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CPC Feedback Form

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Republic of the Philippines

Department of Education
Region IV- A CALABARZON
Division of Batangas
Lemery Sub-Office
R. VENTURANZA CENTRAL SCHOOL
Valenzuela St., Wawa Ilaya, Lemery, Batangas

FEEDBACK FORM
CHILD PARTICIPATION IN CPC IMPLEMENTATION
NAME: ____________________________
SCHOOL: ____________________________
GRADE/ SECTION: ____________________________
ADVISER: ____________________________
The results are explained to all the indicators by checking the appropriate box.

INDICATORS EVIDEN NOT


T EVIDENT
1. There is a school CPC with the code of conduct
2. There is a plan that ensure my protection and safety which
review every three(3) years.
3. Regular information dissemination program and organized
activities for our protection from abuse, exploitation,
violence, discrimination and bullying or fear abuse.
4. School develops and implement a school-based referral
and monitoring system
5. The school established a system for us who maybe
suffering from significant harm and any physical,
emotional, or behavioral signs
6. The school identified referred and reported to the
appropriate offices, cases involving should abuse,
exploitation, violence, discrimination and bullying.
7. The school give assistance to parents or guardians
whenever necessary, in securing expert guidance,
counseling from the appropriate offices
8. The school coordinate closely with the women and
children protection desk to the PNP. Local Social Welfare
and Development Office.
9. The school monitors the implementation of positive
measures and effective procedures in providing necessary
support for the child and for those who care for the child.
10. The school ensure children right to be heard are
respected and upheld in all matters and procedures
affecting their welfare
Comments/ Suggestions/ Findings:

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

____________________________

Printed Name and Signature

R. Venturanza Central School


Wawa Ilaya, Lemery, Batangas
09778030441
r.venturanzacentralschool_50@yahoo.com
Fb DepEd Rvcs
Republic of the Philippines
Department of Education
Region IV- A CALABARZON
Division of Batangas
Lemery Sub-Office
R. VENTURANZA CENTRAL SCHOOL
Valenzuela St., Wawa Ilaya, Lemery, Batangas

R. Venturanza Central School


Wawa Ilaya, Lemery, Batangas
09778030441
r.venturanzacentralschool_50@yahoo.com
Fb DepEd Rvcs

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