DepEd data forms update

l\epublic of tbe tlbilippines
1.lBepartment of Qeburation
14 AUG 2014
DepEd O R D E R
No. J6, s. 2014
REVISED DATA GATHERING FORMS FOR SCHOOL YEAR 2014-2015

OF THE ENHANCED BASIC EDUCATION INFORMATION
SYSTEM (EBEIS)
To: Undersecretaries
Assistant Secretaries
Bureau Directors
Directors of Services, Centers and Heads of Units
Regional Secretary, ARMM
Regional Directors
Schools Division Superintendents
Heads, Public and Private Elementary and Secondary Schools
All Others Concerned
1. The Department of Education (DepEd) continuously improves the Enhanced

Basic Education Information System (EBEIS) in collecting data and information
needed for planning and budgeting, allocation of resources and . setting operational
targets to provide all the learners access to complete quality basic education.
2. For School Year (SY) 2014-2015, the data collection artd reporting of the annual
school profile will be done once during the first quarter of every SY. Enclosed to
this Order are the following revised forms to be accomplished:
Enclosure No. 1 Government Elementary School Profile (GESP)

Enclosure No. 2 Government Secondary School Profile (GSSP)
Enclosure No. 3 Private School Profile (PSP)
Enclosure No. 4 State Universities and Colleges (SUCs) Laboratory
School Profile
3. The data collection, processing and validation of school statistics shall begin
with the dissemination of the. revised data gathering forms for SY 2014-2015.
4. The timeline in the conduct of EBEIS activities shall be observed as follows:
EBEIS Activity Timeline

Start of Encoding and Submission August 15-31, 2014
Validation September 1-12, 2014
Closing of System September 13, 2014
5. The cut-off date of data to be submitted is as of first Friday of the opening

week of the SY. For public schools, this shall be as of June 6, 2014.
6". Enrolment figures entered in the Learner Information System will

automatically be derived and tallied on Tables 1 and 2.
DepEd Complex, Meralco Avenue, Pasig City 1600 !iJ 633-7208/633-7228/632-1361 "636-4876/637-6209 4 www.deped.iwv.ph
7. The following tables and boxes are either new, contain new data elements or
revised:
Government Elementary School Profile (GESP)

Table 1 Learners Data
Box 1 Shifting Schedule
Box 2 Multigrade Classes
Table 5 Learners with Exceptionalities (non-graded)
Table 6 Learners with Exceptionalities from Special Education (SPED)
Classes last SY 2013-2014
Mainstreamed in Regular Classes
Box 3 Learners with Exceptionalities who never attended any SPED Classes
Table 9 Teaching Personnel Data (Nationality-funded)
Table 10 Teacher Assignments (National-funded teachers working in the school)
Box 5 Availability of Electrical Supply
Table 13 Number of Functional Computers in the School by Funding Source
Table 14 Average Monthly Expense (in Pesos) of Internet Connection by Funding Source
Box 7 School Site Data
Box 8 Feeding Program
Government Secondary School Profile (GSSP)

Table 1 Learners Data
Box 1 Shifting Schedule
Table 3 Learners Data by Program
Table 4 Learners Data in Technology and Livelihood Education
(TLE) Table 5 Learners with Exceptionalities Data
Table 7 Teaching Related and Non-teaching Personnel Data (Nationally-
funded) Table 8 Teaching Personnel Data (Nationally-funded)
Table 9 Teacher Assignments (Nationally-funded teachers working in the school)
Table 10 Number of Teachers by Teaching Assignment
Box 3 Availability of Electrical Supply
Table 11 Number of Functional Computers in the School by Funding Source
Table 12 Average Monthly Expense (in Pesos) of Internet Connection by Funding Source
Box 5 School Site Data
Box 6 Feeding Program
Private School Profile (PSP) and SUCs Laboratory School Profile

Table 1 Learners Data in Elementary
Box 1 Multigrade Classes
Table 3 Learners Data in Secondary
Table 5 (PSSP only) Data on GASTPE Program
Box 2 Senior High School
Program
8. The school heads/ teachers-in-charge (SHs/TICs) of both public and private

schools offering kindergarten, elementary and/ or secondary education shall be
responsible for ensuring prompt, complete and accurate accomplishment of the
EBEIS data gathering forms.
9. The regional directors (RDs) and schools division superintendents (SDSs)

through the Regional Planning Units (RPUs) and Division Planning Units (DPUs) shall
jointly undertake online collection, processing and validation of the accomplished
forms and collection of printed and signed forms to ensure the accuracy, consistency,
and completeness of data submitted by the schools.
10. The regional and division education program supervisor in-charge of private
schools and SUCs laboratory schools shall facilitate the online collection of forms and
assist the Planning Unit in checking the accuracy, consistency, completeness and
timely submission of all private schools.
11. The personnel from the schools division offices (SDOs) shall oversee the
encoding of data for schools with no access to Internet facilities.
12. Funds shall be downloaded directly to the SDOs to aid in activities that allow
for the timely and accurate accomplishment of the EBEIS. The downloading of funds
to all the SDOs shall be announced through a separate memorandum.
13. For changes and adjustments to derived data in Tables 1 and 2, school heads
have to write their respective SDSs providing sufficient justification. The SDSs must
review and support the request with a firm recommendation to the Office of the
Secretary, Attention: Office of Planning Service-Research and Statistics Division (OPS
RSD) .
14. All personnel involved in the EBEIS at the school, district, division, regional
and central levels are allowed to render overtime services during weekdays, weekends
and holidays as provided in DepEd Order No. 58, s. 2008 entitled Authorizing the
Grant of Overtime Pay and Other Benefits to Personnel Involved in the Operations of
the Basic Education Information System and DepEd Order No. 10, s. 2009
entitled Ad dendum to DepEd Order No. 58, s. 2008 (Authorizing the Grant of
Overtime Pay and Other Benefits to Personnel Involved in the Operations of the Basic
Education Information System (BEIS) whenever necessary in order to meet the EBEIS
target schedules.
15. This Department would like to thank all personnel involved in the encoding,
collection, processing and validation of data in the EBEIS. The support of all
concerned has aided in DepEd's efforts to institutionalize the use of accurate and
timely data for planning, budgeting and implementation.
16. Provisions in this Order supersede the provisions in Item Nos. 2-7 of DepEd
Order No. 30, s. 2013 entitled Revised Data Gathering Forms for the Beginning of
School Year (BOSY) 2013-201 4 of the Enhanced Basic Education Information System
(EBEIS) and Item Nos. 2-5 of DepEd Order No. 23, s. 2014 entitled Data Gathering
Forms of the Enhanced Basic Education Information System (EBEIS) for the End of
School Year 2014-2015.
17. Immediate dissemination of and strict compliance with this Order is directed.
Secretary
Ends.: As stated
References: DepEd Order Nos.: 23, s. 2014; 30, s. 2013; 50 and 58, s. 2008
To be indicated in the Perpetual Index
under the following subjects:
CHANGE
FORMS
SCHOOLS
STATISTICS, Data
SMA, DO Revised Data Gathering Forms for SY 2014-2015

(EBEIS) 0565-AuguM S/ 12/ 14, 2014
INSTRUCTIONS
This form shall be accomplished by the head of all government elementary schools. In the case of schools with annexes, extensions, etc., a separate school profile shall be accomplished by every annex,
(En.closure
extension, etc. No. 1to OepEd Order No. 36, s. 2014) District ID School ID
The head of the school shall sign the forms certifying to the correctness of the data, and shall be responsible and accountable for any inaccuracy or false da ta/information reported.
Republ ic of the Philippines
Se ptember J , 2014
He/She shall submit the accomplished forms to the respective Division Office on or beforeDEPARTMENT .
OF EDUCATION
Important: Read the definitions/instructions found at the bottom of each table OFFICE OF PLANNING SERVICE
before filling up the fonn. No item should be left blank. Instead, "zero ( 0 )" or "not applicable (n/a) "
Research and Statistics Division
shall be written. Shaded boxes shall not be filled.
GOVERNMENT ELEMENTARY SCHOOL PROFILE
SCHOOL
INFORMATION SY 2014-
2015
Name of Region
School (Official name) Division
School District
(If renamed, please indicate old Legislative District
name.)
Tel. No.
Address
# Street/Sitio/Purok Barangay Mobile
No. Fax
No.
Municipality Prm•ince/City E-Mail Address
Date of Establishment
Intef(rated School Annex/Extension School

(Please check appropriate box if the school is offering both elementary and secondary levels.) (Please check appropriate box if the school is an annexJextension school.)
D Yes (Please indicate School ID of Secondary level) D Yes (Please indicate School ID of the Mother School)
D No Secondary School ID: I I I I I I ! Mother School ID: I I I I I I

D No
Certified True and Correct

by Checked by District Verified by the Dfrision Office :
Office
School Head Head of the Office Head of the Office
(Signature O,·er Printed Same) (Signature Over Printed Same) (Signature Over Printed ."lame)
Position Title
Pna1_ Hrs1Jo GESP_201-l 01'0SO!-l Scblnfo
- Date : Position Title
-Date :
Position Title
Table I. LEAR',ERS DATA. SY 2014-2015 (As of June 6. 20U)
Learners with TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Exceptionalities (Kindergarten to Learners
Particulars
ith Exceptionalitic-s)
Male Female Male Female Male Female Male Female Male Female Male Female
Female Male Male Female
TOTAL ENROLMENT
* Monogrnde
"' Multigrade
* Batik-Aral
CCT/4Ps Recipient
Indigenous Peoples Leamer
Learner in Alternative Delivery Modes

Distance Education {DistEd) for SPED
Enhanced-Instructional Management by Parents. Community and Teachers (e-lMPACT)
Modified In-School Off-School Approach (MISOSA)
d. Other School-Initiated Intervention

Muslim Learner
Repeater
Transferee from Other Public Schools

Transferee from Private Schools
l·_T_ot_a_l_N_'u_m_b_e_r_o_f_M_ .,_ ...._ _._ _... _......._ .,_ .._ .

on_o-'grad-e_c_1_as_s_es_
Note: • • Data is FINAL based on Learners Information System for Bexinninx of the School Year 2014-2015.
1. Learner - refers to an individual who may or may not be enrolled in one or mulliple programs.
2.Total Enrolment - refers to the total number of learners enrolled in the school regardless of program.
3. Kindergarten Enrolment - refers to the total number of learners enrolled in one (1) year preparatory education for children at least five (5) years old (as of October 3 I) as pre-requisite for Grade 1.
4. Elementary (Grades 1 to 6) Enrolment - refers to the total number of learners enrolled in the second stage of compulsory basic education which is composed of six (6) years. The entram age to this level is six (6) years old as of October 31.
5. Learners with Exceptionalities (non·graded) Enrolment - refers to similarly grouped learners who are not yet ready for inclusion in the regular class.
6. Monograde Enrolment - refers to learners being taught in classes consisting of a single grade only.
7. ,\f ultigrade Enrolment - refers to learners being taught in classes consisting of two or more grades handled by one teacher.
8. Balik-Aral - refers to a learner who finished a grade level, stopped schooling and then enrolled in the next grade level after a year or more,
9. CCT}4Ps Recipient - refers to a learner whose families are included in 1he Conditional Cash Transfer (CCT) under 1he Pamawid Pamilyang Filipino Program (4Ps) of the Depanrnent of Social Welfare and Development (DSWD).
These families were selected from the poorest households in municipalities with high poverty incidence. One relevant feature of 4Ps is the provision of educational cash grant of P.1,000.00 for one school year or 10 months at P300 per child per month for educational
expenses on condition that these children attend school. Maximum of three children per household is allowed. Children should be of school age (6-14). (Sou rce: DepEd memo # lIO s. 2009 "National Implementation of the Pantawid Pamilyang Pilipino Program 4Ps")
JO. Indigenous Peoples Learner - refers to a learner born oi either or both parents who are IP as defined in RA 8371 Indigenous Peoples Republic Act of 1997 (i.e.. groups of people or homogenous societies identified by self-ascription and ascription by others who have
cominuously lived as an organized community on communally hounded and defined territory sharing common bonds of language. customs, traditions and other distinctive cultural traits).
11. Learner in Alternat fre Delfrery .Modes (ADM) - refers to a learner who is enrolled in Alternative Delivery Mode.s (i.e .. alternative modalities of education delivery within the formal system that allow schools to deliver quality education to marginalized students and
{hose at risk of dropping out by helping them overcome;: personal. social. and economic constraims in schooling).
These include programs such as;
a. Distance Education (DistEd) for SPED ·refers to an ADM which addresses the accessibility problem of !earners with disabilities ages 6-19. Due to the distance between the school and their homes the families of these !earners ca nnot access to 1he
special
education program in the regular school. Likt":wise, these learners belong to the families with low socio-economk status and their parents cannot afford the expenses thac go with their education.
b. Enhanced Instructional .:Wanagement by Parents. Community and Teachers (e-lM PACT) - relers lO an Intervention infused wich technology and aligned with the Revised Basic Education Curriculum (RBEC) of the Department of Education.
This approach utilizes the services of parents, community members including the learners themselves in managing teaching and !earning.
c. Afodified In-School 0/f·School A..pproach (AfISOSA) - refers ro an ADM which serves children under difficult circumstances through community partnership.
d. Other School-Initiated Interventions - refer to innovative and homegrnwn interventions developed by schools lO prevent the Stu<lt:nt·At-Risk·of-Dropping-Out (SARDOs) from dropping out and to increase their achievement rate.
12. Muslim Lrnrner .refers to a. iearner who is born of either or both parents practicing the Islam religion or faith.
13. Repeater ·refe.rs to a learner who failed or left a particular grade level in any previous school year and is enrolled in the same grade level w here he/she left or failed.
14. Transferee from Other Public Schools ·refers to a learner who was enrolled in another puhlic school the previous school year.
15. Transferee from Private Schools - refers to a learner who was enrolled in a private school the previous school year.
16. Total :\'umber of .\fonograde Classes - refers to the numher of classes hy grade level from Kindc.'rgarten to Grade 6.
Reminder: Totals in this table will tally with the totals in Tables 2 & 5.
Certified Trm• and Correct

by Cher-ked bJ District Office ; Verified by the Dfrision Office :

(Signat11u Over Printed .Yame) (Signat11re Over Primed Same) (Si,:namre Ow:r Primed Same)
Date : Position Title Date : Position Title Date :
Table 2. ELEME1'iTARY AGE PROFILE, SY 2014-2015 (As of June 6, 2014)
Learners with TOTAL
Grade 1
Kindergarten Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Exceptionalities (Kindergarten to Learners
Age with ExceptionalitiesJ
With ECD Experience : \Vithout ECD Experience (non.graded)
Male Female Male Female Male Female

4 1/2
5
6
7
8
9
10
11 '
12
13
14
15
16
17
18
19 & above
TOTAL
Note: Age Profile data is FINAL based on Learners Information System for Beginning of the School Year 2014-2015.
I. The total enrolment of the school as of June 6, 2014 will be distributed across grade levels, by single age or age group and by sex
2. Computation of the age of learners will be based on the child's age as of last birthday. Thus, if the learner is 6 years 11 months as of June 6, the age of the learner is counted as 6 years.
3. ECD (Early Childhood Development) Experience includes all ECD programs for young child ren in registered kindergarten and those in similar organized educational institutions and day care centers.
Reminder: Totals in this table will tally with the totals in Tables 1 & 5.
Certified True and Correct by Checked by District Office Verified by the Dfrision Office :
(Signature Oi·er Pn'nted Same) (Signature Oier Pn'nted Same) (Signature O)·er Printed Same)
Position Title Date :

------ Position Title Date :
------ Position Title Date :
-------
?nm ..,·r,iooC,E.'iP_.'.QH OSOS20l4 T,t,k2
Does the school implement shifting due to resource constraints? D Yes D No
Box l. SHIFTING SCHEDULE, SY 2014-2015 (As of June 6, 2014)
a. If Yes, what kind of shifting schedule does the school implement?
D End-on Shift (e.g. 6am-l lam shift I. 12pm-6pm shift 2. 6pm-9pm shift 3)
D O,·erlapping Shift (e.g. 6am-12pm shift 1, 9am-3pm shift 2. 12pm-6pm shift 3. 3pm-9pm shift 4)
D Daily Rotation (e.g. MWF shift 1, TThS shift 2)
D Others, pis. specify-
---
b. How man- learners are there in:
Double Shift Triple Shift Quadrople Shift
Shiftinl{ - refers to adoption of time schedules for different sets of learners due to resource constraints.
Reminder: For Kindergarten, Grade I and Grade 1 shiftings, consider only those classes with more than two (2) sessions.
Box 2. MULTIGR,\DE CLASSES. SY 2014-2015 (As of June 6, 2014)
For Multigrade classes, please indicate the grade levels combined: (Check as appropriate).
Kindergarten Grade I Grade 2 Grade J Grade 4 Grade 5 Grade 6

MG Class 1 D 0 D D D 0 0
MG Class 2 D 0 D D D 0 D
MG Class 3 D 0 D D D D 0
Multigrade classes • refers to classes consisting of two or more grade levels combined.
Table 3. LEAR.NERS DATA BY PROGR,\M, SY 2014-20 15 (As of June 6. 2014)

TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
Enrolment by Program (Kinderj.!arten to Grade 6)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Arabic Language and Islamic
Values Education (ALIVE)
Special Science
Elementary School (SSES
£nro/menr by Program - rekrs ro the number of learners according to programs offered in elementary school.
Types of Special Programs:
1. A..rabic Language and Islamic Values Education (ALIVE) - a program which aims to pn:serve the Arabic language and Muslim culture through its inclusion in the regular basic education curriculum.
2. Special Science Elementar)' School (SSES) - a pwgram v... hich aims to enrich the science curriculum in public elementary schooL
Table 4. GIFTED & TALENTED LEARNERS DATA, SY 2014-2015 (As of June 6. 2014)
TOTAL
1Kindef1?ur\en \o Grade 6)
Male I Female Male I Female Male I Female Male I Female Male I Female Male I Female Male I Female Male I Female
I I I I I I I I
1. Gifted and talented learner - refers 10 a learner who demons1rates high performance capabilit) in intd]ectual, creative. leadership. am, or in specific academic areas and wht) b)" reason thereof, requires services
m activities not ordinarily provided by the school.
2. Kindergarten/Headswrt - re1ers to a SPED kindergarten program for 5 years old who manifests superior inte!l.igt:nce beyond their chronological age.
3. SPED class ·refers to a class of learners with only one or two exceptionalities in a regular school.
4. SPED center • refers to a class of learners with three or more exceptionalities in a regular school.
Reminder: Table 4 will be accomplished O.LY by elemental)• schools with S PED classes and SPED centers.
Cenified True and Carree! by: Checked by District Office: School llead
Head of the Office : ------------
(Signature over Printed .Vame) (Signature over Printed Xame) Verified by the Dil'ision Office:
Head of 1he Office : --,----------

(Signa1ure over Prinled .\"ame)
Position
,... _,.,..,o,G£SP =-----
Titleac,,·
01s0&1g:c, ' --- Position Date : Position Title Date . _
Title
Table 5. LEARNERS WITH EXCEPTIONALillES (non-graded) DATA, SY 2014-2015 (As of June 6. 20U)
Kindergarten Primary Level Transition TOTAL
Area of Exceptionalities (Kindergarten to Transition\
Male Female Male Female Male Female Male Female

With Diagnosis from Specialist:
Visual Impairment
Hearing Impairment
Learning Disability
Intellectual Disability
Autism Spectrum Disorder
Emotional-Behavioral Disorder
Orthopedic;Physical Handicap
Speech/language Disorder
Cerebral Palsy
Special Health Problem/Chronic Illness
Multiple Disabilities
Based on Manifestation:
Difficulty Seeing
Difficulty Hearing
Difficulty Walking, Climbing and
Grasping
Difficulty Remembering, Concentrating,
Paying Attention and Understanding
Difficulty Communicating
TOTAL
l . Kindergarten - refers to the Early Intervention Program for learners with exceptionalities.
2. Primary Le1,,·el - refers to the level after kindergarten where learners with exceptionalities are still being prepared for mainstreaming in regular classes. Learners with exceptionalities are allowed to stay in the program for a maximum of
three (3) years in each of the three (3) levels. However, learners with exceptionalities can be mainstreamed in regular classes if found to be ready based on performance.
3. Transition - refers to level/program for learners with exceptionaiities who have completed the primary level and/or over-aged for the elementary leveL
Areas of Exceptionalities:
1. Visual Impairment - an impairment that even with correction. adversely affects a child's educational performance. This includes both partial sight and blindness.
2. Hearing Impairment - an impairment. whether permanent or fluctuating that adversely affects a child·s educational perfonnance such as deafness.
3. Learning Disability - a disorder in perception" listening, thinking, reading. writing. spelling, and arithmetic although normal in sensory. emotional and intellectual abilities.
4. Intellectual Disability - formerly labeled as ··mental retardation."· it is defined as significantly subaverage general intellectual functioning which originates during the developmental period and associated with impairment in adoptive
behavior like maturation, learning and social adjustment.
5.Autism Spectrum Disorder - characterized by varying degrees of impairment in communication skills and social interactions and in restrictive. repetitive patterns of behavior.
6.Emotional-Behm·ioral Disorder - a condition exhibiting one or more of the following characteristics over a long period of time and to a marked degree that adversely affects a child's educational performance: (i) an inability ro learn
that cannot be explained by intellectual, sensory. or health factors. (ii) an inability to build or maintain satisfactory interpersonal relationships with peers and teachers. (iii) inappropriate types of behavior or feelings under normal
circumstances, (iv) a general pervasive mood of unhappiness or depression, (v) a tendency lO develop physical symptoms or fears associated with personal or school factors.
7. Orthopedic /Physical Handicap - any condition that interferes with a child's abilit) to use his or her body.
8. Speech/Language Disorder .. a communication disorder. such as stuttering. impaired articulation. a language impairment. or a \ oice 1mpaim1ent. that ad\ ersely affects a child·s educational performance
9. Cerebral Palsy - is caused by damage to developing brain either before or during birth. or in the first few years of life. The impairment depends on where in the brain the damage occurs.
IO. Special Health Problem/Chronic Illness - chronic or acute health problems such as asthma. attention deficit disorder or attention deficit hyperactivity disorder. diabetes. epilepsy. a heart condition. hemophilia. lead poisoning. leukemia.
nephritis, rheumatic fever. sickle cell anemia. and Tourette syndrome; that adversely affect a child's educational performance.
11. lf.1ultiple Disabilities - a combination of disabilities that causes severe educational needs that require multiple special education programs such as mental rerardation blindness or mental retardation-orthopedic impairment.
Reminders: I. Table 5 will be accomplished ONLY b)' elementary schools with SPED classes and SPED centers.
2. Totals in this table will tally in columns for Learners k'ith Exceptionalities (non-graded) in Tables I & 2.
Cerrified True and Correct by

Checked by District Office Verified bJ rhe Dirision Office :
School Head :
Head of 1he Office: Head of lhe Office:
(Signature 01·er Printed .'\"ame) (Signature Oi·er Printed .Vame)

(Signature Oi·er Pn.nted Same)
Position Title Date Position Title Date : Position Date :
Title
"'cm GESP_10l4 0,0S20PTablee"'

Ta ble 6. LEARNERS WITH EXCEPTIONALITIES FROM SPED CLASSES OR SPED CENTERS LAST SCHOOL YEAR 2013-2014 MAINSTREAMED IN REGULAR CLASSES, SY 2014-2015 (As of June 6, 2014)
Do you have Learners with Exceptionalities who never attended a ny SPED classes? Grade 1
Kindergarten Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 TOT
Area of Exceptionalities
O Yes O No (Kindergarten
Male Female Male Female Male Female Male Female Male F ale Male. Female Male
Visual Impairment
Heari ng Impairment
Learni ng Disability
Intellectual Disability
Autism Spectru m Disorder
Emotional-Behavioral Disorder
Orthopedic/Physical Handicap
Speech/Language Disorder
Cerebral Palsy
Based on Mani festation:
Difficulty Seeing
Difficulty Heari ng
Difficulty Walking, Climbing and Grasping
Difficulty Remembering, Concentrating, Paying Attention and

Understanding
Difficulty Commu nicati ng
TOTAL
These are learners with exceptionalities previously enrolled in SPED classes/SPED centers but currently mainstreamed in regular classes.
Mainstreaming - the placement of a learner with exceptionality in regular educational programs and given special instruction i n specific learning areas.
Box 3. LEARNERS WITH EXCEPTIONALITIES WHO NEVER ATTENDED ANY SPED CLASSES
Cenified True and Correct by

Checked by District Office Verified by the Di>'ision Office :
School Head :
Head of the Office: Head of the Office:
(Signature O,·er Printed Same) (Signature 0l'er Printed .Yame) (Signature 0l'er Printed Yame)
Position Title Position Title Dat : _ Date :
Date :------
e
Position Title :
------
Pag:nof l-1
Iable 7. PERSONNEL DATA (Locally-funded and DepEd Subsidized Teachers Working in the School), SY 2014-2015 (As of June 6, 2014)
Funding Source
Class S ecial Educ. Fund (SEF) Local Gov't Unit
PTA-funded Others
TOTAL DepEd Subsidized *
Pro,incial/City Municipal (LGU) funded Locally-funded
Kindergarten *
Elementary (excluding ALIVE)
ALIVE *
1. Locally-funded teachers working in the school - teachers not having planti!la positions and whose compensation is chargeable against the local budget.
These are classified according to the following:
a. Special Education Fund (SEF) Teachers - teachers whose salaries are being paid by the Local School Board Fund (Provincial/City or Municipal) where the school is located.
b. Local Go,·ernment Unit (LGU) funded Teachers - teachers paid out of the general fund (not the SEF) of the LG U
c. PTA-funded Teachers - teachers who recei ve their salaries through the Parents-Teachers Association (PTA).
d. Others - teachers who are being funded by neither one of the above
2. DepEd Subsidized Teachers - teachers not having planti!la positions but paid by DepEd through honorari um.
3. ALIVE Teachers - teachers assigned to teach ALIVE classes.
Reminder: * - Those serving two or more schools simultaneously shall be counted only in the school with the most teaching loads or number of learners handled, in that order.
Table 8. TEACHING RELATED AND NON-TEACHING PERSONNEL DATA (Nationally-funded), SY 2014-2015 (As of June 6, 2014)
NATIONALLY-FUNDED PERSONNEL
Number of POSITIONS ASSIGNED IN THE SCHOOL
TOTAL
positions Personnel detailed to Personnel detailed from
Number actually working in
Position Title assigned
the school Position(s) DepEd Secondary OepEd office{s)/ TOTAL
in the On leave (Col.5+Col.6 +
school per vacant oflice(s) school(s) scbool(s) outside the
TOTAL Male Female TOTAL
latest PSI- Male Female TOTAL within within diviioo or other
Male Female TOTAL
government (Col.3+Col,l3J (Col.16+CoLl 7)
POP the the agencies
(Col.-1+Col,14)
Col. I Col. 3 Col 4 Col 5 Col. 6 Col. 7 division division Col 11 Col. 13 Col.14 Col 15 Col. 16 Col. 17 Col. 18
Principal IV
Principal III
Principal II
Principal I
Head Teacher V
Head Teacher IV
Head Teacher III
Head Teacher II
Head Teacher I
Guidance Coordinator
Guidance Counselor
TOTAL
Note: For the definitions, please refer to Teaching Personnel Data (Table 9).
Reminder: Totals in column 12 must tally with entries in column 2.
Certified True and Correct by School Head Checked by District Office

Head of the Office Verified by the Dirision Office : Head of the Office
(Signature 01,er Printed .'Vame) (Signature o,,er Printed .Vame) (Signature Oi·er Printed Vame)
Position Titt. : Date : Position Date
Pmi:_,ch, I C LlF_- Ji ,SO.S-L t , I Jl ib
----- Title :
--
Table 9. TEACHING PERSONNEL DATA (Nationall ·funded). SY 2014-2015 (As of June 6. 2014)
-
-t-
-
- -
!\'umber actually working in the school
J. ,:.rationally-funded personnel - teaching. teaching-related and non-teaching personnel having plantilla positions. including those with provisional appointments.
1. Number of positions assigned in the school per latest PSI-POP - number of plamilla items assigned to the school.
J. Number of teachers actually working in the school - reaching, teaching-related and non-teaching personnel with plamilla po itions who are actually performing their specific assignments in the schnol.
4. On leave personnel - personnel who are on leave for the whole school year approved by the School Division Superintendent.
5. Position(s) ) acant - plantilla positions that are unfilled.

1
6. Personnel detailed to DepEd office(sJ •ithin the dfrision ·persnnne! assigned/desig,nated to the district office nr to the division office.
7. Personnel detailed to Secondary school(s) within the dll'ision - pasonnel assigned/designated to secondary schools within the division.
8. Personnel detailed co DepEd office(s)/school(s) outside the dfrision or other government agencies - personnel assigned/designated to other DepEd office(s)/school(s) outside the division or other government ag ncies.
9. Personnel detailed from other school(s)/ DepEd office(s) • personnd who arc actually working in the school but whose items belong from secondary school(s) or from other DepEd office(s) like the ditrict. divtsion. regit1naL .:cntral
office or from other school division(s).
:Vote: Includes Teacher Items Created for SY 2014-2015 whether filled or unfilled.
Reminders:
J.In Table 9 ,, , totals in column 12 must tally with entries in column 2.
2. In Table 9 if a teacher is handling two or more assignments, he/she should be counted in his/her assignment where he/she has the most m,mber of loads.
b,
J. In Table 9 11• totals in column 18 must tally k'ith entries in Table 10 column 7.
4. Totals in Tables 9 0 & 9 b must rolly.

Cenijied True and Correct by
Checked by Distn.ct Office Verified by the Dfrtiion Office :
School Heaa
: Head of the Office Head of the Office
(Signature (h·er Pnnud ,\ ame) (Signature {h·er pn·nced Same) (Signaturt Oi,er Pn'nud Same)
Position Titli Date : Position Date : Position Title Date :

Tille
_
Table 10. TEACHER ASSIGNMENTS (Nationally-funded teachers working in the school). SY 2014-2015 (As of June 6, 2014)
Cardes full-time class teaching load Assigned part-time to class teaching, TOTAL
Assigned full-time to
Position Title (Col.2+Col.3+Col ...i+
Sot assigned to ancillary Assigned to ancillary services Class teaching 200 min. per Class teaching less than 200 ancillary services Col.5+Col.6)
services as additional load day or more min. per day
Col. I Col. :": Col. 3 Col. -t Col.5 Col. 6 Col. 7
Master Teacher IV
Master Teacher Ill

Master Teacher II
Master Teacher [
Teacher II[
Teacher [[
Teacher [
SPED Teacher V
SPED Teacher IV
SPED Teacher II[
SPED Teacher II
SPED Teacher I
TOTAL
Ancillary services - those rendered as a guidance counselor, librarian, propeny custodian, office clerk, canteen manager. coordinator (ALS. Boy/Girl Scout. etc.), teacher nurse. Class advisorship is not included.
Reminder: Totals in column 7 of this table must be equal to the totals in Tables 9 a & 9 b (column 18 - Total Nationally-funded personnel working in the school).
Table 11. NUMBER OF TEACHERS BY GRADE LEVEL

Table 12. NUMBER OF TEACHERS BY TEACHING ASSIGNMENT IN GRADE 5 AND 6
(Nationally-funded teachers actually working in the school),
-
SY 2014- '015 (As of June 6 2014) (Nationallv-funded teachers actuallv workin in the school . SY 2014-2015 As of une 6. 2014
Grade 5 Grade 6
Number of Teachers Teaching Assignment
Grade Level Male Female Total Male Female Total
Male Female Total
English
Kindergarten
Mathematics
Grade 1
Filipino
Grade 2
Science
Grade 3
Makabayan
Grade 4
SIBIKA/HEKASI
Grade 5
H.E./E.P.P.
Grade 6
E.K..A.W.P.
SPED
M.S.E.P.
TOTAL Reminders: I . If a teacher who is teaching more than one learning area or grade lei·els, he/she
Remmders: I. If a teacher ,s teaching more than one grade /ei·e/s, can be counted more than once.
he/she can be counted more than once. 2. Grade 5 and 6 of this table can be greater than or equal to Grade 5 and 6 in Table J J
2. Grade 5 and 6 of this table must be less than or equal to
Grade 5 and 6 in Table 12.
Certified True and Correct by

Checked by District Office Verified hJ the Dfrision Office :
School Head
Head of the Office Head of the Office
(Sigrullure Over Printed ,\'ame) (Sigruuure Oi·er Pri,ued .\'ame)
(Signature 01·er Primed X11me;
Position Title Date : _ Position
Title - ------Date :-------- Position Title
Electrical Supply Sources: O Grid Supply
(Check as appropriate)
O Off Grid Supply
O Solar Power
O Generator
O Others, please specify --
--
-
O No source of electricity
Box 4. AVAILt\BILITY
Average OF WATER
Cost of Monthly SUPPLY, SY
Bills/Maintenance: 2014-2015
(Please (As of
indicate theJune 6, 2014)
amount) -- ------ What is the funding source'? (Check as appropriate):
Box 5. AVAll.ABILITY OF ELECTRICAL SUPPLY, SY 2014-2015 (As of June 6, 2014)
O School MOOE O School Canteen Fund
Water Supply Sources:
O LGU O Water
Local Piped O Natural Source
O Private Individual/Sector
(Check as appropriate) O O Without Available Water Supply
Water Well/Deep Well Rainwater Catchments
O PTA O Others, please specify -- ---
-
O
If Local Piped Water , check the appropriate water supply provider:
O Maynilad LocalOwater district O Others, please specify --
---
-
O Manila Water Owater cooperative
Local
Average Cost of Monthly Bills/Maintenance: (Please indicate the amount) --
---
What is the funding source'? (Check as appropriate):
O School MOOE O School Canteen Fund
O LGU O Private Individual/Sector
O PTA O Others, please specify--
---
-
1. Local piped water - water source coming from local water service providers. 1. Grid Supply - electricity coming from major or local power distributors (e.g. electric cooperatives, Meralco, et,
2. Water well - an excavation structure in the ground by digging, driving, boring or drilling to access water in 2. Off Grid Supply - electricity coming from alternative source of power (e.g. solar power, generator, etc.).
underground aquifiers.
3.Rainwater catchment - water sourced from rainwater and collected through a rainwater collector. 3. No source of electricity - without existing electrical supply at all.
4. Natural source - water sourced from a spring or stream.
5. Without available water supply - without existing water supply at all.
Certified True and Correct by :

Checked by District Office : Verified by the Di,-ision Office :
School Head
Head of the Office : Head of the Office
(Signature Over Printed Same)
(Signature Over Pn'nted Same)
(Signature Over Printed Vame)
Position Title
Date : Position Title Date Position Title Date :
Tbl 13. NUMBER OF FUNCTIONAL COMPUTERS IN THE SCHOOL BY FUNDING SOURCE, SY 2014-2015 (As of June 6, 2014)
NUMBER OF COMPUTERS BY FUNDING SOURCE
DepEd Other
Types of Compu ter DepEd Private
PTA Government Others Total
DCP LGU/SEF Donations
non-DCP Agencies
Academic Use
Desktop
Notebook/Netbook
Tablet
Desktop Virtual Terminal
Administrative Use
Desktop
Notebook/Netbook
Tablet
TOTAL
1. Indicate the number of functional compu ters according to the following funding sources:
a.DepEd DCP - computers procured through the DepEd Computerization Program.
b. DepEd non-DCP - computers procured through other DepEd downloaded funds.
c. LGU /SEF - compu ters procured from the Special Ed ucation Fund (SEF) and the budgets of Local Government Units (LGU): provincial, municipal or barangay units.
d. PTA - computers funded from the Parents-Teachers Association (PTA).
e. Private Donations - computers donated/procured by private individuals, corporations, alumni associations, non-government organizations, philanthropic organizations or through foreign-assisted fu nds.
f. Other Government Agencies - computers funded from other government agencies such as DTI, DOST, CICT, etc.
g. Others - computers procured from other sources not listed above.
2.Computer - refers to electronic devices for storing and processing data such as :
a. Desktop - refers to a computer that is designed to be used on a table.
b. Notebook/Netbook - refers to a laptop compu ter that can easily be transported.
c. Tablet - refers to a portable computer that has a touchscreen feature as the primary means of input.
d. Desktop Virtual Terminal - refers to a compu ter terminal consisting of monitor, keyboard and mouse connected to a terminal device that connects to a computer host. (Reminder: do not count the compu ter host).
3. Computerfor Academic Use - refers to computer units utilized in the classroom/laboratory as an aid to instruction.
4.Computerfor Administrative Use - refers to computer units used for encoding administrative data of the school (e.g. enrolment, attendance, disbursements, financial statements, and other reports).
Certified True and Correct by: (Signature o,·er Printed Name)

Checked by District Office:
School Head Head of the Office : ---------------
:---------------
(Signature over Printed Name) Head of the Office : ---------------
Verified by the Division Office:
(Signature over Printed Name)
Position Title : ------- Date : _ Position Title Date : ------ Position Title Date : ------
Prim_ \rn;1on GESP_201J 080..';;2014 Tablt:!.3
Are there internet service providers in the area? 0 Yes O No
Box 6. DATA ON INTER.. ET CONNECTIVITY, SY 2014-2015 (As of June 6, 2014)
If Yes, check the appropriate internet service provider/s servicing the area:
O BAYANTEL O GLOBE O SMART
O DIGITEL O PLDT O SUN
Does the school subscribe to any of the internet service provider/s listed above? O Yes 0 No
Internet Service Provider (ISP) - refers to the organization that provides services for accessing, using, or participating in the internet.
Table 14. AVERAGE MONTHLY EXPENSE (IN PESOS) OF INTERNET CONNECTION BY FUNDING SOURCE
Types of Internet Funding Source
Internet Service Provider
Connection
Average Monthly Expense (DepEd DICP, MOOE, School Funds,
(Wired, Fixed wireless, (Selectfrom available LGU!SEF, PTA, Private Donations, Other
satellite, USB Modem ) ISPs above ) Government Agencies, etc.)
Indicate the average monthly expense of internet connection by funding source.

1. Types of Internet Connection:
a. Wired - internet connection using the phone lines from the service provider to a client.
b. Fixed wireless - internet connection th rough radio frequency bands with directional radio antenna on each end of the signal.
c. Satellite - internet connection using satellite dish supplied by an internet provider.
d. USB Modem - internet connection using USB dongle (e.g. SMART Bro, Globe Tattoo).
2. Average Monthly Expense - average cost spent for the internet connection.
Certified True and Correct by: Checked by District Office: Verified by the Division Office:
Head of the Office : ------------ Head of the Office :
------------
(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
Position Title :
·mt_version GESP_2014 08082014 Box6-Tahle 14
Date : _ Position Title :-------Date : Position Title
:
----- Date : _
Page 12 of 14
_
Box 7. SCHOOL SITE DATA
a. Mode of Acquisition of School Site: b. Proof of Ownership nd Occupancy: c. Legal Ownership Issues:
Year (Check as appropriate) (Check as appropriate)
Mode
Acquire OTransfer Certificate of Title
Original O Adverse Claim
Donation d
O D O O O
Tax Declaration O Encroachment
Pu rchase
O O Others, pis.specify--
---
---
Usufruct Agreement Deed of Absolute Sale Deed of Donation
O
Expropriation Presidential Proclamation/Special Patent Contract of Usufruct
Memorandu m of Agreement/Lease Agreement
Exchange (Land Swapping) d. Total Land Area: (in square meters)
Presidential Proclamation/Special Patent Others, pis.specify-
---
----
Others, pis.specify
1. Mode of Acquisition of School Site · refers to the means of acquiring the school site.
a. Donation - includes the four (4) types of donation: .
a.I . Simple Donation - is one whereby a person, through an act of liberality disposes a piece of land in favor of the government
a.2. Conditional Donation - is one which imposes a condition (e.g. "that the land shall be used only for education"). In such case, the property is reverted to the owner when the condition as
stipulated in the donation is not met.
a.3. Inter Vivos Donation • is one that is in effect during the lifetime of the donor.
a.4. Mortis Causa - is one that takes effect only after the donor's death. Donations by mortis causa should conform to the formalities required of the last will.
b. Purchase - a school site was acquired by direct purcha,e from the legal owner who voluntarily sold it as evidenced by a Deed of Sale duly executed, notarized and registered with the Register of
Deeds.
c. Expropriation - a school site was acquired by the government through the exercise its power of eminent domain (i.e. by taking private property for public use upon payment of just compensation).
d. Exchange (Land Swapping) - a school site was acquired by exchanging an existing school site for a new site for justifiable reasons as identified by law.
e. Presidential Proclamation - a school site was acquired by virtue of a declaration by the President under the procedures established by law.
2. Proof of Ownership and Occupancy - this refers to any legal and official document that acts as a competent proof of one's ownership and/or occupancy of the subject property.
a. Original Transfer Certificate of Title - a document evidencing the ownership of real property as issued by the Register of Deeds.
b. Tax Declaration - a document issued by the Assessor's Office of the jurisdiction (e.g. city or municipality) evidencing the payment of taxes on the use of the real property.
c. Deed of Absolute Sale - a document executed by the vendor evidencing the absolute (without conditions) sale of the real property in favor of the vendee.
d. Deed of Donation - a document executed by the donor, under the formalities required by law, evidencing the donation of the property.
e. Presidential Proclamation/ Special Patent - a proclamation issued by the President reserving an untitled land for public use.
f Contract of Usufruct - a document which stipulates that DepEd/school is allowed of full use or perpetual right of use of property without consideration as long as the property is used solely for
educational or designated purposes.
g. Memorandum of Agreement/Lease Agreement - a document executed by the legal owner/occupant of the land setting unnecessary the conditions on the use of the property.
h. Others - other documents that are competent proof of ownership and occupancy.
3. Legal Ownership Issues:
a. Adverse Claim - a claim to the property against that of one who has either title and/or possession of the property.
b. Encroachment - presence of illegal occupants/informal settlers.
4. Total Land Area - is the size in square meters of all areas designated as land used for some particular purpose such as school building.
Note: In case, the school head does not have adequate information on the items listed above, the assistance of the Industrial Arts teacher/Division Physical Facilities
Coordinator/Division Project Engineer can be asked.
Checked by District Verified by the Dfrision Office :
School Head
Office Head of the Office Head of the Office
(Signature Oi·er Printed (Signature O,·er Printed ,'iame)
(Signature Oi·er Printed .'\'ame)
:\'ame)
Position Title :
Pm:u .•vemoo GESP_20l--1 ()SOl\201--1 B,:,x7 -- Date : Position Title Date : Position Date :
Title
"'· Does the school have a feeding program? O YesO No
If Yes, what is the funding source of school feeding program? (Check as appropriate).
Box S. FEEDING PROGRA.vl, SY 20U-2015
O School MOOE O O Barangay Fund
LGU O Others. please specify _
Fund O Private Individual/Sector Fund
O School Canteen Fund O PT A Fund
b. Availability of agriculture and fishery resources in the school : (Check as appropriate).
O Gulayan sa Paaralan O Agricultural Crops O Others, please specify _
O Fish Pond O Livestock O None
Does agricultural and fishery in the school used for feeding program? 0 Yes O No
If Yes, what is the funding source? (Check as appropriate).

O School MOOE O LGU O Fund
Barangay Fund O Others, please specify _
O School Canteen Fund O OFund
PTA Private Individual/Sector Fund
Table 16. DISASTERS/CALA.l\1ITIES

For the months of April and May 2014, which incidents occurred in your school and immediate surroundings 0
(If applicable, check under the months that these occurred.)
Disasters/Calamities Disasters/Calamities
Natural Hazards
Human-Induced Hazards
Drought
D D Armed conflict as a result of organized crime (terrorism, siege, etc.) D D
Earthquake Crime against school head/s
D D (murder/homicide. physical injury, rape, sexual harassment, etc.) D D
Fire
(includes forest fire, fires as consequence of natural disasters such
as typhoons and earthquakes) D D Crime against school property (theft, robbery, arson) D D
Flood
Crime against student/s
D D (murder/homicide, physical injury, rape, sexual harassment, etc.) D D
Landslide
Crime against teacher/s
D D (murder/homicide, physical i1tjury, rape. sexual harassment, etc.) D D
Storm Surge
D D Fire (Electrical wiring failure, etc.) D D
Tropical Cyclones (Storm, Tvphoon, Tropical Depression, etc.)
Health Threat
D D (i.e. Dengue, Malaria. Measles, food poisoning, disease outbreak) D D
Tsunami
Volcanic Eruption
D D Oil Spill D D
Security threat as a result of civilian violence
Result of Disaster Incidences
D D (bumb threats, kidnapping threats, hostage taking, shooting, etc.) D D
School Used as an Evacuation Center Structural collapse (as a result of engineering failures) D D
Note: For the definitions, please see DepEd Order No. 23, s.2014. Others. Please specify D D

Checked by District Office : Verified by the Di>-ision Office:
School Head :
Head of the Office Head of the Office
(Signature 01·er Printed Same) (Signature o,,er Printed .'\lame)
(Sig11alure Oi:er Pri111ed Same)
Position Title : Date Position Title Date : Position Date :
: Title
l'ar, 14 of 1
tEncloswre No. 2 to DepEd Order No. 36, s. 2014)
Municipality ID School ID
Republic of the Philippines

DEPARTMENT OF EDUCATION
OFFICE OF PLANNING SERVICE
GOVERNMENT SECONDARY SCHOOL

PROFILE
INSTRUCTIONS
This form shall be accomplished by the head of all government secondary schools. In the case of schools with annexes, extensions, etc., a separate school profile form shall
be accomplished by every annex, extension, etc.
The head of the school shall sign the forms certifying to the correctness of the data, and shall be responsible and accountable for any inaccu racy or false
data/information reported. He/She shall submit the accomplished forms to the respective Division Office on or before September 1, 2014 .
Important: Read the definitions/instructions found at the bottom of each table before filling up the form. No item should be left blank. Instead, "zero ( 0 ) or "not 11
applicable (n/a) shall be written. Shaded boxes shall not befilled.

11
SCHOOL INFORMATION
SY 2014-2015
Name of
School Region
(Official name)
Division
Legislative District
(If renamed, please indicate old name.)
Tel.No.
Address Mobile No.
# Street/Sitio/Purok Barangay
Fax No.
E-Mail Address
Municipality Pro,·ince!City
Date of Establishment
Integrated School Annex/Extension School

(Please check appropriate box if the school is offering both elementary and secondary
levels.) (Please check appropriate box if the school is an annex/extension
school.) D Yes (Please indicate School ID of the Mother
DYes (Please indicate School ID of Elementary level)
Elementary Schoo!JD: \ I I I School) Mother School ID: I I I I II
0 No
D No
Implementing Unit Night Classes

(Please check appropriate box if the school has book of accounts or has fiscal (Please check appropriate box if the school is offering night classes.)
autonomy.) 0 Yes 0 No
D Yes D No
School Head
Certified True and Correct by : Head of the Office
Verified by the Dirision Office
(Signature Orer
:
Printed .'\"ame)
(Signature Over Printed .'V'ame)

?rmt_\ Position Title : Date : Position Title Date :
) Sch
r;1on C,"JSP_2\)J--11 8()f.;2l)14 Info
Table 1. LEARNERS DATA, SY 2014-2015 (As of June 6,

2014)
TOTAL
Grade Grad Grad Grade Grade Grade
7 e8 e9 10 (Grades 7-
Particulars 11 12
12)
Ma Female Fema Male Female Female Fema Male Mal Female
TOTAL le le Male le e
ENROLMENT Male Male Female
• Balik-Aral
* CCT/4Ps Recipient
• Indigenous Peoples Learner
Learner in Alternative Delivery
Modes
a. Open High School Program (OHSP)

b. Other School-Initiated Intervention
* Muslim Learner
• Repeater
Transferee From Other Public
Schools Transferee From Private
Schools
j· Total Number of
Classes
Note: * - Data is FINAL based on Learners Infonnation System for Beginning of the School Year 2014-2015.
1.Learner - refers to an individual who may or may not be enrolled in one or multiple programs.
2. Total Enrolment - refers to the total number of learners enrolled in the school regardless of program.
3. Secondary (Grades 7 to 12) Enrolment - refers to the the third stage of compulsory basic education. It consist of four (4) years of junior high school education (grade 7 to 10) and two (2) years of senior high school
education (grade 11 to 12). The entrant age to the junior and senior high school levels are twelve (12) and sixteen (16) years old respectively.
4. Batik-Aral - refers to a learner who finished a grade level, stopped schooling and then enrolled in the next grade level after a year or more.
5. CCT/4Ps Recipient - refers to a learner whose families are included in the Conditional Cash Transfer (CCT) under the Pantawid Pamilyang Pilipino Program (4Ps) of the Department of Social Welfare and Development
(DSWD).
These families were selected from the poorest households in municipalities with high poverty incidence. One relevant feature of 4Ps is the provision of educational cash grant of P3,000.00 for one school year or 10
months at P300 per child per month for educational expenses on condition that these children attend school. Maximum of three children per household is allowed. Children should be of school age (6-14).
(Source: DepEd memo # 110 s. 2009 "National Implementation of the Pantawid Pamilyang Pilipino Program 4Ps")
6. Indigenous Peoples Learner - refers to a learner born of either or both parents who are IP as defined in RA 8371 Indigenous Peoples Republic Act of 1997 (i.e., groups of people or homogenous societies
identified by self-ascription and ascription by others who have continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, customs, traditions and
other distinctive cultural traits).
7. Learner in Alternative Delivery Modes (ADM) - refers to a learner who is enrolled in Alternative Delivery Modes (i.e., alternative modalities of education delivery within the formal system that allow schools to
deliver quality education to marginalized students and those at risk of dropping out by helping them overcome personal, social, and economic constraints in schooling).
This includes pro.grams such as:
a. Open High School Program (OHSPJ - refers to the alternative mode of secondary education that addresses learning problems of Student-At Risk-of-Dropping-Out (SARDOs) who cannot join the regular
class program due to justifiable reasons. These reasons may include physical impairment, employment, distance of home to school, education design, family problems and the like.
b. Other School-Initiated lnten•entions - refer to innovative and homegrown interventions developed by schools to prevent the SARDO from dropping out and to increase their achievement rate.
8. Muslim Learner - refers to a learner who is born of either or both parents practicing the Islam religion or faith.
9. Repeater - refers to a learner who failed or left a particular grade level in any previous school year and is enrolled in the same grade level where he/she left or failed.
JO. Transferee from Other Public Schools - refers to a learner who was enrolled in another public school the previous school year.
11. Transfereesfrom Private Schools - refers to a learner who was enrolled in a private school the previous school year.
12. Total Number of Classes - refers to the number of classes by grade level from Grade 7 to Grade 12.
Reminder: Totals in this table will tally with the totals in Table 2.
Certified True and Correct

Verified by the Division
by School Head
Office : Head of the
(Signature Oi·er Pn.nted Same) Division (Signature Over Printed Same)
Position Title
Date : Date :
Position Title
rg,:: of !5
Table 2 SECONDARY AGE PROFILE SY 2014-2015 (As of June 6 2014)
' ' TOTAL
Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12
Age (Grades 7-12)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female
10 & Below
11
12
13
14
15
16
17
18
19
20 & Above
TOTAL
Note: Age Profile data is FINAL based on Learners Information System for Beginning of the School Year 2014-2015.
1. The total enrolment of the school as of June 6, 2014 will be distributed across grade levels, by single age or age group and by sex.
2. Computation of the age of learners will be based on the child's age as of last birthday. Thus, if the learner is 12 years 11 months as of June 6, the age of the learner is counted as 12 years.

Verified by the Division Office :
School Head
Head of the Division
(Signature Over Printed (Signature Over Printed .Vame)
Same)
?nru_<er"1,m C,SSP_20H n:::11l-l Table:?
Position Title
Date :
Does the school implement shifting due to resource constraints? D Yes D
Box 1. SHIFTING SCHEDULE, SY 201-1-2015 (As of June No 6, 2014)
a. If Yes, what kind of shifting schedule does the school implement?
O End-on Shift (e.g. 6am-1 lam shift I, 12pm-6pm shif t 2, 6pm-9pm shift 3)
O Overlapping Shift (e.g. 6am-12pm shif t I , 9am-3pm shif t 2, !2pm-6pm shif t 3, 3pm-9pm shif t 4)
O Daily Rotation (e.g. MWF shift I, TihS shift 2)

--- --
O Others, pis. specify --
b. How many learners are there in:
Double Shift _ Triple Shift--
--- Quadruple Shift _
Shifting - refers to adoption of time schedules for different sets of learners due to resource constraints.
Reminder: Night classes are not considered a shifting schedule.
Table 3. LEARNERS DATA BY PROGRAM, SY 2014-2015 (As of June 6, 2014)

TOTAL
Enrolment by Program (Grades 7-12)
Arabic Language and Islamic
Values Education (ALIVE)
Regional Science High School
Special Program in the Arts
Special Program i n Foreign Language
Special Program in Journalism

Special Program in Science, Technology
and Engineering
Special Program in Sports
Special Program i n Technical Vocational

Education
Enrolment by Program - refers to the number of learners accordi ng to programs offered in secondary schools.
Types of Special Programs:

1. Arabic language and Islamic Values Education (ALIVE) - a program which aims to preserve Arabic language and Muslim culture through its inclusion i n the regular basic education curriculum.
2. Regional Science High School - a program which offers a science-oriented curriculum that caters to learners with aptitude i n the sciences. It is aimed to develop the science culture among the students to prepare them for careers in the
sciences.
3. Special Program in the Arts - a program designed to cater to the needs of learners who are talented in the arts.
4. Special Program in Foreign Language - a program which aims to develop learners to understand and appreciate foreign languages.
5. Special Program in Journalism - a program designed to enrich the experiences, hone the journalistic skills and competencies of learner-writers and to strengthen free and responsible journalism.
6. Special Program in Science, Technology and Engineering - a program which aims to develop the learners' skills in science, technology and engineering.
7. Special Program in Sports - a program thAt will identify learners with potential talent i n sports and hone their skills for higher levels of athletic endeavors.
8. Special Program in Technical Vocational Education - a program which aims to develop the learners' skills i n tech nical vocational education.
Certified True and Correct by : School Head

(Signature Ol·er Printed Same)
Verified by the Division
Office : Head of the Dfrision
(Signature O,·er Printed Name)
Position Title Date : Position Title Date
: Pagc.;,:,f l'
Grade 9 Grade 10 Total
SUBJECT
Table 4. LEARNERS DATA IN TECHNOLOGY Ai"1D LIVELIHOOD EDUCATION (TLE), SY 2013-2014 (As of June 6, 2014)
Home Economics
Beau ty Care
Care giving
Cookery
Dressmaking
Front Office Services
Handicraft
Household Services
Travel Services
Wellness Massage
Agri-Fishery Arts
Agri-Crop Production
Animal Production
Aquaculture
Fish Processing
Horticulture
Industrial Arts
Automotive Servicing
Carpentry
Consumer Electronics Servicing
Electrical Installation and Maintenance
Masonry
Plumbing
Refrigeration and Airconditioning
Shielded Metal Arc Welding
Information and Communication Technology
(JCT)
Compu ter Hardware Servicing
Contact Center Services
Illustration
Technical Drafting
Certified True and Correct by Verified by the Division Office :

School Head Head of the Office
(Signature Ol er Pn"nted .\"ame)
1
(Signature Over Pn.nted .\"ame)

Position Title Date : Position Date
Pnnt_,er,;10n GSSP_201..t1JS1Jf:20l.:; 7.:itile..t Title : Page oJ !.'
Area of Exceptionalities
Table 5. LEAR.."IERS WITH EXCEPTIONALITIES DATA, SY 2013-2014 (As of June 6, 2014)
Visual Impairment Hearing Impairment Learning Disability Intellectual Disability

Autism Spectrum Disorder Emotional-Behavioral Disorder Orthopedic/Physical Handicap Speech/Language
Disorder
Cerebral Palsy

Based on Manifestation:
Difficulty Seeing
Difficulty Hearing
Difficulty Walking, Climbing and Grasping
Difficulty Remembering, Concentrating, Paying Attention and

Understanding
Difficulty Communicating
TOTAL
The data in this table shall include all enrolled learners with exceptionalites.
Mainstreaming ·the placement of a learner with exceptionaHty in regular educational programs and given special instruction in specific learning areas.
Areas of Exceptionalities:
1. Visual Impairment - an impairment that even with correction, adversely affects a child's educational performance. This includes both partial sight and blindness.
2. Hearing Impairment - an impairment, whether permanent or fluctuating that adversely affects a child's educational performance such as deafness.
3. Learning Disability - a disorder in perception, listening, thinking, reading, writing, spelling, and arithmetic although normal in sensory, emotional and intellectual abilities.
4.Intellectual Disability - formerly labeled as "mental retardation;·it is defined as significantly subaverage general intellectual functioning which originates during the developmental period and associated with impairment in adoptive behavior like maturation,
learning and social adjustment.
5.Autism Spectrum Disorder - characterized by varying degrees of impairment in communication skills and social interactions and in restrictive, repetitive patterns of behavior.
6.Emotional-Behavioral Disorder - a condition exhibiting one or more of the following characteristics over a long period of time and to a marked degree that adversely affects a child's educational performance: (i) an inability to learn that cannot be explained by
intellectual, sensory, or health factors, (ii) an inability to build or maintain satisfactory interpersonal relationships with peers and teachers, (iii) inappropriate types of behavior or feelings under normal circumstances, (iv) a general pervasive mood of unhappiness
or depression, (v) a tendency to develop physical symptoms or fears associated with personal or school factors.
7. Orthopedic !Physical Handicap - any condition that interferes with a child's ability to use his or her body.
8.Speech/Language Disorder - a communication disorder, such as stuttering. impaired articulation. a language impairment, or a voice impairment, that adversely affects a child·s educational performance.
9. Cerebral Palsy - is caused by damage to developing brain either before or d uring birth, or in the first few years of life. The impairment depends on where in the brain the damage occurs.
JO. Special Health Problem/Chronic Illness - chronic or acute health problems such as asthma, attention deficit disorder or attention deficit hyperactivity disorder, diabetes, epilepsy, a heart condition, hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever,
sickle cell anemia, and Tourette syndrome; that adversely affect a child's educational performance.
11. .\1ultiple Disabilities - a combination of disabilities that causes severe educational needs that require multiple special education programs such as mental retardation-blindness or mental retardation-orthopedic impairment.
Reminder: All learners with exceptionalities in secondary level are mainstreamed in the regular classes.
Cenijied True and Correct by
Verified by the Di,•ision
School Head
Office : Head of the Dfrision
(Signature Orer Printed :\'ame)
(Signature Orer Printed Name)
Position Title Date : Position Date :

Title ------
Pnm_ ,,,,on GSSP_:01..1 oso :xi1.; Tables
------
_Table 6. PERSONNEL DATA (Locally-funded and DepEd Subsidized Teachers Working in the School), SY 201·2015 (As of June 6. 2014)
Funding Source
Class Special Educ. Fund (SEF) Local Gov't TOTAL

PTA-funded Others
Unit (LGU) Locally-funded
Provincial/City Municipal
funded
Secondary (excluding ALIVE)
ALIVE •
1. Locally-funded teachers working in the school - teachers not having plantilla positions and whose compensation is chargeable against the local
budget. These are classified according to the following:
a. Special Education Fund (SEF) Teachers - teachers whose salaries are being paid by the local School Board Fund (Provincial/City or Municipal) where the school is located.
b. Local Government Unit (LGU) funded Teachers - teachers paid out of the general fund (not the SEF) of the LGO
c. PTA-funded Teachers - teachers who receive their salanes through the Parents-Teachers Association (PTA)
d. Others - teachers who are bemg funded by neither one of the above
2. DepEd Subsidi:.ed Teachers - teachers not having p\ant1lla positions but paid by DepEd through honorarium
3. ALIVE Teachers - teachers assigned to teach ALIVE classes
Reminder: • - Those serving two or more schools simultaneously shall be counted only in the school with the most teaching loads or number of learners handled, in that order.
Table 7 TEACHING RELATED AND NON-TEACHING PERSONNEL DATA (Nationallv-funded) SY 2014- '015 (As of June 6 2014)
NATIONALLY-FUNDED PERSONNEL -
SCHOOL PLANTILLA ITEMS
TOTAL
Numbu Plantilla personnel borrowed/detailed
Number actually working in PJantilla personnel detailed to Nationally-funded personnel working
of plantilla from other school(s)/ OepEd office(s)
Position Title the school Planlill in the school
items in DepEd Elementary OepEd offlce(s1/ TOTAL
school per On leave a officefs)t (Col.S+Col.6+
school(s) schoolfs) out.o!lde lhe
latest PSI· item(s) sec. school(s) divb;ion or otber TOTAL Col.7+ Col.lll Male Female Total
POP Male Female TOTAL within the government Male Female Total
vacant within the
division CUIL3+CoL13f (CoU+CoL14) (CoLl6+Col.I7)
•genC'lts
division
Col. I Col.2 Col. 3 Col.4 Col.5 Col. Ii Col.8 Col. 9 Col. lO Col. II Col.12 Col.13 Cot 14 Col. IS Col. Iii Col. Ii Cot. 18
Vocational School Administrator lII
Vocational School Administrator II

Vocational School Administrator l
Principal IV
Principal III
Principal II
Principal I
Head Teacher VI
Head Teacher V
Head Teacher IV
Head Teacher !II
Head Teacher II
Head Teacher I
Guidance Coordinator
Guidance Counselor
Senior Bookkeeper
Bookkeeper
Disbursing Officer II
Disbursing Officer T
TOTAL
.'ate: For the definitions. please refer to Teaching Personnel Data (Table 8).
Reminder: Totals in column 12 must tally »·ith entries in column 2.

Certified Troe and Correct by Verified by the Dil·ision Office :
School Heaa Head of t/Je Office
IS1gnawre Oi•er Pnnred \'wnel
Position Titl. Date Position Title Date

? r, -'""'"" c,s.··
NATIONALLY-FUNDED PERSONNEL
SCHOOL PLANTILLA ITE:1-IS
Numhcror SY
Table 8. TEACHING PERSONNEL DATA (Nationally-funded). t- -.-
-,.
201·2015 (As of June 6, 20U) --, ---1 TOTAL
umber actually working in the
plantllla Plantilla personnel detailed to Plantilla personnel borrowed/detailed
Nationally-funded personnel working in the school
Position Title items in school from other school(s)/ DepEd office{s)
Plantilla DepEd
Elementary TOTAL
DepEd officels)/
school per latest PSJ. POP On leave item(sJ vacant
officefs)/ sec. schooHsJ within the d!Ylsion iCol.S+CoUi+
school(s) within thedhiJion or olhtr go>'trnment
school(s) oul5idt !ht Male Female
Col.8 TOTAL Col.7+ Col.ii) Total
:\tale Female TOTAL di,ision :igencies lale Female Total
iCoL.J..CoLIJ1 fCoU+Col.l I cCoL16+Coll7J
Col.9
Col. I Col. 2 Col. J Col. 5 Col. 6 Col. 7 Col. JO Col. II Co!. 12 Col. 13 Col. 1-1 Col. 15 Col. 16 Col. 17 Col. 18
a. Teachin Positions
Instructor TII Instructor II Instructor I

Master Teacher IV Master Teacher Ill Master Teacher II Master Teacher I Teacher Ill
Teacher II Teacher I
SPED Teacher V SPED Teacher IV SPED Teacher III SPED Teacher II SPED Teacher I
TOTAL
nment (Number o Handlin Grades 7-12 Handlino SPED classes

Handling Full Time Ancilliarv Services
TOTAL
1. Nationally-funded personnel - teaching, teaching-related and non-teaching personnel having plantilla positions, including those with provisional appointmenL"i.
2. Number of plantil/a items in school per latest PSI-POP ·number of plantilla items allocated w the school.
3. /\lumber of teachers actually workinR in the school - teaching. teachin_g-related and non-teaching personnel with plantilla poitions who are actually performing their spedfic assi_gnments in the schooL
4. On /eai·e personnel - personnel who are on leave for the whole school year approved by the School Division Superintendent.
5. Plantilla item(s) meant - plantilla positions that are unfilled.
6. Plantil/.a personnel detailed to DepEd office(s)/sec. school(s) within the dfrision - personnel assigned/designated to the division office or to other secondary schools within the division.
7. Plantilla personnel detailed to Elementary school(s) within the dfrision - personnel assigned/designated to elementary schools within the division.
8. P/antilla personnel detailed to DepEd office(s)/school(s) outside the division or other go1•ernment agencies - personnel assigned/designated to other DcpEd office(s)/school(s) outside the division or other government agencies.
9. Plantilla personnel bo"owed!detailed from other school(s)/ DepEd office(s) - personnel who are actually working in the school but whose items belong from dementary/secondar) school(s) or from other DepEd office() like the di\'ision.
regional. central office or from other school division{s).
Note: Includes Teacher Items Created for SY 2014-2015 whether filled or unfilled.
Reminder: J. Jn Table 8 totals in column 12 must tally with enm·es in column 2.

,11
2. In Table 8 b , if a teacher is handling two or more assignments, he/she should be counted in his/her assignment where he/she has the most number of loads.
3. In Tables 8 a, totals in column 18 must tally with entries in Table 9 column 7.

4.Totals in Tables 8 11 & 8 b must tally.

Venjied by the Dfrision Office :
School Head
Head of the Office
(S1gn,1ture Ol-er Pnnted Name}
Position Tith Date Position Title
Date :-------
Carries full-time class teaching load Assigned part-time to class teaching, TOTAL
Assigned full-time to ancillary senices
(Col.2+Col.3+ColA+ Col.5+Col.6)
Position Title
Not assigned to ancillary Class teaching 200 min.
'' Assigned per
to ancillary services Class teaching less than 200
services ' as additional
day orload
more '' min. per day Col. 6 Col. 7
''
.
'
Col I
Instructor Ill ..
Col. 2 Col. 3
'.
Col. 5 Col. 4
'
.. teachers working in the school),

Table 9. TEACHER ASSIGNMENTS (Nationallv·funded
' .
SY 2014-2015 (As of June 6, 2014)
Instructor II
.
'
. ''
. .. '
Instructor I
. . . . ..
Master Teacher IV .. .. . .
'
Master Teacher Ill . :
'..
.
..
Master Teacher II
Master Teacher I ... '

'
Teacher Ill . .
.
Teacher II '
. '''
.. ''
''
Teacher !
..'..
''
'
SPED Teacher V ..
. '
.
. '
....
..
SPED Teacher IV
.
'
SPED Teacher III .. '
.
SPED Teacher Ill
.. '
...
.
SPED Teacher I
.... '
TOTAL ...
.
'.
Ancillary services - those rendered as a guidance counselor, librarian, property custodian, office clerk, canteen manager, coordinator (ALS, Boy/Girl Scout, etc.), teacher nurse. Class advisorship is not included.
Reminder: Totals in column 7 of this table must be equal to the totals in Table 8 a (column 18 • Total Nationally-funded personnel working in the school).
Certified True and Correct by Verified by the Division Office :

School Head Head of the Office
(Sigmuure Over Pr1111ed Same)
(Sig,wwre Oi·er Primed l\'ame)
Position Title Date : Position Date :
Title
Prmi_,ers,on CSSP_::Ol-< OSOS10J-l Tat-leQ
Table 10. NUMBER OF TEACHERS BY TEACHING ASSIGNMENT, BY GRADE LEVEL A:'\TD BY SEX
(Nationally-funded teachers only), SY 2014-2015 (As of June 6,.2014)
Grade 7 Grade 8 Grade 9 Grade 10

Teaching Assignment
Male Female Male Female Male Female Male Female
English
Mathematics
Filipino
Science
General Science
Biology
Chemistr
y Physics
Araling Panlipu nan
Edukasyon sa
Technology and Livelihood Education
Home Economics
Agri-Fishery Arts
Ind ustrial Arts
Information and Commu nication Technology
Musi
c
Arts
Physical Education
Health
Reminder: A teacher who is teaching more than one learning area or grade level can be counted more than once.

Verified by the Division Office
School Head
: Head of the Office
(Signature Over Printed Name)
(Signature o,,er Printed Name)
?nn!_ version GSSP_2014 08082014 Table 10
P;ige 10 of 15
Table 11. NUMBER OF FUNCTIONAL COMPUTERS IN THE SCHOOL BY FUNDING SOURCE, SY 2014-2015 (As of June 6, 2014)
NUMBER OF COMPUTERS BY FUNDING SOURCE
Other
Types of Computer DepEd DepEd Private
LGU/SEF PTA Government Others Total
DCP non-DCP Donations
Agencies
. Academic Use
Desktop
Notebook/Netbook
Tablet
. Administrative Use
Desktop
Notebook/Netbook
Tablet
TOTAL
1. Indicate the number of functional computers according to the following funding sources:
a. DepEd DCP - computers procured through the DepEd Computerization Program.
b. DepEd non-DCP - computers procured through other DepEd downloaded funds.
c. LGU/SEF - computers procured from the Special Education Fund (SEF) and the budgets of Local Government Units (LGU): provincial, municipal or barangay units.
d. PTA - computers funded from the Parents-Teachers Association (PTA).
e. Private Donations - computers donated/procured by private individuals, corporations, alumni associations, non-government organizations, philanthropic organizations or through foreign-assisted funds.
f. Other Government Agencies - computers funded from other government agencies such as DTI, DOST, CICT, etc.
g. Others - computers procured from other sources not listed above.
2.Computer - refers to electronic devices for storing and processing data such as :
a. Desktop - refers to a computer that is designed to be used on a table.
b. Notebook/Netbook - refers to a laptop computer that can easily be transported.
c. Tablet - refers to a portable computer that has a touchscreen feature as the primary means of input.
d. Desktop Virtual Terminal - refers to a computer terminal consisting of monitor, keyboard and mouse connected to a terminal device that connects to a computer host. (Reminder: do not count the compu ter host).
3.Computerfor Academic Use - refers to computer units utilized in the classroom/laboratory as an aid to instruction.
4.Computerfor Administrative Use - refers to computer units used for encodi ng administrative data of the school (e.g. enrolment, attendance, disbursements, financial statements, and other reports).
School Head Position Title

Certified True and Correct by: (Signature over Printed Name) :-----
-- Date :
_ Head of the Office :
P:--int_ versmn GSSP_2014 08082014 Tablcl I ----------------
Pag 1:. ,,f l'.'
------
Electrical
WaSupply Sources:
ter Supply DD
Sources:
Local Grid
PipedSupply
Water D Natural Source
DD
Water D
Well/Deep
Off Grid Well
Supply Rainwater D
Catchments Without Available Water Suppl y
D Solar Power
D Generator
If Local Piped Water , check the appropriate water supply provider:
D Maynilad LocalDwater D
district
D Others, Others, please
please specify
specify -- --- _
DManila Water O No Local Dwater
source of electricity
cooperative
Average Cost of Monthly Bills/Maintenance: (Please
Average Cost of Monthly Bills/Maintenance: (Please indicate
indicate the amount)
the amount) -- ---
- -
-
------
What 2.
BoxWhatAVAILABILITY
is theisfunding OF (Check
source?
the funding WATER
source? asSUPPLY,
(Check SY 2014-2015 (As of June 6, 2014)
appropriate):
as appropriate): Box 3. AVAILABILITY OF ELECTRICAL SUPPLY, SY 2014-2015 (As of June 6, 2014)
D
D School MOOE
D
School MOOESchool Canteen Fund
D School Canteen Fund
DD LGU
LGU D
Private Individual/Sector D Private Individual/Sector
D
D PTA PTA D
Others, please specify D Others, please specify _ _
1. Local piped water - water source coming from local water service providers.
1. Grid Supply - electricity coming from major or local power distributors (e.g. electric cooperatives, Meralco, etc.).
Water well - an excavation structure in the ground by digging, driving, boring or drilling to access water in
underground aquifiers.
2. Off Grid Supply - electricity coming from alternative source of power (e.g. solar power, generator, etc.).
3. Rainwater catchment - water sourced from rainwater and collected through a rainwater collector. 3. No source of electricity - without existing electrical supply at all.
4. Natural source • water sourced from a spring or stream.
5. Without available water supply • without existing water supply at all.

School Head Verified by the D frision Office :
(Signature Over Printed Same) Head of the Office
(Signature Over Printed Same)
Pc.,ition Title Date : Position Title
Pnnt_ ,erswn GSSP_201 050&20! Box1 3

Date :
Are there internet service providers in the area? D Yes D No
Box 4.IfDATA
Yes, check the appropriate
ON INTERNET internet service provider/s
CONNECTIVITY, servicing
SY 2014-2015 theJune
(As of area:
6, 2014)
O BAYANTEL O GLOBE O SMART D WIT Global (Satellite)
O DIGITEL O PLDT O SUN D Others, please specify _
Does the school subscribe to any of the internet service provider/s listed above? D Yes D No
Internet Service Provider (ISP) - refers to the organization that provides services for accessing, using, or participating in the internet.
Table 12.AVERAGE MONTHLY EXPENSE (IN PESOS) OF INTERNET CONNECTION BY FUNDING SOURCE
Types of Internet Funding Source
Internet Service Provider
Connection
Average Monthly Expense (DepEd DICP, MOOE, School Funds, LGU
(Wired, Fixed wireless, (Selectfrom available /SEF, PTA, Private Donations, Other
satellite, USBModem ) ISPs above ) Government Agencies, etc. )
Indicate the average monthly expense of internet connection by funding source.

J . Types of Internet Connection:
a. Wired - internet connection using the phone lines from the service provider to a client.
b. Fixed wireless - internet connection through radio frequency bands with directional radio antenna on each end of the signal.
c. Satellite - internet connection using satellite dish supplied by an internet provider.
d. USB Modem - internet connection using USB dongle (e.g. SMART Bro, Globe Tattoo).
2. Average M onthly Expense - average cost spent for the internet connection.
Certified True and Correct by:

School Head :
----------
Head of the Office : ------------
(Signature over.Printed Name)
'nnt_vrsiu SSP_2014 Tah!e12
Position Title :------- Date : _ nC 08082014 Box..$.
Position Title :
------ Date :
-- Page 13 uf 1:'
- --
•
Box 5. SCHOOL SITE DATA
a. Mode of Acquisition of School Site: b. Proof of Ownership and Occupancy: c. Legal Ownership Issues:
Year (Check as appropriate) (Check as appropriate)
Mode
Acquired OTransfer Certificate of Title
Original O Adverse Claim
Donation OOOO
Tax Declaration OO O Encroachment
Purchase O O Others, pis.specify _
Usufruct Agreement Deed of Absolute Sale Deed of Donation
Expropriation Presidential Proclamation/Special Patent Contract of Usuf ruct

Memorandum of Agreement/Lease Agreement
Exchange (Land Swapping) d. Total Land Area: (in square meters)
Presidential Proclamation/Special Patent Others, pis.specify -
---
Others, pis.specify
I . Mode of Acquisition of School Site - refers to the means of acquiring the school site.
a. Donation - includes the four (4) types of donation: .
a.l. Simple Donation - is one whereby a person, through an act of liberality disposes a piece of land in favor of the government
a.2. Conditional Donation - is one which i mposes a condition (e.g. "that the land shall be used only for education"). In such case, the property is reverted to the owner when the condition as
stipulated in the donation is not met.
a.3. Inter Vivas Donation - is one that is in effect during the lifetime of the donor.
a.4. Mortis Causa - is one that takes effect only after the donor's death. Donations by mortis causa should conform to the formalities required of the last will.
b. Purchase - a school site was acquired by di rect purchase from the legal owner who voluntarily sold it as evidenced by a Deed of Sale duly executed, notarized and registered with the Register of
Deeds.
c. Expropriation - a school site was acquired by the government through the exercise its power of eminent domain (i.e. by taking private property for public use upon payment of just compensation).
d. Exchange (Land Swapping) - a school site was acquired by exchanging an existing school site for a new site for justifiable reasons as identified by law.
e. Presidential Proclamation - a school site was acquired by virtue of a declaration by the President under the procedures established by law.
2. Proof of Ownership and Occupancy - this refers to any legal and official document that acts as a competent proof of one's ownership and/or occupancy of the subject property.
a. Original Transfer Certificate of Title - a document evidencing the ownership of real property as issued by the Register of Deeds.
b. Tax Declaration - a document issued by the Assessor's Office of the jurisdiction (e.g. city or municipality) evidencing the payment of taxes on the use of the real property.
c. Deed of Absolute Sale - a document executed by the vendor evidencing the absolute (without conditions) sale of the real property in favor of the vendee.
d. Deed of Donation - a document executed by the donor, under the formalities required by law, evidencing the donation of the property.
e. Presidential Proclamation/ Special Patent - a proclamation issued by the President reserving an untitled land for public use.
f Contract of Usufruct - a document which stipulates that DepEd/school is allowed of full use or perpetual right of use of property without consideration as long as the property is used solely for
educational or designated purposes.
g. Memorandum of Agreement/Lease Agreement - a document executed by the legal owner/occupant of the land setting unnecessary the conditions on the use of the property.
h. Others - other documents that are competent proof of ownership and occupancy.
3. Legal Ownership Issues:
a. Adverse Claim - a claim to the property against that of one who has either title and/or possession of the property.
b. Encroachment - presence of illegal occupants/informal settlers.
4. Total Land Area - is the size in square meters of all areas designated as land used for some particular purpose such as school building.
l\'ote: In case, the school head does not have adequate information on the items listed above, the assistance of the Industrial Arts teacher/Division Physical Facilities
Coordinator/Division Project Engineer can be asked.

Verified by the Division Office
School Head
: Head of the Office
(Signature Oi·er Printed .\'ame)
(Signature Oi·er Printed .'Vame)
Position Title Date Position Title Date :
:
Box 6. FEEDING PROGRAM. SY 2014-2015
a. Does the school have a feeding program? 0' Yes O No
If Yes, what is the funding source of school feeding program? (Check as
O School MOOE O LGU Fund O appropriate). O Others, please specify _
D School Canteen Fund D PTA Fund D Private

BarangayIndividual/Sector
Fund Fund
b. Availability of agriculture and fishery resources in the school : (Check as appropriate).

O Gulayan sa Paaralan O Agricultural Crops O Others, please specify _
O Fish Pond D Livestock O None
Does agricultural and fishery in the school used for feeding program? 0 Yes D No
If Yes, what is the funding source? (Check as appropriate).

O School MOOE O LGU Fund O Barangay Fund O Others, please specify _
O School Canteen Fund O PTA Fund O Private Individual/Sector Fund
Table 13. DISASTERS/CALAMITIES

For the months of April and May 2014, which incidents occurred in your school and immediate surroundings?
Disasters/Calamities Disasters/Calamities
Natural Hazards
Human-Induced Hazards
Drought
Earthquake Crime against school head/s
Fire
(includes forest fire, fires as consequence of natural disasters such
as t}phoons and earthquakes) D D Crime against school property (theft, robbery, arson) D D
Flood
Landslide
Crime against teacher/s
D D (murder/homicide, physical injury, rape, sexual harassment, ere.) D D
Storm Surge
Tropical Cyclones (Storm, Tvphoon, Tropical Depression. etc.)
Health Threat
D D (i.e. Dengue, Malaria, Measles, food poisoning, disease outbreak) D D
Tsunami
Volcanic Eruption
D D Oil Spill D D
D D (bomb threats, kidnapping threats, hostage taking, shooting, etc.) D D
School Used as an Evacuation Center Structural collapse (as a result of engineering failures) D D
Note: For the definitions, please see DepEd Order lVo. 23, s.2014.
Others. Please specify D D
School Head :
(Sig,1awre Over Printed Vame) Verified bJ the Dfrision Office:
Head of the Office
(Signature Over Princed .\'ameJ
Position Title :
INSTRUCTIONS
Date This
: form shall be accomplished by the head of the private school offering kindergarten, elementary and/or secondary levels. In
Position Title Datethe
: case of schools/institutions offering more than one level, only one schoo
Only private schools whose establishment has been approved by the DepEd Regional Office shall be issued a Private School Profile. Private Schools whose documents have been submitted to the Regiona
issued this form.
(Enclosure
The head No. 3 to
of the DepEd
school shallOrder No.forms
sign the 36, s.
certifying to the correctness of the data, and shall be responsible and accountable for any inaccuracy or false data/information reported. He/She shall submit t
2014)
Important: Read the definitions/instructions found at the bottom of each table before filling up the form. No item shouldMunicipality
be left blank. Instead, "zero ( 0ID)" or "not applicable (n/a)" shall be w
ID Schoo/
Republic of the Philippines

DEPARTMENT OF
EDUCATION OFFICE OF
PLA."INING SERVICE
PRIVATE SCHOOL PROFILE
SCHO
OL
INFOR
MATI
ON SY
2014-
2015
Name of Institution Regi

on
(Official name)
Divi
sion
(If renamed, please
indicate old name.) Legislative
Address District Tel.
# Street/Sitio/Purok Barangay No.
Mob
Municipality ile
Province/City No.
Fax
No.
E-Mail
Write appropriate information Level of Education Offered
Kindergarten Elementary Secondarv
With Permit Address (Permit No.)
With Recognition (Recognition No.)
Permit on Process (Date of submission of
documems to Regional/Division Office)

Head of Institution Designation
Date
(Signature Over Printed l\'ame)
Pag 1
of
Learners with Exceptionalities TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 (non-graded)
Particulars (Kindergarten to Learners with Exceptionalilies)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
TOTAL ENROLMENT
Monograde
Multigrade
Balik-Aral
Indigenous Peoples Learner

Table l. LEARNERS DATAclasses
Learner in AUVE IN ELEMENTARY, SY 2014-2015 (As of l" Fridav of the SY)
Muslim Learner
Repeater
j.Total Number of Monograde Classes , _ .__ ,__ .__ . . _. ..L-- - .

1. Learner - refers to an individual who may or may not be enrolled in one or multiple programs.
3. Kinderganen Enrolment - refers to the total number of learners enrolled from one to three levels (not including toddlers, daycare program) before Grade l.
4. Elementary (Grades 1 to 7) Enrolment ·refers to the total number of learners enrolled in the second stage of compulsory basic education. The entrant age to this level is six (6) years old as of October 31.
5. Learners with Exceptionalities (non-graded) Enrolment - refers to similarly grouped learners who are not yet ready for inclusion in the regular class.
7. Multigrade Enrolment - refers to learners being taught in classes consisting of two or more grades handled by one teacher.
8. Balik-Aral - refers to a learner who finished a grade level, stopped schooling and then enrolled in the next grade level after a year or more.
9. Indigenous Peoples Learner -refers to a learner born of either or both parents who is IP as defined in RA 8371 Indigenous Peoples Republic Act of 1997 (i.e. groups of people or homogenous societies identified by self-ascription and ascription by
others who have continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, customs. traditions and other distinctive cultural traits).
10. Leamer in Arabic Language and Islamic Values Education (ALIVE) classes - refers to a learner enrolled in ALIVE (i.e. a program with the aim of preserving Arabic language and Muslim culture through its inclusion in the regular basic education
curriculum).
I 2. Repeater - refers to a learner who failed or left a particular grade level in any previous school year and is enrolled in the same grade levd where he/she left or failed.
13. Tomi Number of ,Yonograde Classes - refers to the number of classes by grade level from Kindergarten to Grade 7.
Reminders: J. Totals in this table will tally with the totals in Table 2.
1. Fill-up Grade 7 column in this table if Grade 7 is part of the school's elementary education.
Head of Institution Designation Date :

(Signat11rt Over Pn'nttd Sam)
.n.n,_, ,,,.ac"SP •o··_otcco,·T..bl<,
Grade 1 Learners with TOTAL
,,..,,
Kindergarten Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Exceptionalities
Age ( Kindergarten to LeaJ"'F!ers '4-ith Exceptionalities)
Wnh ECD Experu:ncc : W1tbou1 ECO Experience
(non-graded)
Male Male Female Male Female
4 & below
Table 2. ELEMENTARY
5 AGE PROFILE, SY 2014-2015 (As of l" Friday of tbe SY)
10
II
12
13
14
15
16
17
18
19 & above TOTAL
I. The total enrolment of the school as of 1" Friday of the SY will be distributed across grade levels, by single age or age group and by sex.
2. Computation of the age of learners will be based on the child's age as of last birthday. Thus, if the learner is 6 years 11 months as of!" Friday of the SY, the age of the learner is counted as 6 years.
3. ECD (Early Childhood Development) Experience includes all ECO programs for young children in registered kindergarten and those in similar organized educational institutions and day care centers.
Reminder: Totals in this table will tally wilh the totals in Table 1.
Box 1. MULTIGRADE CLASSES, SY 2014-2015 (As of l" Friday of the SY)

MG Class 1 D D D D D D D
1\f ultigrade classes - refers to classes consisting of two or more grade levels cornbim:d

-'"1 ·
1
Table 3. LEARNERS DATA IN SECONDARY, SY 2014-2015 (As of 1' Friday of the SY)
TOTAL
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6
Particulars (Years 1-6)
TOTAL ENROLMENT
Balik-Aral
Learner enrolled in ALIVE classes

- Muslim Learner
Repeater
!Total Number of Classes
1.Learner - refers to an individual who may or may not be enrolled in one or multiple programs.
2. Total Enrolment ·refers to the total number of learners enrolled in the school regardless of program.
3. Secondary (Grades 7 to 12) Enrolment ·refers to the the third stage of compulsory basic education. The entrant age to this level is twelve (12).
4. Balik-Aral - refers to a learner who finished a grade level, stopped schooling and then enrolled in the next grade level after a year or more.
5. Indigenous Peoples Learner - refers to a learner born of either or both parents who is IP as defined in RA 8371 Indigenous Peoples Republic Act of 1997 (i.e. groups of people or homogenous societies identified
by self-ascription and ascription by others who have continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, customs, traditions and other
distinctive cultural traits).
6. Learner in Arabic Language and Islamic Values Education (ALIVE) classes - refers to a learner enrolled in ALIVE (i.e. a program with the aim of preserving Arabic language and Muslim culture through its
inclusion in the regular basic education curriculum) .
7. Muslim Learner ·refers to a learner who is born of either or both parents practicing the Islam religion or faith.
8.Repeater - refers to a learner who failed or left a particular grade level in any previous school year and is enrolled in the same grade level where he/she left or failed.
9. Total Number of Classes - refers to the number of classes by year level from Year 1 to Year 6.

Pn111_versaoo f">P 20l _OSOS2(JJJ Table.;
1
Table 4. SECONDARY AGE PROFILE, SY 2014-2015 (As of 1' Friday of the SY)
TOTAL
Age (Years 1-6)
10 & Below
11
12
13
14
15
16
17
18
19
20 & Above
TOTAL
I. The total enrolment of the school as of l" Friday of the SY will be distributed across year levels, by single age or age group and by sex.
2. Computation of the age of Learners will be based on the child's age as of last birthday. Thus, if the learner is 12 years 11 months as of l" Friday of the SY, the age of the learner is counted as 12 years.
Head of Institution Designation Date

(Signature O,·er Printed Name)
Prm1 _,cmon PSP 201J_OS0;:,201J TableJ

Are you interested in opening Senior High School in school year 2016-2017? 0 Yes O No
If Yes, is there any usable vacant classroom in your school?

O Yes, how many? _ O No
Table 5. DATA ON GASTPE PROGRAM, SY 2014-2015 (As of 1'' Friday of the SY)
TOTAL
Particular (Years 1-6)
Male I Female Male I Female Male I Female Male I Female Male I Female Male I Female Male I Female
En rolment I I I I I I I
·1 Number of Slots
I . The Government Assistance to Students and Teachers in Private Education (GASTPE) Program - aims to decongest public secondary schools through the extension of financial assistance
to deserving elementary school graduates who wish to pursue their secondary education in private schools.
2. Number of Slots - number of allocated slots given to the participating private schools in GASTPE.
Table 6. PERSONNEL DATA, SY 2014-2015 (As of 1'' Friday of the SY)
Elementary Secondary
Kindergarten
Particulars Total Secondary Teacher Salary Subsidy (GASTPE)
Male Female Total Male Female Total Male Female Total Male Total
No. of Teachers
No. of Administrative and Support Personnel
Number of teachers covers teachers with full-time teaching load and part time teaching load. These includes Professor and Instructor handling basic education.
Reminder: A teacher handling 2 or more levels shall be counted once and counted where the most number of teaching loads.
Box 2. SENIOR HIGH SCHOOL PROGRAM
Head of Instiwtion Designation Date

(Signature Orer Printed Xame)
Page 6 oi
Table 7. DISASTERS/CALA..l\1ITIES For the months of April and May 2014, which incidents occurred in,your school and
immediate surroundings?
Disasters/Calamities
Natural Hazards Human-Induced Hazards

Drought
D D Armed conflict as a resul t of organized crime (terrorism, siege, etc.) D D
Earthquake Fire Crime against school head/s
(includes forest fire, fires as consequence of natural disasters such as typhoons D D (mllrder/homicide, physical injury, rape, sexllal harassment, etc.) D D
and earthquakes)
Flood D D Crime against school property (theft, robbery, arson) D D

Landslide Storm Surge D D (murder/homicide, physical injury, rape, sexual harassment, etc.) D D
Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.) Crime against teacher/s
Tsunami
Volcanic Eruption Health Threat
D D Oil Spill D D
School Used as an Evacuation Center
Note: For the definitions, please see DepEd Order No. 23, s.2014. D D (bomb threats, kidnapping threats, hostage taking, shooting, etc.) D D
Box 3. VULNERABILITIES
Structural collapse (as a result of engineering failures) D D
Others.
In your opinion, what are the top 3 conditions, circu mstances or features of your schools and the surrou nding environment Please your
that increase specify D D
vulnerability or put life and property at great risk to natural and hu man-
induced disasters?
Reminder: This table should not be left blank.

Date
(Signature O,·er Printed Same)
INSTRUCTIONS
Type of School: Level of Education Offered
(Tick as appropriate)
D
Kindergarten
Republic
The head of the school shall sign the forms certifying to the correctness of of
thethedata, D
and shallElementary
Philippines
D
This form shall be accomplished by the head of the laboratory school of State Universities and Colleges (SUCs) offering kindergarten, elementary and/or secondary levels. In the cas
Secondary
be responsible and accountable for any inaccuracy or false data/information re
September 1, 2014. DEPARTMENT OF EDUCATION
Important: Read the definitions/instructions found at the bottom OFFICE OF PLANNING
of each table beforeSERVICE
filling up the form. No item should be left blank. Instead, "zero ( 0 )" or "not ap
SUCs LABORATORY SCHOOL PROFILE
SCHOOL INFORMATION
SY 2013-2014
Name of Region
Institution
(Official name) Division
Legislative
(If renamed, please indicate old name.) District Tel. No.
Mobile No.
Address
# Street/Sitio/Purok Barangay Fax No.
E-Mail Address
Municipality
Province/City

Date (Signature Over Printed Name)
Prim_versioa SUC.<. 2014_08082014 Schlnfo Page 1 of 7
51
Table 1. LEARi'\TERS DATA IN ELEMENTARY, SY 2014-2015 (As of 1 Friday of the SY)
Learners with TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Exceptionalities (Kindergarten to Learners
Particulars
(non-graded) with ExceptionalitiesJ
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
TOTAL ENROLMENT
Monograde
Multi grade
Balik-Aral
Learner in ALIVE classes
Muslim Learner
Repeater
jT_o_1_al_N u_m_b_e_r_o_f
_M_o_n_o_g_r_ad_e Cla_s_se_s
......1 -"'-- -"'-- -"'-- -"'-- ....J'-- ....J'-- L\ ....1
I . Learner - refers to an individual who may or may not be enrolled in one or multiple programs.
2. Total Enrolment ·refers to the total number of learners enrolled in the school regardless of program.
3. Kindergarten Enrolment ·refers to the total number of learners enrolled in one (!) year preparatory education for children at least five (5) years old (as of October 31) as pre-requisite for Grade I.
4. Elementary (Grades I to 6) Enrolment .refers to the total number of learners enrolled in the second stage of compulsory basic education which is composed of six (6) years. The entrant age to this level is six (6) years old as of October 31.
5. Learners with Exceptionalities (non-graded) Enrolment ·refers to similarly grouped learners who are not yet ready for inclusion in the regular class.
7. Multigrade Enrolment - refers to learners being taught in classes consisting of two or more grades handled by one teacher.
8. Balik-Aral ·refers to a learner who finished a grade level, stopped schooling and then enrolled in the next grade level after a year or more.
9. Indigenous Peoples Learner ·refers to a learner born of either or both parents who is IP as defined in RA 8371 Indigenous Peoples Republic Act of 1997 (i.e., a group of people or homogenous societies identified by self-ascription and ascription by others who have
continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, customs, traditions and other distinctive cultural traits).
IO. Muslim Learner ·refers to a learner who is born of either or both parents practicing the Islam religion or faith.
1. Repeater - refers to a learner who failed or left a particular grade level in any previous school year and are enrolled in the same grade level where they left or failed.
12. Total Number of Monograde Classes • refers to the number of classes by grade level from Kindergarten to Grade 6.
Head of Designation Date

Institution (Signature Over Pn'nud
Same)
Prm1 HrtaonSlJl,.!OlJ_OSOS10lJ T1bld Pal]l':of 7
Table Z. ELEME'.NTARY AGE PROFILE, SY 2014-2015 (As of 1'' Friday of the SY)
Grade 1 Learners with TOTAL
Kindergarten Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Exceptionalities (Kindergarten to Learners
Age with Exceptionalities)
With ECO Experience Without ECD Experience (non-graded)
Male Female Male Female Male Female

4 & below
5 J
10
11
12
13
14
15
16
17
18
19 & above
TOTAL
I. The total enrolment of the school as of l" Friday of the SY will be distributed across grade levels, by single age or age group and by sex.
2. Computation of the age of learners will be based on the child's age as of last birthday. Thus, if the learner is 6 years 11 months as of l" Friday of the SY, the age of the learner is counted as 6 years.
3. ECD (Early Childhood Development) Experience includes all ECD programs for young children in registered kindergarten and those in similar organized educational institutions and day care centers.
Reminder: Totals in this table will tally with the totals in Table I .
Box 1. MULTI GRADE CLASSES, SY 2014-2015 (As of l'' Friday of the SY)

MG Class 1 0 0 0 0 0 0 0
MG Class 2 0 0 0 0 0 0 0
MG Class 3 0 0 0 0 0 0 0
Multigrade classes - refers to classes consisting of two or more grade levels combined. (

Date
P•fe 'of
Table 3. LEARNERS DATA IN SECONDARY, SY 2014-2015 (As of l'' Friday of the SY)
TOTAL
Particulars (Grades 7-12)
TOTAL ENROLMENT
. Balik-Aral
Learner enrolled in ALIVE classes
Muslim Learner
Repeater
Total Nu mber of Classes
I . Learner ·refers to an individual who may or may not be enrolled in one or multiple programs.
3. Secondary (Grades 7 to 12) Enrolment .refers to the the third stage of compulsory basic education. The entrant age to this level is twelve (12).
4. Batik-Aral - refers to a learner who finished a grade level, stopped schooling and then enrolled in the next grade level after a year or more.
5. Indigenous Peoples Learner - refers to a learner born of either or both parents who is IP as defined in RA 8371 Indigenous Peoples Republic Act of 1997 (i.e., a group of people or hornogenous societies
identified by self-ascription and ascription by others who have continuously lived as an organized community on communally bounded and defined territory sharing common bonds of language, customs,
traditions and other distinctive cultural traits).
6. Learner in Arabic Language and Islamic Values Education (ALIVE) classes ·refers to a learner enrolled in ALIVE (i.e., a program with the aim of preserving Arabic language and Muslim culture through its
inclusion in the regular basic education curriculum) .
8. Repeater - refers to a learner who failed or left a particular grade level in any previous school year and are enrolled in the same grade level where they left or failed.
9. Total Number of Classes ·refers to the number of classes by grade level from Grade 7 to Grade 12.

(Signature O,,er Printed Same)
?nm_,Noo sues 201J_080S20l Table.> ?air,--l of i
Table 4. SECONDARY AGE PROF1LE, SY 2014-2015 (As of 1st Friday of the SY)
TOTAL
Age (Grades 7-12)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female ·
10 & Below
11 .
12
13
14
15
16
17
18
19
20 & Above
TOTAL
I. The total enrolment of the school as of 1st Friday of the SY will be distributed across year levels, by single age or age group and by sex.
2. Computation of the age of learners will be based on the child's age as of last birthday. Thus, if the learner is 12 years 11 months as of 1st Friday of the SY, the age of the learner is counted as 12 years.

Pnru_,·emon sues 201..i_osos:01.:1 Tlhk-l Page 5a!'7

Are you interested in opening Senior High School in school year 2016-2017? D Yes 0 No
Table 5. PERSONNEL
If Yes, DATA,vacant
is there any usable SY 2014-2015 (Asinofyour
classroom 1st Friday
school?of the SY)
D Yes, how many? Nu mber of Teachers D No Nu mber of Administrative and
Kindergarten Elementary Secondary
Male Female Total Male Female Total Male Female Total Male Female Total
Nu mber of teachers covers teachers with full-time teaching load and part time teaching load. These includes Professor and Instructor handling basic education.
Reminder: A teacher handling 2 or more levels shall be counted once and counted where the most number of teaching loads.
Box 2. SENIOR HIGH SCHOOL PROGRAM

Print_version SUCs 2014_08082014 Table5-Box2 Page 6 of 7

Table 6. DISASTERS/CALAMITIES For the months of April and May 2014, which incidents occurred in your school and
immediate surroundi ngs?
(If applicable, check under the months that th'ese occurred.)
Natural Hazards Human-Induced Hazards

Drought
Earthquake Fire Crime against school head/s
(includes forest fire, fires as consequence of natural disasters such as D D (murder/homicide, physical injury, rape, sexual harassment, etc.) D D
typhoons and earthq11akes)
Flood D D Crime against school property (theft, robbery, arson) D D

Landslide Storm D D (murder/homicide, physical injury, rape, sexual harassment, etc.) D D
Surge Crime against teacher/s
Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.)
Tsunami Health Threat
Volcanic Eruption
D D Oil Spill D D
Result of Disaster Incidences Security threat as a result of civilian violence
D D (bomb threats, kidnapping threats, hostage taking, shooting, etc.) D D
School Used as an Evacuation Center
Note: For the definitions, please see DepEd Order No. 23, s.2014. Structural collapse (as a result of engineering fai/11res) D D
Box 3. VULNERABILITIES
Others. Please specify D D
In your opinion, what are the top 3 conditions, circu mstances or features of your schools and the surrounding environment that increase your vulnerability or put life and property at great risk to natural and hu man-
induced disasters?
Reminder: This table should not be left blank.

Date
Pnm_ versioo SUC.s 2014_OSOS20l4 Table6-Box3
Pe - of 7

DepEd data forms update

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

DepEd data forms update

Uploaded by

Copyright:

Available Formats

l\epublic of tbe tlbilippines

REVISED DATA GATHERING FORMS FOR SCHOOL YEAR 2014-2015

1. The Department of Education (DepEd) continuously improves the Enhanced

Enclosure No. 1 Government Elementary School Profile (GESP)

4. The timeline in the conduct of EBEIS activities shall be observed as follows:

EBEIS Activity Timeline

5. The cut-off date of data to be submitted is as of first Friday of the opening

6". Enrolment figures entered in the Learner Information System will

Government Elementary School Profile (GESP)

Government Secondary School Profile (GSSP)

Private School Profile (PSP) and SUCs Laboratory School Profile

8. The school heads/ teachers-in-charge (SHs/TICs) of both public and private

9. The regional directors (RDs) and schools division superintendents (SDSs)

SMA, DO Revised Data Gathering Forms for SY 2014-2015

GOVERNMENT ELEMENTARY SCHOOL PROFILE

Intef(rated School Annex/Extension School

D No Secondary School ID: I I I I I I ! Mother School ID: I I I I I I

Certified True and Correct

Learner in Alternative Delivery Modes

d. Other School-Initiated Intervention

Transferee from Other Public Schools

l·_T_ot_a_l_N_'u_m_b_e_r_o_f_M_ .,_ ...._ _._ _... _......._ .,_ .._ .

Certified Trm• and Correct

School Head Head of the Office Head of the Office

Male Female Male Female Male Female

Position Title Date :

Box 2. MULTIGR,\DE CLASSES. SY 2014-2015 (As of June 6, 2014)

Kindergarten Grade I Grade 2 Grade J Grade 4 Grade 5 Grade 6

Table 3. LEAR.NERS DATA BY PROGR,\M, SY 2014-20 15 (As of June 6. 2014)

Types of Special Programs:

Head of 1he Office : --,----------

Male Female Male Female Male Female Male Female

Cerrified True and Correct by

(Signature 01·er Printed .'\"ame) (Signature Oi·er Printed .Vame)

"'cm GESP_10l4 0,0S20PTablee"'

Difficulty Remembering, Concentrating, Paying Attention and

Cenified True and Correct by

Head Teacher III

Reminder: Totals in column 12 must tally with entries in column 2.

Certified True and Correct by School Head Checked by District Office

!\'umber actually working in the school

5. Position(s) ) acant - plantilla positions that are unfilled.

4. Totals in Tables 9 0 & 9 b must rolly.

Position Titli Date : Position Date : Position Title Date :

Master Teacher Ill

Table 11. NUMBER OF TEACHERS BY GRADE LEVEL

Certified True and Correct by

Certified True and Correct by :

Certified True and Correct by: (Signature o,·er Printed Name)

Indicate the average monthly expense of internet connection by funding source.

Head of the Office : ------------ Head of the Office :

If Yes, what is the funding source? (Check as appropriate).

Table 16. DISASTERS/CALA.l\1ITIES

Certified True and Correct by :

Republic of the Philippines

GOVERNMENT SECONDARY SCHOOL

applicable (n/a) shall be written. Shaded boxes shall not befilled.

Integrated School Annex/Extension School

Implementing Unit Night Classes

(Signature Over Printed .'V'ame)

Table 1. LEARNERS DATA, SY 2014-2015 (As of June 6,

a. Open High School Program (OHSP)

j.Total Number of Monograde Classes , _ . , .__ . . _. ..L-- - .