Ann

ex 12A SRC Template (Basic)

Name of School:
Address:
School Head:
Contact Number:
Email Address:

School ID:

Insert Picture of Learners doing school activities

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Ann
ex 12A SRC Template (Basic)
School Profile
1.

Enrollment

800
700
600
500
500

400

315

300

Female
Male

300
200
100

250

252

SY 2011

SY 2012

200

0
SY 2010

Write interpretation of the data.

5
34
10
20

1
20
4
11

50

100
75

50
20
10

4
7

Male

Female
Severly wasted
Overweight

2.

10
5
Male
Wasted
Obese

4
2
Female
Normal
H

ealth and nutritional status

2 | Page

Ann
ex 12A SRC Template (Basic)

Write interpretation of the data.

3.

Learners materials
Excess

Textbook

Shortage

Subject
English 3
Mathematics 5
Science 6

Number
Library

Computer

Books
Tables
Chairs
Computers

Science
Equipment*
*Please enumerate existing science equipment in school.

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Ann
ex 12A SRC Template (Basic)

Number of teachers attended training,

SY 2013
15

15

10

ICT

LAC

K-12

4.

Others
Teachers

professional development

Write interpretation of the data.

5.

SBM

Funding sources

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Ann
ex 12A SRC Template (Basic)

Sources of School Funding, SY 2013

10,000 15,000
MOOE

100,000 LGUs
Canteen
50,000

Donors

Others

500,000

Write interpretation of the data.

6.

School awards and recognitions

Title of Award

Best Performing
School
Over-all Champion
in Sports Contest
Hall of Famer
Brigada Eskwela
Awardee

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Award Giving Body

Division Office of
Ilocos Sur
Vigan City LGU
DepEd Central Office

Level
(International,
National, Region,
Division or School
level)
Division

Category of
Awardee
(Student, Teacher,
School Head,
School)
School

Division

Student

National

School

Ann
ex 12A SRC Template (Basic)

Performance Indicators
Access
7.

Number and rate of dropouts by cause

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Ann
ex 12A SRC Template (Basic)

Number of drop out by cause

Armed conflict
4

Family Problem

Lack of
allowance

2
1

1
1

1
1

Distance to
School
Sickness

SY 2010 SY 2011 SY 2012

Drop out Rate

5%

2%
2%

SY 2010

SY 2011

SY 2012

Write interpretation of the data.

Quality

8.

Percentage of learners who completed the School Year (Promotion Rate)

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Ann
ex 12A SRC Template (Basic)

Promotion Rate, SY 2013

100%

100%

Grade 1

Write interpretation of the data.

9.

National Achievement Test (NAT) by Mean Percentage Score (MPS)

NAT results by subject, 2013

Grade 6
88.48
70.51

English

68.84

Science

Mathematics

Write interpretation of the data.

10. Literacy level

8 | Page

77.11

76.72

Filipino

Makabayan

Ann
ex 12A SRC Template (Basic)

50

50

40

55
50

70

30

20

15

Pre-test

Post-test
Frustration

Pre-test

Instructional

Independent

Write interpretation of the data.

Governance
11. School-Based Management Assessment Level

SBM Level

Qualitative Interpretation:

Developing

12. Child-Friendly School Survey result

CFSS Points:

33
9 | Page

50

55

Qualitative Interpretation:

Outstanding

Post-test

Ann
ex 12A SRC Template (Basic)

13. Stakeholders participation

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Ann
ex 12A SRC Template (Basic)

Number of volunteer hours

70
60
50
40
30

60

20
10

35
17

20
5

Stakeholders' Attendance to School Activities, SY 2013

100%
95%
88%
85%

Co-curricular

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Extra-curricular

Meetings

Assemblies

Ann
ex 12A SRC Template (Basic)

Stakeholders Contribution
(In Pesos), SY 2013
Cash/Inkind
8000
7000
6000
5000
4000
3000
2000
1000
0

6,000
2,000

6,923

5,875

1,200

Write interpretation of the data.

14. Learner-Teacher ratio

Learner-Teacher Ratio, SY 2013

40

45

50

58

50
35

25

Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Write interpretation of the data.

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Ann
ex 12A SRC Template (Basic)

15. Learner-Classroom ratio

Learner-Classroom Ratio, 2013

40

45

50

58
45

50

25

K
Grade 1ofGrade
2 Grade 3 Grade 4 Grade 5 Grade 6
Write interpretation
the data.

16. Learner-Toilet ratio

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Ann
ex 12A SRC Template (Basic)

Learner-Toilet Ratio, SY 2013

60
50
40
30
50
20
10
0
1

Write interpretation of the data.

17. Learner-Seat ratio

Learner-Seat Ratio, SY 2013

1.2
1
0.8
0.6
0.4

0.2
0
1

Write Interpretation of the data.

Status of School Projects

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Ann
ex 12A SRC Template (Basic)
18. Status of Continuous Improvement (CI) projects
*Presentation of Tables or Graphs depends on the School

Write interpretation of the data.

19. Other stakeholders accomplishments

*Presentation of Targets or Graphs depends on the School

Write interpretation of the data

Certified Accurate:

_________________
School Head

___________________
Teacher Representative

_________________
PTCA President

___________________
Student Government President

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