Ministry of Education, Republic of Liberia

Annual School Questionnaire

FORM No: 0001
SECTION 1: SCHOOL GENERAL INFORMATION
1.0 1.1
School Code: MOE Accreditation No: School Year:
(To be filled by ISDS)
1.2 1.3
Name of School: Year established:

1.4 1.5
Location (village/town/ city): PCode:
1.6 1.7
Clan/Township/Zone: Education District:

1.8 1.9
Administrative District: County:

1.10 1.11
Region: ( ) South Western ( ) North Central Session: ( ) Morning ( ) Afternoon ( ) Night
( ) South Eastern Select only one Select all applicable
1.12 1.13
School Type: ( ) Public ( ) Private ( ) Mission/Religious If Mission/Religious, Denomination:
( ) Self-help/Community Select only one

1.14
School Level: ( ) Pre-primary ( ) Primary ( ) ALP ( ) Lower Secondary
( ) Upper Secondary ( ) Multilateral Select all applicable

1.15 1.16
Do you use the national curriculum? ( ) Yes ( ) No Do you use the WAEC syllabus? ( ) Yes ( ) No

The questionnaire was completed by the headmaster of the school

Name of Headmaster: Name of District Education Officer:

Date Completed: Date Transmitted: Date Checked: Date transmitted to

MOE:
Signature of headmaster: Signature:

Enrolment
Completely fill each row with the number of pupils by sex. Write zero (0) in the empty cell to indicate a missing sex in any given
class or grade.

SECTION 2: PRE-PRIMARY LEVEL

2.10
PRE-PRIMARY SCHOOL ENROLMENT BY AGE, GRADE AND SEX
NURSERY KINDERGARTEN
AGE
Male Female Male Female
2

3
4

8
ABOVE 8

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001

SECTION 3: PRIMARY LEVEL

3.10
NEW ENTRANTS TO GRADE ONE BY AGE AND SEX
Completely fill each roll with the number of in-coming or newly admitted Grade 1 pupils by age and sex.
Note: M = Male, F = Female
<6 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years Total
M F M F M F M F M F M F M F M F M F

3.11
PRIMARY SCHOOL ENROLMENT BY AGE, GRADE AND SEX
AGE GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6
M F M F M F M F M F M F
<6
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Above
20

3.12
REPEATERS BY GRADE AND SEX
Note: Repeaters = Pupils failing to gain promotion to the next grade at the end of the school year
GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6
M F M F M F M F M F M F

3.13
DROPOUTS BY GRADE AND SEX
Note: Dropouts = pupils who leave the school before completion, either due to sickness, death, etc.
GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6
M F M F M F M F M F M F

3.14
TRANSFER BY GRADE AND SEX
Note: In-transfer = Pupils coming in from other schools. Out-transfer = Pupils moving out of the school.
GRADE 1 GRADE 2 GRADE 3 GRADE 4 GRADE 5 GRADE 6
M F M F M F M F M F M F
Out-
transfer
In-
transfer

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001

3.15
TEXT BOOKS
Indicate the number of text books available in the core subjects in each grade
GRADES
CORE SUBJECTS
1 2 3 4 5 6 TOTAL
Language Arts

Mathematics
General Science

Social Studies

Total

3.16
ACCELERATED LEARNING PROGRAMME BY AGE, SEX AND LEVEL
Note: ALP combines grades of primary into levels. Level I = Grades 1 & 2; Level II = Grades 3 & 4; Level III = Grades 5& 6
Number of Children Associated with Fighting Forces (CAFF)
Number of Pupils Per Level
(If known)
AGE
LEVEL I LEVEL II LEVEL III LEVEL I LEVEL II LEVEL III

M F M F M F M F M F M F

< 12
12
13
14
15
16
17
18
19
20
21
22
23
24
> 24
3.17 3.18 3.19
Agency(ies) supporting ALP: School Feeding? Agency(ies) supporting
school feeding:
( ) Yes ( ) No

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001

SECTION 4: SECONDARY LEVEL

4.10
SECONDARY SCHOOL ENROLMENT BY AGE, GRADE AND SEX
AGE GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
M F M F M F M F M F M F
< 13

13

14

15

16
17

18

19

20

> 20

4.11
REPEATERS BY GRADE AND SEX
Note: Repeaters = Pupils failing to gain promotion to the next grade at the end of the school year
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
M F M F M F M F M F M F

4.12
DROPOUTS BY GRADE AND SEX
Note: Dropouts = pupils who leave the school before completion, either due to sickness, death, etc.
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
M F M F M F M F M F M F

4.13
TRANSFER BY GRADE AND SEX
Note: In-transfer = Pupils coming in from other schools. Out-transfer = Pupils moving out of the school.
GRADE 7 GRADE 8 GRADE 9 GRADE 10 GRADE 11 GRADE 12
M F M F M F M F M F M F
Out-
transfer
In-
transfer

4.14
TEXT BOOKS
Indicate the number of text books available in the core subjects in each grade
GRADES
CORE SUBJECTS
7 8 9 10 11 12 TOTAL
Language Arts

Mathematics
Sciences

Social Studies

Total

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001
SECTION 5: SCHOOL PERSONNEL
5.10
TEACHING STAFF Note: Complete the list of teachers according to their professional qualification, employment and training.
Teaching Level 1 If trained, 2 3 Status 5
Trained/ Academic Source of (tick the right choice) Subject(s)
(check all applicable) type of
Untrained qualification salaries (list all

Reactivated?
certificate
Date applicable)

experience
Secondary

Secondary
No. Name Sex Age

Yes or No
(C or B)

Volunteer
employed

Years of
Primary

Teacher
primary

Lower

Upper

ALP
Pre-

4
1

10

11

12

13

14

15

16

17

18

1 1 = Trained = Teaching certificates holders from recognized Teacher Training Institutes (TTIs), 2 = Untrained = Teachers without teaching certificates from recognized TTIs..
2 1 = Under High School, 2 = High School, 3 = Undergraduate, 4 = Graduate, 5 = Post Graduate
3 1 = public bodies (e.g. MOE, other ministries, local authorities), 2 = Private institutions (e.g. Business firms, religious bodies, NGOs), 3 = Household (e.g. Families, Parents Associations)
4 Reactivated = Teachers currently on government payroll.
5 1 = Self contained (All subjects – normally at primary level), 2 = Language Arts (English, Literature, Foreign Languages); 3 = Social Studies (Civics, History, Geography); 4 = Mathematics (Arithmetic, Algebra, Trigonometry);
5 = Sciences (General Science, Physical Education, Biology, Chemistry, Physics)

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001
5.11
NON-TEACHING STAFF Note: Complete the list of all staff in the school not involve in teaching, such as secretary, janitor, etc.
No. Name Sex Date of Birth Qualification Years of employment Position
1

10

11

12

13

14

15

16

17

18

19

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001
SECTION 6: SCHOOL FACILITIES – BUILDINGS, FACILITIES AND FURNITURE
6.10 6.11
Building Type: ( ) Solid ( ) Semi solid ( ) Make shift ( ) Other Other (Specify):
Select only one
Solid = Classrooms built with cement blocks
Semi solid = Classrooms built largely with mud
Make shift = Temporary classrooms made of local materials, such as, mat and sticks
6.12
Building Condition:

Select only one

( ) Minor Damage ( ) Major Damage ( ) Destroyed
( ) In tack/Repaired/New
6.13 6.14
Number of Rooms: Fill all fields PTA Functional?
Note: Write the number of classrooms in the empty cells. ( ) Yes
Total Classrooms utilized for Classrooms ( ) No
number of not utilized
classrooms Single class Multi-grade Double shift Labs

6.15
Other Facilities
Available Functioning Other Specific attributes of the facility
(Select only if (Select only if (Select only if true and fill in where applicable)
true) true)

1. Library ( ) Yes ( ) Yes ( ) Has furniture ( ) Has books ( ) Reference books

2. Hall ( ) Yes ( ) Yes ( ) Has furniture

3. Store room ( ) Yes ( ) Yes ( ) Has shelves ( ) Secured ( ) Has supplies

4. Staff room ( ) Yes ( ) Yes ( ) Has furniture

5. Records office ( ) Yes ( ) Yes ( ) Filing cabinets ( ) Secured

6. Clinic ( ) Yes ( ) Yes ( ) Has furniture ( ) Has drugs ( ) Has basic equipment

7. Canteen/Cafeteria ( ) Yes ( ) Yes ( ) Has furniture ( ) cooking utensils ( ) Eating ware

8. Water well ( ) Yes ( ) Yes No. functioning:_______ No. Nonfunctioning:_______

9. Piped water ( ) Yes ( ) Yes

10. Pit latrine ( ) Yes ( ) Yes Number of toilets:- Female:_______ Male:______ General:______

11. Flush toilet ( ) Yes ( ) Yes Number of toilets:- Female:_______ Male:______ General:______
6.16
Furniture and Equipment
Note: List the number of furniture & equipment required, in use & good condition, and number requiring repair
Type of Furniture or Number of Furniture/Equipment
Equipment
In Use & Good Repairs Needed Additional Required Others
Condition
1. Chairs
2. Table benches
3. Desks
4. Chalk boards
5. Typewriters
6. Computers
7. Vehicles

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Ministry of Education, Republic of Liberia
Annual School Questionnaire
FORM No: 0001
8. Globes
9. Other (Specify):

SECTION 7: SCHOOL INCOME AND EXPENDITURE FOR PREVIOUS AND CURRENT YEAR
7.10
School Income for Previous and Current Year
Income Source Income of Previous Year Income of Current Year
1. Central Government
2. Local Authorities
3. School Fees
4. Production Units
5. PTA
6. NGO (national/international)
7. Donor/Funding Agency
8. Other (specify):

7.11
School Expenditure for Previous and Current Year
Type of Expenditure Expenditure of Previous Year Expenditure of Current Year
1. Administrative staff salaries
2. Teaching staff salaries
3. Consumable materials related to labs, etc.
4. Books & other reading materials
5. Learning equipment
6. Boarding equipment, food, etc.
7. Transportation/vehicles
8. Maintenance, construction
9. Utilities, light, water, telephone, etc.
10. Rent
11. Other (specify):

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