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    FC - Children Serve Profile

    Uploaded by

    Glenda Ang Bacomo
    This document is a general intake sheet for tracking children served at an Early Childhood Care and Development facility in the Philippines. It collects information such as the facility location, demographics of children served including age, gender, disabilities, and services provided. Fields marked with an asterisk are required. The sheet is used to record details on the total number of children served, broken down by age and gender, as well as categories like disabilities, indigenous population, Muslim population, and those who dropped out.

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

    FC - Children Serve Profile

    Uploaded by

    Glenda Ang Bacomo
    25 views1 page
    This document is a general intake sheet for tracking children served at an Early Childhood Care and Development facility in the Philippines. It collects information such as the facility location, demographics of children served including age, gender, disabilities, and services provided. Fields marked with an asterisk are required. The sheet is used to record details on the total number of children served, broken down by age and gender, as well as categories like disabilities, indigenous population, Muslim population, and those who dropped out.

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    Fc - Children Serve Profile

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    This document is a general intake sheet for tracking children served at an Early Childhood Care and Development facility in the Philippines. It collects information such as the facility location, demographics of children served including age, gender, disabilities, and services provided. Fields marked with an asterisk are required. The sheet is used to record details on the total number of children served, broken down by age and gender, as well as categories like disabilities, indigenous population, Muslim population, and those who dropped out.

    Copyright:

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

    FC - Children Serve Profile

    Uploaded by

    Glenda Ang Bacomo
    This document is a general intake sheet for tracking children served at an Early Childhood Care and Development facility in the Philippines. It collects information such as the facility location, demographics of children served including age, gender, disabilities, and services provided. Fields marked with an asterisk are required. The sheet is used to record details on the total number of children served, broken down by age and gender, as well as categories like disabilities, indigenous population, Muslim population, and those who dropped out.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Annex C Children Summary General Intake Sheet

    Republic of the Philippines ECCDSID to be filled up by the encoded


    Department of Social Welfare and
    Development Children Served Profile
    Early Childhood Care and Development

    I. Children Facility LocationNOTE: Fields with (*) asterisk are required fields

    Region District/Province Municipality Barangay Name of Facility


    II. Children Served
    2. Children w/ Disability 3. Children Provided with Other Services 4. Indigenous People’s 5. Muslim 6. Total Children
    2b. Physical 2c. Mental Children Served Children Served Dropped Out
    1a. Age 1b. Gender Total
    Group Served OH VI H Other UT/EMR WA IMP WADHD SL WG D SF MNS D Others
    I W S
    3 yrs. Male
    old Female
    4 yrs. Male
    Old Female
    5 yrs. Male
    old Female
    6 yrs. Male
    old Female
    7 yrs. Male
    old Female
    8 yrs. Male
    old Female
    9 yrs. Male
    old Female
    10 yrs. Male
    old Female
    Children with Disability Keys Children Provided with Services Keys

    OH – Orthopedically Handicapped WG – Weigned 7a. Accomplished by: 7b. Date Accomplished*


    VI – Visually Impaired DW – Dewormed
    HI – Hearing Impaired SF – Provided with Supplemental Feeding
    Other – Other Handicap – Speech Defect MNS – Provided with Micro Nutrient Supplementation YYY – MM - DD
    Hunchback,Cleft Palate – Harelip DS – Provided with Dental Services
    UT/EMR – Upper Trainable/Educable Mentally Retarded Other – Other Services 7b. Name and Signature of Day Care Supervisor* 7C. Encode ID*
    IMP – Improved Mental Patient
    WA – With Autism
    WADHD – With attention Deficit Hyperactive Disorder
    SL – Slow Learners

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