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Instruction: Please input required data/information in unshaded cells. Fill-in only the age groups/grade levels
applicable to your school.
4 2 2 0 0 0 0 0
5 1 1 0 0 0 0 0
6 2 1 1 0 0 0 0
7 3 1 2 0 0 0 0
8 6 2 2 2 0 0 0
9 5 5 0 2 0 0 0
10 3 3 0 2 0 0 0
11 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
TOTAL 22 15 5 6 0 0 0
Percent of Total 68.18% 22.73% 27.27% 0.00% 0.00% 0.00%
6
School Project Teams are encouraged to conduct interviews or focus group discussions with
parents/guardians/community members to probe deeper on reasons cited
1.3 Number of children in the barangay NOT in school the last two SYs, depending on data availa
No. of Out-of-s
SY Before Previous SY : 2014-2015 Previous SY: 2015-2016
Age Attending Other Fo
Total Male Female Total Male Female Previous SY
Total
4 0 0 0 0 0 0 0
5 3 0 3 2 1 1 0
6 2 1 1 2 1 1 0
7 4 2 2 4 2 2 0
8 7 3 4 2 1 1 0
9 5 2 3 2 1 1 0
10 2 1 1 4 3 1 0
11 0 0 0 0 5 2 0
ANNEX 1A School-Community Data Tem
12 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
TOTAL 23 9 14 16 14 9 0
1.4 Projects/interventions implemented to ensure that out-of-school children are reached or m
school
2.2 Number of children with disabilities by type of disability (insert new columns if necessary)
No. of
Type of Disability
Speech (Current SY): 2015-2016
Level Children Skin Far/Near Color Asthma Heart
with Defect
Allergy/ Sighted Blind Disease
Kindergarten 3 1 1 1
Grade 1 2 1 1
Grade 2 4 1 1 2
Grade 3 3 1 2
Grade 4 5 2 1 2
TOTAL 17 1 5 3 8
Grade 3 8 41 41 8
Grade 4 6 23 23 0
shaded cells. Fill-in only the age groups/grade levels that are
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0.00% 0.00%
erviews or focus group discussions with
per on reasons cited
hool the last two SYs, depending on data availability
No. of Out-of-school Children
Attending Other Forms of Learning in
Previous SY:
Male2015-2016
Female
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
ANNEX 1A School-Community Data Template
0 0
0 0
0 0
0 0
0 0
e that out-of-school children are reached or mainstreamed in
Home visit
Male Female
13 23
22 18
17 28
12 29
5 18
69 116
37.30% 62.70%
No. of 4Ps
0
0
0
ANNEX 1A School-Community Data Template
0
8