Enclosure NO. 2 to DepED Order No. 2, s.

2014)

Form 2B - Seconda

SCHOOL PLAN TO ADDRESS NEEDS

School ID :
School Name :

307118
SAN AGUSTIN HIGH SCHOOL

Region :
Division :
District :

III
ZAMBALES
CASTILLEJOS

Please indicate additional inputs needed.

A. Additional Inputs Needed

(Please indicate number)

Tentative
Enrolment

Grade Level

(Should tally with Form

1)

Classroom

Teachers

First Year
Second Year
Third Year
Fourth Year
TOTAL
Tentative
Enrolment

Learners under the ADM-EASE

(Should tally with Form

1)

Age 12
Age 13
Age 14
Age 15 & above
TOTAL

Categories of Disability

C. Additional Inputs Needed

(Please indicate number)

Tentative
Enrolment
(Should tally with Form
1)

Classroom

Teachers

1. Visual Impairement
2. Hearing Impairement
3. Intellectual Disability
4. Speech/Language Impairement
5. Serious Emotional Disturbance
6. Autism
7. Orthopedic Impairement
8. Special Health Problems
9. Multiple Disabilities
TOTAL
D. Proposed Differentiated Program Intervention

E. Assistance Needed

1. Formal Delivery System

2. ADM (Alternative Delivery Mode)
3. Special Education in Inclusive Setting:
Submitted by:

ERNESTO M. F
Name & Signature of
Principal
Designatio
Cell Phone # :
E-mail Address:

Form 2B - Secondary

ditional Inputs Needed

se indicate number)
Textbooks

Seats

B. Inputs Needs
TeacherFacilitator

Modules

ditional Inputs Needed

se indicate number)
Textbooks

Seats

Assistance Needed

ERNESTO M. FOGATA
me & Signature of School Head
Principal I
Designation
09999911530
ernestofogata@gmail.com