DATA ON LEARNERS WITH SPECIAL EDUCATIONAL NEEDS (LSENs)

S.Y. 2018-2019

School:_______________________ SPED Coordinator: ______________________

Principal: Grade level:
Difficulty Male Female Total Remarks

1.Difficulty in Seeing (DS)

2. Difficulty in Performing Adaptive Skills (DPAS)
3. Difficulty in Displaying Interpersonal Behavior (DDIB)
4. Difficulty in Communicating (DC)
5. Difficulty in Hearing (DH)
6. Difficulty in Remembering and Concentrating (DRC)
7. Difficulty in Mobility (DM)
8. Difficulty in Applying Knowledge (DAK)
Grand total
Note: Indicate if graded or non-graded in the remarks.

PROFILE OF TEACHERS HANDLING LEARNERS

WITH SPECIAL EDUCATIONAL NEEDS (LSENs)

School:_______________________ SPED Coordinator: ___________________

Principal: Date:
Name of Teacher Position No. of SPED SPED Trainings attended
Years in Class/es
service handled
Title of Training Date/Venue

Report on the Administration of the Multi-factored Assessment Tools

(MFAT) S.Y 2018-2019
School: District:
Number of Grade One Learners Assessed
Male Female Total

Assessor: ______________________ Principal: ____________________

Signature over printed name Signature over printed name
 PROFILE OF TEACHERS HANDLING ENGLISH SUBJECTS
School: District:
Name Position Course Grade Trainings Attended
Major level
minor taught
Title of training Date, Venue

Principal: ___________________________
Signature over printed name