School-Based Report on Incident of Child Abuse

School Year: 2019 - 2020

School: SALAMANCA NATIONAL HIGH SCHOOL Classification: PUBLIC

Address: Salamanca, Ginatilan, Cebu Level: SECONDARY

NATURE OF ABUSE VICTIMS PERPETRATORS

STATUS
Verbal / NAME SEX NAME SEX RELATIONSHIP TO ACTION (Resolved/Pending/Referr
DATE ON INCIDENT Physical Social Psychological (Last Name, First Name, M.I) AGE (M/F) (Last Name, First Name, M.I) AGE (M/F) THE VICTIM TAKEN ed to othet Agency)

NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE

TOTAL

Reviewed and Conformed by: Prepared by:

VICENTE T. TOLOMIA ALEX I. AWA-AO
Teacher-In-Charge
DATE: _________________ DATE: April 01, 2020
 School-Based Report on Incident of Bullying
School Year: 2019 - 2020

School: SALAMANCA NATIONAL HIGH SCHOOL Classification: PUBLIC

Address: Salamanca, Ginatilan, Cebu Level: SECONDARY

NATURE OF BULLYING VICTIMS PERPETRATOR ACTION STATUS

RECOMMENDATION
Date/Place of Gender- Cyber- TAKEN (Resolved/Pending/R
Sex Sex eferred to othet
Incident Physical Social Based Bullying Retaliation Name Age (M/F) Name Age (M/F) Agency)

NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE

Reviewed and Conformed by: Prepared by:

VICENTE T. TOLOMIA ALEX I. AWA-AO
Teacher-In-Charge
DATE: _________________ DATE: April o1, 2020
 STATUS
solved/Pending/Referr
ed to othet Agency)
 CONSOLIDATED REPORT ON CASES OF CHILDREN-AT-RISK (CAR)

School/Division/Region: Salamanca National High School/Cebu Province/Region VII

Period Covered: S.Y. 2019 -2020

I. CHILDREN-AT-RISK (CAR)

Classification No. of Students Action Taken

Male Female

1. Victim of abuse (sexual, physical, psychological, mental, 0 0

economic, and other mean.
2. Victim of Neglect 0 0
3. Coming from a dysfunctional family or without parent or
guardian 0 0

4. Being member of a gang. 0 0

5. Living in a community with a higher level of criminality. 0 0
6. Living in a situation of armed conflict. 0 0
7. Committed a status offense under Section 57 of RA 9344, as 0 0
amended
8. Prostituted children. 0 0
9. Mendicant under PD 3563. 0 0
10. Solvent/Rugby User 0 0
11. Others 0 0

II. Description of action taken by the school or division to aleviate the risk factors of the CAR

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Prepared by: Noted by:

ALEX I. AWA-AO VICENTE T. TOLOMI
School Head PSDS
ILDREN-AT-RISK (CAR)

Remarks

___________________
___________________
___________________
___________________

VICENTE T. TOLOMIA
PSDS
 School/Division/Region: KAGSING ES /CEBU PROVINCE/REGION VII
Period Covered: S.Y. 2019 - 2020 (JUNE-MARCH)

A. CONSOLIDATED REPORT ON INCIDENTS OF CHILDREN IN CONFLICT OF THE LAW (CICL)

Learner's Reference Number Intervention/Diversion

Age Sex (M/F) Case/Violation Action Taken Remarks
(LRN) Program

NONE NONE NONE NONE NONE NONE

B. Description of any intervention program or diversion program that the school or division initiated or adopted which facilitated the
reintegration of the CICL in the school and community.

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Prepared by: Noted by:

ANTONIETA L. MOMO VICENTE T. TOLOMIA
School Head PSDS