1. FTAD/WIF
1
Meralco Avenue corner St. Paul Road,PasigCity
Telephone No.: (02) 9413760 / Email Address: mimaropa.region@deped.gov.ph
RepublicofthePhilippines
DepartmentofEducation
MIMAROPA REGION
Division:______________________________________ School:_____________________________________________
Grade Level:__________________________________
Summary of School Profile relative to Limited Face-to-Face Classes Preparations
Grade Level
to
participate
in the LF2F
Nos. of
learners to
participate
in the LF2F
Nos. of
Classes
Nos of
Shifts
Percentage
of Learners
with
Parental
Consent
Nos of
Teachers
to handle
Face-to-
Face
Classes
Percentage of Vaccinated Learners
Percentage of Vaccinated Teachers to
Handle F2F Classes
Unvaccinated
1st
Dose
Fully
Vaccinated
Booster
Given
Unvaccinated
1st
Dose
Fully
Vaccinated
Booster
Given
Prepared by:
_________________________________________________
School Head
Validated by:
_________________________________________________
2. SDO Personnel
Profile of Learners participating in Limited Face-to-Face Modality
Nos. Name Gender Age Residence
Commuting
If yes, what is the mode
of transportation?
Vaccination Status
Unvaccinated
1st Dose
Fully vaccinated
Booster Given
Yes No
3. Profile of Teachers to handle Face-to-Face Classes
Nos. Name Gender Age
Civil
Status
Residence
Commuting
If yes, what is the
mode of
transportation
Vaccination
Status
Unvaccinated
1st Dose
Fully vaccinated
Booster Given
Yes No