Still in
Sch.

WHEREABOUTS

olutions and Interventions Done

Means of Verification

Please put a check mark on the space provided for each choice.

Submitted by:
__________________________
Name

Philippines

MONTH OF:___________________________

Education

SY _______________

DISTRICT: ____________________________

EBU CITY
Name of School:_______________________

Abroa
d
Other
s

DAT

RAT

Achievement

NAT

Employed
Local

College

12

EP

11

MAP

10

AP

TLE

Sci

Math

Fil

Eng

SII

Graduated

Reasons why child was


not saved inspite of the
interventions

Promoted

Periodic Grades

Still in
Sch.

WHEREABOUTS

olutions and Interventions Done

Means of Verification

Please put a check mark on the space provided for each choice.

Submitted by:
__________________________
Name

al at the bottom.

Philippines

MONTH OF:___________________________

Education

SY _______________
DISTRICT: ____________________________

EBU CITY

Local

DAT

RAT

Achievement

NAT

Employed
Abroa
d
Other
s

College

12

EP

11

MAP

10

AP

TLE

Sci

Math

Fil

Eng

SII

Graduated

Reasons why child was


not saved inspite of the
interventions

Promoted

Periodic Grades

Still in
Sch.

WHEREABOUTS

olutions and Interventions Done

Means of Verification

Please put a check mark on the space provided for each choice.

al at the bottom.

Submitted by:
__________________________
Name

AWARD

Achievement

____________

AWARD

Achievement

____________

AWARD

Achievement

____________

AWARD

Achievement

____________

DORP Form 4-Monthly Summary of SARDO

No Name of SARDO

FAMILY
1 2 3 4 5 6 7 8 9

INDIVIDUAL
10

1 2 3 4 5 6 7 8 9

COMMUNITY
10

R
SCHOOL

FINANCIAL

1 2 3 4 5 6 7 8 1 2 3 4 1 2

Unsaved

R
Gr./Yr. &
Section

Saved

Note: A copy to be given to the principal/PSDS/Div. Supervisor

(Pls. Check)

Noted by :
__________________________
Principal
DORP Form 4A-Monthly Summary of SARDO

Gr./Yr. &
Section

R I S
FAMILY

F A C T O R
COMMUNIT SCH
INDIVIDUAL
Y
OOL

FINANCIAL

Unsaved

No Name of SARDO

Saved

Note: A copy to be given to the principal/PSDS/Div. Supervisor

No Name of SARDO

Gr./Yr. &
Section

1 2 3 4 5 6 7 8 9

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

10

1 2 3 4 5 6 7 8 9

10

1 2 3 4 5 6 7 8 1 2 3 4 1 2

(Pls. Check)

MONTH OF:____________________
SY _____________________
DISTRICT: ____________________
Unsaved

Saved

Name of School:__________________

INTERVENTIONS
INDIVIDUAL COMMUNITY
SCHOOL

FAMILY
123456789

10

123456789

10

123456789

10

123456789

FINANCIAL
10 11

123456

Reasons
why not
saved

Recommendations

School DORP Coordinator

_________________
Principal
MONTH OF:____________________
SY _____________________
DISTRICT: ____________________
Unsaved

Saved

Name of School:__________________

FAMILY

INTERVENTIONS
INDIVIDUAL COMMUNITY
SCHOOL

FINANCIAL

Reasons
why not
saved

Recommendations

123456789

10

123456789

10

123456789

10

123456789

10 11

123456

Reasons
why not
saved

Grade/Year Leader

Recommendations

DORP Form 5 - FICSF ANALYSIS SHEET


DIRECTIONS:

CHECK THE PROBLEMS INITIALLY ASSESSED BY YOU AS ADVISER


AS WELL AS THE SUGGESTED SOLUTIONS. ONE OR MORE PROBLEMS
AND SOLUTIONS CAN BE CHECKED DEPENDING ON ASSESSMENT

FACTORS

PROBLEMS
1. Had to take care of siblings
2. Early marriage/pregnancy
3. Parents' attitude toward schooling
4. Family problems
5. Too many household task

FAMILY/DOMESTIC 6. Living with relatives

7. Dysfunction family / broken family


8. Single parent supporting the family
9. Ineffective parenting
10. Others

INDIVIDUAL

1. Illness
2. Overage
3. Death
4. Drug abuse
5. Poor academic performance
6. Lack of interest/distractions
7. Hunger/malnutrition
8. Lack of self-confidence /sel-esteem
9. Peer pressure
10.Others

1. Distance between home and school

COMMUNITY

2. Armed conflict (incl. tribal wars & clan feuds)


3. Calamities/Disasters
4. Presence of Gambling dens
5. Presenceof recreational centers and
internet cafes
6. Uncooperative stakeholders
7. Presence of gangs and fraternity
8. Others
1. Teacher factor
2. Physical condition of classroom
3. Overcrowded classroom
4. Others

SCHOOL

SCHOOL

1. Child labor, work


2. Unstable family income
FINANCIAL

m 5 - FICSF ANALYSIS SHEET

BY YOU AS ADVISER

ESTED SOLUTIONS. ONE OR MORE PROBLEMS

NG ON ASSESSMENT

INITIAL SOLUTIONS
1. Counsel
2. Recommend students for employment either on
households or establishments
3. Give seminars on effective parenting
4. Prioritize needs
5. Enhance Communication with family members
6. Conduct home visitation/conference with parents
7. Introduce/implement and "Adopt-School-Program"
8. Explain the disadvantages of early marriage
9. Conduct Homeroom and General PTA meetings.
10. Others
1. Close monitoring and supervision
2. Refer students to take placement examinations
3. Give special consideration
4. Guidance and Counseling
5. Give alternative remediation
6. Create conducive learning atmosphere
7. Feeding program in school
8. Regular Health Center visit
9. Proper work orientation.
10. Others
1. Report to Police Officers or any person in authority
2. Construct cottage near school
3. Coordinate with proper authorities
4. Adopt-a-Child program
5. Motivate and involve stakeholders
6. Coordinate with local officials
7. Seek help from Local/Provincial Government
8. Request from LGU/Benefactors
9. Others
1. Principal shall conduct regular class observation
2. Teachers attend seminar on Child Friendly School
4. Impose proper discipline
5.Tap stakeholders to repair dilapidated classrooms
6. Adopt-a-school program
7. Monitor the medium of instruction
8. Enhance teaching strategies

9. Close monitoring/counseling
10. Send to seminars/workshops
11. Encourage students to join extra curricular activities

12. Others
1. Include student in the adopt-a-child program
2. Sariling sikap program
3. Conference with employers, parents, guardians on

the schedule of the child.


4. Attend skills development trainings, & entrepreneurship
5. Distance learning /OHSP
6. Others

S - FORM 6 - MONTHLY SUMMARY REPORT ON DORP IMPLEMENTATION


page 1

SAVED SARDO'S
DROPOUT RISK FACTORS /
GR. 1 GR. 2 GR. 3 GR. 4 GR. 5 GR. 6
CAUSES
FAMILY/ DOMESTIC
1. Had to take care of siblings
2. Early marriage/pregnancy
3. Parents' attitude toward schooling
4. Family problems
5. Too many household task

6. Living with relatives


7. Dysfunction family / broken
8. Single parent supporting th

9. Ineffective parenting
10. Others
INDIVIDUAL
1. Illness
2. Overage
3. Death
4. Drug abuse
5. Poor academic performance
6. Lack of interest/distractions
7. Hunger/malnutrition
8. Lack of self-confidence /sel-esteem
9. Peer pressure
10.Others

UNSAV
GRAND
TOTAL

GR. 1 GR. 2

M F T M F T M F T M F T M F T M F T M F T M F T M F

S-FORM 6 (page 2)
SAVED SARDO'S
DROPOUT RISK FACTORS /
GR. 1 GR. 2 GR. 3 GR. 4 GR. 5 GR. 6
CAUSES
FAMILY/ DOMESTIC

UNSAV
GRAND
TOTAL

GR. 1 GR. 2

M F T M F T M F T M F T M F T M F T M F T M F T M F

1. Had to take care of siblings


2. Early marriage/pregnancy
3. Parents' attitude toward schooling
4. Family problems
5. Too many household task

6. Living with relatives


7. Dysfunction family / broken
8. Single parent supporting th

9. Ineffective parenting
10. Others
INDIVIDUAL
1. Illness
2. Overage
3. Death
4. Drug abuse
5. Poor academic performance
6. Lack of interest/distractions
7. Hunger/malnutrition
8. Lack of self-confidence /sel-esteem
9. Peer pressure
10.Others

S - FORM 6A - MONTHLY SUMMARY REPORT ON DORP IMPLEMENTATION


Page 2

SAVED SARDO'S
DROPOUT RISK FACTORS /
GRADE GRADE
1
GRADE
2
GRADE
3
GRADE
4
GRADE
5
6
CAUSES
COMMUNITY /

GEOGRAPHICAL

UNSAV
GRAND
TOTAL

GRADE GRADE
1
2

M F T M F T M F T M F T M F T M F T M F T M F T M F

1. Distance between home an


2. Armed conflict (incl. tribal wars &

3. Calamities/Disasters
4. Presence of Gambling dens
5. Presenceof recreational cente

6. Uncooperative stakeholders
7. Presence of gangs and fraternity
8. Others

SCHOOL
1. Teacher factor
2. Physical condition of classroom
3. Peer influence
4. Others

FINANCIAL
1. Child labor, work
2. Others

NOTE:

If there are 2 or more reasons why a student dropped out, select only one that is considered the main cause. Thus, a student must be counted only once. Causes of dropouts should not be limited to the reasons s
* ME: MONTHLY ENROLMENT

Note: For the school level, same form will be prepared to


be submitted to the District Supervisor.

Month of:
______________
SY ______________________
DISTRICT: ________________
SCHOOL: __________________

WHEREAB
GRAND
TOTAL

INTERVENTIONS (PLS. CHECK)

T M F T M F T M F T M F T M F T

FAMILY/ DOMESTIC
1. Counsel
2. Recommend students for employment either on the households or
establishments

3. Give seminars on effective parenting


4. Prioritize needs
5. Enhance Communication with family memb
6. Conduct home visitation/conference with
7. Introduce/implement and"Adopt-School-P

8. Explain the disadvantagesof early marriage


9. Conduct Homeroom and General PTA mee

10. Others
INDIVIDUAL
1. monitoring and supervision
2. Refer students to take placement examina

3. Give special consideration


4. Guidance and Counseling
5. Give alternative remediation
6. Create conducive learning atmosphere
7. Feeding program in school
8. Close monitoring and supervision
9. Regular Health Center visit
10. Proper work orientation.
11. Others

REASONS WHY
CHILD IS NOT
SAVED

Still in
Sch.

UNSAVED SARDO'S
GR. 2 GR. 3 GR. 4 GR. 5 GR. 6

WHEREAB
GRAND
TOTAL

INTERVENTIONS (PLS. CHECK)

T M F T M F T M F T M F T M F T

FAMILY/ DOMESTIC
1. Counsel
2. Recommend students for employment either on the households or
establishments

3. Give seminars on effective parenting


4. Prioritize needs
5. Enhance Communication with family memb
6. Conduct home visitation/conference with
7. Introduce/implement and"Adopt-School-P

8. Explain the disadvantagesof early marriage


9. Conduct Homeroom and General PTA mee

10. Others
INDIVIDUAL
1. monitoring and supervision
2. Refer students to take placement examina

3. Give special consideration


4. Guidance and Counseling
5. Give alternative remediation
6. Create conducive learning atmosphere
7. Feeding program in school
8. Close monitoring and supervision
9. Regular Health Center visit
10. Proper work orientation.
11. Others

REASONS WHY
CHILD IS NOT
SAVED

Still in
Sch.

UNSAVED SARDO'S
GR. 2 GR. 3 GR. 4 GR. 5 GR. 6

T M F T M F T M F T M F T M F T

WHEREAB

INTERVENTIONS (PLS. CHECK)


COMMUNITY /GEOGRAPHICAL

REASONS WHY
CHILD IS NOT
SAVED

Still in
Sch.

UNSAVED SARDO'S
GRADE GRADE
2
3 GRAND
5
GRADE
5
6
TOTAL GRADE GRADE

1. Report to military men


2. Construct cottage near school
3. Coordinate with proper authorities
4. Adopt-a-Child program
5. Motivate and involve stakeholders
6. Coordinate with local officials
7. Seek help from Local/Provincial Governme

8. Request from LGU/Benefactors


9. Coordinate with local officials
10. Others
SCHOOL
1. Principal shall conduct regular class obser
2. Teachers attend seminar on Child Friendl

4. Impose proper discipline


5.Tap stakeholders to repair dilapidated cla

6. Adopt-a-school program
7. Monitor the medium of instruction
8. Enhance teaching strategies
9. Close monitoring/counseling
10. Send to seminars/workshops
11. Encouage students to jo

12. Others
FINANCIAL
1. Include student in the adopt-a-child progra

2. Sariling sikap program


3. Conference with employers,parents,
guardians on the schedule of the child.
4. Attend skills development trainings, &

5. Distance learning
6. Others

s should not be limited to the reasons stated in Form 18-E.

Prepared by: ________________________________________


GRADE / YEAR LEADER

F
Others

Abroad

Local

College

Graduated

Promoted

Still in
Sch.
WHEREABOUTS

Employed

F
Others

Abroad

Local

College

Graduated

Promoted

Still in
Sch.
WHEREABOUTS
Employed

Others

Abroad

Local

Employed
College

Graduated

Promoted

Still in
Sch.

WHEREABOUTS

_______________________________
ADE / YEAR LEADER