School:

No. Of ALS Learners:

No. Of SNED Learners:
No. Of Teachers Trained in MFAT:
No. of AZATIDZ Learners:
No Of Teachers trained in MADRASAH:
No Of Teachers and nonteaching needs to be trained in Environmental Awareness:
No. Of Teachers and NonTeaching needs to be trained in Disaster Preparedness:
No. Of Applied Research conducted:
No. Of Teaching and Nonteaching personnel trained on Research :
School with Internet Connection? Specify:
SBFP NO. of Severely Wasted Learners:
No. Of Wasted Learners: Total
No. Of interventions for undernourished learners:
No of days feeding: Cost per day per learner/day:

School Titling Titled School Sites (Y or N):

Need For Acquisition of School Sites? (Y or N) :
LEARNING TOOLS No. of Needed Science and Math Equipment:
School need of ICT Package (Y or N):
BASIC EDUCATION FACILITIES:
a. No. of Needed Classrooms - New Con:
b. No of Needed Science Lab building - New Con:
c. No. of needed Computer Laboratory bldg - new con:
d. No. of needed Computer Laboratory bldg - new con:
e. No. of School Library bldg - new con:
f. No. of Classrooms needing major repair:
g. No. of Library Building- needing repair:
h. No. of needed HE bldg - new con:
i. No. of needed Industrial Arts bldg - new con:
j. No. of needed Admin bldg – 2 new con:
k. No. of needed Technological bldg - new con:
l. No. of needed Canteen bldg – 1 new con:
m. No. of learners' tables and chairs needed:30
n. No. of teachers s' tables and chairs needed:
o. Unenergized schools (indicate "YES" or "NO" only):NO
p. Last Mile School (indicate "YES" or "NO" only): NO
q. No of Comfort Rooms Needed: 2
r. No. of set of WATSAN needed:2