Template No.

1 – VISUALLY IMPAIRED/LOW VISION TEACHER’S DATA (For Elementary)

School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________

Needed Materials Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Subject/Language Large Prints Talking (No.) (No.) (No.) (No) (No) (No) (No)
Tactile Braille
Font 16 Font 18 Font 20 Book M F M F M F M F M F M F M F
Template No. 2 – VISUALLY IMPAIRED/LOW VISION TEACHER’S DATA (For Junior HS)
School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________

Needed Materials Grade 8 Grade 9 Grade 10

Grade 7 (No.)
Subject/Language Large Prints Talking (No.) (No.) (No)
Tactile Braille
Font 16 Font 18 Font 20 Book M F M F M F M F
Template No. 3a – VISUALLY IMPAIRED/LOW VISION TEACHER’S DATA (For Senior HS- Grade 12)

School Year: 2018-2019

Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________

Needed Materials Grade 12/Tracks/Strands

Academic Tract Technical Vocational Livelihood Track Sports Arts & Design
Talking Book

Subject/ Language Large Print ABM HUMMS STEM Gen. Aca d Pre-Ba c. Agri-Fishery Home Eco. ICT Ind. Arts TVL Maritime Track Track
Tactile

Braille

(No.) (No.) (No.) (No.) Maritime (No.) (No.) (No.) (No.) (No.) (No.) (No.) (No.) (No.)
Font 16 Font 18 Font 20 M F M F M F M F M F M F M F M F M F M F M F M F M F
Template No. 4 – VISUALLY IMPAIRED/LOW VISION TEACHER’S DATA (For Senior HS – Grade 12)
School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________

Needed Materials Grade 12/Tracks/Strands

Academic Tract Technical Vocational Livelihood Track

Talking Book
Subject/ Large Print Agri-Fishery Home Eco. ICT Ind. Arts TVL Maritim

Tactile

Braille
ABM HUMMS STEM Gen. Acad Pre-Bac.
Language Maritime
(No.) (No.) (No.) (No.) (No.) (No.) (No.) (No.) (No.) (No.) (No.)
Font Font Font
16 18 20 M F M F M F M F M F M F M F M F M F M F M
Template No. 5. VISUALLY IMPAIRED/LOW VISION/ WITH READING DISABILITY LEARNERS’ DATA (Elementary)
School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________

Needed Materials
Number of Learner/s
Impairment Large Print
Talking Book Tactile Braille
Male Female Size 16 Font Size 18 Font Size 20 font
Kinder
Visually Impaired
low Vision
With reading Disability
Grade 1
Visually Impaired
low Vision
With reading Disability
Grade 2
Visually Impaired
low Vision
With reading Disability
Grade 3
Visually Impaired
low Vision
With reading Disability
Grade 4
Visually Impaired
low Vision
With reading Disability
 Needed Materials
Number of Learner/s
Impairment Large Print
Talking Book Tactile Braille
Male Female Size 16 Font Size 18 Font Size 20 font
Grade 5
Visually Impaired
low Vision
With reading Disability
Grade 6
Visually Impaired
low Vision
With reading Disability
Template No. 5. VISUALLY IMPAIRED/LOW VISION/ WITH READING DISABILITY LEARNERS’ DATA (Junior HS)
School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________
 Needed Materials
Number of Lea rner/s
Impairment Large Print
Talking Book Tactile Braille
Male Female Size 16 Font Size 18 Font Size 20 font
Grade 7
Visually Impaired
low Vision
With reading Disability
Grade 8
Visually Impaired
low Vision
With reading Disability
Grade 9
Visually Impaired
low Vision
With reading Disability
Grade 10
Visually Impaired
low Vision
With reading Disability

Template No. 6. VISUALLY IMPAIRED/LOW VISION/ WITH READING DISABILITY LEARNERS’ DATA (Senior HS- Grade 11)
School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________
 Needed Materials
Number of Lea rner/s
Impairment Large Print
Talking Book Tactile Braille
Male Female Size 16 Font Size 18 Font Size 20 font
Grade 11
1. Academic Track
A. ABM
Visually Impaired
low Vision
With reading Disability
B. HUMMS
Visually Impaired
low Vision
With reading Disability
C. STEM
Visually Impaired
low Vision
With reading Disability
D. GEN. ACADEMIC
Visually Impaired
low Vision
With reading Disability
E. Maritime Pre-Bacc.
Visually Impaired
low Vision
With reading Disability
 Needed Materials
Number of Lea rner/s
Impairment Large Print
Talking Book Tactile Braille
Male Female Size 16 Font Size 18 Font Size 20 font
Grade 11
II. TVLTrack
A. Agri-Fishery
Visually Impaired
low Vision
With reading Disability
B. Home Economics
Visually Impaired
low Vision
With reading Disability
C. ICT
Visually Impaired
low Vision
With reading Disability
D. Ind. Arts
Visually Impaired
low Vision
With reading Disability
E. Maritime
Visually Impaired
low Vision
With reading Disability
III. Sports Track
Visually Impaired
low Vision
With reading Disability
IV. Arts and Design Track
Visually Impaired
low Vision
With reading Disability
Template No. 6. VISUALLY IMPAIRED/LOW VISION/ WITH READING DISABILITY LEARNERS’ DATA (Senior HS- Grade 11)
School Year: 2018-2019
Region: V
District: ________
School ID: _________
School: _____________________
School Address: _____________________
Needed Materials
Number of Lea rner/s
Impairment Large Print
Talking Book Tactile Braille
Male Female Size 16 Font Size 18 Font Size 20 font
Grade 12
1. Academic Track
A. ABM
Visually Impaired
low Vision
With reading Disability
B. HUMMS
Visually Impaired
low Vision
With reading Disability
C. STEM
Visually Impaired
low Vision
With reading Disability
D. GEN. ACADEMIC
Visually Impaired
low Vision
With reading Disability
E. Maritime Pre-Bacc.
Visually Impaired
low Vision
With reading Disability
low Vision
With reading Disability
D. Ind. Arts
Visually Impaired
low Vision
With reading Disability
E. Maritime
Visually Impaired
low Vision
With reading Disability
III. Sports Track
Visually Impaired
low Vision
With reading Disability
IV. Arts and Design Track
Visually Impaired
low Vision
With reading Disability