• School Enrollment Survey

  • Instructions:
    1. This enrollment survey shall be answered by the parent/guardian of the learner
    2. Please read the questions carefully and fill in all applicable spaces and type your    answers in CAPITAL letters. For items not applicable, choose N/A.
    3.For questions/ clarifications, please ask for the assistance of the teacher/
       person-in-charge.

  • A. GRADE LEVEL AND SCHOOL INFORMATION 

  • A10. School Type

  • B.STUDENT INFORMATION

  • B7. Date of Birth *
     - -
  • B9. Sex*

  • C. PARENT/GUARDIAN INFORMATION

  • C2. Highest Educational Attainment*
  • C3. Employment Status*
  • C4. Working from home due to ECQ?*
  • C8. Highest Educational Attainment*
  • C9. Employment Status*
  • C10. Working from home due to ECQ?*
  • C14. Highest Educational Attainment*
  • C15. Employment Status*
  • C16. Working from home due to ECQ?*

  • D. HOUSEHOLD CAPACITY AND ACCESS TO DISTANCE LEARNING

  • D1. How does your child go to school? Choose all that applies.*
  • Rows
  • D3. Who among the household members can provide instructional support to the child’s distance learning? Choose all that applies.*
  • D4. What devices are available at home that the learner can use for learning? Check all that applies.*
  • D5. Do you have a way to connect to the internet?*
  • D6. How do you connect to the internet? Choose all that applies.*
  • D7. What distance learning modality/ies do you prefer for your child? Choose all that applies*
  • D8. Whatare the challenges that may affect your child’s learning process through distance education? Choose all that applies.*

  •         I hereby certify that the above information given are true and correct to the best of my knowledge and I allow the Department of Education to use my child’s details to create and/or update his/her learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012.

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  • Made by: L.Bernal

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