Sts First Year

9
Name of School: ______________________________________________ District: _______________ Grade/Year Level: _____ Section: ___________ SY: ___________
18 A regular absentee? Reason(s)? always tardy? Reason(s)? Subject(s)? Reason(s)? H Have visited or been referred to the Guidance Coun. Office? Reason(s)? J Ever dropped out? Reason(s)? L Things you like to improve in your school? Undernourished? Not living with parents? Living far from school? Belonged to a broken family? Parents' income is below poverty line? Working for extra income? No electricity at home? No reading materials at home? Don't feel safe or threatened at home? Joined gangs? Don't feel safe or threatened in the community? Last Name A
17
16
15
14
13
12
11
10
Students'/Pupils' Names
B C D SCHOOL-RELATED E F Faltering? FAMILY & HOME RELATED COMMUNITYRELATED
First Name M.I. 1st 2nd 3rd 4th G I K M N O P Q R S T U V W X Other noticeable/ remarkable features/ characteristics/ experience which might have affected learners' performance? Status Y
CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1
19 20
Prepared by:
Noted:
Adviser/ Guidance Counselor
School CFSS Coordinator
School Head
Attachment 1
Reasons for absences 1 helping during planting & harvesting 2 sickness 3 do work at home 4 work to earn money 5 feel lazy 6 did not do assignment 7 no baon 8 weather condition (rainy days) 9 Others, please specify
Reasons for visiting or being referred to the Guidance Counselor's office 1 family problem 2 fight with classmate 3 offenses: cheating, gambling, vandalism, threats, forgery, etc. 4 complaints regarding classmate,parent, school personnel (faculty & staff) 5 others, pls. specify Status: Reasons for dropping out 1 2 3 4 5 6 7 Family problem Financial problem unfriendly classmates unfriendly teachers Distance from home to school cannot understand/too difficult topics/subject matters others, pls. specify Things you like to improve in your school 1 accessibility in going to school 2 students are more friendly 3 receive more help from others 4 more interesting things to learn 5 more sports activities 6 more interesting ways to learn the lessons red alert needs urgent attention/ intervention (for close monitoring) 2nd priority; still needs attention nothing to worry
Reasons for tardiness 1 distance from home to school 2 do work at home 3 do extra work to earn money 4 feel lazy 5 no baon 6 others, pls. specify Reasons for faltering 1 always absent 2 always tardy
3 4 5 6 7 8 9
not interested cannot understand/too difficult topics/subject matters unfriendly teachers no money for projects family problem unfriendly classmates others, pls. specify
7 8 9 # # # # #
teachers spend more time teaching us more clubs and other students' activities more and better textbooks teachers more kind and more friendly more equipment to do science laboratory work chance to learn about computers better classrooms other, please specify __________
Attachment 2 Instructions for completing the CSTS form1: 1. Write the Last name, First Name and Middle Initial (all in capital letters). 2. The adviser or the guidance counselor can administer or conduct an interview to the student-child regarding the informations that are asked. 3. If your answer to the yes-no question is yes, kindly tick (/) or shade the box that corresponds to the question statement. If your answer is no, then leave the space or box empty. 4. The colored subheads/subtitles/column heads are the only informations not answerable by yes or no. The choices for columns C, E, G, I, K and L are found in the attached sheet. Write only the number(s) that represent(s) your reason(s). If your reason is not stipulated in the list of choices, please specify your reasons. 5. If a tick or a shade is inside Columns B, D and F, case or student is classified as red alert. The red shaded status means that the student-child needs attention and proper intervention to address his/her immediate needs. 6. If there is a tick or a shade in any of the following Columns (B, D, F and H), student is classified under 2nd priority case (yellow shade). The school needs to closely monitor progress and performance of the student within the grading periods. 7. If there is no tick or a shade to Columns B, D, F and H, there is nothing much to worry (green shade). Student is in good condition and good academic performance.
Instructions for completing the CSTS form2:
1. Copy the names as reflected in CSTS form 2. 2. Provide the data/information as asked in the column heads. 3. For Columns E, F, H, J, L and M, choices are found below the form. Write the number only. 4. For Column N, copy the status as reflected in CSTS form 1.
Name of School: ______________________________________________ District: _______________ Grade/Year Level: _____ Section: ___________ SY: ___________ CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1
A B C D E F Faltering? 1st 2nd 3rd 4th G H I J K L M N O P Q R S T U V W COMMUNITYRELATED X Other noticeable/ remarkable features/ characteristics/ experience which might have affected Y
SCHOOL-RELATED A regular absentee? Reason(s) ? always tardy? Reason(s) ? Reason(s) ? Ever dropped
FAMILY & HOME RELATED Subject(s)? Reason(s) ? Have visited or been Reason(s) ? Things you like to improve in Undernouri shed? Not living with Living far from Belonged to a broken Parents' income is below Working for extra No electricity No reading
materials Don't feel safe or threatened Joined gangs? Don't feel safe or threatened
Last Name 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 First Name
Status
M.I.
16 17 18 19 20
Prepared by:
Noted:
School Head
Status
M.I.
16 17 18 19 20
Prepared by:
Noted:
School Head
Status
M.I.
16 17 18 19 20
Prepared by:
Noted:
School Head
Status
M.I.
16 17 18 19 20
Prepared by:
Noted:
School Head
Last Name 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 First Name
Status
M.I.
15 16 17 18 19 20
Prepared by:
Noted:
School Head
Last Name 1 1 2 3 4 5 6 7 8 9 10 11 12 13 First Name
Status
M.I.
14 15 16 17 18 19 20
Prepared by:
Noted:
School Head
Last Name 1 1 2 3 4 5 6 7 8 9 10 11 12 First Name
Status
M.I.
13 14 15 16 17 18 19 20
Prepared by:
Noted:
School Head
Last Name 1 1 2 3 4 5 6 7 8 9 10 11 First Name
Status
M.I.
12 13 14 15 16 17 18 19 20
Prepared by:
Noted:
School Head
Last Name 1 1 2 3 4 5 6 7 8 9 10 First Name
Status
M.I.
11 12 13 14 15 16 17 18 19 20
Prepared by:
Noted:
School Head
Last Name 1 1 2 3 4 5 6 7 8 9 First Name
Status
M.I.
10 11 12 13 14 15 16 17 18 19 20
Prepared by:
Noted:
School Head
Name of School: ___________________________________________________ Year Level: _____ Section: ___________ SY: ___________ CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary)
Has relatives or family member who dropped out?
Educat'l Attainment
Students' Names
Transferee?
Occupation
Occupation
Ethnicity
Ethnicity
Ethnicity
Religion
Religion
Religion
Status
Last Name
First Name
M.I.
Address
Age Birthdate
Special Skills/ Strengths/ Talents
Educat'l Attainment
Father's Name
Mother's Name
Intervention Planned to undertake
Prepared by:
Legend:
Sects/ Religious Denominations 1 Roman Catholic 2 Seventh-Day Adventist Baptist (Fundamental, Southern, 3 Bible, etc.) 4 Foursquare Gospel Church 5 Iglesia ni Cristo 6 Philippine Catholic 7 Latter Day Saints 8 Jehovah's Witness 9 Others, pls. specify Occupations 1 Regular Government Employee 2 Daily Wage Earner 3 Construction Worker 4 Laborer 5 Sari-sari store owner & keeper 6 Vegetable/ Fruit Peddler 7 Farmer 8 Housekeeper 9 Others, please specify Educational Attainment 1 2 3 4 5 6
Occupation Educat'l Attainment Transferee ? Has relatives or family Educat'l Attainment Status Ethnicity Ethnicity Ethnicity
Religion
Religion
Religion
Students' Names
Last Name First Name
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Occupation Educat'l Attainment Transferee ? Has relatives or family Educat'l Attainment Status Educat'l Attainment Status Ethnicity Ethnicity Ethnicity
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Occupation Educat'l Attainment Transferee ? Has relatives or family Ethnicity Ethnicity Ethnicity
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Occupation Educat'l Attainment Transferee ? Has relatives or family Educat'l Attainment Status Educat'l Attainment Status Ethnicity Ethnicity Ethnicity
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Occupation Educat'l Attainment Transferee ? Has relatives or family Ethnicity Ethnicity Ethnicity
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Name of School: ___________________________________________________ Year Level: _____ Section: ___________ SY: ___________
CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary)

Religion
Religion
Religion
Students' Names
Occupation
M.I.
Address
Age Birthdate
Father's Name
Mother's Name
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) Sects/ Religious Denominations(mother)
FIRST YEAR
1 Roman
2 Seventh-Day
3 Baptist 4 Foursquare Gospel Church
6 Philippine
7 Latter Day
8 Jehovah's
FIRST YEAR
Catholic
1
Adventist
(Fundamental, Southern, Bible, etc.)
4 Foursquare Gospel Church

0 0
Eglesia ni Cristo
Catholic
Saints
Witness
FIRST YEAR - NEWTON

MALE FEMALE
12 25
0 2
0 0
0 0
1 2
0 1
0 1
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE FEMALE
20 14 18 12 17 17 47 68 115
1 0 0 1 0 0 1 3 4
0 0 0 0 1 2 1 0 1
0 0 1 1 3 0 1 1 2
0 0 0 3 0 0 0 3 3
1 0 0 2 0 0 4 4 8
0 0 1 0 0 0 1 1 2
1 0 1 1 1 1 3 3 6 School CFSS Coordinator
FIRST YEAR - GUMAMELA

MALE FEMALE
FIRST YEAR - ORCHID

MALE FEMALE TOTAL NUMBER MALE TOTAL NUMBER FEMALE
TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) Sects/ Religious Denominations(father)
FIRST YEAR
1 Roman Catholic
2 Seventh-Day Adventist
(Fundamental, Southern, Bible,
3 Baptist
4 Foursquare Gospel Church
5
Eglesia ni Cristo
6 Philippine
Catholic
7 Latter Day
Saints
8 Jehovah's Witness
FIRST YEAR - NEWTON
MALE FEMALE
2
13 18
0 2
0 0
0 0
0 0
0 6
0 0
0 0
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE FEMALE
20 14 17 13 16 18 66 63 129
1 0 0 1 0 0 1 3 4
0 0 0 0 2 0 2 0 2
0 1 1 1 2 0 3 2 5
0 0 0 3 0 1 0 4 4
1 0 0 2 0 0 1 8 9
0 1 1 0 0 0 1 1 2
1 0 0 0 1 0 2 0 2 School CFSS Coordinator

MALE FEMALE
FIRST YEAR - ORCHID

TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) 5 Sari-sari store owner & keeper
1
Occupations(father) 6 Vegetable/ Fruit Peddler

0
FIRST YEAR
1 Regular 2 Daily 3 Construction Government Employee Wage Earner Worker

MALE 0 1 0
4 Laborer
0
7 Farmer
5
8 Housekeeper
8
9 Others, please specify
FIRST YEAR - NEWTON
FEMALE
2
12
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE FEMALE 0 0 3 3 2 0 0 1 0 0
0 0 0 0 0 0 0 0 0
18 16
0 0

MALE FEMALE 1 2 15 6 0 1 1 2 0 1 8 7 0 0
FIRST YEAR - ORCHID

MALE FEMALE TOTAL NUMBER MALE TOTAL NUMBER FEMALE 0 1 1 8 9 12 13 31 22 53 2 0 4 2 6 3 0 4 7 11 0 0 1 3 4 7 6 38 41 79 0 0 8 0 8
TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) 5 Sari-sari store owner & keeper
2
Occupations(mother) 6 Vegetable/ Fruit Peddler

0
FIRST YEAR
1 Regular
2 Daily
3 Construction Worker
0
4 Laborer
0
7 Farmer
0
8 Housekeeper
7
Government Employee Wage Earner

1
FIRST YEAR - NEWTON

MALE
FEMALE
2
17
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE FEMALE
2 0 0 0 1 0 3 3 6
3 0 2 4 0 4 5 8 13
0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 1 1 2
0 0 2 2 4 1 8 7 15
0 1 0 0 0 0 0 1 1
2 18 0 0 1 0 3 19 22
17 1 22 13 15 14 61 45 106

MALE FEMALE
FIRST YEAR - ORCHID

TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) Ethnicity(father)
FIRST YEAR
1
Manobo FIRST YEAR - NEWTON

MALE FEMALE
2
Higaonon
0 0
Cebuano
6 15
Boholano
2 4
Surigaonon
1 1
Ilonggo
1 3
Ilokano
0 0
Waray
0 1
0 2
FIRST YEAR - ROSE

MALE
FEMALE
3
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE FEMALE
0 1 6 4 1 0
7 7 14
0 0 0 0 0 1
0 1 1
15 6 14 5 8 8
43 34 77
1 0 1 2 2 1
6 7 13
3 1 0 3 7 6
11 11 22
1 1 2 2 0 0
4 6 10
1 0 1 1 3 6
5 7 12
1 3 1 2 1 1
3 7 10

MALE FEMALE
FIRST YEAR - ORCHID

TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) Ethnicity(mother)
FIRST YEAR
1
Manobo FIRST YEAR - NEWTON

MALE FEMALE
2
Higaonon
0 0
Cebuano
8 16
Boholano
0 6
Surigaonon
2 3
Ilonggo
1 0
Ilokano
0 0
Waray
0 1
0 1
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE FEMALE

MALE FEMALE
7 4 1 1 9 6 15
0 0 0 0 0 0 0
19 10 0 12 32 38 70
0 0 1 2 2 8 10
0 1 9 4 14 8 22
0 1 0 0 3 1 4
0 1 0 0 1 1 2
0 2 1 0 3 3 6
FIRST YEAR - ORCHID

MALE FEMALE TOTAL OF NUMBER MALE TOTAL OF NUMBER FEMALE
TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) Educational Attainment(father)
FIRST YEAR
1
5 Elementary
College Graduate FIRST YEAR - NEWTON

MALE FEMALE
2
College Level
High School Graduate
High School Level
Graduate
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA
MALE FEMALE
5

MALE FEMALE
FIRST YEAR - ORCHID

TOTAL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2 (Secondary) Educational Attainment(mother)
FIRST YEAR
1 2 3 4 5 Elementary
College Graduate
1
College Level
High School Graduate
High School Level
Graduate
FIRST YEAR - NEWTON

MALE FEMALE
FIRST YEAR - ROSE

MALE FEMALE
FIRST YEAR - DAISY

MALE FEMALE
FIRST YEAR - DAHLIA

MALE
FEMALE
5

MALE FEMALE
FIRST YEAR - ORCHID

TOTAL
Prepared by:
Timeframe
Remarks
Noted:
FSS Coordinator
Educational Attainment College Graduate College Level High School Graduate High School Level Elementary Graduate Elementary Level
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
Timeframe
Remarks
FSS Coordinator
9 Others,
specify
0 4
3 7 5 0 0 1 8 12 20
FSS Coordinator
9 Others, specify
0 3
3 8 6 0 0 3 9 14 23
FSS Coordinator

6
2 0
0 0
0 1 8 9 17
FSS Coordinator

5
10
0 1 1 1 6 12 18
FSS Coordinator
Others, pls. specify

3 8
4 9 0 0 0 0
7 12 19
FSS Coordinator
Others, pls. specify

2 7
0 0 0 0 8 7 15
FSS Coordinator
Elementary Level
FSS Coordinator
Elementary Level
FSS Coordinator
School Head
Prepared by: Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
Parents' income is below poverty line? FAMILY & HOME Last Name
Students' Names
First Name M.I.
Name of School: ______________________________________________ Year Level: _____ Section: ___________ SY: ___________ CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)

No electricity at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
12 s n t d
Family does not own a house? No reading materials at home?
School CFSS Coordinator Noted: School Head
Faltering?
INDIVIDUAL
Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
Things you like to improve in your sch.?
Don't feel safe in the school?

Other noticeaable/ remarkable features/ characteristics/ experience which might have affected learners' performance? Status
3 4 r t Subject(s)? d h Reason(s)?
COMMUNITY
SCHOOL
Reasons for absences 1 helping during planting & harvesting 2 sickness 3 do work at home 4 work to earn money 5 feel lazy 6 did not do assignment 7 no baon 8 weather condition (rainy days) 9 Others, please specify
Reasons for visiting or being referred to the Guidance Counselor's office 1 family problem 2 fight with classmate 3 offenses: cheating, gambling, vandalism, threats, forgery, etc. Note: A monthly income of Php 6, 274.00 & 4 complaints regarding classmate,parent, school personnel (faculty & staff) below is below poverty line. 5 others, pls. specify Reasons for dropping out 1 Family problem 2 Financial problem 3 unfriendly classmates 4 unfriendly teachers 5 Distance from home to school 6 cannot understand/too difficult topics/subject matters 7 others, pls. specify Status: "red alert"; needs immediate intervention 2nd priority; still needs attention nothing to worry
Reasons for tardiness 1 distance from home to school 2 do work at home 3 do extra work to earn money 4 feel lazy 5 no baon 6 others, pls. specify Reasons for faltering 1 always absent 2 always tardy 3 not interested 4 cannot understand/too difficult topics/subject matters 5 unfriendly teachers 6 no money for projects 7 family problem 8 unfriendly classmates 9 others, pls. specify
Things you like to improve in your school 1 accessibility in going to school 11 more equipment to do science laboratory work 2 students are more friendly 12 chance to learn about computers 3 receive more help from others 13 better classrooms 4 more interesting things to learn 14 improve discipline system 5 more sports activities 15 better and adequate counseling 6 more and better textbooks 16 relevant curriculum 7 teachers spend more time teaching us 17 teachers take into consideration students' learning styles 8 more clubs and other students' activities 18 others, please specify __________ 9 more interesting ways to learn the lessons/ interesting instructional strategies 10 teachers more kind and more friendly Learning Faltering Conditions (per grading period) 1 Temporary (25% and below of the subjects w/in a grading period obtained failing grades) 2 Sporadic (26% to 50% of the subjects w/in a grading period obtained failing grades) 3 Chronic (51% to 100% of the subjects within a grading period obtained failing grades)
Attachment 2
Instructions for completing the CSTS form1 (Secondary): 1. Write the Last name, First Name and Middle Initial (all in capital letters). 2. The adviser or the guidance counselor can administer or conduct an interview to the student-child regarding the informations that are asked. 3. If your answer to the yes-no question is yes, kindly tick (/) or shade the box that corresponds to the question statement. If your answer is no, then leave the space or box empty. The colored blue subheads/subtitles/column heads are the only informations not answerable by yes or no. The choices for these columns are found in the attached sheet. Write only the number(s) that represent(s) your reason(s). If your reason is not stipulated in the list of choices, please specify your reasons. If there is a tick or a shade under two or all Columns with yellow colored subheads plus the column for faltering, case or student is classified as red alert. The red shaded status means that the student-child needs attention and proper intervention to address his/her immediate needs. If there is a tick or a shade in any of the following Columns with yellow colored subheads and the column for faltering , student is classified under 2nd priority case (yellow shade). The school needs to closely monitor progress and performance of the student within the grading periods. If there is no tick or a shade to any Column with yellow colored subheads and the column for faltering , there is nothing much to worry (green shade). Student is in good condition and in good academic performance.
4.
5.
6.
7.
Instructions for completing the CSTS form2 (Secondary): 1. Copy the names as reflected in CSTS form 1. 2. Provide the data/information as asked in the column heads. 3. For Column heads colored blue, choices are found in a separate sheet. Write the number only. 4. For the status, copy the status as reflected in CSTS form 1.
8 Ibal
3 Bayo
11 Narte 5 Buyan 6 Danlag 1 Barrios 7 Ewican 4 Boligor 2 Bautista 9 Martinez Last Name
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: NEWTON SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
13 Surban
12 Paperlas
10 Mendoza
, Juniel
MALE
, Manny
Students' Names
, Moises
First Name
, Jhonny
, Alberto
, Angielou L. E. C. C. C.
, Jann Rafe
, Septer Jay R. Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
Parents' income is below poverty line? FAMILY & HOME
, Judy Marc E. No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
12 s n t d
, Larry Gem
, Ivan Reniel
, Jhon Patrick
, Rex Michael
A. Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
Y. Don't feel safe in the school?

Other noticeaable/ remarkable features/ characteristics/ experience which might have affected learners' performance? Status M.I.
Q. Faltering?
D.
V.
M.
INDIVIDUAL COMMUNITY
SCHOOL
1 Ado
11 Cruz 3 Amado
13 Digol 7 Boligor 6 Beldera 4 Balahay 5 Baranda 8 Cabahug 2 Alamban 9 Cenafuelas Last Name
Prepared by:
14 Gasque
15 Getubig
10 Colango
12 De Castro
, Jelly
FEMALE
, Remjoy
, Arianne
, Jannivie
, Novelyn
, Alriz Joy
Students' Names
, Sunshine
First Name
, Arcel Joy Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Shena Marie No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
12 s n t d INDIVIDUAL
, Jesielyn Mae
, Michelle Lou Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
Things you like to improve in your sch.? COMMUNITY
, Charline Mae
, Elsielyn Grace Don't feel safe in the school?

, Princess Jomer
, Christine Grace Faltering?

SCHOOL
Adviser/ Guidance Counselor School CFSS Coordinator Noted: School Head
Prepared by:
35
34
33
32
31
30
29
28
27
26
25
24
23
22
21
Pitor
19 Jacinto
Rufon
Parcia
Mateo
16 Gloriba
18 Guimare
17 Gonzales
20 Manguiran
Sepaya
Last Name
Pamisa
Rozano
Oquilan
Sanchez , Lea , Jelyn , Cathy , Kindy , Shaira , Aireen

First Name
Pancoga
Salpocial , Lucilyn
Manuales
Nocquiao
San Agustin
Monderondo
, Robina
Students' Names
, Rubelyn Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Diovelyn
, Elsa Mae
, Jeverlene
, Mona Liza
, Shella May
, Lylani Pearl
, Zaide Claire
, Yaziel Marie
, Christine Joy
, Divine Grace
, Rochelle Mae
No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
12 s n t d
INDIVIDUAL
School Head

M.I.
Faltering?
Noted:
COMMUNITY
SCHOOL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: ROSE SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
13
12
11
10
38
37
36
39 Villegas
Flores
Last Name
Flores , Jay , Niel , Luis

MALE
Cuyno , Argie , Aaron , Ronilo
Benitez
Bitagan
Abunda
Bercede
Cabusas
Cuizona
Degamo , Jerome
, Leah Jean
Dionson , Joven
Almacin
Vasquez
Sula-sula
Tolentino
Endangan, Jr. , Ignacio
, Jullevie
Students' Names
, Kenneth
, Mark Gil
, Sunshine
, Jerome Van
First Name
, Mark Joseph P P L Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Lindsay Mae
F No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
M Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
M Don't feel safe in the school?

Faltering?
Noted:
School Head
SCHOOL
Prepared by:
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
Lira
Palas
Pasco
Rufon
Tarepe
Last Name
Sarcon
Suyom
Jacinto
Gomez
Tecson , Jabes , Jason , Erwin , Jeffrey , Jeffrey , Aljohn , Freddie , Alfredo , Jerheart , Gemmar , Laurence
Opanes
Moreno
Oracion
Palanog
Morales
Morales
Villegas
Quilojano
Monte de Ramos Rey ,
Students' Names
, Carvel
First Name
, Baby Boy
, Mark John F Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Michael Juz C C B B A G A
, Richard Vergel
, Lawrence Bryll
, Christian Lloyd
T No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?

M Faltering?
SCHOOL
Prepared by:
10
Biato
Capin
Cavite
Detalo
Last Name
Betonio
Baliling
Cabusas
Cabusas
Cebulan
FEMALE
Dela Torre , Evelyn
Students' Names
, Myka
First Name
, Jennifer Z Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Jennifer T T R C
, Stefanie
, Charilou
, Mary Joy
, Imee Jane G
, Ma. Liezel
, Gemmalyn
N No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?

M Faltering?
SCHOOL
Prepared by:
24
23
22
21
20
19
18
17
16
15
14
13
12
11
Sitoy
Last Name
Llego
Prado
Roxas
Toliao , Riza , Kaye , Juliet

First Name
Llemit
Ecubin
Tecson , Annie , Liezel , Analyn , Myrelle , Jennifer , Shylanie P T L
Moreno
Naranjo
Goloran
Rapsing
Juevesano
Omandam
, Virgie
, Jenifer
Students' Names
, Eva Mae
, Mary Colin
, Kiersley Cate
L Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
C No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
C Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
School Head

M.I.
Faltering?
Noted:
SCHOOL
5 Baldo
Last Name MALE
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: DAISY SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
7 Cavite , Ramel
First Name
3 Alvarez
2 Arienza
4 Baculfo , Marvin , Glecerio , John Rico
6 Ceballos
1 Abraham
Students' Names
, Demetrio I. Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Kim Aaron
, Danreb John M B. No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
C.
A.
D. Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
D.
School Head

M.I.
Faltering?
Noted:
SCHOOL
10 Dura
22 Ortiz
18 Luna
23 Patos
15 Illana
11 Cabas
17 Jaluag
8 Cacho
16 Jaictin
24 Pornia 9 Deloso
20 Jamito
26 Robles
Last Name
Prepared by:
27 Rozano
13 Fuentes
25 Quinale , Junry , Jefrey , Jerrald , Patrick , Duwan , Marvin

First Name
21 Morales
19 Macuno
12 Guilingan
14 Herbolingo
Students' Names
, Jeric S. S. P. Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Danreb L. M
, Alemar
, Rey jan
, Alfredo B. B. B.
, Leorem
, Cristino
, Juderick
, Roderick
, Enecito, Jr.
, Carl Jeffrey
, Praxedes III
, Robert John
, Harold James
S.
L.
C. No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
C.
A. Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
A.
A.
G.
A.
D.
D.
School Head

M.I.
Faltering?
Noted:
SCHOOL
29 Tagnile
28 Rozano
3 Asoy
Last Name FEMALE
1 Abarca
Prepared by:
30 Saavedra
4 Boholts , Linsay
First Name
2 Acebedo
31 Ubatay, Jr.
5 Buscagan
Students' Names
, Gladys T. Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents?
/ / / Parents' income is below poverty line? / / / / / FAMILY & HOME
, Ricarte
, Almera
, Rudson
, Marianee
, John Mark
, Michael Jun
, Charlene Mae
R. Living far from school? No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home?
/ / M.I. /
B. A regular absentee? Reason(s)?
C.
C.
C.
A.
D.
V.
always tardy? Reason(s)?

12 s n t d
/ / /
Faltering?
INDIVIDUAL
School Head

Noted:
COMMUNITY
SCHOOL
Prepared by:
24 Yee 8 Capin 7 Cabusas 9 Dagasdas

Last Name
13 Noah
12 Lagria
10 Emalat
21 Sagaral
15 Pizzaro
14 Pelenio
20 Salupan
17 Quijano
22 Taganile , Rhea , Ailyn , Jeleza , Rolyn , Sylvia , Leleth , Frejay , Emma , Jenelyn , Mylene
21 Taganile
19 Rabadon
18 Rabadon
16 Quatchon
11 Generalao
6 Cabodbod
23 Urbiztondo
, Glydel
Students' Names
, Argene
First Name
, Meriam S. S. F. B. Parent(s) is/are already dead?

/ /
, Evamae
, Manilyn
, Marjorie
, Glaiza Joyce
, April Grace B. B.
, Jollee Leigh
, Rose Maryvenne
S.
T.
G.
H. Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
Parents' income is below poverty line?
K. No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)?
D.
D.
O.
K.
D.
V.
M. Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
M.
School Head

M.I. FAMILY & HOME
/ / / / / / / / / / / / / / / / / / /
Faltering?
Noted:
SCHOOL
Prepared by:
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: DAHLIA SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
Arado
Last Name MALE
Aguayo
Students' Names
, Aljun Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Bryan Paul
12 s n t d
INDIVIDUAL
School Head

First Name M.I.
Faltering?
Noted:
COMMUNITY
SCHOOL
Prepared by:
22
21
20
19
18
17
16
15
14
13
12
11
10
Grego
Aureo
Goden
Danila
Danila
Enerio
Jacinto
Kiawan
Lantape
Last Name
Espejon
Balanay
Cahapon
Cahapon
Maningo
Jabonero
Arancana
Dumanon
De Castro
Gascon, Jr.
Jabonero, Jr.
Students' Names
, Ian Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Alex
, Jason
, Edgar
, Rodel
, Sanny
, Randy
, Arturo
, Bernie
, Jayson
, Kheim
, Robert
, Jestoni
, Jerome
, Jestone
, Jhon Mar
, Adon Mar
, John laurice
, Mark Keane
, Christian Joy
12 s n t d
INDIVIDUAL
School Head

First Name M.I.
Faltering?
Noted:
COMMUNITY
SCHOOL
33
32
31
30
29
28
27
26
25
24
23
34
Noja
Sodio
Robles
Robles
Salinas
Prepared by: Tolentino Tolentino Mondejar Merigildo Ronquillo
Martizano
Last Name
, Jeric
, Jeric
, Ariel
, Jason
, Edmar
, Joshua
Villa de Gracia , Junbee
, Ronald
, Samuel
, Genesis
, Kim Jason
Students' Names
, Dan Michael
FEMALE
Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
12 s n t d
INDIVIDUAL
School Head

First Name M.I.
Faltering?
Noted:
COMMUNITY
SCHOOL
20
19
18
17
16
15
14
13
12
11
10
Go
Ebal
Laran
Chato
Mulig
Alajas
Brioso
Lastera
Gasque
Prepared by: Agustin Corvera Cabusas Cabusas Cabusas Jabonero Amoguis Galdiano Cervantes
Acebedo
12 s n t d
INDIVIDUAL
School Head

Last Name
, Glyn
, Allie
, Jessa
, Joana
, Jingle
, Cristy
, Nelvie
, Lealyn
, Haidee
, Roselyn
, Merybie
, Bergelie
, Renemie
, Michelle
, Sunshine
, Khym Juls
Students' Names
, Kesiah Mae
, Rose Estifan
, Christine Mae
First Name M.I.
Faltering?
Noted:
COMMUNITY
SCHOOL
26
25
24
23
22
21
Pael
Robles
Robles
Tecson
Silvano
Prepared by: Pontallano , Elgie , Cristy , Judelyn , Fredelyn , Rose Ann
, Darilyn
Students' Names Adviser/ Guidance Counselor

No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)? Faltering?
INDIVIDUAL
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: GUMAMELA SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
School Head

Subject(s)? Reason(s)?
Noted:
COMMUNITY
SCHOOL
20
19
18
17
16
15
14
13
12
11
10
Albert
Garcia
Caete
Corton
Gavino
Laborte
Prepared by: Ababon Corvera Cabusas Diaz, Jr. Bagacay Balderas Mendoza
Last Name
Diamante
Magdasal , Noel
MALE
Guidaben , Jover
Egagamao
Herbolingo , Alvin
Demoguitan
Jandayan, Jr.
, Rolly J P S F T T R R C C R B H H M M
, Jessel E C
, Justin
, Julius
, Jomel
, Olmer
, Junrey
, Joshua
, Runjay
, Rumuel
, Ricardo
, Michael
, Jaicofren
, Christian
, Alexander
, John Everyll
, Mark Jericho
First Name M.I.
FAMILY & HOME
12 s n t d
INDIVIDUAL COMMUNITY
SCHOOL
Have visited or been referred to the Guidance Counselor's Office? Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs?
Noted: School Head
Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?

32
31
30
29
28
27
26
25
24
23
22
21
Palas
Pasco
Rufon
Tarepe
Sarcon
Suyom
Tecson
Opanes
Prepared by: Oracion Villegas

Last Name
Quilojano , Jason , Erwin
Monte de Ramos Rey ,
Students' Names
, Carvel
First Name
, Jeffrey
, Jeffrey
, Freddie
, Jerheart
, Mark John F C C B B A G M M M M
M.I.
, Michael Juz
, Richard Vergel
, Christian Lloyd

Reason(s)? Reason(s)?
12 s n t d
No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? always tardy?
Faltering?
Status
Other noticeaable/ remarkable features/ characteristics/ experience which might have affected learners' performance?
20
19
18
17
16
15
14
13
12
11
10
Biato
Llego
Prado
Last Name
Capin
Cavite
Llemit
Detalo
Ecubin
Prepared by: Betonio Moreno Naranjo Baliling Goloran Rapsing Cabusas Cabusas Cebulan Juevesano Omandam , Kaye
FEMALE
Dela Torre
Students' Names
, Riza
First Name
, Myka
, Annie
, Liezel
, Virgie
, Jenifer
, Evelyn
, Analyn
, Myrelle
, Jennifer J P L Z T T R R C Q A D Y N G M M M
M.I.
, Jennifer
, Jennifer
, Stefanie
, Charilou
, Mary Joy
, Imee Jane
, Ma. Liezel
, Gemmalyn
, Kiersley Cate C M Abusive parent(s)? A regular absentee? Reason(s)? always tardy? Reason(s)?
12 s n t d
Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Not living with parents? Living far from school?
Adviser/ Guidance Counselor School CFSS Coordinator Noted: School Head

Reason(s)? Reason(s)?
No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home?
INDIVIDUAL
Have visited or been referred to the Guidance Counselor's Office? Ever dropped out? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
Faltering?
COMMUNITY
SCHOOL
24
23
22
21
Sitoy
Roxas
Toliao
Tecson
Prepared by:
Last Name
, Juliet
First Name
, Shylanie T C
M.I.
Students' Names
, Eva Mae L C
, Mary Colin

A regular absentee? Reason(s)? always tardy? Reason(s)?
12 s n t d
Faltering?
INDIVIDUAL
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: ORCHID SY: 2010-2011
COMMUNITY
SCHOOL

20
19
18
17
16
15
14
13
12
11
10
Caba
Aban
Flores
Navos
Last Name
Dacera
Jacinto
Arazan
Galope
Cuizon
Engalla
Prepared by: Degamo Baquilid Balderas Catamco Lumapac , Jerry MALE , Rozz
First Name
Danila, Jr.
Barrios, Jr.
Cenafuelas
Mangadlao , Aljun , Jay-ar , Leonil , Junrey , Jayson , Jayson , Jayson , Arnold
Libando, Jr.
Students' Names
, Harjun S
M.I.
, Luisito P T L C C B C B R R O U D D S. M M Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Franny
, Marvin
, Alberto
, Cris John
, Angel Bert
, Jessie John
, Cristian Jay
, Genesis John

12 s n t d
FAMILY & HOME Parents' income is below poverty line?
CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
Faltering?
INDIVIDUAL

COMMUNITY
SCHOOL
29
28
27
26
25
24
23
22
21
Quisil
Santos
Ramos
Taguba
Prepared by: Santisas Santizas

Last Name
Pabalate
Solidum , Joel , Sem

First Name
Salina, Jr.
Students' Names
, James J F B V
M.I.
, Rafael G A M Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)? Abusive parent(s)? Not living with parents? Living far from school?
, Bambi
, Jeffrey
, Jyllreik
, Michael
, Albert Romeo
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST Section: ORCHID SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)

12 s n t d
FAMILY & HOME Parents' income is below poverty line?
Faltering?
INDIVIDUAL

COMMUNITY
SCHOOL
20
19
18
17
16
15
14
13
12
11
10
Bayo
Osma
Ruaya
Rivera
Tecson
Last Name
Burgos
Soposo , Via , Jeya , Jessa , Aimie , Kenjie FEMALE
Auxilio
Castolo
Malupa
Prepared by: Espiritu Felamin Libando Degamo Lonzaga Cabiling Salalima Alamban Escobilla Cabudlay
Students' Names
, Jenly
First Name
, Verlyn J J P S L T L B D Reason(s)? always tardy? Reason(s)?

12 s n t d
, Juenisa A Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Working for extra income? Have used/abused prohibited drug? Have been pregnant? Joined gangs?
M.I. 3 4 r t Subject(s)? d h Reason(s)?
, Raylene
, Jemalyn
, Genalyn
, Ramilyn
, Angelique
, Mary Floor
, Cristia Mae
, Loeda Kaye
, Sheila Marie
, Sueteza Grace
, Kayla Michelle
, Mary Cres Jane
No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee?
INDIVIDUAL
Have visited or been referred to the Guidance Counselor's Office?
Faltering?
Noted:
Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
COMMUNITY
SCHOOL

24
23
22
21
Villar
Last Name
Tecson
Zaldivia , Aimee
First Name
Tolentino , Jennifer P Abusive parent(s)? Not living with parents? Living far from school?
, Anarose
Students' Names
, Jerry Lyca R M A regular absentee? Reason(s)? always tardy? Reason(s)?

12 s n t d
M Reason(s)? Ever dropped out? Reason(s)? Undernourished? Low self esteem? Joined gangs?
M.I. 3 4 r t Subject(s)? d h Reason(s)? Status
Parent(s) is/are already dead? Belonged to a broken family? Low parental expectaions? Ineffective parent(s)?
FAMILY & HOME
INDIVIDUAL
Have visited or been referred to the Guidance Counselor's Office?
Working for extra income? Have used/abused prohibited drug? Have been pregnant? Don't feel safe or threatened in the community? Presence of Amusements (gaming dens, entertainment stations, etc.)? Not a member to any community org.?
School Head

Other noticeaable/ remarkable features/ characteristics/ experience which might have affected learners' performance?
Faltering?
COMMUNITY
SCHOOL
Prepared by:
6 FIRST YEAR
5 FIRST YEAR
4 FIRST YEAR
3 FIRST YEAR
FIRST YEAR
FIRST YEAR
Name of School: PROSPERIDAD NATIONAL HIGH SCHOOL Year Level: FIRST SY: 2010-2011 CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)
TOTAL TOTAL
ROSE
FIRST YEAR
DAISY
DAHLIA
ORCHID
NEWTON
GUMAMELA
MALE FEMALE MALE FEMALE

MALE FEMALE 0 2 5 3 0 0 2 0 0 3
MALE FEMALE
MALE FEMALE
MALE FEMALE
MALE FEMALE
11 11 1 1 3 0 3 7 3 6 10 21 3 3 3 0 4 1 0 0 3 0 2 0 5 0 1 2 0 2 0 4 0 0 0 0 2 1 1 1 0 0 0 0 3 6 6 1 13 11 3 4 5 8 1 9 5 15 2 21 19 5 18 15 0 11 1 10 7 17 6 14 3 2 0 1 0 0 8 9 4 5 3 4 0 0 4 5 6 3 1 5 4 15 2 2 5 7 9 7 5 6 1 0 0 19 5 5 14 0 0 0 12 1 2 6 4 13 35 81 20 19 40 4 5 0 0 0 0 7 0 0 3 3 0 0 0 0 0 0 0 2
12 s n t d 3 4 r t Subject(s)? d h Reason(s)?
2 0 0 0 0 0 2 3 2 18 43 77 18 18 43 8
FAMILY & HOME
No electricity at home? Family does not own a house? No reading materials at home? Don't feel safe at home? A regular absentee? Reason(s)? always tardy? Reason(s)? Faltering?
INDIVIDUAL
Noted:
COMMUNITY
SCHOOL
School Head

TOTAL
Prepared by:
21 32
6 31 78
158
38 37 83 15 Noted: School CFSS Coordinator School Head
REASONS FOR A REGULAR ABSENTEE

FIRST YEAR
2 3 4 5 6 7 8 9 planting & harvesting sickness do work at home work to earn money feel lazy did not do assignment no baon weather condition (rainy days) Others, specify
0 0 1 0 0 0 0 0 0 1 0 0 0 0 2 0 3 0 0 0 0 2 0 0 3 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0
1 helping during
FIRST YEAR
NEWTON
MALE FEMALE
2
0 3
0 3 0
FIRST YEAR
ROSE
MALE FEMALE
3 FIRST YEAR
DAISY
MALE FEMALE
4 FIRST YEAR
DAHLIA
MALE FEMALE
5 FIRST YEAR
GUMAMELA
MALE FEMALE
6 FIRST YEAR
0 0
1 0
1 0
0 0
2 1
0 0
1 0
0 0
0 0
ORCHID
TOTAL TOTAL
TOTAL
1 0 1
1 1 2
Reasons for visiting or being referred to the Guidance Counselor's office

FIRST YEAR
offenses: cheating, gambling,
4 complaints regarding classmate,
family problem fight with classmate
vandalism, threats, forgery, etc.
school personnel (faculty & staff)
others, specify
FIRST YEAR
NEWTON
MALE FEMALE
2
FIRST YEAR
ROSE
MALE FEMALE
3 FIRST YEAR
DAISY
MALE FEMALE
4 FIRST YEAR
DAHLIA
MALE FEMALE
5 FIRST YEAR
GUMAMELA
MALE FEMALE
6 FIRST YEAR
ORCHID
TOTAL TOTAL
TOTAL
Reasons for tardiness

FIRST YEAR
1 distance from home to school
do work at home
do extra work to earn money
feel lazy
no baon
others, specify
FIRST YEAR
NEWTON
MALE FEMALE
2
FIRST YEAR
ROSE
MALE FEMALE
3 FIRST YEAR
DAISY
MALE FEMALE
4 FIRST YEAR
DAHLIA
MALE FEMALE
5 FIRST YEAR
GUMAMELA
MALE FEMALE
6 FIRST YEAR
ORCHID
TOTAL TOTAL
TOTAL
Reasons for faltering

FIRST YEAR
1 always
absent
1
2 always tardy not interested
3 cannot understand/
too difficult topics/subject matters
5 no money
unfriendly teachers
for projects family problem
7 8 unfriendly classmates others, pls. specify
FIRST YEAR
NEWTON
MALE FEMALE
2
FIRST YEAR
ROSE
MALE FEMALE
3 FIRST YEAR
DAISY
MALE FEMALE
4 FIRST YEAR
DAHLIA
MALE FEMALE
5 FIRST YEAR
GUMAMELA
MALE FEMALE
6 FIRST YEAR
ORCHID
TOTAL
MALE FEMALE MALE
TOTAL
FEMALE
TOTAL
Reasons for dropping out

FIRST YEAR
Family problem Financial problem

1
unfriendly classmates
6 cannot understand/ unfriendly teachers home to school too difficult topics/subject matters
4 5 Distance from
others, specify
FIRST YEAR
NEWTON
MALE FEMALE
2
FIRST YEAR
ROSE
MALE FEMALE
3 FIRST YEAR
DAISY
MALE FEMALE
4 FIRST YEAR
DAHLIA
MALE FEMALE
5 FIRST YEAR
GUMAMELA
MALE FEMALE
6 FIRST YEAR
ORCHID
TOTAL TOTAL
TOTAL
Things you like to improve in your school

FIRST YEAR
1
1
2 0 1
3 0
4 2
5 4
6 0
7 0
8 0
9 4
10 2
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
FIRST YEAR
NEWTON
MALE
FEMALE
2
0 1 0 0 1 7 1 0 0 1 0 9 2 11
0 1 5 0 1 0 0 0 0 6 3 8 9 17
0 2 5 0 0 0 3 0 0 2 8 4 16 20
2 5 2 0 1 0 0 0 1 1 1 8 7 15
1 7 1 0 0 0 0 0 0 10 2 21 4 25
0 0 0
0 1 1
0 0 0
15 3 0
1 1 0
0 0 0 0 0 0 0 7 3 0 0 7 3 10
0 0 0
0 0 0
1 0 0
0 0
0 0
0 0
0 0 0 0 0 0 4 0 0 0 0 0 4 4
FIRST YEAR
ROSE
MALE FEMALE
3 FIRST YEAR
0 0 0 0 0 4
0 0 0 4 0 4
0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 1 1
DAISY
MALE FEMALE
4 FIRST YEAR
0 0 6 12 16 7
3 0 25 19 44
0 2 0 0 0 0
0 0 1 3 4
1 2 0 0 0 2
0 2 1 6 7
0 2 1 0 0 0
1 2 9 19 28
3 0 0 0 0 0
0 0 6 1 7
9
15
0 0 4 7 0 0
0 0 4 7 11
0 0 0 0 0 2
0 0 0 3 3
DAHLIA
MALE FEMALE
5 FIRST YEAR
4
3
GUMAMELA
MALE FEMALE
6 FIRST YEAR
7
3 0 0 20 21 41
ORCHID
TOTAL TOTAL
TOTAL
Legend: 1 2 3 4 5 6 7 8 9 accessibility in going to school students are more friendly receive more help from others more interesting things to learn more sports activities more and better textbooks teachers spend more time teaching us more clubs and other students' activities more interesting ways to learn the lessons/ interesting instructional strategies
11 12 13 14 15 16 17 18
more equipment to do science laboratory work chance to learn about computers better classrooms improve discipline system better and adequate counseling relevant curriculum teachers take into consideration students' learning styles others, please specify __________
For 2007, Filipino families consisting of five members should be earning a combined monthly income of PhP 6,195 in order to meet their most basic food and non-food needs for this year.
The combined poverty incidence rates in all three islands translate to around 4.67 million families that earned less than what they needed for basic food and non-food needs. According to the NSCB, a family of five needed P6,274 monthly to stay out of poverty in 2006.
The school-related factors include poor discipline system, inadequate counseling, irrelevant curriculum, uninteresting instructional strategies, disregard for student learning styles, and negative school climate.
Student-related factors include poor school attitude, poor attendance/tardiness, behavior/discipline problems, poor peer relationships, illness, disability, low self-esteem, efficacy, drug abuse, and pregnancy. Community-related factors include lack of community support and weak school-community linkages.
Lastly, family-related factors include dysfunctional home life, low parental expectations, lack of parental involvement in the education of the student, ineffective parenting, and abuse.
Name of School: ___________________________________________________ District: ______________________ Grade/Year Level: _____ Section: ___________ SY: ___________ CUSTOMIZED STUDENT TRACKING SYSTEM FORM 2
A B C D E F G H J K L M N Status (as reflected in form 1) O P Q
Occupation
Occupation
Educat'l Attainment
Educat'l Attainment
Students'/Pupils' Names Ethnicity Religion
Last Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
First Name
M.I.
Address
Age
Birthdate
Father's Name
Mother's Name
Timeframe
Remarks
Legend:
Sects/ Religious Denominations 1 Roman Catholic 2 Baptist (Fundamental, Southern, Seventh-Day Adventist 3 Bible, etc.) 4 Foursquare Gospel Church 5 Iglesia ni Cristo 6 Philippine Catholic 7 Latter Day Saints 8 Jehovah's Witness 9 Others, pls. specify
Occupations 1 Regular Government Employee 2 Daily Wage Earner 3 Construction Worker 4 Laborer 5 Sari-sari store owner & keeper 6 Vegetable/ Fruit Peddler 7 Farmer 8 Housekeeper 9 Others, please specify
Ethnicity 1 Manobo 2 Higaonon 3 Cebuano 4 Boholano 5 Surigaonon 6 Ilonggo 7 Ilokano 8 Waray 9 Others, pls. specify
Educational Attainment 1 College Graduate 2 College Level 3 High School Graduate 4 High School Level 5 Elementary Graduate 6 Elementary Level
Name of School: ______________________________________________ Year Level: _____ Section: _________
FAMILY & HOME
Abusive parent(s)?
Low parental expectaio ns?
Belonged to a broken family?
Not living with parents?
Last Name
First Name
M.I.
Prepared by:
Living far from school?
Parent(s) is/are
Students' Names
Ineffective parent(s)?
ILY & HOME
____ Section: ___________ SY: ___________
A regular absentee?
Reason(s) ?
always tardy?
CUSTOMIZED STUDENT TRACKIN
Reason(s) ?
IZED STUDENT TRACKING SYSTEM FORM 1 (Secondary)

INDIVIDUAL
Reason(s) ?
1st
2nd
3rd
4th
Subject(s)? Reason(s)?
dinator
Reason(s) ?
Have visited or been referred to the
Ever dropped out?
Faltering?
Undernou rished?
Low self esteem?
Working for extra income? Have used/abus ed prohibited drug? Have been pregnant?
Joined gangs?
Noted: School Head
COMMUNITY
Don't feel safe or threatene d in the communit Presence of Amuseme nts (gaming Not a member to any communit y org.?
School Head
SCHOOL

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9

CUSTOMIZED STUDENT TRACKING SYSTEM FORM 1

Adviser/ Guidance Counselor

School CFSS Coordinator

Instructions for completing the CSTS form2:

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Adviser/ Guidance Counselor

School CFSS Coordinator

Has relatives or family member who dropped out?

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake

Adviser/ Guidance Counselor

School CFSS Coordinator

Special Skills/ Strengths/ Talents

Intervention Planned to undertake