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Department of Education: Republic of The Philippines Mimaropa Region Office of The Regional Director
Department of Education: Republic of The Philippines Mimaropa Region Office of The Regional Director
Department of Education
MIMAROPA REGION
OFFICE OF THE REGIONAL DIRECTOR
Name:____________________________________________________________________
Date of Birth:_______________________________________________________________
Age: _______________________________________________________
School: _________________________________________________________
Period of Implementation: _________________________________________
Number of Hour: ____________________________________________________
Schedule: _______________________________________________________
Brief Background of the Recipients:
(Describe his/ her previous and performance)
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_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
STATUS BEFORE REMEDIATION
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
NOTED AREAS OF DIFFICULTIES
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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BEHAVIORAL GOALS
AREA: (Specify the topic: Example: Numbers & number Sense: Fractions)
STRENGTH WEAKNESSES GOALS & METHODS
NOTED:
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School Head