Repu ofthe Pippines Seen ise eas female oe fralsanesboo Pos es moa ET ca —_ or = once co AS aa PENNE ADHESS —soetarcomtlined Ym Oto ona oor coy = a m= Taio cE) (ER COLETTI | “oa ange tiated Ona Bite aoe oer Religion 4 oe = ame =e ton fmendinbenrestiie Caaceeeasocer” nga = lamtacuany =r hone Dey Ovediwemen Cuaouomme oom pea ais Sanaa AEST a sO OE ow “CLIT Titi ttt saat et itn nae a a | == et L —_ aT ea i ears >= [ ] TT ieipataaaN aa aaal Soa SS — tama eae Timer Tenet Cased ems | Coat aaa | Caner Cent Coawt- Doses | Geomt Coan ‘Why did you not attendicompiete schooling? (For OSY only) ‘Have you attended ALS learning sessions before? Dives CINe fuse nage Tis-saneseeamennn adeteenrtoatee Ste a ats tnd a dy Galebmenry aso 1 ay for miclanaous an othr eparsot cone Have youcompeedtne program? Yes No‘What eernng Wodalyes do you pee? Choose a Pat =pp ‘Moda ei) TlOnine Rae Base ntrsction CFaeeta Face (Moda igs) Educational TV pended ‘Rea a ay TCL Pa How farie tom yourhometo your Lesring Center? inks. In hours ond mis How doyou getton your homeo yourLasming Centr? CWaikng CIMetracle CO Bkeyce Ober Pm apc) (han can you stn your Learning Sesion? encay | Tuesday | Wednesday | Thursday | Fay ‘Saurday | Sindy nat speci time can you beatyour ering Carter? | | hry cut hat B strinonaon on ev and coc ste eto my toga low he Darin of Eston ue my cits cats ct re eta earrproteLae ina Syston. The Innaton ere salle sees oneal conan wh Dit Pray Ata ALS Teschar Commun ALS inplnsotoLearing Fala Spnature and Date Tearar Signature and Dai