PRIVATE SCHOOL PROFILE , SY 2016-2017

TABL BOX Page # TITLE

E

1 SCHOOL INFORMATION
1 2 Table 1. ELEMENTARY LEARNERS DATA, SY 2016-2017 (As of 1 st Friday of the SY)
2 3 Table 2. ELEMENTARY LEARNERS AGE PROFILE, SY 2016-2017 (As of 1 st Friday of the SY)
3 4 Table 3. ELEMENTARY REPEATERS AGE PROFILE, SY 2016-2017 (As of 1 st Friday of the SY)
1 4 Box 1. MONOGRADE AND MULTIGRADE CLASSES, SY 2016-2017 (As of June 17, 2016)
4 5 Table 4. JUNIOR HIGH SCHOOL (JHS) LEARNERS DATA, SY 2016-2017 (As of 1st Friday of the SY)
5 6 Table 5. JHS LEARNERS AGE PROFILE, SY 2016-2017 (As of 1st Friday of the SY)
6 7 Table 6. JHS REPEATERS AGE PROFILE, SY 2016-2017 (As of 1st Friday of the SY)
7 8 Table 7. SENIOR HIGH SCHOOL (SHS) LEARNERS DATA, SY 2016-2017 (As of June 17, 2016)
8 9 Table 8. SHS LEARNERS AGE PROFILE, SY 2016-2017 (As of June 17, 2016)
9 9 Table 9. SHS REPEATERS AGE PROFILE, SY 2016-2017 (As of June 17, 2016)
10 10 Table 10. SHS LEARNERS DATA BY TRACK, SY 2016-2017 (As of June 17, 2016)
11a 11 Table 11a. SHS LEARNERS DATA IN TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) TRACK SPECIALIZATIONS, SY 2016-2017 (As of June 17, 2016)
11b 12 Table 11b. SHS LEARNERS DATA IN TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) TRACK SPECIALIZATIONS, SY 2016-2017 (As of June 17, 2016)
Table 12. DATA ON ASSISTANCE TO STUDENTS AND TEACHERS IN PRIVATE EDUCATION AND NON-DEPED PUBLIC SCHOOLS PROGRAM, SY 2016-2017 (As
12 13 of 1st Friday of the SY)
13 13 Table 13. PERSONNEL DATA, SY 2016-2017 (As of 1st Friday of the SY)
14 14 Table 14. DISASTERS/CALAMITIES
PRIVATE SCHOOL PROFILE (PSP), SY 2018-2019
TABLE BOX Page # TITLE
1 SCHOOL INFORMATION
1 2 Table 1. ELEMENTARY LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
2 3 Table 2. ELEMENTARY LEARNERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
3 4 Table 3. ELEMENTARY REPEATERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
4 5 Table 4. AGE PROFILE OF LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs), SY 2018-2019 (As of June 30, 2018)
5 6 Table 5. AGE PROFILE OF GIFTED LEARNERS, SY 2018-2019 (As of June 30, 2018)
6 7 Table 6. GIFTED LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
1 Box 1. NUMBER OF CLASSES, SY 2018 -2019 (As of June 30, 2018)
7 8 Table 7. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (NON-GRADED) DATA, SY 2018-2019 (As of June 30, 2018)
9 (Cont. of Table 7)
8 10 Table 8. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (GRADED) DATA MAINSTREAMED IN REGULAR CLASS, SY 2018-2019 (As of June 30, 2018)
9 11 Table 9. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (GRADED) DATA IN SELF-CONTAINED CLASS, SY 2018-2019 (As of June 30, 2018)
10 12 Table 10. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs) UNDER THE HOMEBOUND AND HOSPITAL BOUND PROGRAM, SY 2018-2019 (As of June 30, 2018)
11 13 Table 11. JUNIOR HIGH SCHOOL (JHS) LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
12 14 Table 12. JHS LEARNERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
13 15 Table 13. JHS REPEATERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
14 16 Table 14. AGE PROFILE OF LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs), SY 2018-2019 (As of June 30, 2018)
15 17 Table 15. JHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs) UNDER THE HOMEBOUND AND HOSPITAL BOUND PROGRAM, SY 2018-2019 (As of June 30, 2018)
16 18 Table 16. JHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS, SY 2018-2019 (As of June 30, 2018)
17 19 Table 17. SENIOR HIGH SCHOOL (SHS) LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
18 20 Table 18. SHS LEARNERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
19 20 Table 19. SHS REPEATERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
20 21 Table 20. SHS LEARNERS DATA BY TRACK, SY 2018-2019 (As of June 30, 2018)
21a 22 Table 21a. SHS LEARNERS DATA IN TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) TRACK SPECIALIZATIONS, SY 2018-2019 (As of June 30, 2018)
21b 23 Table 21b. SHS LEARNERS DATA IN TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) TRACK SPECIALIZATIONS, SY 2018-2019 (As of June 30, 2018)
22a 24 Table 22a. SHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS, SY 2018-2019 (As of June 30, 2018)
22b 25 Table 22b. SHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs) UNDER THE HOMEBOUND AND HOSPITAL BOUND PROGRAM, SY 2018-2019 (As of June 30, 2018)
23 26 Table 23. SHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS AGE PROFILE DATA, SY 2018 -2019 (As of June 30, 2018)
24 27 Table 24. DATA ON ASSISTANCE TO STUDENTS AND TEACHERS IN PRIVATE EDUCATION AND NON-DEPED PUBLIC SCHOOLS PROGRAM, SY 2018-2019 (As of June 30, 2018)
25 27 Table 25. PERSONNEL DATA, SY 2018-2019 (As of June 30, 2018)
26 28 Table 26. VULNERABILITIES, For the months of June 2017 to May 2018
27 28 Table 27. DISASTER PREPAREDNESS, For the months of June 2017 to May 2018
28 29 Table 28. DISASTERS/CALAMITIES, For the months of June 2017 to May 2018
29 30 Table 29. DISASTERS/CALAMITIES, (Human-Induced Hazards - Armed Conflict), For the months of June 2017 to May 2018
30 30 Table 30. RESULTS OF DISASTER INCIDENCES, For the months of June 2017 to May 2018
PSPv2018.10.24
School ID

Republic of the Philippines

DEPARTMENT OF EDUCATION
PLANNING SERVICE
Education Management Information System Division

PRIVATE SCHOOL PROFILE

INSTRUCTIONS
This form shall be accomplished by the head of the private school offering elementary and/or secondary levels. In the case of schools/institutions offering more than one level, only
one school profile shall be accomplished.
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 Regional/Division Office but are still undergoing evaluation at the time of the distribution of the Private School Profile can also be issued this form.
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 data/information reported.
He/She shall submit the accomplished forms to the respective Schools Division Office (SDO) on or before September 30, 2018.
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 applicable
(n/a)" shall be written. Shaded boxes shall not be filled.

SCHOOL INFORMATION
SY 2018-2019

School Name : Region :

(Official Name) Division :
Legislative District :
(Preious Name, if any) Telephone Number :
Address : Mobile Number :
No. Street/Sitio/Purok Barangay Fax Number :
Website (if any) :
Municipality/City Province E-Mail Address :
Date Established (mm/dd/yyyy) :
Zipcode

Please check (a ) if the school is: ✘ Private Madaris

Write appropriate information Level of Education Offered

Kindergarten Grades 1 to 6 Junior High School Senior High School
With Permit (Permit No.)
With Recognition (Recognition No.)
Permit on Process (Date of submission of
documents to Regional/Division Office)

Certified True and Correct by :

School Head: Designation: Date:
(Signature Over Printed Name)
Page 1 of 30
Table 1. ELEMENTARY LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
Learners w/ Special TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Educational Needs (Kindergarten to Learners
w/ Special Educational
Particulars (Non-Graded) Needs)

Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female

TOTAL ENROLLMENT

Monograde

Multigrade

Indigenous Peoples Learner

Learner in ALIVE classes

Muslim Learner

Balik-Aral

Repeater

1. Learner - refers to an individual who may be enrolled in one or multiple programs.

2. Total Enrollment - refers to the total number of learners enrolled in the school regardless of program. This is also the sum of monograde and multigrade classes.
3. Elementary Enrollment - refers to the total number of learners enrolled in the first stage of compulsory and mandatory formal basic education which is composed of Kindergarten to Grade 6.
4. Kindergarten Enrollment - refers to the total number of learners enrolled in one (1) year preparatory education for children at least five (5) years old within the school year as stipulated in DepEd Order No. 20 s. 2018 as pre-requisite for Grade 1.
5. Learners with Special Educational Needs (Non-Graded) Enrollment - refers to similarly grouped learners who are not yet ready for inclusion in the regular class.
6. Monograde Enrollment - refers to learners being taught in classes consisting of a single grade only.
7. Multigrade Enrollment - refers to learners being taught in classes consisting of two or more grades handled by one teacher.
8. 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).
9.
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).

10. Muslim Learner - refers to a learner who is born of either or both parents practicing the Islam religion or faith.
11. Balik-Aral - refers to a learner who went back to school and resume study after year/years of dropping out or discontinuing study.
12. 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.

Reminders: 1. Total Enrollment in this table will tally with the totals in Table 2.
2. Repeater in this table will tally with the totals in Table 3.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 2 of 30
Table 2. ELEMENTARY LEARNERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
Learners w/ Special TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Educational Needs (Kindergarten to Learners
Age w/ Special Educational
(Non-Graded) Needs)

Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Below 5

10

11

12

13

14

15

16

17

18

19 & above

TOTAL

1. The total enrollment of the school as of June 30, 2018 distributed across grade levels, by single age or age group and by sex.
2. Computation of the age of learners will be based on his/her last birthday. Thus, if the learner is 5 years 11 months as of June 30, 2018 the age of the learner is counted as 5 years.

Reminder: Totals in this table will tally with the totals in Table 1 (Total Enrolment).

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 3 of 30
Table 3. ELEMENTARY REPEATERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
Age (Kindergarten to Grade 6)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Below 6

10

11

12

13

14

15

16

17

18

19 & above

TOTAL

1. The total repeaters of the school as of June 30, 2018 will be distributed across grade levels, by single age or age group and sex.
2. Computation of the age of repeaters will be based on his/her last birthday. Thus, if the learner is 6 years 11 months as of June 30, the age of the learner is counted as 6 years.

Reminder: Totals in this table will tally with the totals in Table 1 (Repeater).

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 4 of 30
Table 4. AGE PROFILE OF LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs), SY 2018-2019 (As of June 30, 2018)
Learners w/ Special TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Educational Needs (Kindergarten to
Age LSENs Non-Graded)
(Non-Graded)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Below 5 0 0

5 0 0

6 0 0

7 0 0

8 0 0

9 0 0

10 0 0

11 0 0

12 0 0

13 0 0

14 0 0

15 0 0

16 0 0

17 0 0

18 0 0

19 & above 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1. Age Profile includes gifted learners.

2. The total enrollment of the school as of June 30, 2018 will be distributed across grade levels, by single age or age group and sex.
3. Computation of the age of learners will be based on his/her last birthday. Thus, if the learner is 5 years 11 months as of June 30, the age of the learner is counted as 5 years.

Reminders: 1. Totals of LSENs (Kindergarten to Grade 6) in this table must be less than to the totals in Table 1 (Total Enrollment, Kindergarten to Grade 6).
2. Totals of LSENs (Non-Graded) in this table will tally with the totals in Table 1 (Total Enrollment, Learners w/ Special Educational Needs (Non-Graded)).
3. Table 4 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 5 of 30
Table 5. AGE PROFILE OF GIFTED LEARNERS, SY 2018-2019 (As of June 30, 2018)
Kindergarten TOTAL
Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
Age (Headstart) (Kindergarten to Grade 6)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Below 5 0 0

5 0 0

6 0 0

7 0 0

8 0 0

9 0 0

10 0 0

11 0 0

12 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1. Gifted learners are those whose potential is distinctly above average in one or more of the following domains of human ability: intellectual, creative, social and physical.
Giftedness designates the possession and the use of outstanding natural abilities, called aptitudes, in at least one ability domain, to a degree that places an individual at least
among the top 10% of age peers in the school.
2. Headstart Program for the Gifted - is a preparatory program for learners who manifest superior intelligence beyond their chronological age.
3. The total enrollment of the school as of June 30, 2018 will be distributed across grade levels, by single age or age group and sex.
4. Computation of the age of learners will be based on his/her last birthday. Thus, if the learner is 3 years 11 months as of June 30, the age of the learner is counted as 3 years.

Reminders: 1. Totals in this table will tally with the totals in Table 6 (Gifted Learners Data).
2. Table 5 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 6 of 30
Table 6. GIFTED LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
Kindergarten TOTAL
Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
(Headstart) (Kindergarten to Grade 6)

Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1. Gifted learners are those whose potential is distinctly above average in one or more of the following domains of human ability: intellectual, creative, social and physical. Giftedness designates the possession and
the use of outstanding natural abilities, called aptitudes, in at least one ability domain, to a degree that places an individual at least among the top 10% of age peers in the school.
2. Kindergarten (Headstart) - refers to a SPED kindergarten program for learners who manifest superior intelligence beyond their chronological age.
3. SPED class - refers to an organized group of learners with special educational needs receiving care, intervention and educational services in the SPED Center or regular school with SPED Program.
4. SPED center - refers to the learning center that caters to learners with special educational needs operating within a regular school of a standalone learning center.

Reminders: 1. Totals in this table will tally with the totals in Table 5 (Age Profile of Gifted Learners).
2. Table 6 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Box 1. NUMBER OF CLASSES, SY 2018 -2019 (As of June 30, 2018)

1. For Monograde classes, please indicate the number of classes by grade level.
TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
(K to Gr 6)

2. For Multigrade classes, please check the appropriate grade levels combined.
Example, if the school have two (2) Multigrade Classes:
MG Class 1 : Grade 5 Grade 6 MG Class 2 : Grade 1 Grade 2 Grade 3
þ þ þ þ þ
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
MG Class 1       
MG Class 2       
MG Class 3       

3 . For ALIVE classes, please indicate the number of classes by grade level.
TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
(K to Gr 6)
0

4. For Learners with Special Educational Needs GIFTED AND TALENTED Classes, please indicate the number of classes by grade level.

TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 (K to Gr 6)
0

5 . For Learners with Special Educational Needs NON-GRADED Classes, please indicate the number of classes.

Kindergarten Level 1 Level 2 Level 3 Transition

1. Monograde Classes - refers to the number of classes by grade level from Kindergarten to Grade 6 offering regular curricula.
2. Multigrade Classes - refers to number of classes with a combination of two or more grade levels offering regular curricula.
3. ALIVE Classes - refers to the number of classes by grade level from Kindergarten to Grade 6 offering Arabic Language and Islamic Values Education.
4. LSENs Gifted and Talented Classes - refers to the number of classes by grade level from Kindergarten to Grade 6 offering Gifted & Talented Program.
5. LSENs Non-Graded Classes - refers to the number of classes organized mainly for learners with severe or profound difficulties who are provided with
interventions focused on self-help skills and other life skills in a self-contained class.

Reminder: Box 1_Numbers 4 & 5 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head:
(Signature Over Printed Name)

Designation:

Date:

Page 7 of 30
Table 7. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (NON-GRADED) DATA, SY 2018-2019 (As of June 30, 2018)
Primary Level TOTAL
Kindergarten Transition (Kindergarten to Transition)
Classification/Type of Learners with Special Educational Needs Level I Level II Level III
Male Female Male Female Male Female Male Female Male Female Male Female
With Diagnosis from a Licensed Medical Specialist:
1. Visual Impairment 0 0
2. Hearing Impairment 0 0
3. Learning Disability 0 0
4. Intellectual Disability 0 0
5. Autism Spectrum Disorder 0 0
6. Emotional-Behavioral Disorder 0 0
7. Orthopedic/ Physical Handicap 0 0
8. Speech / Language Disorder 0 0
9. Cerebral Palsy 0 0
10. Special Health Problem/ Chronic Disease 0 0
11. Multiple Disabilities 0 0
With Manifestation:
1. Difficulty in Seeing 0 0
2. Difficulty in Hearing 0 0
3. Difficulty in Applying Knowledge 0 0
4. Difficulty in Remembering, Concentrating, Paying Attention and Understanding 0 0
5. Difficulty in Applying Adaptive Skills 0 0
6. Difficulty in Displaying Inter-Personal Behavior 0 0
7. Difficulty in Mobility (Walking, Climbing and Grasping) 0 0
8. Difficulty in Communicating 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0

1. Non Graded - refers to learners with severe or profound difficulties who are provided with interventions focused on self-help skills and other life skills in a self-contained class.
2. Kindergarten - refers to the Early Intervention Program for learners with special educational needs.
3. Primary Level - refers to the level after kindergarten where learners with special educational needs are still being prepared for mainstreaming in regular classes. Learners with special educational needs are allowed to stay in the
program for a maximum of three (3) years in each of the three (3) levels. However, learners with special educational needs can be mainstreamed in regular classes if found to be ready based on performance.
a. Level I - refers to the first two years in SPED Classes
b. Level II - refers to the next two years in SPED Classes
c. Level III - refers to the last two years (5th and 6th) in the SPED Program
4. Transition - refers to level/program for learners with special educational needs who have completed the primary level who could not pursue academic subjects and/or over-aged for the elementary level

Classification of Learners with Special Educational Needs:

1. With Diagnosis from Specialist - refers to learners who have undergone assessment of licensed professionals like Psychologists, Psychmetricians, and Medical Specialists who can determine the level of disability of any learner.
2. Based on Manifestation - refers to learners manifesting difficulties in particular activities like, cognitive, communication, mobility, hearing, seeing …. who were observed by teachers on daily lessons/activities or through anecdotals.
(Continuation of definition on the next page)

Reminders: 1. LSENs with two or more manifestations or in diagnosis, the data must be included in the primary classification of disability or difficulty.
2. For visible conditions like blind (no eyeball) physical (no legs) or closed ears, even without a diagnosis, the data must be entered in the visible disability.
3. Table 7 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head: Designation : Date:

(Signature Over Printed Name) Page 8 of 30

Page 10 of 32
(Cont. of Table 7)
LSENs With Diagnosis from Specialist:
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 during birth, or in the first few years of life. The impairment depends on where in the brain the damage occurs.
10. 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. Multiple 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.

LSENs With Manifestations:

1. Difficulty in Seeing - refers to a learner that manifest difficulty in vision that even with correction, adversely affects a child educational performance. They include those that are totally blind, functionally blind or low vision.
2. Difficulty in Hearing - refers to a learner that have difficulty in hearing, hard of hearing, suffering from hearing loss or deafness.
3. Difficulty in Applying Knowledge- refers to a learner that has a problem that interferes with learning basic skills such as reading, writing, acquiring skills and/or math. It can also delay higher level thinking skills such as
organization, time planning, abstract reasoning, long and short term memory and attention.
4. Difficulty in Remembering, Concentrating, Paying Attention and Understanding - refers to a learner that manifest significant limitations in general intellectual functioning; in adaptive functioning (communication, self-
care, home living, health and safety, social skills, functional academics, community use, leisure and work) which exist concurrently; it includes those medically diagnosed as learners with: Reading Disability or Dyslexia;
Written Expression Disability; Spelling Disability; Handwriting Disability or Dysgraphia; Mathematical Disability or Dyscalculia.
5. Difficulty in performing adaptive skills (self-care) - refers to a learner manifesting difficulty in washing oneself, caring of body parts, toileting, dressing, eating and drinking.
6. Difficulty in displaying interpersonal behavior (Emotional and Behavioral) - refers to a learner whose conditions are characterized by emotional or behavioral responses in school programs so different from appropriate
age, cultural or ethnic norms which affects their educational performance (academic, social, vocational or personal skills) more than temporary and responses are stressful to environment behavior is exhibited in two
different settings (one of which is school related). They are also unresponsive to direct intervention in general education.
7. Difficulty in Mobility (Walking, Climbing and Grasping) - refers to a learner that manifest difficulty in maintaining one’s position or changing a body position. They include those diagnosed as having cerebral palsy, spina
bifida and muscular dystrophy.
8. Difficulty in Communicating - refers to a learner whose developmental conditions are causing problems in communication, learning and social behaviors. It is typically characterized by difficulty in: Understanding
others; Producing message; Communicating using devices.

Certified True and Correct by :

School Head: Designation : Date:

(Signature Over Printed Name)

Page 9 of 30
Table 8. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (GRADED) DATA MAINSTREAMED IN REGULAR CLASS, SY 2018-2019 (As of June 30, 2018)
TOTAL
Classification/Types of Learners with Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
(Kindergarten to Grade 6)
Special Educational Needs
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
With Diagnosis from Licensed Medical Specialist:
1. Visual Impairment 0 0
2. Hearing Impairment 0 0
3. Learning Disability 0 0
4. Intellectual Disability 0 0
5. Autism Spectrum Disorder 0 0
6. Emotional-Behavioral Disorder 0 0
7. Orthopedic/ Physical Handicap 0 0
8. Speech / Language Disorder 0 0
9. Cerebral Palsy 0 0
10. Special Health Problem/ Chronic Disease 0 0
11. Multiple Disabilities 0 0
With Manifestations:
1. Difficulty in Seeing 0 0
2. Difficulty in Hearing 0 0
3. Difficulty in Applying Knowledge 0 0
4. Difficulty in Remembering, Concentrating,
Paying Attention and Understanding 0 0

5. Difficulty in Applying Adaptive Skills 0 0

6. Difficulty in Displaying Inter-Personal Behavior 0 0
7. Difficulty in Mobility (Walking, Climbing and Grasping) 0 0
8. Difficulty in Communicating 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Note: For the definitions, please refer to LSENs Data (Table 7).

Reminder: Table 8 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head : Designation : Date:

(Signature Over Printed Name)

Page 10 of 30
Table 9. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (GRADED) DATA IN SELF-CONTAINED CLASS, SY 2018-2019 (As of June 30, 2018)
TOTAL
Classification/Types of Learners with Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
(Kindergarten to Grade 6)
Special Educational Needs
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
With Diagnosis from Licensed Medical Specialist:
1. Visual Impairment 0 0
2. Hearing Impairment 0 0
3. Learning Disability 0 0
4. Intellectual Disability 0 0
5. Autism Spectrum Disorder 0 0
6. Emotional-Behavioral Disorder 0 0
7. Orthopedic/ Physical Handicap 0 0
8. Speech / Language Disorder 0 0
9. Cerebral Palsy 0 0
10. Special Health Problem/ Chronic Disease 0 0
11. Multiple Disabilities 0 0
With Manifestations:
1. Difficulty in Seeing 0 0
2. Difficulty in Hearing 0 0
3. Difficulty in Applying Knowledge 0 0
4. Difficulty in Remembering, Concentrating,
Paying Attention and Understanding 0 0

5. Difficulty in Applying Adaptive Skills 0 0

6. Difficulty in Displaying Inter-Personal Behavior 0 0
7. Difficulty in Mobility (Walking, Climbing and Grasping) 0 0
8. Difficulty in Communicating 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Note: For the definitions, please refer to LSENs Data (Table 7).

Reminder: Table 9 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 11 of 30
Table 10. LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs) UNDER THE HOMEBOUND AND HOSPITAL BOUND PROGRAM, SY 2018-2019 (As of June 30, 2018)
HOMEBOUND HOSPITAL BOUND

Age Profile Grade Placement Length of Time in the Program Age Profile Grade Placement Length of Time in the Program
Type of LSENs
5-10 11-15 16-20 21-25 Transition 5-10 11-15 16-20 21-25 5-10 11-15 16-20 21-25 Transition 11-15 16-20 21-25
TOTAL K to 6 Program
TOTAL TOTAL TOTAL K to 6 Program
TOTAL 5-10 years TOTAL
years old years old years old years old years old years old years old years old years old years old years old years old years years years

Visual Impairment 0 0 0 0 0 0

Hearing Impairment 0 0 0 0 0 0

Learning Disability 0 0 0 0 0 0

Intellectual Disability 0 0 0 0 0 0

Autism Spectrum Disorder 0 0 0 0 0 0

Emotional-Behavioral Disorder 0 0 0 0 0 0

Orthopedic/Physical Handicap 0 0 0 0 0 0

Speech/Language Disorder 0 0 0 0 0 0

Cerebral Palsy 0 0 0 0 0 0

Special Health Problem/Chronic Disease 0 0 0 0 0 0

Multiple Disability 0 0 0 0 0 0

TOTAL 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

Notes: For the definitions, please refer to LSENs Data (Table 7).

1. Home Bound - refers to an educational program designed for children with special needs who are enrolled in the nearest school to their residence, but can not go to school on a
regular
2. schedule.
Hospital BoundCommunity
- refers to volunteers, para-teacher,
an educational parents orforany
program designed member
LSENs withofsevere
the family are trained
disturbance, to assist
profound the of
level child at home.
disability, bed-bound , with crippling, chronic or serious health
disabilities/impairments and recovering patient (LSENs).
3. Age Profile (Homebound/Hospital bound) - refers to a range of age per type of learners with special educational needs.
4. Grade Placement (Homebound/Hospital bound) - refers to what program the learners are placed or enrolled.
5. Length of time (Homebound/Hospital bound) - refers to the number of years that the learner spent in the program.

Reminder: Table 10 will be accomplished ONLY by elementary schools with SPED classes and SPED centers.

Certified True and Correct by :

School Head: Designation : Date:

(Signature Over Printed Name)

Page 12 of 30
Table 11. JUNIOR HIGH SCHOOL (JHS) LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)
TRANSITION TOTAL
(Learners w/ Special Grade 7 Grade 8 Grade 9 Grade 10
Particulars Educational Needs) (Transition to Grade 10)

Male Female Male Female Male Female Male Female Male Female Male Female
TOTAL ENROLLMENT

CCT/4Ps Recipient

Balik-Aral

Indigenous Peoples Learner

Learner enrolled in ALIVE classes

Muslim Learner

Repeater

Total Number of Classes

1. Learner - refers to an individual who may be enrolled in one or multiple programs.

2. Total Enrollment - refers to the total number of learners enrolled in the school regardless of program.
3. JHS Enrollment - refers to the second stage of compulsory basic education. It consist of four (4) years of education (Grades 7 to 10).
4. CCT/4Ps Recipient - refers to a learner ages 3-18 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 ten months
at P300.00/month per learner in elementary level and P5,000.00 for one school year or ten months at P500.00/month per learner in secondary level (JHS and SHS) for educational expenses on condition that these learners attend
school. Maximum of three learners per household is allowed.

5. Balik-Aral - refers to a learner who went back to school and resume study after a year/years of dropping out or discontinuing study.
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. 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. For SY 2017-2018, this refers to the repeaters 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 grade level from Grades 7 to 10.

Transition - refers to level/program for learners with special educational needs (LSENs) who have completed the secondary level and who could not pursue academic subjects and/or over-aged for the secondary level

Reminders: 1. Total Enrollment in this table will tally with the totals in Table 12.
2. Transition Enrollment in this table will tally with the Transition Enrollment in Table 12, Table 14 and Table 16.
3. Repeater in this table will tally with the totals in Table 13.

Certified True and Correct by :

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(Signature Over Printed Name)

Page 13 of 30
Table 12. JHS LEARNERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
TRANSITION TOTAL
(Learners with Special Grade 7 Grade 8 Grade 9 Grade 10
Age (Transition to Grade 10)
Educational Needs)
Male Female Male Female Male Female Male Female Male Female Male Female
Below 11
11
12
13
14
15
16
17
18
19
20 & Above
TOTAL 0 0

1. The total enrollment of the school as of last school day of the opening month of the school year 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 his/her last birthday. Thus, if the learner is 12 years 11 months as of June 30, 2018, the age of the learner is counted as 12 years.

Reminders: 1. Totals in this table will tally with the totals in Table 11 (Total Enrolment).
2. Transition Enrollment in this table will tally with the Transition Enrollment in Table 11, Table 14 and Table 16.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 14 of 30
Table 13. JHS REPEATERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)

Grade 7 Grade 8 Grade 9 Grade 10 TOTAL

Age (Grades 7-10)

Male Female Male Female Male Female Male Female Male Female
Below 11
11
12
13
14
15
16
17
18
19
20 & Above
TOTAL
1. The total repeaters of the school as of last school day of the opening month of the school year will be distributed across grade levels, by single age or age group and by sex.
2. Computation of the age of repeaters will be based on his/her last birthday. Thus, if the learner is 12 years 11 months as of June 30, the age of the learner is
counted as 12 years.

Reminder: Totals in this table will tally with the totals in Table 11 (Repeater).

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)
Page 15 of 30
Table 14. JHS AGE PROFILE OF LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs), SY 2018-2019 (As of June 30, 2018)
Transition Grade 7 Grade 8 Grade 9 Grade 10 TOTAL
Age (Transition to Grade 10)
Male Female Male Female Male Female Male Female Male Female Male Female

Below 11 0 0

11 0 0

12 0 0

13 0 0

14 0 0

15 0 0

16 0 0

17 0 0

18 0 0

19 0 0

20 & Above 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0

1. The total number of jhs learners enrolled in the school with special educational needs as of June 30, 2018 will be distributed across grade levels, by single age or age group and sex.
2. Computation of the age of learners will be based on his/her last birthday. Thus, if the learner is 12 years 11 months as of June 30, the age of the learner is counted as 12 years.

Reminders: 1. Total Enrollment in this table will tally with the totals in Table 16.
2. Transition Enrollment in this table will tally with the Transition Enrollment in Table 11, Table 12 and Table 16.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)
Page 18 of 32 Page 16 of 30
Table 15. JHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs) UNDER THE HOMEBOUND AND HOSPITAL BOUND PROGRAM, SY 2018-2019 (As of June 30, 2018)
HOMEBOUND HOSPITAL BOUND

Age Profile Grade Placement Length of Time in the Program Age Profile Grade Placement Length of Time in the Program
Type of LSENs
Grade 7 Grade 7
12-15 16-20 21-25 Transition 5-10 11-15 16-20 21-25 12-15 16-20 21-25 Transition 5-10 11-15 16-20 21-25
TOTAL to TOTAL TOTAL TOTAL to TOTAL TOTAL
years old years old years old Grade 10
Program
years years years years years old years old years old Grade 10
Program
years years years years

Visual Impairment 0 0 0 0 0 0

Hearing Impairment 0 0 0 0 0 0

Learning Disability 0 0 0 0 0 0

Intellectual Disability 0 0 0 0 0 0

Autism Spectrum Disorder 0 0 0 0 0 0

Emotional-Behavioral Disorder 0 0 0 0 0 0

Orthopedic/Physical Handicap 0 0 0 0 0 0

Speech/Language Disorder 0 0 0 0 0 0

Cerebral Palsy 0 0 0 0 0 0

Special Health Problem/Chronic Disease 0 0 0 0 0 0

Multiple Disability 0 0 0 0 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1. Home Bound - refers to an educational program designed for children with special needs who are enrolled in the nearest school to their residence, but can not go to school on a regular schedule. Community volunteers, para-teacher, parents or any member of the family
are trained to assist the child at home.
2. Hospital Bound - refers to an educational program designed for LSENs with severe disturbance, profound level of disability, bed-bound, with crippling, chronic or serious health disabilities/impairments and recovering patient (LSENs).
3. Age Profile (Homebound/Hospital bound) - refers to a range of age per type of learners with special educational needs.
4. Grade Placement (Homebound/Hospital bound) - refers to what program the learners are placed or enrolled.
5. Length of time (Homebound/Hospital bound) - refers to the number of years that the learner spent in the program.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 17 of 30
Table 16. JHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS, SY 2018-2019 (As of June 30, 2018)

Transition Grade 7 Grade 8 Grade 9 Grade 10 TOTAL

Classification/Types of Learners with (Transition to Grade 10)
Special Educational Needs
Male Female Male Female Male Female Male Female Male Female Male Female
With Diagnosis from Licensed Medical Specialist:
1. Visual Impairment 0 0
2. Hearing Impairment 0 0
3. Learning Disability 0 0
4. Intellectual Disability 0 0
5. Autism Spectrum Disorder 0 0
6. Emotional-Behavioral Disorder 0 0
7. Orthopedic / Physical Handicap 0 0
8. Speech / Language Disorder 0 0
9. Cerebral Palsy 0 0
10. Special Health Problem / Chronic Disease 0 0
11. Multiple Disabilities 0 0
With Manifestations:
1. Difficulty in Seeing 0 0
2. Difficulty in Hearing 0 0
3. Difficulty in Applying Knowledge 0 0
4. Difficulty in Remembering, Concentrating,
0 0
Paying Attention and Understanding
5. Difficulty in Applying Adaptive Skills 0 0
6. Difficulty in Displaying Inter-Personal Behavior 0 0
7. Difficulty in Mobility
0 0
(Walking, Climbing and Grasping)
8. Difficulty in Communicating 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0

Notes: 1. The data in this table shall include all enrolled JHS learners with special educational needs.
2. For the definitions, please refer to LSENs Data (Table 7).

Reminders: 1. Totals in this table will tally with the totals in Table 14.
2. Transition Enrollment in this table will tally with the Transition Enrollment in Table 11, Table 12 and Table 14.
3. LSENs with two or more manifestations or in diagnosis, the data must be included in the primary classification of disability or diffulty.
4. For visible conditions like blind (no eyeball) physical (no legs) or closed ears, even without a diagnosis, the data must be entered in the visible disability.
5. All learners with special educational needs in JHS are mainstreamed in regular classes.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)
Page 18 of 30
Table 17. SENIOR HIGH SCHOOL (SHS) LEARNERS DATA, SY 2018-2019 (As of June 30, 2018)7
Academic Track Arts and Design Track TVL Track Sports Track TOTAL
Particulars Grade 11 Grade 12 Grade 11 Grade 12 Grade 11 Grade 12 Grade 11 Grade 12 (Grades 11-12)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
TOTAL ENROLLMENT

CCT/4Ps Recipient
Indigenous Peoples Learner

Muslim Learner

Balik-Aral

Repeater

Total Number of Classes

1. Learner - refers to an individual who may be enrolled in one or multiple programs.

2. Total Enrollment - refers to the total number of learners enrolled in the school regardless of program.
3. SHS Enrollment - refers to the last stage of compulsory basic education. It consists of two (2) years of education (Grades 11 to 12).
4. CCT/4Ps Recipient - refers to a learner ages 3-18 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 ten months
at P300.00/month per learner in elementary level and P5,000.00 for one school year or ten months at P500.00/month per learner in secondary level (JHS and SHS) for educational expenses on condition that these learners attend
school. Maximum of three learners per household is allowed.
5. 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).

6. Muslim Learner - refers to a learner who is born of either or both parents practicing the Islam religion or faith.
7. Balik-Aral - refers to a learner who went back to school and resume study after year/years of dropping out or discontinuing study.
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. For SY 2017-2018, this refers to the repeaters from schools which
piloted SHS in the previous school years.
9. Total Number of Classes - refers to the number of classes by grade level from Grades 11 to 12.

Reminders: 1. Total Enrollment in this table will tally with the totals in Table 18 (SHS Learners Age Profile) and Table 20 (SHS Learners Data by Track).
2. Repeater in this table will tally with the totals in Table 19.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 19 of 30
Table 18. SHS LEARNERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
TOTAL
Grade 11 Grade 12
Age (Grades 11-12)
Male Female Male Female Male Female
Below 15
15

16

17
18

19
20

21

22
23

24

25 & Above
TOTAL

1. The total enrollment of the school as of last school day of the opening month of the school year 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 his/her last birthday. Thus, if the learner is 16 years 11 months as of last school day of the opening month of the school
year, the age of the learner is counted as 16 years.

Reminder: Totals in this table will tally with the totals in Table 17 (Total Enrolment) and Table 20 (SHS Learners Data by Track).

Table 19. SHS REPEATERS AGE PROFILE, SY 2018-2019 (As of June 30, 2018)
TOTAL
Grade 11 Grade 12
Age (Grades 11-12)
Male Female Male Female Male Female
Below 15

15
16

17

18
19

20

21
22

23
24

25 & Above

TOTAL
1. The total repeaters of the school as of last school day of the opening month of the school year will be distributed across grade levels, by single age or age group and by sex.
2. Computation of the age of repeaters will be based on his/her last birthday. Thus, if the learner is 16 years 11 months as of last school day of the opening month of the school
year, the age of the learner is counted as 16 years.

Reminder: Totals in this table will tally with the totals in Table 17 (Repeater).

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 20 of 30
Table 20. SHS LEARNERS DATA BY TRACK, SY 2018-2019 (As of June 30, 2018)
TOTAL
Grade 11 Grade 12
Enrolment by Track (Grades 11-12)
Male Female Male Female Male Female
Academic Track
General Academic Strand
Accounting Business Management Strand

Science, Technology, Engineering & Mathematics Strand

Humanities and Social Sciences Strand

Technical-Vocational-Livelihood (TVL) Track
Arts and Design Track
Sports Track
TOTAL

1. Enrolment by Track - refers to the number of learners according to track offered in SHS.
2. Track - refers to specific program in SHS a learner may choose based on his/her interest and aspiration. SHS has four (4) tracks, namely: 1) Academic Track; 2) Technical-Vocational-Livehood Track; 3)
Arts and Design Track; and 4) Sports Track. A track is further sub-classified into strands.
3. Strand - refers to the specialized curricular offerings under a particular track.
4. Academic Track - designed for SHS learners who intend to pursue higher education or careers along four (4) specific strands: 1) Accountancy, Business and Management (ABM) Strand; 2) Science,
Technology, Engineering and Mathematics (STEM) Strand; 3) Humanities and Social Sciences (HUMSS) Strand; and 4) General Academic (GA) Strand.
5. Arts and Design Track - designed for SHS learners who intend to pursue careers in the world of arts. This track covers a wide range of art forms: Theater, Music, Dance, Creative Writing, Visual Arts, and
Media Arts. This track has three arts field specializations. SHS learners may choose from depending on their inclination and aptitude. These specializations are: apprenticeship, art exhibition/performance,
or production.

6. Sports Track - designed for SHS learners who intend to pursue sports-related careers, i.e., athlete development, fitness training, coaching and officiating.
7. Technical-Vocational-Livelihood Track - designed for SHS learners who intend to pursue careers specializing in vocational learning or technical-vocational livelihood. The Technical-Vocational-
Livelihood (TVL) track has four strands: 1) Agri-Fishery Arts Strand; 2) Home Economics (HE) Strand; 3) Information and Communications Technology (ICT) Strand; and 4) Industrial Arts Strand. These
are aligned with the Technology and Livelihood Education (TLE) Learning Area in Grades 7 to 10. Each TVL strand offers various specializations that may or may not have a National Certificate (NC)
equivalent from the Technical Education and Skills Development Authority (TESDA).

Reminder: Totals in this table will tally with the totals in Table 17 (Total Enrollment) and Table 18 (SHS Learners Age Profile).

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 21 of 30
Table 21a. SHS LEARNERS DATA IN TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) TRACK SPECIALIZATIONS, SY 2018-2019 (As of June 30, 2018)
TOTAL
Grade 11 Grade 12
SPECIALIZATION (Grades 11-12)
Male Female Male Female Male Female
Home Economics
Attractions and Theme Parks Operations with Ecotourism (NC II) 0 0
Barbering (NC II) 0 0
Bartending (NC II) 0 0
Beauty/Nail Care (NC II) 0 0
Bread and Pastry Production (NC II) 0 0
Caregiving (NC II) 0 0
Commercial Cooking (NC III) 0 0
Cookery (NC II) 0 0
Dressmaking (NC II) 0 0
Events Management Services (NC III) 0 0
Fashion Design (Apparel) (NC III) 0 0
Food and Beverage Services (NC II) 0 0
Front Office Services (NC II) 0 0
Hairdressing (NC II) 0 0
Hairdressing (NC III) 0 0
Handicraft (Basketry, Macrame) (Non-NC) 0 0
Handicraft (Fashion Accessories, Paper Craft) (Non-NC) 0 0
Handicraft (Needlecraft) (Non-NC) 0 0
Handicraft (Woodcraft, Leathercraft) (Non-NC) 0 0
Housekeeping (NC II) 0 0
Local Guiding Services (NC II) 0 0
Tailoring (NC II) 0 0
Tourism Promotion Services (NC II) 0 0
Travel Services (NC II) 0 0
Wellness Massage (NC II) 0 0
Agri-Fishery Arts
Agricultural Crops Production (NC I) 0 0
Agricultural Crops Production (NC II) 0 0
Agricultural Crops Production (NC III) 0 0
Animal Health Care Management (NC III) 0 0
Animal Production (Poultry-Chicken) (NC II) 0 0
Animal Production (Large Ruminants) (NC II) 0 0
Animal Production (Swine) (NC II) 0 0
Aquaculture (NC II) 0 0
Artificial Insemination (Large Ruminants) (NC II) 0 0
Artificial Insemination (Swine) (NC II) 0 0
Fish Capture (NC II) 0 0
Fishing Gear Repair and Maintenance (NC III) 0 0
Fish-Products Packaging (NC II) 0 0
Fish Wharf Operation (NC I) 0 0
Food Processing (NC II) 0 0
Horticulture (NC III) 0 0
Landscape Installation and Maintenance (NC II) 0 0
Organic Agriculture (NC II) 0 0
Pest Management (NC II) 0 0
Rice Machinery Operations (NC II) 0 0
Rubber Processing (NC II) 0 0
Rubber Production (NC II) 0 0
Slaughtering Operations (Hog/Swine/Pig) (NC II) 0 0
TOTAL 0 0 0 0 0 0
Reminder: A learner can be counted more than once.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 22 of 30
Table 21b. SHS LEARNERS DATA IN TECHNICAL-VOCATIONAL-LIVELIHOOD (TVL) TRACK SPECIALIZATIONS, SY 2018-2019 (As of June 30, 2018)
TOTAL
Grade 11 Grade 12
SPECIALIZATION (Grades 11-12)
Male Female Male Female Male Female
Industrial Arts
Automotive Servicing (NC I) D195 0 0
Automotive Servicing (NC II) 0 0
Carpentry (NC II) 0 0
Carpentry (NC III) 0 0
Construction Painting (NC II) 0 0
Domestic Refrigeration and Air-Conditioning (DOMRAC) Servicing
0 0
(NC II)
Driving (NC II) 0 0
Electrical Installation and Maintenance (NC II) 0 0
Electric Power Distribution Line Construction (NC II) 0 0
Electronic Products Assembly and Servicing (EPAS) (NC II) 0 0
Furniture Making (Finishing) (NC II) 0 0
Instrumentation and Control Servicing (NC II) 0 0
Gas Metal Arc Welding (GMAW) (NC II) 0 0
Gas Tungsten Arc Welding (GTAW) (NC II) 0 0
Machining (NC I) 0 0
Machining (NC II) 0 0
Masonry (NC II) 0 0
Mechatronics Servicing (NC II) 0 0
Motorcycle/Small Engine Servicing (NC II) 0 0
Plumbing (NC I) 0 0
Plumbing (NC II) 0 0
Refrigeration and Air-Conditioning (Packaged Air-Conditioning Unit
(PACU)/Commercial Refrigeration Equipment (CRE) Servicing (NC 0 0
III)
Shielded Metal Arc Welding (SMAW) (NC I) 0 0
Shielded Metal Arc Welding (SMAW) (NC II) 0 0
Tile Setting (NC II) 0 0
Transmission Line Installation and Maintenance (NC II) 0 0
Information and Communication Technology (ICT)
Animation (NC II) 0 0
Broadband Installation (Fixed Wireless Systems) (NC II) 0 0
Computer Programming (.Net Technology) (NC III) 0 0
Computer Programming (Java) (NC III) 0 0
Computer Programming (Oracle Database) (NC III) 0 0
Computer Systems Servicing (NC II) 0 0
Contact Center Services (NC II) 0 0
Illustration (NC II) 0 0
Medical Transcription (NC II) 0 0
Technical Drafting (NC II) 0 0
Telecom OSP and Subscriber Line Installation
0 0
(Copper Cable/POTS and DSL) (NC II)
Telecom OSP Installation (Fiber Optic Cable) (NC II) 0 0
Technical-Vocational-Livelihood Maritime
Navigational Watch 1 0 0
Navigational Watch 2 0 0
Navigational Watch 3 0 0
Engine Watch 1 0 0
Engine Watch 2 0 0
Safety 1 0 0
Safety 2 0 0
Ship's Catering Services (NC I) 0 0
TOTAL 0 0 0 0 0 0
Reminder: A learner can be counted more than once.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 23 of 30
Table 22a. SHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS, SY 2018-2019 (As of June 30, 2018)
Academic Track TVL Track Arts and Design Track Sports Track TOTAL

Areas of Special Educational Needs Grade 11 Grade 12 Grade 11 Grade 12 Grade 11 Grade 12 Grade 11 Grade 12 ( Grades
11 - 12)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
With Diagnosis from Licensed Medical Specialist:

1. Visual Impairment 0 0

2. Hearing Impairment 0 0

3. Learning Disability 0 0

4. Intellectual Disability 0 0

5. Autism Spectrum Disorder 0 0

6. Emotional-Behavior Disorder 0 0

7. Orthopedic/Physical Handicap 0 0

8. Speech/Language Disorder 0 0

9. Cerebral Palsy 0 0

10. Special Health Problem/Chronic Disease 0 0

11. Mutiple Disabilities 0 0

With Manifestation:

1. Difficulty in Seeing 0 0

2. Difficulty in Hearing 0 0

3. Difficulty in Walking, Climbing and Grasping 0 0

4. Difficulty in Remembering, Concentrating, Paying Attention
0 0
and Understanding
5. Difficulty in Communicating 0 0

6. Difficulty in Applying Knowledge 0 0

7. Difficulty in Applying Adaptive Skills 0 0

8. Difficulty in Displaying Inter-Personal Behavior 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Notes: 1. The data in this table shall include all enrolled SHS learners with special educational needs.
2. For the definitions, please refer to LSENs Data (Table 7).

Reminders: 1. Totals in this table will tally with the totals in Table 23 (SHS Learners with Special Educational Needs Age Profile Data).
2. LSENs with two or more manifestations or in diagnosis, the data must be included in the primary classification of disability or diffulty.
3. For visible conditions like blind (no eyeball) physical (no legs) or closed ears, even without a diagnosis, the data must be entered in the visible disability.

Certified True and Correct by :

School Head: Designation: Date:
(Signature Over Printed Name)

Page 24 of 30
Table 22.b LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs) UNDER THE HOMEBOUND AND HOSPITAL BOUND PROGRAM, SY 2018-2019 (As of June 30, 2018)
HOMEBOUND HOSPITAL BOUND
Grade Grade
Age Profile Length of Time in the Program Age Profile Length of Time in the Program
Placement Placement
Type of LSENs
21-24
16-20 21-24 25 and Grade 11 to 5-10 11-15 16-20 21-25 16-20 25 and Grade 11 to 5-10 11-15 16-20 21-25
TOTAL
Grade 12
TOTAL years TOTAL Grade 12
TOTAL
years old years old above years years years years years old above years years years years
old

Visual Impairment 0 0 0 0

Hearing Impairment 0 0 0 0

Learning Disability 0 0 0 0

Intellectual Disability 0 0 0 0

Autism Spectrum Disorder 0 0 0 0

Emotional-Behavioral Disorder 0 0 0 0

Orthopedic/Physical Handicap 0 0 0 0

Speech/Language Disorder 0 0 0 0

Cerebral Palsy 0 0 0 0

Special Health Problem/Chronic Disease 0 0 0 0

Multiple Disability 0 0 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1. Home Bound - refers to an educational program designed for children with special needs who are enrolled in the nearest school to their residence, but can not go to school on a regular schedule.
Community volunteers, para-teacher, parents or any member of the family are trained to assist the child at home.
2. Hospital Bound - refers to an educational program designed for LSENs with severe disturbance, profound level of disability, bed-bound , with crippling, chronic or serious health disabilities/impairments and recovering patient (LSENs).

3. Age Profile (Homebound/Hospital bound) - refers to a range of age per type of learners with special educational needs.
4. Length of time (Homebound/Hospital bound) - refers to the number of years that the learner spent in the program.
5. Grade Placement (Homebound/Hospital bound) - refers to what program the learners are placed or enrolled.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

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Table 23. SHS LEARNERS WITH SPECIAL EDUCATIONAL NEEDS AGE PROFILE DATA, SY 2018 -2019 (As of June 30, 2018)
TOTAL
Grade 11 Grade 12
Age (Grades 11-12)
Male Female Male Female Male Female
Below 15 0 0
15 0 0
16 0 0

17 0 0
18 0 0
19 0 0

20 0 0
21 0 0
22 0 0
23 0 0

24 0 0
25 & Above 0 0

TOTAL 0 0 0 0 0 0

1. The total enrolment of SHS Learners with special educational needs - graded as of June 30, 2018 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 his/her last birthday. Thus, if the learner is 16 years 11 months as of June 30, the age of the learner is counted as 16 years.

Reminder: Totals in this table will tally with the totals in Table 22a (SHS Learners with Special Educational Needs).

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

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Table 24. DATA ON ASSISTANCE TO STUDENTS AND TEACHERS IN PRIVATE EDUCATION AND NON-DEPED PUBLIC SCHOOLS PROGRAM, SY 2018-2019 (As of June 30, 2018)
Education Service Contracting (ESC) Senior High School Voucher Program (SHS VP)
Sub-total Sub-total TOTAL
Particular Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12
(Grades 7-10) (Grades 11-12)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Enrolment

Number of Slots

1. Assistance to Students and Teachers in Private Education and in Non-DepEd Public Schools - a program which aims to improve access to quality secondary education through government extension of financial assistance to
deserving elementary school graduates who wish to pursue their secondary education in private schools and in non-DepEd public schools.
2. Education Service Contracting Program (ESC) - a program which aims to democratize and improve access to quality education by extending financial assistance (in the form of tuition subsidy) to qualified elementary school
graduates who wish to pursue secondary education in private schools. It geared towards reducing the class size to manageable levels in public junior high schools (JHS), especially those experiencing shortage of classrooms and
teachers. Through this program, the government is not only able to increase to secondary education but also improve the quality of learning in public schools.
3. Senior High School Voucher Program (SHS VP) - a mechanism that will provide financial assistance to senior high school students to oenroll in non-DepEd schools which will offer SHS, including private JHSs, private higheer
education institutions (HEIs), state and local colleges and universities (SUCs and LUCs), and technical-vocational institutions (TVIs). The value of voucher based on the income class of the municipality, province or city where the
non-DepEd SHS is located.
4. Number of Slots - number of allocated slots given to the participating private schools and non-DepEd public schools in the said program.

Table 25. PERSONNEL DATA, SY 2018-2019 (As of June 30, 2018)

Elementary Secondary
Teacher under Teacher
Particulars Kindergarten Grades 1 to 6 Total Junior High School Senior High School Total Salary Subsidy (TSS)
Program
Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total Male Female Total

No. of Teachers 0 0 0 0 0 0 0 0 0 0 0

No. of Administrative and Support Personnel 0 0 0 0 0 0 0 0 0 0 0

Note: Number of teachers covers teachers with full-time teaching load and part time teaching load. These includes Professor and Instructor handling basic education.
Teacher Salary Subsidy (TSS) - a program provides a salary subsidy to licensed secondary school teachers in participating private schools in the ESC Program.

Reminder: A teacher handling 2 or more levels shall be counted once and counted where the most number of teaching loads.

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

Page 27 of 30
Table 26. VULNERABILITIES, For the months of June 2017 to May 2018
Please provide appropriate answers.

In your own opinion, what are the top 3 conditions, circumstances or features of your schools and the surrounding environment that increase your vulnerability or put life and property at
great risk to natural and human-induced disasters?
1.
2.
3.

Note: This table should not be left blank.

Table 27. DISASTER PREPAREDNESS, For the months of June 2017 to May 2018
Did the school conducted multi-hazard drills? 0
✘ Yes 0 No
If Yes, what type and how many times In a specific month?
Year 2017 Year 2018
Type of Multi-Hazard Drill
June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May

Earthquake Drill
Flood Evacuation Drill
Fire Drill
Lockdown Drill

Lockdown Drill - refers to an emergency protocol to prevent entry or exit from a building or classroom during armed conflict, civilian violence or bomb threats/bombing incidents.

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Table 28. DISASTERS/CALAMITIES, For the months of June 2017 to May 2018
How many times did the following incidents occur in your school and immediate surroundings?
Year 2017 Year 2018
Disasters/Calamities
June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May

Natural Hazards
Drought
Earthquake
Fire (includes forest fire, fires as consequence of natural disasters
such as typhoons and earthquakes)
Flood
Landslide
Storm Surge
Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.)
Tsunami
Volcanic Eruption
Human-Induced Hazards
Crime against school head/s
(murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against learner/s
(murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against teacher/s
(murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against school property (theft, robbery, arson)
Hostage-taking within school premises
Kidnapping of personnel
Kidnapping of learner/s
Bombing in school premises
Bomb threat in school premises
Fire (Electrical wiring failure, etc.)
Health Threat
(i.e. Dengue, Malaria, Measles, food poisoning, disease outbreak)
Oil Spill
Other security threat as a result of civilian violence
(Kidnapping threats, shooting, etc.)
Structural collapse (as a result of engineering failures)

Others, please specify

Note: For the definitions, please see DepEd Order No. 23, s.2014.

Certified True and Correct by :

School Head: Designation: Date:

Page 29 of 30
Table 29. DISASTERS/CALAMITIES (Human-Induced Hazards - Armed Conflict), For the months of June 2017 to May 2018
(Please provide appropriate answers)
Year 2017 Year 2018
Human-Induced Hazards-Armed Conflict
June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May

1. Indicate the number of incidents that the following state actors and/or non-
state actors were involved in an armed conflict in the past months within
the school and immediate surroundings:

State Actors:
Armed Forces of the Philippines (AFP)

Philippine National Police (PNP)

Others, please specify

Non-State Actors:
Communist Party of the Philippines-New People's Army and
National Democratic Front (CPP-NPA-NDF)
Moro National Liberation Front (MNLF)

Bangsamoro Islamic Freedom Fighters (BIFF)

Maute Group

Abu Sayyaf Group (ASG)

Others, please specify

2. Indicate the number of times that the Grave Child Rights Violations were
committed in the past months within the school and immediate surroundings:

Killing and maiming of children

Recruitment or use of children as soldiers

Sexual violence against children

Abduction of children

Attacks against schools or hospitals

Denial of humanitarian access for children

1. Armed Conflict - refers to armed confrontations occuring between governmental armed forces and one or more armed groups, or between such groups arising in the Philippine territory. Armed conflict
incidents include armed encounters such as the All-Out-War in 2000, the September 2013 Zamboanga Siege, and rido, among others.
2. State and/or Non-State Actors - refers to those involved in the armed conflict.

Table 30. RESULT OF DISASTER INCIDENCES, For the months of June 2017 to May 2018
(Please provide appropriate answers)
Year 2017 Year 2018
Result of Disaster Incidences
June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May

Number of Classrooms used as Evacuation Center

Number of Days the Classrooms were used as Evacuation Center

Number of School Days lost due to class suspensions

Number of School Days lost due to armed conflict

Certified True and Correct by :

School Head: Designation: Date:

(Signature Over Printed Name)

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