SlideShare a Scribd company logo
1 of 3
LEARNER ENROLLMENT AND SURVEY FORM
GRADE LEVEL SEX BELONG TO INDIGENOUS PEOPLE MOTHER TONGUE RELIGION LEARNERS W/SPED NEEDS
M F YES NO WARAY TAGALOG ENGLISH
KINDER
G-1
G-2
G-3
G-4
G-5
G-6
Total
PARENT/GUARDIAN INFORMATION
FATHER MOTHER GUARDIAN
E H
S
C
G
V M/
D
N
A
O F
T
P
T
S
E
U
E
N
W
WF
H
4PS E H
S
C
G
V M/
D
N
A
O F
T
P
T
S
E
U
E
N
W
WF
H
4PS E H
S
C
G
V M/
D
N
A
O F
T
P
T
S
E
U
E
N
W
WFH 4PS
Y N Y N Y N Y N
K
G-1
G-2
G-3
G-4
G-5
G-6
G-7
Tot
al
HOUSEHOLD CAPACITY AND ACCESS TO DISTANCE LEARNING
GRAD
E
LEVEL
How does your
child go to
school?
Household members studying in S.Y 2020-2021 Who will support to the child’s
distant learning?
Devices available at home used for learning
W P
C
FO
V
S
S
k G
1
G
2
G
3
G
4
G
5
G
6
G
7
G
8
G
9
G1
0
G1
1
G1
2
O P/
G
E
S
GP Extende
d
Family
O N IND C TV NC
TV
Basc
Cp
Smartp
hone
Table
t
Ra
dio
Desktop
computer
Lapto
p
N O
KINDE
R
G-1
G-2
G-3
G-4
G-5
G-6
G-7
Total
GRADE
LEVEL
Do you have a
way to connect
to the internet?
How do you connect to the internet? What distance learning modalities do you
prefer for your child?
Challenges that may affect your child’s learning process
Y N Own
Mob
Data
Own
Broadband
Comp
Shop
Other
Places
No
ne
Online
Learnin
g
TV Radi
o
Module Comb
of face
to face
Other
s
Lack of
availabl
e
gadgets
Insufficient
load/data
Unstable
mobile or
internet
connectio
n
Existing
Health
Conditio
ns
Difficulty in
independen
t learning
Conflict
w/other
activities
No or lack
of space
for
studying
Distr
actio
ns
Others
KINDE
R
G-1
G-2
G-3
G-4
G-5
G-6
G-7
Total

More Related Content

Similar to CONSOLIDATOR.docx

Even Start Flipbook
Even Start FlipbookEven Start Flipbook
Even Start Flipbook
kkibbey
 
Open house slide show10 11.pptx
Open house slide show10 11.pptxOpen house slide show10 11.pptx
Open house slide show10 11.pptx
Christine Snyder
 
Homeroom check in 11122012
Homeroom check in 11122012Homeroom check in 11122012
Homeroom check in 11122012
kmclauchlan
 
Final Resume_Reed_16
Final Resume_Reed_16Final Resume_Reed_16
Final Resume_Reed_16
Ashleigh Reed
 
College & Career Ready Performance Index
College & Career Ready Performance IndexCollege & Career Ready Performance Index
College & Career Ready Performance Index
jwalts
 

Similar to CONSOLIDATOR.docx (8)

Even Start Flipbook
Even Start FlipbookEven Start Flipbook
Even Start Flipbook
 
Open house slide show10 11.pptx
Open house slide show10 11.pptxOpen house slide show10 11.pptx
Open house slide show10 11.pptx
 
Power Point Open House 14-15
Power Point Open House 14-15Power Point Open House 14-15
Power Point Open House 14-15
 
Homeroom check in 11122012
Homeroom check in 11122012Homeroom check in 11122012
Homeroom check in 11122012
 
Life Youniversity
Life YouniversityLife Youniversity
Life Youniversity
 
Parent handbook 2019 2020 english
Parent handbook 2019 2020 englishParent handbook 2019 2020 english
Parent handbook 2019 2020 english
 
Final Resume_Reed_16
Final Resume_Reed_16Final Resume_Reed_16
Final Resume_Reed_16
 
College & Career Ready Performance Index
College & Career Ready Performance IndexCollege & Career Ready Performance Index
College & Career Ready Performance Index
 

More from ROSANBADILLO1

ESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsns
ESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsnsESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsns
ESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsns
ROSANBADILLO1
 
Sesyon 3.pdf
Sesyon 3.pdfSesyon 3.pdf
Sesyon 3.pdf
ROSANBADILLO1
 
Sesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdf
Sesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdfSesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdf
Sesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdf
ROSANBADILLO1
 
edited.docx
edited.docxedited.docx
edited.docx
ROSANBADILLO1
 
Action research proposal.pptx
Action research proposal.pptxAction research proposal.pptx
Action research proposal.pptx
ROSANBADILLO1
 
REMEDIAL-FILIPINO.docx
REMEDIAL-FILIPINO.docxREMEDIAL-FILIPINO.docx
REMEDIAL-FILIPINO.docx
ROSANBADILLO1
 
ppt for demo.pptx
ppt for demo.pptxppt for demo.pptx
ppt for demo.pptx
ROSANBADILLO1
 

More from ROSANBADILLO1 (8)

ESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsns
ESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsnsESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsns
ESP 1 PPT Q3 -W27 Day 2.pptxhgnsnsnsnsns
 
Sesyon 3.pdf
Sesyon 3.pdfSesyon 3.pdf
Sesyon 3.pdf
 
Sesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdf
Sesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdfSesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdf
Sesyon 14_ Pagtuturo ng Katotohanan at Opinyon.pptx.pdf
 
edited.docx
edited.docxedited.docx
edited.docx
 
Action research proposal.pptx
Action research proposal.pptxAction research proposal.pptx
Action research proposal.pptx
 
REMEDIAL-FILIPINO.docx
REMEDIAL-FILIPINO.docxREMEDIAL-FILIPINO.docx
REMEDIAL-FILIPINO.docx
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
 
ppt for demo.pptx
ppt for demo.pptxppt for demo.pptx
ppt for demo.pptx
 

Recently uploaded

Seal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxSeal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptx
negromaestrong
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
AnaAcapella
 
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
ZurliaSoop
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
kauryashika82
 

Recently uploaded (20)

Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024
 
Accessible Digital Futures project (20/03/2024)
Accessible Digital Futures project (20/03/2024)Accessible Digital Futures project (20/03/2024)
Accessible Digital Futures project (20/03/2024)
 
PROCESS RECORDING FORMAT.docx
PROCESS      RECORDING        FORMAT.docxPROCESS      RECORDING        FORMAT.docx
PROCESS RECORDING FORMAT.docx
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentation
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
Magic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptxMagic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptx
 
Food safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdfFood safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdf
 
Seal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxSeal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptx
 
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
 
psychiatric nursing HISTORY COLLECTION .docx
psychiatric  nursing HISTORY  COLLECTION  .docxpsychiatric  nursing HISTORY  COLLECTION  .docx
psychiatric nursing HISTORY COLLECTION .docx
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptx
 
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Holdier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdfHoldier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdf
 
Third Battle of Panipat detailed notes.pptx
Third Battle of Panipat detailed notes.pptxThird Battle of Panipat detailed notes.pptx
Third Battle of Panipat detailed notes.pptx
 
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 

CONSOLIDATOR.docx

  • 1. LEARNER ENROLLMENT AND SURVEY FORM GRADE LEVEL SEX BELONG TO INDIGENOUS PEOPLE MOTHER TONGUE RELIGION LEARNERS W/SPED NEEDS M F YES NO WARAY TAGALOG ENGLISH KINDER G-1 G-2 G-3 G-4 G-5 G-6 Total PARENT/GUARDIAN INFORMATION FATHER MOTHER GUARDIAN E H S C G V M/ D N A O F T P T S E U E N W WF H 4PS E H S C G V M/ D N A O F T P T S E U E N W WF H 4PS E H S C G V M/ D N A O F T P T S E U E N W WFH 4PS Y N Y N Y N Y N K G-1 G-2 G-3 G-4 G-5 G-6 G-7 Tot al
  • 2. HOUSEHOLD CAPACITY AND ACCESS TO DISTANCE LEARNING GRAD E LEVEL How does your child go to school? Household members studying in S.Y 2020-2021 Who will support to the child’s distant learning? Devices available at home used for learning W P C FO V S S k G 1 G 2 G 3 G 4 G 5 G 6 G 7 G 8 G 9 G1 0 G1 1 G1 2 O P/ G E S GP Extende d Family O N IND C TV NC TV Basc Cp Smartp hone Table t Ra dio Desktop computer Lapto p N O KINDE R G-1 G-2 G-3 G-4 G-5 G-6 G-7 Total GRADE LEVEL Do you have a way to connect to the internet? How do you connect to the internet? What distance learning modalities do you prefer for your child? Challenges that may affect your child’s learning process Y N Own Mob Data Own Broadband Comp Shop Other Places No ne Online Learnin g TV Radi o Module Comb of face to face Other s Lack of availabl e gadgets Insufficient load/data Unstable mobile or internet connectio n Existing Health Conditio ns Difficulty in independen t learning Conflict w/other activities No or lack of space for studying Distr actio ns Others KINDE R G-1 G-2 G-3 G-4 G-5