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Classroom Form

The document outlines a reporting form for classroom-level discussions on Online Sexual Abuse and Exploitation of Children (OSAEC) and Child Sexual Abuse and Exploitation Material (CSAEM) in the Philippines. It collects data on the number of learners attending the discussion, their reported rights and protection concerns, and the interventions taken to address these issues. The form is to be completed by teachers and submitted within a week after the discussion.

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55 views2 pages

Classroom Form

The document outlines a reporting form for classroom-level discussions on Online Sexual Abuse and Exploitation of Children (OSAEC) and Child Sexual Abuse and Exploitation Material (CSAEM) in the Philippines. It collects data on the number of learners attending the discussion, their reported rights and protection concerns, and the interventions taken to address these issues. The form is to be completed by teachers and submitted within a week after the discussion.

Uploaded by

biliusbrasona02
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
LEARNER RIGHTS AND PROTECTION OFFICE

ANNEX A-1
CLASSROOM-LEVEL REPORTING FORM (To be filled out by adviser or teacher
assigned to discuss the topic. The form must be filled out within a week after the
discussion has been conducted.)
Classroom-Based Session Against
Online Sexual Abuse and Exploitation of Children (OSAEC) and
Child Sexual Abuse and Exploitation Material (CSAEM)
Grade Level :
School Name :
School ID No. :
School Address :
Division :
Region :

A. Data on the Number of Learners (to determine the number of learners who
attended the discussion of OSAEC and CSAEM)

Number of Male Learners


Number of Female Learner
TOTAL

B. Data on the Learner Rights and Protection (LRP) Concerns (to determine the
prevalence of these LRP concerns among our learners, specifically concerning
OSAEC and CSAEM, and other online concerns as well as to determine the
prevalence of these LRP concerns per gender)

Number of Corresponding
Reported LRP Interventions
Type of Learner Rights and Protection (LRP)
Concerns in the (e.g. referred to RGC
Concerns and/or Guidance
Classroom
Advocate)
Male Female
Cyberbullying (online bullying resulting in harassment,
intimidation, or humiliation)
Online Grooming
Non-Consensual Sharing of Self-Generated Naked or
Indecent Images of Children
Online/Offline Commercial Sexual Exploitation
Exposure of Children to Sexually Explicit Images
Sexual Abuse or Exploitation of Children
Other forms of abuse (not included in the enumeration
above but constitute physical, emotional, and mental
abuse)
TOTAL
Prepared by

Page 1 of 2
Republic of the Philippines
Department of Education
LEARNER RIGHTS AND PROTECTION OFFICE

Class Adviser/Teacher Discussant


Date submitted to school head/principal: __________________________
ANNEX A-2

Intervention/s to Address LRP Concerns (Kindly indicate in detail the


action/s taken to address the reported LRP concerns and attach the
corresponding incident report per disclosure. Please use a separate sheet if
necessary.)

To be filled up by the registered guidance counselor, and/or


teacher designate, and/or guidance advocate. (For teacher-
designates and guidance advocates, please fill out the enclosed non-
disclosure agreement.)

LRP Concern Intervention/s

Page 2 of 2

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