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CPC Feedback Form

The document is a feedback form for child participation in the implementation of the Child Protection Policy (CPC) at Sto. Niño Elementary School in the Philippines. It includes indicators to assess the school's adherence to child protection measures, such as the existence of a code of conduct, safety plans, and support systems for students. The form also allows for comments and suggestions regarding the school's efforts in ensuring student safety and welfare.

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Monique Vensar
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30 views1 page

CPC Feedback Form

The document is a feedback form for child participation in the implementation of the Child Protection Policy (CPC) at Sto. Niño Elementary School in the Philippines. It includes indicators to assess the school's adherence to child protection measures, such as the existence of a code of conduct, safety plans, and support systems for students. The form also allows for comments and suggestions regarding the school's efforts in ensuring student safety and welfare.

Uploaded by

Monique Vensar
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
REGION III
SCHOOLS DIVISION OF BULACAN
PANDI SOUTH DISTRICT
STO. NIÑO ELEMENTARY SCHOOL

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 EVIDE NOT
NT 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

Rosal St., Sto. Niño, Pandi,


Bulacan
Email: 158515@deped.gov.ph
Contact No. 09311414284

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