INCLUSION OF ALS IN THE SCHOOL-BASED MANAGEMENT (SBM)

SURVEY FORM

Reference Year : 2019 Date accomplished:

Region: VII Division: CEBU PROVINCE District: CONSOLACION

School Name: School ID:

Name:
Email Address: Mobile number:

Position: Principal I Principal II Principal III Principal IV

Others (specify):___________________________________________
Designation Prior to being Principal: ___________________________________________
Yes No
Have you taught in ALS before?
If yes, how many year/s? ___________________
Yes No
Have you handled ADM classes before?
If yes, how many year/s? ___________________

A. Community Learning Center

Do you have CLC inside the school? : Yes No
If yes, please specify the type of CLC
Type 1
Type 2
Type 3
Type 4
Type 5

What are the program/s being offered: Alternative Learning System (ALS)
Basic Literacy Program
A&E Elementary
A&E Secondary
Alternative Delivery Mode (ADM)
B. Support to ALS
Was there a budget allocation for ALS in the School MOOE in FY 2018? Yes
No
If yes, please provide the amount:____________________________________________

Was there a support for ALS from Special Education Fund (SEF) in FY 2018? Yes
No
If yes, what was the nature of support:
In Kind
Cash
If cash, please provide the amount:_____________________________

What are your reasons for supporting ALS?

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Since when did you support ALS? _________________________________________________

C. Training/s Attended
Have you attended any training/s in ALS : Yes No
If yes, please fill out the table below:

Title of the training No. of Date of training Conducted by

(start from the latest) Hours (mm/dd/yyyy) whom?

Have you attended any training/s in ADM? : Yes No

If yes, please fill out the table below:
Title of the training No. of Date of training Conducted by
(start from the latest) Hours (mm/dd/yyyy) whom?
D. Support to ALS Techers
Below is checklist of support being provided to ALS teachers. Please tick all that apply.
(Multiple answer)
1. Observe conduct of learning interventions and provide technical asssistance to ALS
teacher
2. Allocate supplies and materials for the teaching
3. Include the ALS teacher in the list for the chalk allowance
4. Allow ALS teacher to participate in the In-Service Training, meeting and
conferences , and other related activities of the school
5. Allow ALS teacher to use the Science and computer laboratories and other school
facililites
6. Include the ALS activities in the School Improvement

E. Support to ALS Techers

Below is checklist of support being provided to ALS learners. Please tick all that apply.
(Multiple answer)
1. Provide learning center to ALS learners which are conducive to learning
2. Involve ALS learners in the academic and non-academic activities of school
3. Provide learning materials to ALS learners (e.g., notebooks, pens)