Republic of the Philippines
Department of Education
Secondary Education Development and Improvement Project (SEDIP)
Secondary Schooling Alternatives (SSA)
School:______________________________Division:____________________ Region : _______________
SARDO WATCH LIST __________________________(Year Level)
Academic Information
(1)
(6) (7) (11)
(4) (8) (10)
(3) No. of Non-
(5) Diagnosed Appears
(2) Enrolled Non Bridge days No of days (9) membership
Reading Repeated or disengaged,
at Bridge taker absent late during Transfer in any
Bridge Grade a year suspected disinterested,
Final grades Final grades in during the the student school or
candidate level, if level learning or
Grade VI preceding preceding campus
but did not known difficulties unmotivated
year year organization
opt to
enroll
No Names Math English Science Math English Science
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PLEASE READ THE ATTACHED INSTRUCTIONS IN FILLING OUT THIS FORM
Instructions in filling out SARDO Watch List
1. Check if applicable
2. Indicate the final grades in Science, Math and English in Bridge Program
3. Indicate the final grades in Science, Math and English in Grade VI
4. Indicate the reading grade level
5. Write "yes" or "no"; if "yes", indicate number of times and year levels repeated
6/7. Number of days absent, late during the immediately preceeding school year
8. Indicate learning difficulty (i.e.,"dyslexia", ADHD) and write after it "D" if formally diagnosed or "S" if suspected but not formally diagnosed
9. Indicate "yes" or "no". If yes, indicate how many times student had transferred schools
10. Indicate "yes" or "no".
11. Indicate "yes" if the student is NOT A MEMBER OF ANY SCHOOL/CAMPUS ORGANIZATION, or "no" if he is a member of at least 1 organization
12. Indicate "yes" if student is regularly compliant, that is, brings to class requirements, accomplished assignments and projects, "no if student is regulary non-compliant with school
requirements
13. Indicate nature of conduct or behavior problems and frequency of occurrence
14. Write nature of disciplinary action and frequency of said action
15. Known health problems, including malnutrition, drug abuse. Specify.
16. Indicate if student shows signs of physical, emotional and other forms of abuse, like being beaten, bullied, sexually abused and indicate where abuse might be taking place, for
example, "bullied in school", "beaten at home", regularly insulted by teachers", "regulary teased, called names by peers"
17. Indicate "yes" or "no"
18. Indicate "yes" or "no" and if "yes", number of children
19. Indicate "yes" or "no"
20. Indicate number (i.e., 4,5,6)
21. Indicate number
22. Indicate amount in pesos
23. Indicate highest attainment of parents
24. Write address and put an asterisk if living more than 1km. from the school
Conduct/Behavior Information Family and Other Related Information
(21)
(14) (22) (23)
(13) (17) (19) (20) Number of
(12) (15) (18)
Reported Suspensions (16) If people in Estimate Highest
School Health Previous
conduct or and other Abuse female, Living with Number the income for educational
Requirements Problems Pregnancies
misbehavior disciplinary pregnant? parents of siblings household entire attainment
actions who are household of parents
employed
(24)
Place
of
residence,
indicate if
distance
from school
is a risk
factor
Republic of the Philippines
Department of Education
Secondary Education Development and Improvement Projec
Secondary Schooling Alternatives (SSA)
School:______________________________Division:____________________
SARDO WATCH LIST - FIRST YEAR
Academic Information and other school related information
(4)
(3) No. of (5) (7) (8) Non-
(1) No of
(2) days absent Diagnosed (6) Disengaged, membership
Reading days late (9) School
Repeated a grade during the or suspected Transfer disinterested in any school
Grade level, during the Requirements
level preceding learning student , appears or campus
if known preceding
year difficulties unmotivated organization
year
No. Names
1 Juan de la Cruz Frustation Yes Grade V - 2x 50 D
2 1st Year - 2x
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PLEASE READ THE ATTACHED INSTRUCTIONS IN FILLING OUT THIS FORM
Instructions in filling out SARDO Watch List
1 Indicate the reading grade level
2. Write "yes" or "no"; if "yes", indicate number of times and grade levels repeated
3/4. Number of days absent, late during the immediately preceeding school year
5. Indicate learning difficulty (i.e.,"dyslexia", ADHD) and write afterit "D" if formally diagnosed or "S" if suspected but not formally diagnosed
6. Indicate "yes" or "no". If yes, indicate how many times student had transferred schools
7. Indicate "yes" or "no".
8. Indicate "yes" if the student is NOT A MEMBER OF ANY SCHOOL/CAMPUS ORGANIZATION, or "no" if he is a member of at least 1 organization
9. Indicate "yes" if student is regularly complaint, that is, brings to class requirements, accomplished assignments and projects, "no if student is regulary non-complaint
with school requirements
10. Indicate nature of conduct or behavior problems and frequency of occurrence
11. Write nature of disciplinary action and frequency of said action
12. Known health problems, including malnutrition, drug abuse. Specify.
13. Indicate if student shows signs of physical, emotional and other forms of abuse, like being beaten, bullied, sexually abused and indicate where abuse might be
taking place, for example, "bullied in school", "beaten at home", regularly insulted by teachers", "regulary teased, called names by peers"
14. Indicate "yes" or "no"
15. Indicate "yes" or "no" and if "yes", number of children
16. Indicate "yes" or "no"
17. Indicate number (i.e., 4,5,6)
18. Indicate number
19. Indicate amount in pesos
20. Indicate highest attainment ofr mother
21. Write address and put an asterisk if living more than 1km. from the school
epublic of the Philippines
epartment of Education
evelopment and Improvement Project (SEDIP)
ry Schooling Alternatives (SSA)
__Division:____________________ Region : _______________
WATCH LIST - FIRST YEAR
Conduct/Behavior
Information Health, Family and other related information
(18)
(11) (19)
(20)
(10) (16) (17)
(12) (14) (15) Number of Highest
Reported Suspensions (13) Estimate
Health If female, Previous people in the educational
conduct or and other Abuse Living with Number of income for
Problems pregnant? Pregnancies household attainment of
misbehavior disciplinary parents siblings entire
who are parents
actions household
employed
Health, Family and other related information
(21)
Place of
residence,
indicate if
distance
from school
is a risk
factor
Republic of the Philippines
Department of Education
Secondary Education Development and Improvement Project (SEDIP)
Secondary Schooling Alternatives (SSA)
School:______________________________Division:____________________ Region : _______________
SARDO WATCH LIST - Year Level_________________ (2nd -4th year)
(3)
Academic Information Conduct/Behavior Information
(4) (8) (11)
(5) (7)
(1) No of Non- (10)
(2) Diagnosed or (6) Appears (9)
Reading days late membership Reported Suspensions
Repeated a suspected Transfer disengaged, School
Grade Level, during the in any school conduct or and other
grade level? learning student disinterested, Requirements
if known preceding or campus misbehavior disciplinary
difficulties unmotivated
year organization actions
No. Names No. of days
absent during
1
the preceding
2
year
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PLEASE READ THE ATTACHED INSTRUCTIONS IN FILLING OUT THIS FORM
Instructions for filling out SARDO Watch List
1. Indicate the reading grade level
2. Write "yes" or "no"; if "yes", indicate number of times and grade levels repeated
3/4. Number of days absent, late during the immediately preceeding school year
5. Indicate learning difficulty (i.e.,"dyslexia", ADHD) and write after it "D" if formally diagnosed or "S" if suspected but not formally diagnosed
6. Indicate "yes" or "no". If yes, indicate how many times student had transferred schools
7. Indicate "yes" or "no".
8. Indicate "yes" if the student is NOT A MEMBER OF ANY SCHOOL/CAMPUS ORGANIZATION, or "no" if he is a member of at least 1 organization
9. Indicate "yes" if student is regularly complaint, that is, brings to class requirements, accomplished assignments and projects, "no if student is
regulary non-complaint with school requirements
10. Indicate nature of conduct or behavior problems and frequency of occurrence
11. Write nature of disciplinary action and frequency of said action
12. Known health problems, including malnutrition, drug abuse. Specify.
13. Indicate if student shows signs of physical, emotional and other forms of abuse, like being beaten, bullied, sexually abused and indicate where
abuse might be taking place, for example, "bullied in school", "beaten at home", regularly insulted by teachers", "regulary teased, called names by
peers"
14. Indicate "yes" or "no"
15. Indicate "yes" or "no" and if "yes", number of children
16. Indicate "yes" or "no"
17. Indicate number (i.e., 4,5,6)
18. Indicate number
19. Indicate amount in pesos
20. Indicate highest attainment ofr mother
21. Write address and put an asterisk if living more than 1km. from the school
Family and other related information
(18) (21)
(19)
Number (20) Place of
(16) (17)
(12) (14) (15) of people in Highest residence,
(13) Estimate
Health If female, Previous the educational indicate if
Abuse Living with Number of income for
Problems pregnant? Pregnancies household attainment of distance from
parents siblings entire
who are parents school is a
household
employed risk factor
