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Form 3 Community Profile

The document is a community profile form for the Early Childhood Care and Development Council, requiring information about the barangay's population, households, and children aged 0-4. It also assesses public services available and health and safety conditions in the area. The form is to be completed by a Community Development Team member and includes space for signatures and the date conducted.

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Charrisseemae Ocampo
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0 views

Form 3 Community Profile

The document is a community profile form for the Early Childhood Care and Development Council, requiring information about the barangay's population, households, and children aged 0-4. It also assesses public services available and health and safety conditions in the area. The form is to be completed by a Community Development Team member and includes space for signatures and the date conducted.

Uploaded by

Charrisseemae Ocampo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Early Childhood Care and Development Council

FORM 3 – COMMUNITY PROFILE

Name of Barangay _________________________

1. Total Population _______________________

2. Number of Households __________________

3. Number of Children 0-4 years old __________


< 1 year old _______
1 year old ________
2 years old _______
3 years old _______
4 years old_______

4. Population Density

Very Crowded Moderately Crowded Not Crowded

Has Lots of Open/Green Areas

5. Public Services

With Day Care Center With Barangay Health Center/Clinic

With ECCD Center With Playground/Park

6. Health and Safety Conditions

Clean Has Uncollected Trash Has Fecal Matters

Has Open Sewers Peaceful and Orderly Has Active Brgy. Tanod

Name and Signature of CDT:_________________________________

Date Conducted: _________________________________

__________________________________________________________________________________
April 2014 Page 1 of 1

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