sardo forms 2016-2017

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S - DORP Form 1- INDIVIDUAL STUDENT PROFILE

Republic of the Philippines

Department of Education

Region VII, Central Visayas

DIVISION OF CEBU CITY

Instruction: To b !i""# u$ b% t& stu#nt or $'rnt(

NA)E OF PUPIL(*STUDENT:++++++++++++++++++++++++++++++++++++++++++ Si,n'tur:

(Pls check)

e!

Y'r "": Continuing

Repeater

Date of "irth# $e%# &ransferee

'ge# orking

.om A##rss: "alikaral

'ddress !here you are presently li*ing+staying !hile schooling# I! B'"i/-'r'"0:

Pre*ious 'ddress#

umber of brothers and sisters presently enrolled Dist'nc o! &om !rom sc&oo" )

ale -emale &otal less than a kilometer

Elementary . kilometer none$econdary more than a kilometer PDCab

College more than / kilometers 0abalhabal

Tot'" more than 1 kilometers 2eepney+"us

horse

)mbrs&i$ in or,'ni'tion: 3thers

ame of 3rgani4ation Position

3fficer ember 2&ic& o! t& !o""

$tudent 5o*ernment

$&EP+6EC$+53egosyo

"$P+5$P PEP&

-raternity+$orority '7E

Religious E'$E

$angguniang 8abataan 30$P

3thers (Pls specify) 3EP

F'mi"% B'c/,roun#

9i*ing !ith parents: 6es 're both parents li*ing together

o $eparated

last grade+ yeaattended

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if yes,Occu$'tion

N'm o! F't&r: Incom : none

0ighest 5rade+9e*el attained 1,;;; belo!

Occu$'tion1,;;.

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Remarks

5rade

6ear

'ns o! Tr'ns$ort'tion:

Remarks

o3in, $ro,r'ms &' %ou ''i"# o!

Remarks

r le*el

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.;;.?;;;

?;;;.;;;;

.;;;; abo*e

.;;.?;;;

?;;;.;;;;

.;;;; abo*e

Employer

3thers#

Pls specify#

ions

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School -DORP Form 2 -SARDO Watch List (To b accom!lish" b# A"$isrs $r# mo%th&' R!

D

+ot, To b sbmitt" to th School ra"./ar La"r&

Please put . instead of a che

o> ame of $tudent

'ttendance 'cademic

o> of days Reading 9earning Difficul

(Ref> fo -orm .) (Ref> to P0I9IRI + 3RV) (Ref> to -orm .

R - Ins Ind

&3&'9

Please reflect the follo!ing symbols 9egend# R onReader

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'bsent

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,ath

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after the name of the pupil - -rustration

%s - %strctio%al

%" - %"!%"%t

Instructions# .> P0I9IRRI+3RV !ill be applied only to the R

/> ' student+pupil incurring < absences is a $'R

School-DORP Form 2A -O+SOLDAT*D SARDO Watch List (ra"./ar l$l' R!

D

+ot, To b accom!lish" b# th School ra"./ar La"r&


o> $EC&I3

'ttendance 'cademic



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26

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9egend# R onReader

if &ransferee 'sterisk B

if Repeater plus sign

if "alikaral sign

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- -rustration

%s - %strctio%al

%" - %"!%"%t



School -DORP Form 2 -O+SOLDAT*D SARDO Watch List R!

D

+ot, To b accom!lish" b# th School DORP oor"i%ator


o> 5R'DE + 6E'R 9EVE9

'ttendance 'cademic



R - Ins Ind

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- -rustration

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D

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DORP Form 2-O+SOLDAT*D SARDO Watch List (District . Di$isio% l$l' R!

D

+ot, To b accom!lish" b# th Di$isio% DORP oor"i%ator


o> $C0339

'ttendance 'cademic



R - Ins Ind

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&3&'9

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blic o) th Phili!!i%s 9o%th o), ::::::::::::::

artm%t o) *"catio% S/ :::::::::::

DSTRT, ::::::::::::::::

S;OOL, ::::::::::::::::::

k mark to indicate classification or choice> If @others@ please specify>

"eha*ior 0ealth 7 utrition Economic

Identified$'RD3

$a*ed

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P I,is"

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+ - +ot %trst"

9is - 9isbha$i%0 Sbmitt" b#,

ame of &eacher

nd ->

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artm%t o) *"catio% S/ :::::::::::

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Ide

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+ - +ot %trst"


5rade+6ear leader

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artm%t o) *"catio% S/ :::::::::::

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Identified$'RD3

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artm%t o) *"catio% S/ :::::::::::

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Identified$'RD3

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EP

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+ - +ot %trst"


D3RP Coordinator

nd ->

3>

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-

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-

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-

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-

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S-DORP Form 5 - IDENTIFIED SARDOs Republic of the Philippines

(&o be accomplished by 'd*isers) Department of Education

Region

third !eek of e*ery month> &he IDE&I-IED $'RD3 consolidated report DIVISION OF CEBU CITY

!ill be for!ared to the District 0$ D3RP Coordinator or Elementary

District D3RP Coordinator>

Ar's

o>

IDENTIFIED SARDO

S6

T'r#%

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Instructions:

.> Please refer the -IC$ choices on problems and solutiEconomic

/> Please use other sheets !hene*er necessary>

S-DORP Form 5A - IDENTIFIED SARDOs Republic of the Philippines

Not: &o be submitted to the grade+year leader for consolidation

N'm o! Pu$i"*Stu#nt@)'"* Fm'"

EASE*)ISOSA

1> In encoding, please remember to change the check mark into numbr 1, so you can tally and make the summation or total at the botto

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(&o be accomplished by the grade+year leader) Department of Education

Region

third !eek of e*ery month> &he IDE&I-IED $'RD3 consolidated report DIVISION OF CEBU CITY

!ill be for!ared to the District 0$ D3RP Coordinator or Elementary


Ar's

o>

IDENTIFIED SARDO

S6

T'r#%

Absncs

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Instructions:



S-DORP Form 5B - IDENTIFIED SARDOs Republic of the Philippines

(&o be accomplished by the $chool D3RP Coordinator ) Department of Education

Not: &o be submitted to the $D3RP Coordinator for consolidation

EASE*)ISOSA

1> In encoding, please remember to change the check mark into numbr 1, so you can tally and make the summation or total at the bott

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Region

!ill be for!ared to the District 0$ D3RP Coordinator or Elementary DIVISION OF CEBU CIT


Ar's

o>

IDENTIFIED SARDO

S6

T'r#%

Absncs

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Not: &he IDE&I-IED $'RD3 consolidated report

EASE*)ISOSA

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Instructions:



DORP Form 5C - IDENTIFIED SARDOs Republic of the Philippines

(&o be accomplished by the $chool D3RP Coordinator ) Department of Education

Region

!ill be for!ared to the District 0$ D3RP Coordinator or Elementary DIVISION OF CEBU CITY


Ar's

o>

IDENTIFIED SARDO

S6

T'r#%

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1> In encoding, please remember to change the check mark into numbr 1, so you can tally and make the summation or total at the bot

Not: &he IDE&I-IED $'RD3 consolidated report

EASE*)ISOSA

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&3&'9

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Instructions:



1> In encoding, please remember to change the check mark into numbr 1, so you can tally and make the summation or total at the botto

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)ONT. OF:+++++++++++++++++++++++++++

SY +++++++++++++++

DISTRICT: ++++++++++++++++++++++++++++

N'm o! Sc&oo":+++++++++++++++++++++++

4r'#*Y'r L":

Sction:

's $ut ' c&c/ m'r/ on t& s$'c $roi## !or 'c& c&oic(

ntrntions DonPrio#ic 4r'#s

2.EREABOUTS

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SY +++++++++++++++

DISTRICT: ++++++++++++++++++++++++++++

N'm o! Sc&oo":+++++++++++++++++++++++

4r'#*Y'r L":



2.EREABOUTS

)'nso!Vri!ic'tion

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DISTRICT: ++++++++++++++++++++++++++++

N'm o! Sc&oo":+++++++++++++++++++++++

"'s $ut ' c&c/ m'r/ on t& s$'c $roi## !or 'c& c&oic(

ntrntions Don

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Sbmitt" b#,

:::::::::::::::::::::::

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SY +++++++++++++++

DISTRICT: ++++++++++++++++++++++++++++



2.EREABOUTS

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Sbmitt" b#,

:::::::::::::::::::::::

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nt

A2ARD

::

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nt

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nt

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::

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A2ARD

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::

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DORP Form 4-Monthly Summary of SARDO

Note: A copy to be given to the principalPSDSDiv! Supervi"or

No Name of SARDO

R # S $ F A % & O R

FAM#'( #ND#)#D*A' %OMM*N#&( S%+OO' F+A+AL

1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 1 2 3 4 1 2,Pl"! %hec.

+ot" b# ,

:::::::::::::::::: Pri%ci!al

DORP Form 4A-Monthly Summary of SARDO

Note: A copy to be given to the principalPSDSDiv! Supervi"or

No Name of SARDO

R # S $ F A % & O R

FAM#'( #ND#)#D*A' F+A+AL

/r!(r! 0Section

/r!(r! 0Section

%OMM*N#&(

S%+OO'

Save

1

*n"ave

1

Save

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1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 1 2 3 4 1 2 ,Pl"! %hec.

1

2

3

4

5

67

18

11

12

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15

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24

25

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)ONT. OF:++++++++++++++++++++

SY +++++++++++++++++++++

DISTRICT: ++++++++++++++++++++

N'm o! Sc&oo":++++++++++++++++++

# N & 2 R ) 2 N & # O N SRecommen1ation"FAM#'( #ND#)#D*A' %OMM*N#&( S%+OO' F+A+AL

1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 11 1 2 3 4 5 6

School DORP %oor1inator

:::::::

)ONT. OF:++++++++++++++++++++

SY +++++++++++++++++++++

DISTRICT: ++++++++++++++++++++

N'm o! Sc&oo":++++++++++++++++++

# N & 2 R ) 2 N & # O N SRecommen1ation"FAM#'( #ND#)#D*A' %OMM*N#&( S%+OO' F+A+AL

Rea"on"3hy not

"ave1

Rea"on"3hy not

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1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 1 2 3 4 5 6 7 18 11 1 2 3 4 5 6

/ra1e(ear 'ea1er

"ave1

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DORP Form - FICS

DIRECTIONS: CHECK THE PROBLEMS INITIALLY ASSESSED BY YOU AS

AS WELL AS THE SUGGESTED SOL

AND SOLUTIONS CAN BE CHECKED DEPENDING ON ASS

FACTORS PROBLE)S

FA)ILY*DO)ESTIC

.> 0ad to take care of siblings

/> Early marriage+pregnancy

1> ParentsG attitude to!ard schooling

F> -amily problems

&oo many household task

6& Li$i%0 cti$ !ar%ti%0

INDIVIDUAL

.> Illness

/> 3*erage

1> Death

F> Drug abuse

Poor academic performance

H> 9ack of interest+distractions

A> 0unger+malnutrition

?> 9ack of selfconfidence +selesteem> Peer pressure

.;>3thers

CO))UNITY

1& Dista%c bt

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FINANCIAL

.> Child labor, !ork

/> =nstable family income

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ANALYSIS S.EET

DVISER

TIONS. ONE OR MORE PROBLEMS

SSMENT

INITIAL SOLUTIONS

.> Counsel

/> Recommend students for employment either on

households or establishments

1> 5i*e seminars on effecti*e parenting

F> Prioriti4e needs

Enhance Communication !ith family members

H> Conduct home *isitation+conference !ith parents

A> Introduce+implement and @'dopt$choolProgram@

?> E%plain the disad*antages of early marriage> Conduct 0omeroom and 5eneral P&' meetings>

.;> 3thers

.> Close monitoring and super*ision

/> Refer students to take placement e%aminations

1> 5i*e special consideration

F> 5uidance and Counseling

5i*e alternati*e remediation

H> Create conduci*e learning atmosphere

A> -eeding program in school

?> Regular 0ealth Center *isit> Proper !ork orientation>

.;> 3thers

.> Report to Police 3fficers or any person in authority

/> Construct cottage near school

1> Coordinate !ith proper authorities

F> 'doptaChild program

oti*ate and in*ol*e stakeholders

H> Coordinate !ith local officials

A> $eek help from 9ocal+Pro*incial 5o*ernment

?> ReJuest from 95=+"enefactors

> 3thers

.> Principal shall conduct regular class obser*ation

/> &eachers attend seminar on Child -riendly $chool

F> Impose proper discipline

&ap stakeholders to repair dilapidated classrooms

H> 'doptaschool program

A> onitor the medium of instruction

?> Enhance teaching strategies

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> Close monitoring+counseling

.;> $end to seminars+!orkshops

..> Encourage students to Koin e%tra curricular acti*ities

12& Othrs

.> Include student in the adoptachild program

/> $ariling sikap program

1> Conference !ith employers, parents, guardians onth sch"l o) th chil"&

F> 'ttend skills de*elopment trainings, 7 entrepreneurship

Distance learning +30$P

H> 3thers

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S - FOR9 6 - 9O+T;L/ S99AR/ R*PORT O+ DORP 9PL*9*+TATO+

!a0 1

SA*D SARDO?S

R& 1 R& 2 R& 3 R& 4 R& 5 R& 6 R& 1 R&

9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 FFA)ILY* DO)ESTIC




F> -amily problems



INDIVIDUAL

.> Illness

/> 3*erage

1> Death

F> Drug abuse


H> 9ack of interest+distractionsA> 0unger+malnutrition

?> 9ack of selfconfidence +selesteem

> Peer pressure

.;>3thers

DROPO*& R#S$ FA%&ORS %A*S2SRA+DTOTAL

.;> 3thers

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S-FOR9 6 (!a0 2'

SA*D SARDO?S

R& 1 R& 2 R& 3 R& 4 R& 5 R& 6 R& 1 R&

9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 FFA)ILY* DO)ESTIC




F> -amily problems



INDIVIDUAL

.> Illness

/> 3*erage

1> Death

F> Drug abuse


H> 9ack of interest+distractions

A> 0unger+malnutrition

?> 9ack of selfconfidence +selesteem

> Peer pressure.;>3thers

S - FOR9 6A - 9O+T;L/ S99AR/ R*PORT O+ DORP 9PL*9*+TATO+

Pa0 2

DROPO*& R#S$ FA%&ORS %A*S2S

RA+DTOTAL

.;> 3thers

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SA*D SARDO?S

RAD* RAD* RAD* RAD* RAD* RAD* RAD* RAD

9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 F T 9 FCO))UNITY * 4EO4RAP.ICAL

1& Dista%c bt 'rmed conflict (incl> tribal !ars 71> Calamities+Disasters

F> Presence of 5ambling dens

Presenceof recreational cente

H> =ncooperati*e stakeholders

A> Presence of gangs and fraternity

?> 3thers

SC.OOL

.> &eacher factor

/> Physical condition of classroom

1> Peer influence

F> 3thers

FINANCIAL

.> Child labor, !ork

/> 3thers

NOTE:

If there are / or more reasons !hy a student dropped out, select only one that is considered the main cause> &hus, a student must be counted only once> Causes of dropouts should not be limit

)E: )ONT.LY ENROL)ENT

DROPO*& R#S$ FA%&ORS %A*S2S

RA+DTOTAL

Not: For t& sc&oo" ""0 s'm !orm 3i" " b $r$'r# tob submitt# to t& District Su$risor(

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9o%th o), ::::::::::::::

S/ ::::::::::::::::::::::

DSTRT, ::::::::::::::::

S;OOL, ::::::::::::::::::

+SA*D SARDO?S

#N&2R)2NONS ,P'S! %+2%$.2 R& 3 R& 4 R& 5 R& 6

T 9 F T 9 F T 9 F T 9 F T 9 F TFA)ILY* DO)ESTIC )

.> Counsel


F> Prioriti4e needs

Enhance Communication !ith family memb

H> Conduct home *isitation+conference !ith

A> Introduce+implement and@'dopt$choolP

?> E%plain the disad*antagesof early marriage

> Conduct 0omeroom and 5eneral P&' mee

.;> 3thers

INDIVIDUAL

.> monitoring and super*ision

/> Refer students to take placement e%amina




H> Create conduci*e learning atmosphereA> -eeding program in school

?> Close monitoring and super*ision

> Regular 0ealth Center *isit

.;> Proper !ork orientation>

..> 3thers

R2ASONS +(

%+#'D #S NO&SA)2D

RA+DTOTAL

Sti""in

/> Recommend students for employment either on the households orestablishments

7/26/2019 Sardo Forms 2016-2017

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+SA*D SARDO?S

#N&2R)2NONS ,P'S! %+2%$.2 R& 3 R& 4 R& 5 R& 6

T 9 F T 9 F T 9 F T 9 F T 9 F TFA)ILY* DO)ESTIC )

.> Counsel


F> Prioriti4e needs

Enhance Communication !ith family memb

H> Conduct home *isitation+conference !ith

A> Introduce+implement and@'dopt$choolP

?> E%plain the disad*antagesof early marriage

> Conduct 0omeroom and 5eneral P&' mee

.;> 3thers

INDIVIDUAL

.> monitoring and super*ision

/> Refer students to take placement e%amina




H> Create conduci*e learning atmosphere

A> -eeding program in school

?> Close monitoring and super*ision

> Regular 0ealth Center *isit.;> Proper !ork orientation>

..> 3thers

R2ASONS +(%+#'D #S NO&

SA)2D

RA+DTOTAL

Sti""in

/> Recommend students for employment either on the households orestablishments

7/26/2019 Sardo Forms 2016-2017

50/53

+SA*D SARDO?S

#N&2R)2NONS ,P'S! %+2%$.* RAD* RAD* RAD* RAD*

T 9 F T 9 F T 9 F T 9 F T 9 F TCO))UNITY *4EO4RAP.ICAL )

.> Report to military men

/> Construct cottage near school1> Coordinate !ith proper authorities

F> 'doptaChild program

oti*ate and in*ol*e stakeholders

H> Coordinate !ith local officials

A> $eek help from 9ocal+Pro*incial 5o*ernme

?> ReJuest from 95=+"enefactors

> Coordinate !ith local officials

.;> 3thers

SC.OOL

.> Principal shall conduct regular class obser

/> &eachers attend seminar on Child -riendl

F> Impose proper discipline

&ap stakeholders to repair dilapidated cla

H> 'doptaschool program

A> onitor the medium of instruction

?> Enhance teaching strategies

> Close monitoring+counseling

.;> $end to seminars+!orkshops

11& *%coa0 st"%ts to @o

./> 3thers

FINANCIAL

.> Include student in the adoptachild progra

/> $ariling sikap program

1> Conference !ith employers,parents,

guardians on the schedule of the child>

F> 'ttend skills de*elopment trainings, 7

Distance learning

H> 3thers

ed to the reasons stated in -orm .?E>

Pr!ar" b#, :::::::::::::::::::::::::::::

RAD* . /*A

R2ASONS +(%+#'D #S NO&

SA)2D

RA+DTOTAL

Sti""in

7/26/2019 Sardo Forms 2016-2017

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2.EREABOUTS

Promot#

4r'#u't#

Co"", Em$"o%#

Loc'"

Abro'#

Ot&rs

F

Sc&(

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2.EREABOUTS

Promot#

4r'#u't#

Co"", Em$"o%#

Loc'"

Abro'#

Ot&rs

F

Sc&(

7/26/2019 Sardo Forms 2016-2017

53/53

2.EREABOUTS

Promot#

4r'#u't#

Co"",

Em$"o%#

Loc'"

Abro'#

Ot&rs

F

:::::::::::::::::::::

R L*AD*R

Sc&(

sardo forms 2016-2017

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