FORM 2-A School Plan to Address Needs Name of Elementary School: San Vicente Elementary School Division: Cabiao

Date Accomplished: Jan.28, 2014 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 82 75 114 85 100 80 75 611 F 55 71 84 105 103 81 85 584 T 137 146 198 190 203 161 160 1195 Classroom 0 1 0 1 0 0 1 3 Additional Inputs Needed (Please Indicate number) Teachers Textbooks/subject 0 150 0 180 0 200 0 200 0 210 0 160 1 160 1 1260

Region: III

Seats 50 100 80 90 90 50 80 540

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

0 0 0 0 0

0 0 0 0 0

Inputs Needed Teacher Facilitator Modules 0 0 0 0 0 0 0 0 0 0

Categories of Disability

Tentative Enrolment M F T 0 0 0 0 0 0 0 0 0

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

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