MALALAG NHS PRE-ENROLLMENT WITH LESF DATA

Note:PLEASE KINDLY CHECK TOTAL ENROLMENT, MUST TALLY with PREFFERED MODALITIES PO, PLS...
Additional information required: Fathers, mothers & Guardian Information, IP benefeciaries, etc….found at the end (Ple
G11 Enrollment
Accountancy, G11 Enrollment
G11 ABM Prefered modalities Humanities and G11 HUMSS Prefered modalities
Business, and
Social Sciences
Management
(ABM) (HUMSS)

Blended
(Combinati
GRADE SECTION ADVISER M F T On- TV Radi Mod on of face- M F T On- TV Radi Mod
LEVEL line o ular to-face line o ular
and other
modalities)

10 ARCHIMEDES JOAN BAGUINDOC 5 5 10 4 0 4

EULER 0 0
DESCARTES 0 0
PASCAL 0 0
MARCONI 0 0
NEWTON 0 0
TOTAL 5 5 10 0 0 0 0 0 4 0 4 0 0 0 0
S PO, PLS...
nd at the end (Please indicate only total summary (in numbers), (PLEASE, HUWAG na po Mag Control S po, automatic na pomag
G11 Enrollment G11 Enrollment FINAL Pre-ENROLMENT
S Prefered modalities Science, Technology, G11 STEM Prefered modalities G11 TVL Prefered modalities
Engineering, and TVL G11
Mathematics (STEM)
Blended Blended Blended
(Combin (Combina (Combina
ation of tion of tion of
face-to- M F T On- TV Radi Mod face-to- M F T On- TV Radi Mod face-to- M F T
face and line o ular face and line o ular face and
other other other
modaliti modalities modalitie
es) ) s)
0 4 4 8 5 13 9 22
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0 0 0 4 4 8 0 0 0 5 0 13 9 22
 Note: Not neccesaary tally Note: Not neccesaary tally

utomatic na pomag save once mag lagay kayo ng data, minsan kasi, di nyo mabantayan, S ang malagay or ma encode nyo sa da
Father's Information M
G11 TOTAL Prefered modalities C4. Working from
C3. Employment Status C9. Emp
home due to ECQ

Combina
tion with C.7
Face to C.1 Father Self- Unemploy
On- TV Radi Mod Face & Not Mother Full
line o ular Full Time Part Time Employe ed due to YES No
other Working Time
d ECQ
Modalitie
s

0 0 0 5 0 10 4 3 2 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 5 0 0 10 4 3 2 1 0 0 0 0 0 0
t neccesaary tally Note: Not neccesaary tally

encode nyo sa data entry, SALAMAT)

Mother's Information Guardian's Information
C10. Working from C16. Working from
C9. Employment Status C15. Employment Status
home due to ECQ home due to ECQ

C.13 Unempl
Self- Unemploy Mother Self-
Part Not Full Part oyed Not
Employe ed due to YES NO Employe YES NO
Time Working Time Time due to Working
d ECQ d
ECQ

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Must tally Must tally Note: Not neccesaary tally

C18. a beneficiary of
D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household members (including the enrollee) are
4Ps

Family-
Public Commute School
YES NO Walking owned Kinder Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7
(Land/Water) Service
vehicle

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Note: Not neccesaary tally Note: Not neccesaary ta

D4. What de
D3. Who among the household members can provide instructional support to the
ers (including the enrollee) are studying in School
child’s distance learning?

With
Internet
Extended Able to do Connecti
Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Others Parents/ Elded Grandpa Members of Others (Tutor, None independent on at
Guardians Siblings rents the Family
House helper)
learning Home

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Note: Not neccesaary tally Must Tally Note: Not neccesaary tally

D4. What devices are available at home that the learner can use for learning? D5. Do you have a D6. How do you connect to the internet?
way to connect to
With Television With Cellphone the internet

Own Broadband
With Dekstop Own
With Others:_ Internet Comput
Tablet/ Comput Laptop None Mobile
Non- Smartph Ipad Radio __ (DSL, Wireless er Shop
Cable Basic er YES NO Data
Cable one Fiber, Satellite)

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Note: Not neccesaary tally

connect to the internet?

D8. What are the challenges that may affect your child’s process through distance education?

Other Places
Outside the
Home with None Insufficient Unstable mobile/ Existing Difficulty in Conflict with other
Internet Lack of available
load/ data internet health independent activities (i.e.,
Connection gadgets/ equipment
allowance connection condition/s learning house chores)

0 0 0 0 0 0 0 0 0
 Must Tally

FOR SPED Number of Learners

s through distance education? Available Assisted transferred from private schools to public
Device at Home schools

Distractions (i.e., social

No or lack of available Elementa Learner
space for studying media, noise from Others With Without
community/neighbor) ry With
(Kinderga Junior Senior Disabiitie
rten to High High s (Non-
Grade 6) School School Graded) Total

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