School Plan to Address Needs Name of Elementary School: San Vicente Elementary School Division: Cabiao Date Accomplished:

Feb.4, 2013 Tentative Enrolment Grade Level 1. Kindergarten 2. Grade 1 3.Grade II 4. Grade III 5. Grade IV 6. Grade V 7. Grade VI TOTALS M F Classroom 0 0 0 0 0 0 1 Additional Inputs Needed (Please Indicate number) Teachers Textbooks/subject 0 150 0 215 0 220 0 215 0 160 0 175 1 190 1325

Region: III

Seats 50 50 20 70 45 55 65 355

Tentative Enrolment Learners under the ADM/ALS Age 9 Age 10 Age 11 Age 12 and above TOTAL 0 0 0 8 8

Inputs Needed Teacher Facilitator Modules 0 0 0 0 0 0 1 10 1 10

Categories of Disability

Tentative Enrolment

Additional Inputs Needed (Please Indicate Number) Classroom Teachers Textbooks Seats 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Children with: Visual Impairment Hearing Impairment Intellectual Disability Speech/Language Impairment Serious Emotional Disturbance Autism Ortopedic Impairment Special Health Problems TOTAL

0 0 0 0 0 0 0 0 0

C. Proposed Differentiated Program Intervention 1. Formal Delivery System 2. ADM/ALS 3. Special Education in Inclusive Setting

D.Assistance Needed none modules none

Submitted by: LEOPOLDO G. VILLEZA School Principal II Cellphone No. E-mail address: polgvilleza@yahoo.com