Learner Enrollment and Survey Information Summary (SY 2020 - 2021)

Grade and Section: __________________________________________

Name of Adviser: _____________________________________________
Father's Information
INCOMING LEARNERS SY
2020-2021
C3. Employment Status

Name of Learners C.1

Father
Male Female Total Full Part Self- Unemployed Not
Time Time Employed due to ECQ Working

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
26
27
28
29
30
31
32
33
34
35
36
37
38
38
40
41
42
43
44
45
46
47
48
49
50
 Mother's Information Guardian's Information

C4. Working from C10. Working

home due to ECQ C9. Employment Status from home due C15. Employment Status
to ECQ
C.7 C.13
Mother Guardian
Full Part Self- Unemployed Not Full Part Self-
YES No YES NO
Time Time Employed due to ECQ Working Time Time Employed
 Guardian's Information
C18. a
C16. Working beneficiary of D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household memb
C15. Employment Status from home due to 4Ps
ECQ

Public Family-
Unemployed Not School Grade Grade
YES NO YES NO Walking Commute owned Kinder 1 2 Grade 3 Grade 4
due to ECQ Working Service
(Land/Water) vehicle
of your household members (including the enrollee) are studying in School D3. Who among the household members can provide instructional support to the child’s
distance learning?

Extended Others
Grade Grade Grade Grade Grade Grade Parents/ Elded Grand (Tutor,
5 6 Grade 7 Grade 8 9 10 11 12 Others
Guardians Siblings parents Members of the House None
Family helper)
 D4. What devices are available at home that the learner can use for learning?
D5. Do you have a
onal support to the child’s way to connect to
With Television With Cellphone the internet

With With
Internet Tablet/ With Dekstop Laptop None Others:_
Connection Radio Computer __
Able to do at Home Ipad
Non- Smart
independent Cable Cable Basic phone YES NO
learning
 D6. How do you connect to the internet? D7. What distance learning modality/ies do you prefer for your
child
D8. Wh

Other Places Combination

Own Own Broadband Outside the of Face to
Mobile Internet Computer Home with None Online Television Radio Modular Face with Other
Data
(DSL, Wireless Shop
Internet other Lack of
Fiber, Satellite) Connection Modalities available
gadgets/
equipment
 FOR SPED

D8. What are the challenges that may affect your child’s process through distance education?
Available Assisted
Device at Home

Unstable Conflict with Distractions (i.e.,

Insufficient Existing Difficulty in No or lack of
mobile/ other activities social media, noise
load/ data health independent available space Others With Without
internet (i.e., house for studying from
allowance condition/s learning
connection chores) community/neighbor)
 Number of Learners
move in from Private, SUC/LUC, and ALS to Public schools

Elementary Junior Senior Learner With

(Kindergarten to High High Disabilities Total
Grade 6) School School (Non-Graded)
 Learner Enrollment and Survey Information Summary (SY 2020 - 2021)
Grade and Section: __________________________________________
Name of Adviser: _____________________________________________
Father's Information
INCOMING LEARNERS SY
2020-2021 C3. Employment Status

Name of Learners C.1

Father
Male Female Total Full Part Self- Unemployed Not
Time Time Employed due to ECQ Working

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
26
27
28
29
30
31
32
33
34
35
36
37
38
38
40
41
42
43
44
45
46
47
48
49
50
 Mother's Information Guardian's Information
C10. Working
C4. Working from C9. Employment Status from home due C15. Employment Status
home due to ECQ
to ECQ
C.7 C.13
Mother Guardian
Full Part Self- Unemployed Not Full Part Self-
YES No YES NO
Time Time Employed due to ECQ Working Time Time Employed
 Guardian's Information
C18. a
C16. Working beneficiary of D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household memb
C15. Employment Status from home due to 4Ps
ECQ

Public Family-
Unemployed Not School Kinder Grade Grade Grade 3 Grade 4
YES NO YES NO Walking Commute owned 1 2
due to ECQ Working Service
(Land/Water) vehicle
of your household members (including the enrollee) are studying in School D3. Who among the household members can provide instructional support to the child’s
distance learning?

Extended Others
Grade Grade Grade 7 Grade 8 Grade Grade Grade Grade Others Parents/ Elded Grand Members of the (Tutor, None
5 6 9 10 11 12 Guardians Siblings parents House
Family helper)
 D4. What devices are available at home that the learner can use for learning?
D5. Do you have a
onal support to the child’s way to connect to
With Television With Cellphone the internet
With With
Internet Tablet/ With Dekstop Laptop None Others:_
Connection Ipad Radio Computer __
Able to do at Home
independent Cable Non- Basic Smart YES NO
Cable phone
learning
 D6. How do you connect to the internet? D7. What distance learning modality/ies do you prefer for your
child
D8. Wh

Own Broadband Other Places Combination

Own Outside the of Face to
Mobile Internet Computer Home with None Online Television Radio Modular Face with Other
Data (DSL, Wireless Shop Internet other Lack of
Fiber, Satellite)
Connection Modalities available
gadgets/
equipment
 FOR SPED

D8. What are the challenges that may affect your child’s process through distance education? Available Assisted
Device at Home

Unstable Conflict with Distractions (i.e.,

Insufficient Existing Difficulty in No or lack of
mobile/ other activities social media, noise
load/ data health independent available space Others With Without
internet (i.e., house for studying from
allowance condition/s learning
connection chores) community/neighbor)
 Number of Learners
move in from Private, SUC/LUC, and ALS to Public schools

Elementary Junior Senior Learner With

(Kindergarten to High High Disabilities Total
Grade 6) School School (Non-Graded)
 Learner Enrollment and Survey Information Summary (SY 2020 - 2021)
Grade and Section: __________________________________________
Name of Adviser: _____________________________________________
Father's Information
INCOMING LEARNERS SY
2020-2021 C3. Employment Status

Name of Learners C.1

Father
Male Female Total Full Part Self- Unemployed Not
Time Time Employed due to ECQ Working

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
26
27
28
29
30
31
32
33
34
35
36
37
38
38
40
41
42
43
44
45
46
47
48
49
50
 Mother's Information Guardian's Information
C10. Working
C4. Working from C9. Employment Status from home due C15. Employment Status
home due to ECQ
to ECQ
C.7 C.13
Mother Guardian
Full Part Self- Unemployed Not Full Part Self-
YES No YES NO
Time Time Employed due to ECQ Working Time Time Employed
 Guardian's Information
C18. a
C16. Working beneficiary of D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household memb
C15. Employment Status from home due to 4Ps
ECQ

Public Family-
Unemployed Not School Kinder Grade Grade Grade 3 Grade 4
YES NO YES NO Walking Commute owned 1 2
due to ECQ Working Service
(Land/Water) vehicle
of your household members (including the enrollee) are studying in School D3. Who among the household members can provide instructional support to the child’s
distance learning?

Extended Others
Grade Grade Grade 7 Grade 8 Grade Grade Grade Grade Others Parents/ Elded Grand Members of the (Tutor, None
5 6 9 10 11 12 Guardians Siblings parents House
Family helper)
 D4. What devices are available at home that the learner can use for learning?
D5. Do you have a
onal support to the child’s way to connect to
With Television With Cellphone the internet
With With
Internet Tablet/ With Dekstop Laptop None Others:_
Connection Ipad Radio Computer __
Able to do at Home
independent Cable Non- Basic Smart YES NO
Cable phone
learning
 D6. How do you connect to the internet? D7. What distance learning modality/ies do you prefer for your
child
D8. Wh

Own Broadband Other Places Combination

Own Outside the of Face to
Mobile Internet Computer Home with None Online Television Radio Modular Face with Other
Data (DSL, Wireless Shop Internet other Lack of
Fiber, Satellite)
Connection Modalities available
gadgets/
equipment
 FOR SPED

D8. What are the challenges that may affect your child’s process through distance education? Available Assisted
Device at Home

Unstable Conflict with Distractions (i.e.,

Insufficient Existing Difficulty in No or lack of
mobile/ other activities social media, noise
load/ data health independent available space Others With Without
internet (i.e., house for studying from
allowance condition/s learning
connection chores) community/neighbor)
 Number of Learners
move in from Private, SUC/LUC, and ALS to Public schools

Elementary Junior Senior Learner With

(Kindergarten to High High Disabilities Total
Grade 6) School School (Non-Graded)
 Learner Enrollment and Survey Information Summary (SY 2020 - 2021)
Grade and Section: __________________________________________
Name of Adviser: _____________________________________________
Father's Information
INCOMING LEARNERS SY
2020-2021 C3. Employment Status

Name of Learners C.1

Father
Male Female Total Full Part Self- Unemployed Not
Time Time Employed due to ECQ Working

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
26
27
28
29
30
31
32
33
34
35
36
37
38
38
40
41
42
43
44
45
46
47
48
49
50
 Mother's Information Guardian's Information
C10. Working
C4. Working from C9. Employment Status from home due C15. Employment Status
home due to ECQ
to ECQ
C.7 C.13
Mother Guardian
Full Part Self- Unemployed Not Full Part Self-
YES No YES NO
Time Time Employed due to ECQ Working Time Time Employed
 Guardian's Information
C18. a
C16. Working beneficiary of D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household memb
C15. Employment Status from home due to 4Ps
ECQ

Public Family-
Unemployed Not School Kinder Grade Grade Grade 3 Grade 4
YES NO YES NO Walking Commute owned 1 2
due to ECQ Working Service
(Land/Water) vehicle
of your household members (including the enrollee) are studying in School D3. Who among the household members can provide instructional support to the child’s
distance learning?

Extended Others
Grade Grade Grade 7 Grade 8 Grade Grade Grade Grade Others Parents/ Elded Grand Members of the (Tutor, None
5 6 9 10 11 12 Guardians Siblings parents House
Family helper)
 D4. What devices are available at home that the learner can use for learning?
D5. Do you have a
onal support to the child’s way to connect to
With Television With Cellphone the internet
With With
Internet Tablet/ With Dekstop Laptop None Others:_
Connection Ipad Radio Computer __
Able to do at Home
independent Cable Non- Basic Smart YES NO
Cable phone
learning
 D6. How do you connect to the internet? D7. What distance learning modality/ies do you prefer for your
child
D8. Wh

Own Broadband Other Places Combination

Own Outside the of Face to
Mobile Internet Computer Home with None Online Television Radio Modular Face with Other
Data (DSL, Wireless Shop Internet other Lack of
Fiber, Satellite)
Connection Modalities available
gadgets/
equipment
 FOR SPED

D8. What are the challenges that may affect your child’s process through distance education? Available Assisted
Device at Home

Unstable Conflict with Distractions (i.e.,

Insufficient Existing Difficulty in No or lack of
mobile/ other activities social media, noise
load/ data health independent available space Others With Without
internet (i.e., house for studying from
allowance condition/s learning
connection chores) community/neighbor)
 Number of Learners
move in from Private, SUC/LUC, and ALS to Public schools

Elementary Junior Senior Learner With

(Kindergarten to High High Disabilities Total
Grade 6) School School (Non-Graded)
 Learner Enrollment and Survey Information Summary (SY 2020 - 2021)
Grade and Section: __________________________________________
Name of Adviser: _____________________________________________
Father's Information
INCOMING LEARNERS SY
2020-2021 C3. Employment Status

Name of Learners C.1

Father
Male Female Total Full Part Self- Unemployed Not
Time Time Employed due to ECQ Working

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
26
27
28
29
30
31
32
33
34
35
36
37
38
38
40
41
42
43
44
45
46
47
48
49
50
 Mother's Information Guardian's Information
C10. Working
C4. Working from C9. Employment Status from home due C15. Employment Status
home due to ECQ
to ECQ
C.7 C.13
Mother Guardian
Full Part Self- Unemployed Not Full Part Self-
YES No YES NO
Time Time Employed due to ECQ Working Time Time Employed
 Guardian's Information
C18. a
C16. Working beneficiary of D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household memb
C15. Employment Status from home due to 4Ps
ECQ

Public Family-
Unemployed Not School Kinder Grade Grade Grade 3 Grade 4
YES NO YES NO Walking Commute owned 1 2
due to ECQ Working Service
(Land/Water) vehicle
of your household members (including the enrollee) are studying in School D3. Who among the household members can provide instructional support to the child’s
distance learning?

Extended Others
Grade Grade Grade 7 Grade 8 Grade Grade Grade Grade Others Parents/ Elded Grand Members of the (Tutor, None
5 6 9 10 11 12 Guardians Siblings parents House
Family helper)
 D4. What devices are available at home that the learner can use for learning?
D5. Do you have a
onal support to the child’s way to connect to
With Television With Cellphone the internet
With With
Internet Tablet/ With Dekstop Laptop None Others:_
Connection Ipad Radio Computer __
Able to do at Home
independent Cable Non- Basic Smart YES NO
Cable phone
learning
 D6. How do you connect to the internet? D7. What distance learning modality/ies do you prefer for your
child
D8. Wh

Own Broadband Other Places Combination

Own Outside the of Face to
Mobile Internet Computer Home with None Online Television Radio Modular Face with Other
Data (DSL, Wireless Shop Internet other Lack of
Fiber, Satellite)
Connection Modalities available
gadgets/
equipment
 FOR SPED

D8. What are the challenges that may affect your child’s process through distance education? Available Assisted
Device at Home

Unstable Conflict with Distractions (i.e.,

Insufficient Existing Difficulty in No or lack of
mobile/ other activities social media, noise
load/ data health independent available space Others With Without
internet (i.e., house for studying from
allowance condition/s learning
connection chores) community/neighbor)
 Number of Learners
move in from Private, SUC/LUC, and ALS to Public schools

Elementary Junior Senior Learner With

(Kindergarten to High High Disabilities Total
Grade 6) School School (Non-Graded)