Вы находитесь на странице: 1из 3

Office of the President of the Philippines

COMMISSION ON INFORMATION AND COMMUNICATIONS TECHNOLOGY

HUMAN CAPITAL DEVELOPMENT GROUP

iSchools Project Site Inspection and Baseline Data Survey Form School Profile Name of School Old Name (if any) DepEd Division Street Province Name of Principal (First Name_M.I._Last Name) Cell No. Rank School Population S.Y. 2005-2006 Total Male Total Female 1st Year 2nd Year 3rd Year 4th Year Total Population S.Y. 2006-2007 1 Year 2nd Year 3rd Year 4th Year Total Population S.Y. 2007-2008 1st Year 2nd Year 3rd Year 4th Year Total Population S.Y. 2008-2009 1 Year 2nd Year 3rd Year 4th Year Total Population S.Y. 2009-2010 Total Male Total Female 1 Year 2nd Year 3rd Year 4th Year Total Population School NAT Profile S.Y. 2005-2006 Male Average Female Average NAT Result NAT Result (%) (%) School Average NAT Result (%)
st st st

Barangay Region

Municipality Congressional District No.

Landline No. (School/Office)

E-mail Address

No. of Section

No. of Section

Subjects Mathematics English Science Social Studies (Araling Panlipunan)

Office of the President of the Philippines


COMMISSION ON INFORMATION AND COMMUNICATIONS TECHNOLOGY

HUMAN CAPITAL DEVELOPMENT GROUP

iSchools Project Site Inspection and Baseline Data Survey Form S.Y. 2006-2007 Male Average Female Average NAT Result NAT Result (%) (%)

Subjects Mathematics English Science Social Studies (Araling Panlipunan) Subjects Mathematics English Science Social Studies (Araling Panlipunan) Subjects Mathematics English Science Social Studies (Araling Panlipunan) Subjects Mathematics English Science Social Studies (Araling Panlipunan)

School Average NAT Result (%)

S.Y. 2007-2008 Male Average Female Average NAT Result NAT Result (%) (%)

School Average NAT Result (%)

S.Y. 2008-2009 Male Average Female Average NAT Result NAT Result (%) (%)

School Average NAT Result (%)

S.Y. 2009-2010 Male Average Female Average NAT Result NAT Result (%) (%)

School Average NAT Result (%)

Computer Laboratory Profile Choose ONE of the following answers. If **YES, please specify the DONOR(s); if NONE, kindly indicate the POSSIBLE DONOR(s) in the space provided for. Yes None **If YES, fill up the following cells accurately. Check any that apply. Please indicate the quantity (in numbers)/remarks in the space provided for. Working Units Repairable Units Recyclable Units Junk Units

Office of the President of the Philippines


COMMISSION ON INFORMATION AND COMMUNICATIONS TECHNOLOGY

HUMAN CAPITAL DEVELOPMENT GROUP

iSchools Project Site Inspection and Baseline Data Survey Form Connectivity Profile Choose ONE of the following answers. If YES, please specify ALL AVAILABLE SERVICE PROVIDER within the school area, if NONE, kindly indicate ALL POSSIBLE REASONS and POSSIBLE ASSISTANCE TO BE EXTENDED in the space provided for. Yes None Electricity Profile Choose ONE of the following answers. Please CHECK. 1 very stable 2 once/twice brownout a day 3 thrice brownout a day / very unstable 4 low power voltage 5 uses generator as a power source 6 NO ELECTRICITY at all Site Profile Kindly rank from 1-5, 1- being the weakest (1 bar) and 5 being the strongest (full bar). Rank Available network SMART GLOBE SUN Other related network(s). Pls. Specify. Others Name of Respondent (full name please) Rank Date Accomplished (ddmmyyyy)