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    Child Mapping Form

    Uploaded by

    Eyaf Nitalkub
    The document contains a demographic survey template to collect information about children aged 0-4 years old in a barangay. It requests details such as the child's name, age, gender, birthdate, address, disability status, education level, and plans for future schooling. The form aims to identify children in need of early childhood care and development services in the community.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Child Mapping Form

    Uploaded by

    Eyaf Nitalkub
    84 views1 page
    The document contains a demographic survey template to collect information about children aged 0-4 years old in a barangay. It requests details such as the child's name, age, gender, birthdate, address, disability status, education level, and plans for future schooling. The form aims to identify children in need of early childhood care and development services in the community.

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    The document contains a demographic survey template to collect information about children aged 0-4 years old in a barangay. It requests details such as the child's name, age, gender, birthdate, address, disability status, education level, and plans for future schooling. The form aims to identify children in need of early childhood care and development services in the community.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    84 views1 page

    Child Mapping Form

    Uploaded by

    Eyaf Nitalkub
    The document contains a demographic survey template to collect information about children aged 0-4 years old in a barangay. It requests details such as the child's name, age, gender, birthdate, address, disability status, education level, and plans for future schooling. The form aims to identify children in need of early childhood care and development services in the community.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Barangay: ________________________ Division: _______________________

    Municipality: ______________________ Region: ________________________

    DEMOGRAPHIC ECCD
    NAME RESIDENCE DISABILITY EDUCATIONAL STATUS FUTURE ENROLLMENT
    INFORMATION (for 4 yo. children)
    Number Planning to
    If Yes, Provided If Yes, If studying If Yes, specify If No, state reason
    With Birth of years Is residence Has a Currently If No, state the study next
    Date Present specify with ECCD Specify Educational through ADM, the name of for not planning to
    Last First Middle Gender Age Certificate in permanent? disability? studying? If Yes, specify name of school. reason for not school
    of Birth Address type of Services? ECCD attainment specify type of prospective study next school
    (Yes/No) present (Yes/No) (Yes/No) (Yes/No) studying. year?
    disability (Yes/No) Facility. ADM. school. year.
    address (Yes/No)

    1ASK: “is the child a permanent resident?”(YES/NO) If Yes, follow up “do the residents plan on moving out?”
    2 TYPE OF DISABILITIES: ( see DepEd Order No. 2, s. 2014 for detailed description)
    1. Visual Impairment 6. Serious emotional disturbance
    2. Hearing Impairment 7. Autism
    3. Intellectual Disability 8. Orthopaedic Impairment
    4. Learning Disability 9. Special health problem
    5. Speech/language impairment 10. Multiple disabilities
    3EDUCATIONAL ATTAINMENT:

    CK- Completed Kindergarten C7 – Completed Grade 7 SK – Some Kindergarten S7 – Some Grade 7


    C1 – Completed Grade 1 C8 – Completed Grade 8 S1 – Some Grade 1 S8 – Some Grade 8
    C2 – Completed Grade 2 C9 – Completed Grade 9 S2 – Some Grade 2 S9 – Some Grade 9
    C3 – Completed Grade 3 C10 – Completed Grade 10 S3 – Some Grade 3 S10 – Some Grade 10
    C4 – Completed Grade 4 C11 – Completed Grade 11 S4 – Some Grade 4 S11 – Some Grade 11
    C5 – Completed Grade 5 C12 – Completed Grade 12 S5 – Some Grade 5 S12 – Some Grade 12
    C6 – Completed Grade 6 S6 – Some Grade 6

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