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Kinder Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Others
Kinder Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Others
As of
School ID 300052
School
GRADE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 11 0 0 0 0 0 0 0 0 1 0 0 0 0 0
GRADE 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 1 0 0 0 0 0
Grade Available
non-cable basic Devices
smart- for Learning at Home
desktop Grade level TOTAL ENROLLMENT
level cable TV TV cellphone phone tablet radio PC laptop none others MALE FEMALE Total
GRADE 7 0 0 0
GRADE 7 0 0 0 0 0 0 0 0 0 0 GRADE 8 0 0 0
GRADE 8 0 0 0 0 0 0 0 0 0 0 GRADE 9 0 0 0
GRADE 9 0 0 0 0 0 0 0 0 0 0 GRADE 10 0 0 0
GRADE 10 0 0 0 0 0 0 0 0 0 0 GRADE 11 0 0 0
GRADE 11 1 0 0 0 0 0 0 0 0 0 GRADE 12 0 0 0
GRADE 12 0 0 0 0 0 0 0 0 0 0
Total 0 0 0
Total 1 0 0 0 0 0 0 0 0 0
GRADE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GRADE 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Possible Challenges/Difficulties in Distance Learning
lack of insufficient unstable health difficulty in conflict w/ unavailable
gadgets load internet conditions learning activities space distractions others
COPY AND PASTE THE DATA FROM THE ELECTRONIC LEARNER ENROLLM
THE SURVEY SUMMARY WILL BE AUTO CONSOLIDATED IN THE SHEET "SS"
1 2021-2022
2 2021-2022
3 2021-2022
4 2021-2022
5 2021-2022
6 2021-2022
7 2021-2022
8 2021-2022
9 2021-2022
10 2021-2022
11 2021-2022
12 2021-2022
13 2021-2022
14 2021-2022
15 2021-2022
16 2021-2022
17 2021-2022
18 2021-2022
19 2021-2022
20 2021-2022
21 2021-2022
22 2021-2022
23 2021-2022
24 2021-2022
25 2021-2022
26 2021-2022
27 2021-2022
28 2021-2022
29 2021-2022
30 2021-2022
31 2021-2022
32 2021-2022
33 2021-2022
34 2021-2022
35 2021-2022
36 2021-2022
37 2021-2022
38 2021-2022
39 2021-2022
40 2021-2022
41 2021-2022
42 2021-2022
43 2021-2022
44 2021-2022
45 2021-2022
46 2021-2022
47 2021-2022
48 2021-2022
49 2021-2022
50 2021-2022
RONIC LEARNER ENROLLMENT AND SURVEY FORM (ELESF)
USE CAPSLOCK OR BIG LETTERS IN ENCODI
PSA Birth
Extension
Middle Name LRN Certificate
Name
Number
BIG LETTERS IN ENCODING
IP/ICC
Birthdate
Age Sex Mother Tongue
(mm/dd/yyyy)
Yes/No Affiliation
ILOKO
Special Education Needs
Yes/No
CHRISTIANITY
Special Education Needs Assistive Technology Availability
Specification(i.e. physical, mental,
Specification(i.e. screen reader,
social disability, medical condition,
Braille, DAISY)
giftedness, among others) Yes/No
Grade Last Grade Last School
Learner
Level to Level Year
Status
Enroll Completed Completed
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
GOMEZ ST. BRGY. VII, VIGAN CITY PUBLIC ILOCOS SUR NATIONAL HIGH SCHOOL
School ID School Address Semester
EXAMPLE:
1
Household members who can deliver Instructional Support (Put "1")
Others(COL
LEGE/VOCA
TIONAL)
parents/ elder extended family
guardians siblings grand-parents members others none
1
Available Devices for Learning at Home(PUT "1")
non-
independent cable cable basic smart-
learning TV TV cellphone phone tablet radio desktop PC
1
Internet Connectivity (PUT "1")
unavailable
conflict w/ activities space distractions others
LIMITED FACE TO FACE If the answer is no, please select 1 major consideration
Limited or no
available Existing
In case limited face to face will transportation Illness or
be allowed, are you willing to Fear of getting from home to health Helping in
allow your child / children to infected of school and realated household
participate?(YES/NO) Corona Virus vice versa concers chores