ANOPSSAI
Association of Negros Occidental Private Schools and
School Administrators Incorporated
MEMBERSHIP APPLICATION FORM
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ANOPSSAI MEMBERSHIP APPLICATION GENERAL SURVEY FORM
Name of Institution :
Address
Landline /Mobile Tel. No. :
E-Mail Address :
Year Founded :
Vision Statement :
Mission Statement :
Core Values :
School Philosophy :
Courses Offered
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Status : (Please check all items true to your status)
( ) Government Recognition ( ) Institutional Accreditation
( ) Government Permit ( ) Church-Related
( ) Program Accreditation ( ) Not Church-Related
ANOPSSAI
Association of Negros Occidental Private Schools and
School Administrators Incorporated
A. SPECIFIC INFORMATION
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II. ADMINISTRATIVE OFFICERS:
OFFICIAL HIGHEST RELIGIOUS
NAME DESIGNATION ACADEMIC AFFILIATION
DEGREE
II. ( / ) Board of Trustees ( ) Executive Committee ( ) Others (Please specify)
(Please use extra sheet if necessary)
OFFICIAL HIGHEST RELIGIOUS
NAME DESIGNATION ACADEMIC AFFILIATION
DEGREE
III. NUMBER OF FACULTY AND STAFF BY SCHOOL LEVEL
AND EDUCATIONAL ATTAINMENT
(AB) (BSE/ED) (MA/MS) (PhD/EdD) TOTAL
Pre-elementary
Elementary
Secondary
College
Graduate School
Non-teaching Personnel
GRAND TOTAL =
ADMINISTRATIVE STAFF FACULTY
Proba- Reg/ Part- Proba- Reg./ Part-
tionary Perm. Time tionary Perm. Time
Doctoral Degree
Master’s Degree
Bachelor’s Degree
Diploma/Certificate
H/S Grad. & Below
TOTAL
ANOPSSAI
Association of Negros Occidental Private Schools and
School Administrators Incorporated
Number of Faculty by Level:
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FULL TIME PART TIME
Pre-school
Elementary
High School
College
Graduate School
TOTAL
Regular and/or Minimum Load of Teachers
Pre-School ___________
Elementary ____________
Secondary ____________
Tertiary ____________
Graduate School ____________
III. FINANCIAL STATUS
Sources of Income:
Student Tuition and Fees
Endowment Fund
Grants
Others
Strategies in Income Generation
IV. LAND AND BUILDINGS
Total area of the school campus : Pre- school :
Elementary:
Secondary:
Land area for agricultural projects, etc.
Number of buildings:
Description of buildings:
ANOPSSAI
Association of Negros Occidental Private Schools and
School Administrators Incorporated
V. ENROLLMENT FOR THE CURRENT SCHOOL YEAR
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Pre-elementary
Elementary
Grade I
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Secondary
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
GRAND TOTAL
Average annual Drop-Out Rate
Average Tuition and other fees:
Tuition Fee Misc. Fee
Kindergarten/year
Elementary/year
Secondary/year
Senior HS
Student Financial Assistance
(Number of students receiving financial assistance)
Number
Funding (ESC/VPB) __________
Others (Please specify;______)_________
ANOPSSAI
Association of Negros Occidental Private Schools and
School Administrators Incorporated
XIII. THE GRADUATES
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How well are your graduates employed?
What are your Best Practices in School?
XIV. PROFESSIONAL AFFILIATIONS
Membership in Professional/Educational, Church-Related Organizations:
Institutional Membership
Membership of the Faculty and Staff
XV. RECOGNITIONS AND AWARDS
Of the Institution
___________________________________________________________________
___________________________________________________________________
Of Faculty and Staff
___________________________________________________________________
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I certify to the correctness of the above information.
_________________ _________________
(Date Submitted) (School Head)
