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    Personal Information (Part I) : Alternative Learning System Als Enrolment Form (Af2) Learner's Basic Profile

    Uploaded by

    Junel Mariano Viña
    This document is an enrollment form for an alternative learning system in the Philippines. It collects personal information about the learner such as name, address, birthdate, parents' information, education history, reason for dropping out of school (if applicable), and availability and accessibility to the learning center. The form is used to enroll learners in the alternative learning program and understand their educational background and needs.

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

    Personal Information (Part I) : Alternative Learning System Als Enrolment Form (Af2) Learner's Basic Profile

    Uploaded by

    Junel Mariano Viña
    44 views2 pages
    This document is an enrollment form for an alternative learning system in the Philippines. It collects personal information about the learner such as name, address, birthdate, parents' information, education history, reason for dropping out of school (if applicable), and availability and accessibility to the learning center. The form is used to enroll learners in the alternative learning program and understand their educational background and needs.

    Original Description:

    This document is nothing i just uploaded it so that i can download the documents that i wamt

    Original Title

    ALS-Enrolment-Form

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    This document is an enrollment form for an alternative learning system in the Philippines. It collects personal information about the learner such as name, address, birthdate, parents' information, education history, reason for dropping out of school (if applicable), and availability and accessibility to the learning center. The form is used to enroll learners in the alternative learning program and understand their educational background and needs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    44 views2 pages

    Personal Information (Part I) : Alternative Learning System Als Enrolment Form (Af2) Learner's Basic Profile

    Uploaded by

    Junel Mariano Viña
    This document is an enrollment form for an alternative learning system in the Philippines. It collects personal information about the learner such as name, address, birthdate, parents' information, education history, reason for dropping out of school (if applicable), and availability and accessibility to the learning center. The form is used to enroll learners in the alternative learning program and understand their educational background and needs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Republic of the Philippines

    Department of Education
    ALTERNATIVE LEARNING SYSTEM
    ALS ENROLMENT FORM (AF2)
    Learner’s Basic Profile

    Date: _________________________________ LRN____________________________________

    Personal Information (Part I)

    Last Name First Name Middle Name Name Extension

    Address: ______________ ______________________ ______________________ __________________


    No./Street Barangay Municipality Province
    Birthdate:mm/dd/yyyy/: ______/______/________ Birthplace:___________________________________

    Sex: ___male __female Civil Status: ____ Single ____Married ___Widow/er ___Separated ___Solo Parent

    Religion: ____________________ IP ( ethnic group)________________ Mother Tongue____________ PWD: ___yes ___no

    Name of Father/Legal Guardian


    _____________________ ______ ______________ _______ _______________________ ____________________
    Last Name First Name Middle Name Occupation

    Mother’s Maiden Name


    _____________________ _____ ______________________ _______________________ _____________________
    Last Name First Name Middle Name Occupation

    Educational Information (Part II)

    • Last grade level completed


    Elementary □K □G-1 □G-2 □G-3 □G-4 □G-5 □G-6
    Secondary : □G-7 □G-8 □G-9 □G-10
    Why did you drop out of school? (For OSY only)

    __ No school in Barangay ___ School too far from home ___ Needed to help family

    ___Unable to pay miscellaneous and other expenses __ Others( please specify)___________________________

    Have you attended ALS learning sessions before? ___ yes ____ no If yes:

    Name of the Program:____________________________ Literacy Level: ___ Basic ___Elem ___Sec ___Infed

    Year Attended: __________________ Have you completed the program? (yes/no)______

    If NO, state the reason:____________________________________________________


    Accessibility and Availability (Part III)

    How far is it from your home to your learning center? ________ in kms _______in hrs and min
    How do you get from your home to your learning center?
    When can you attend your Learning Session?

    Facilitator Name and Date Learner Name and Date

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