Yes, substantial to heavy damage. Grade 3 = moderate structural damage and heavy non-structural damage. Yes, very heavy damage. Grade 4 = obvious, damage. Yes, completely destroyed. Grade 5 = near or total collapse Are alternative or temporary learning spaces, or space Type of space For how many? for the other activities required to operate the school, Learning/teaching for required? students Residential accommodation for students Residential accommodation for staff Office Other, explain: Time to walk to nearest functioning health facility (from Tick one only Tick one only school?) < 30 min < 30 min 31 min-1 hr 31 min-1 hr 1-2 hours 1-2 > 3 hrs > 3 hrs Don’t know Don’t know Health facility not Health facility not accessible, explain: accessible, explain: Number of students Number of girls and boys Number attending this by age and grade school the emergency according to school # Boys: records. # # Boys: # Number of students estimated to be affected in some way by the emergency (e.g. destroyed, family member injured/killed, livelihood impacted, afraid...) # Boys: # Girls: Number of teaching (teaching and non-teaching) Total number of staff Number attending school prior to emergency the emergency # Male: # Male: # Female: # Female:
Yes, substantial to heavy damage. Grade 3 = moderate structural damage and heavy non-structural damage. Yes, very heavy damage. Grade 4 = obvious, damage. Yes, completely destroyed. Grade 5 = near or total collapse Are alternative or temporary learning spaces, or space for the other activities required to operate the school, required? Type of space For how many? Learning/teaching for students Residential accommodation for students Residential accommodation for staff Office Other, explain: Time to walk to nearest functioning health facility (from school?) Tick one only < 30 min 31 min-1 hr 1-2 hours > 3 hrs Don’t know Health facility not accessible, explain: Tick one only < 30 min 31 min-1 hr 1-2 > 3 hrs Don’t know Health facility not accessible, explain: Number of students Number of girls and boys by age and grade according to school records. # Boys: # Number attending this school the emergency # Boys: # Number of students estimated to be affected in some way by the emergency (e.g. destroyed, family member injured/killed, livelihood impacted, afraid...) # Boys: # Girls: Number of teaching (teaching and non-teaching) Total number of staff prior to emergency # Male: # Female: Number attending school the emergency # Male: # Female:
BDA%20form_LAA.docx