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Republic of the Philippines

Department of Education
MIMAROPA REGION
OFFICE OF THE REGIONAL DIRECTOR

Annex 1- RM # 108 s. 2021

REMEDIAL PLAN FOR ESP INTERVENTION

Name:____________________________________________________________________
Date of Birth:_______________________________________________________________
Age: _______________________________________________________
School: _________________________________________________________
Period of Implementation: _________________________________________
Number of Hour: ____________________________________________________
Schedule: _______________________________________________________
Brief Background of the Recipients:
(Describe his/ her previous and performance)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
STATUS BEFORE REMEDIATION
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
NOTED AREAS OF DIFFICULTIES
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
BEHAVIORAL GOALS

STRENGTH WEAKNESSES GOALS & METHODS

Meralco Avenue corner St. Paul Road, Pasig


Telephone No.: (02) 6314070/ Email Address: mimaropa.region@deped.gov.ph
REMEDIAL PLAN/ INTERVENTION
General Goal:
_________________________________________________________________________
_________________________________________________________________________
Specific Goal:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
DESCRIPTION OF THE PLAN/ INTERVENTION
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

AREA: (Specify the topic: Example: Numbers & number Sense: Fractions)
STRENGTH WEAKNESSES GOALS & METHODS

STATUS AFTER REMEDIATION


_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
NOTED AREAS OF STRENGTHS
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Prepared by:
________________________________
Name Over printed name
Designation

NOTED:
________________________
School Head

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