TEMPLATE 1: BASELINE DATA ON INFRASTRUCTURE AND NON-INFRASTRUCTURE

School Name: CATAMBISAN ELEMENTARY SCHOOL

School ID: 119295

INFRASTRUCTURE NON-INFRASTRUCTURE
No. of Classrooms
No. of Furniture
No. of DepEd No. of
Year Source of Current Status Computerizatio No. of
Type of Building Constructed Funding of Building Instructional Non- n Package Blackboards Learning
Teacher’s Teacher’s Resources
rooms (Acad/Non- instructional (DCP) Arm Chair Desk Table Chair
acad) rooms Table Chair

Municipal Building 2019 LGU Fund Good 1 2 25 0 0 0 1 2 195

DepED Standard
2016 DepEd Budget Good 3 2 6 76 0 0 0 6 5 816
School Building

DepED Standard 1996 DepEd Budget Good 2 3 0 0 14 53 5 4 531

School Building

TOTAL 6 2 11 101 0 14 53 12 11 1,542

Prepared by: Noted by:

LILIAN L. CARIQUITAN NANETTE E. QUARTEROS
Property Custodian School Head

Instructions:
This template should be filled-out by the Property Custodian.
Type of Building - include all types of builing like Marcos Type, Bagong Lipunan School Building (BLSB), Gabaldon, JICA Building, PPP Building, etc.
Year Constructed - specific year when the building was constructed
Source of Funding - includes all sources of funds (e.g. DepEd, LGU, Private Donors, others - specify)
Current Status of building - includes dilapidated, for repair, for demolition, etc.
TEMPLATE 2A: BASELINE DATA ON LEARNERS

School Name: CATAMBISAN ELEMENTARY SCHOOL

School ID: 119295

Number of Learners
(As of NOVEMBER, 2019)
Number of Learner with Disability
Grade Level
Male Female Total Others
Visually Hearing Learnng Intellectual (Please
Impaired Impaired Disability Disability
specify)

KINDER 6 13 19 0 0 0 0 0

GRADE-1 12 20 32 0 0 0 0 0

GRADE-2 11 12 23 0 0 0 0 0

GRADE-3 11 9 20 0 0 0 0 0

GRADE-4 18 13 31 0 0 0 0 0

GRADE-5 10 4 14 0 0 0 0 0

GRADE-6 9 16 25 0 0 0 0 0

GRAND TOTAL 77 87 164 0 0 0 0 0

Prepared by: Noted by:

LILIAN L. CARIQUITAN NANETTE E. QUARTEROS

SDRRM Coordinator School Head

Instructions:
This should be accomplished by the SDRRM Coordinator with the School Head.
Number of Leaners - It should be based on the current enrollment of the school of the current year.
Number of learner with disability - Add more column depending on the data of disability of the school.
TEMPLATE 2B: BASELINE DATA ON PERSONNEL

School Name: CATAMBISAN ELEMENTARY SCHOOL

School ID: 119295

Number of Personnel
(As of November 2019 )
Teaching Personnel Non-Teaching Personnel
No. of Person with Disability No. of Person with Disability
Male Female Total Others Others Male Female Total Others Others
Visually Hearing Visually Hearing
(Please (Please (Please (Please
Impaired Impaired specify) specify) Impaired Impaired specify) specify)

1 7 8 0 0 0 0 0 0 0 0 0 0 0

Prepared by: Noted by:

LILIAN L. CARIQUITAN NANETTE E. QUARTEROS

SDRRM Coordinator School Head

Instructions:
This should be accomplished by the SDRRM Coordinator with the School Head.
Number of Personnel - It should be based on the current enrollment of the school of the current year.
Number of person with disability - Add more column depending on the data of disability of the school.