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

__________________ ____________________ ______________________

___________________ ____________________ ______________________
____________________ ____________________ _____________________

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
___________________________________________________________________
__________________________________________________________

I certify to the correctness of the above information.

_________________ _________________
(Date Submitted) (School Head)