ANNEX 1B Child Mapping Tool

Barangay: ______________________________ Division: ______________________________

Municipality: ______________________________ Region: ______________________________
TOOL FOR MAPPING OF CHILDREN 12 YR. OLD AND ABOVE

NAME DEMOGRAPHIC INFORMATION RESIDENCE DISABILITY EDUCATIONAL STATUS FUTURE ENROLLMENT

With Birth Number of If YES, Planning to

Is residence Has a Currently If studying through study next
Last First Middle Gender Age Date of Certificate Present address years in permanent?1 disability?
specify Educational
studying? If YES, specify name of If NO, state reason ADM, specify type of school If YES, specify the name If planning
NO, state reason for not
to study next
birth ? present (YES/NO) type of attainment3 (YES/NO) school for not studying ADM year? of prospective school school year
(YES/NO)
(YES/NO) address disability2
(YES/NO)

1
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"
2
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment 6- Serious emotional disturbance
2- Hearing Impairment 7- Autism INTERVIEWER NAME AND SIGNATURE
3- Intellectual Disability 8- Orthopedic impairment
4- Learning Disability 9- Special health problems
5- Speech/language impairment 10- Multiple disabilities
3
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten C7- Completed Grade 7 SK- Some Kindergarten S7- Some Grade 7
C1- Completed Grade 1 C8- Completed Grade 8 S1- Some Grade 1 S8- Some Grade 8
C2- Completed Grade 2 C9- Completed Grade 9 S2- Some Grade 2 S9- Some Grade 9 DATE OF INTERVIEWS
C3- Completed Grade 3 C10- Completed Grade 10 S3- Some Grade 3 S10- Some Grade 10
C4- Completed Grade 4 C11- Completed Grade 11 S4- Some Grade 4 S11- Some Grade 11
C5- Completed Grade 5 C12- Completed Grade 12 S5- Some Grade 5 S12- Some Grade 12
C6- Completed Grade 6 S6- Some Grade 6
 ANNEX 1B Child Mapping Tool
Barangay: ______________________________ Division: ______________________________
Municipality: ______________________________ Region: ______________________________
TOOL FOR MAPPING OF CHILDREN 12 YR. OLD AND ABOVE
NAME DEMOGRAPHIC INFORMATION RESIDENCE DISABILITY EDUCATIONAL STATUS FUTURE ENROLLMENT

Planning to
With Birth Number of Is residence Has a If YES, Currently If studying through study next If NO, state reason for not
Date of Certificate years in specify Educational If YES, specify name of If NO, state reason If YES, specify the name
Last First Middle Gender Age birth ? Present address present permanent?
1
disability? type of attainment3 studying? school for not studying ADM, specify type of school of prospective school planning to study next
(YES/NO) (YES/NO) (YES/NO) ADM year? school year
(YES/NO) address disability2 (YES/NO)

1
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"
2
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment 6- Serious emotional disturbance
2- Hearing Impairment 7- Autism INTERVIEWER NAME AND SIGNATURE
3- Intellectual Disability 8- Orthopedic impairment
4- Learning Disability 9- Special health problems
5- Speech/language impairment 10- Multiple disabilities
3
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten C7- Completed Grade 7 SK- Some Kindergarten S7- Some Grade 7
C1- Completed Grade 1 C8- Completed Grade 8 S1- Some Grade 1 S8- Some Grade 8
C2- Completed Grade 2 C9- Completed Grade 9 S2- Some Grade 2 S9- Some Grade 9 DATE OF INTERVIEWS
C3- Completed Grade 3 C10- Completed Grade 10 S3- Some Grade 3 S10- Some Grade 10
C4- Completed Grade 4 C11- Completed Grade 11 S4- Some Grade 4 S11- Some Grade 11
C5- Completed Grade 5 C12- Completed Grade 12 S5- Some Grade 5 S12- Some Grade 12
C6- Completed Grade 6 S6- Some Grade 6
1
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"

2
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment 6- Serious emotional disturbance
2- Hearing Impairment 7- Autism
3- Intellectual Disability 8- Orthopedic impairment
4- Learning Disability 9- Special health problems
5- Speech/language impairment 10- Multiple disabilities

3
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten C7- Completed Grade 7 SK- Some Kindergarten S7- Some Grade 7
C1- Completed Grade 1 C8- Completed Grade 8 S1- Some Grade 1 S8- Some Grade 8
C2- Completed Grade 2 C9- Completed Grade 9 S2- Some Grade 2 S9- Some Grade 9
C3- Completed Grade 3 C10- Completed Grade 10 S3- Some Grade 3 S10- Some Grade 10
C4- Completed Grade 4 C11- Completed Grade 11 S4- Some Grade 4 S11- Some Grade 11
C5- Completed Grade 5 C12- Completed Grade 12 S5- Some Grade 5 S12- Some Grade 12
C6- Completed Grade 6 S6- Some Grade 6

ADM -Alternative Delivery Mode

ALS Alternative Learning System
EIMPACT Enhanced Instructional Management by Parents, Community and Teachers
MISOSA Modified In-School Off-School Approach
OHSP Open High School Program
EASE Project EASE
HSP/BL Home Study Program/Blended Learning

1
ASK: "Is the child a permanent resident?" (YES/NO) If YES, follow up "do the residents plan on moving out?"

2
TYPES OF DISABILITIES: (see DepED Order No. 2, s 2014 for detailed descriptions)
1- Visual Impairment 6- Serious emotional disturbance
2- Hearing Impairment 7- Autism
3- Intellectual Disability 8- Orthopedic impairment
4- Learning Disability 9- Special health problems
5- Speech/language impairment 10- Multiple disabilities

3
EDUCATIONAL ATTAINMENT:
CK- Completed Kindergarten C7- Completed Grade 7 SK- Some Kindergarten S7- Some Grade 7
C1- Completed Grade 1 C8- Completed Grade 8 S1- Some Grade 1 S8- Some Grade 8
C2- Completed Grade 2 C9- Completed Grade 9 S2- Some Grade 2 S9- Some Grade 9
C3- Completed Grade 3 C10- Completed Grade 10 S3- Some Grade 3 S10- Some Grade 10
C4- Completed Grade 4 C11- Completed Grade 11 S4- Some Grade 4 S11- Some Grade 11
C5- Completed Grade 5 C12- Completed Grade 12 S5- Some Grade 5 S12- Some Grade 12
C6- Completed Grade 6 S6- Some Grade 6

ADM -Alternative Delivery Mode

ALS Alternative Learning System
EIMPACT Enhanced Instructional Management by Parents, Community and Teachers
MISOSA Modified In-School Off-School Approach
OHSP Open High School Program
EASE Project EASE
HSP/BL Home Study Program/Blended Learning
Barangay: ______________________ Division: ______________________________
Municipality: ___________________ Region: ______________________________
TOOL FOR MAPPING OF CHILDREN ( 12 and above for Secondary)
NAME DEMOGRAPHIC INFORMATION RESIDENCE DISABILITY EDUCATIONAL STATUS FUTURE ENROLLMENT

If NO,
Planning state
With If studying to study
Number Is If YES, Educatio If NO, If YES, reason for
Birth If YES, through
Date of years residence Has a specify Currently state next specify the not
Certifi Present nal specify reason for ADM,
Last First Middle Gender Age of in permane disability type of attainme studying? name school name of planning
cate? address ? of specify
birth present nt? 1
(YES/NO) disabilit (YES/NO) not year? prospectiv to study
(YES/ nt 3
school type of
address (YES/NO) y2 studying (YES/NO e school next
NO) ADM ) school
year
INTERVIEWER NAME AND SIGNATURE DATE OF INTERVIEWS
 Consolidated Mapping Tool
Date of Mapping

Barangay: ____________________ Division: _____________________

Municipality: __________________ Region: ______________________
Demographic Information

Total No. of Children : __________________ Male Female

Residence
No. of years in Present Address
1-2 yrs 3-4 yrs 5 yrs - more

Disability
Male Female Total Male Female Total
1- Visual Impairment 6- Serious emotional disturbance
2- Hearing Impairment 7- Autism
3- Intellectual Disability 8- Orthopedic impairment
4- Learning Disability 9- Special health problems
5- Speech/language impairment 10- Multiple disabilities

Educational Status
Male Female Total Male Female Total
C5- Completed Grade 5 S5- Some Grade 5
C6- Completed Grade 6 S6- Some Grade 6
C7- Completed Grade 7 S7- Some Grade 7
C8- Completed Grade 8 S8- Some Grade 8
C9- Completed Grade 9 S9- Some Grade 9
C10- Completed Grade 10 S10- Some Grade 10
C11- Completed Grade 11 S11- Some Grade 11
C12- Completed Grade 12 S12- Some Grade 12

Currently Studying ? Male Female Total

No. of YES
No. of NO

Reasons for not studying

a. Domestic-Related Factors No. c. School-Related Factors No.

a.1. Had to take care of siblings c.1. Teacher Factor
a.2. Early marriage/pregnancy c.2. Physical condition of classroom
a.3. Parents' attitude toward schooling c.3. Peer influence
a.4. Family problems d. Geographic/Environmental
b. Individual-Related Factors d.1. Distance between home and school
b.1. Illness d.2. Armed conflict (incl. Tribal wars & clanfeuds)
b.2. Overage d.3. Calamities/Disasters
b.3. Death e. Financial-Related
b.4. Drug Abuse e.1. Child labor, work
b.5. Poor academic performance f. Others (Specify)
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition

Alternative Delivery Mode (ADM) Male Female Total

ALS
EIMPACT
MISOSA
OHSP
EASE
HSP/BL

Future Enrollment
Planning to study?

Male Female Total

No. of YES
No. of NO

Reasons for not Planning to study

a. Domestic-Related Factors No. c. School-Related Factors No.

a.1. Had to take care of siblings c.1. Teacher Factor
a.2. Early marriage/pregnancy c.2. Physical condition of classroom
a.3. Parents' attitude toward schooling c.3. Peer influence
a.4. Family problems d. Geographic/Environmental
b. Individual-Related Factors d.1. Distance between home and school
b.1. Illness d.2. Armed conflict (incl. Tribal wars & clanfeuds)
b.2. Overage d.3. Calamities/Disasters
b.3. Death e. Financial-Related
b.4. Drug Abuse e.1. Child labor, work
b.5. Poor academic performance f. Others (Specify)
b.6. Lack of interest/Distractions
b.7. Hunger/Malnutrition

Consolidated by : Mapped by :

DULCE L. IGNACIO, MT-II

Name and Signature Name and Signature
Chairperson-Mapping

Name and Signature

ANASTACIA F. ESPINO, MT-II
Name and Signature
Chairperson-Mapping Name and Signature
 HONORIO M. ESPINO JR., MT-I Name and Signature
Name and Signature
Chairperson-Mapping
Name and Signature

Name and Signature

Noted by: Name and Signature

Name and Signature Name and Signature

Barangay Captain

ALBERT V. DATU, HT-III Name and Signature

Name and Signature
Over-all In-charge

REMEDIOS D. DE GUZMAN, Ph.D.

Name and Signature
Principal IV