Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF LIPA CITY
TEODORO M. KALAW MEMORIAL SCHOOL
BALINTAWAK, LIPA CITY

Individual Monitoring Plan

Learner's Name: Cordeno, Lloyd I.

Grade Level: NON-GRADED SPED ST. JOHN
Monitoring Learner's Status
Learning Area Learner's Needs Intervention Strategies Provided Insignificant Significant
Date Mastery
Progress Progress
Cognitive and Give brief breaks for active play and practice October 5-30,
struggle with attention often 2020 
   /  
Communication skills attention breaks.
needs reminders about the daily tasks’ Provide daily schedule or program for his October 5-30,
Daily Living Skills 2020     /  
routine daily tasks’ routine.
Provide an area/performance task October 5-30,
Psycho-social has a difficult time concentrating and to work on. 2020 
   /  
Development Skills gets distracted easily Remove unnecessary clutter and visual
experiences from the workspace
Provide handwriting sheets that he can use October 5-30,
Psychomotor Skills working on his handwriting. 2020     /  
for practice.
Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Intervention Status
Learning is making significant progress. Continue with the learning plan.
Learner has reached mastery of the competencies in learning plan.

Submitted by: Verified by:

LOVELLY F. FACTOR MARELIN V. LUBIS

Teacher I Principal II
Date: November 6, 2020 Date: November 6, 2020

Address: Balintawak, Lipa City

Telephone No: (043) 781-5643 Page |1
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF LIPA CITY
TEODORO M. KALAW MEMORIAL SCHOOL
BALINTAWAK, LIPA CITY

Individual Monitoring Plan

Learner's Name: Guevarra, Glenn Justin D.

Grade Level: NON-GRADED SPED ST. JOHN
Monitoring Learner's Status
Learning Area Learner's Needs Intervention Strategies Provided Insignificant Significant
Date Mastery
Progress Progress
Cognitive and Give brief breaks for active play and practice October 5-30,
struggle with attention often 2020 
   /  
Communication skills attention breaks.
needs reminders about the daily tasks’ Provide daily schedule or program for his October 5-30,
Daily Living Skills 2020     /  
routine daily tasks’ routine.
Provide an area/performance task October 5-30,
Psycho-social has a difficult time concentrating and to work on. 2020 
   /  
Development Skills gets distracted easily Remove unnecessary clutter and visual
experiences from the workspace
Provide handwriting sheets that he can use October 5-30,
Psychomotor Skills working on his handwriting. 2020     /  
for practice.
Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Intervention Status
Learning is making significant progress. Continue with the learning plan.
Learner has reached mastery of the competencies in learning plan.

Submitted by: Verified by:

LOVELLY F. FACTOR MARELIN V. LUBIS

Teacher I Principal II
Date: November 6, 2020 Date: November 6, 2020

Address: Balintawak, Lipa City

Telephone No: (043) 781-5643 Page |2
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF LIPA CITY
TEODORO M. KALAW MEMORIAL SCHOOL
BALINTAWAK, LIPA CITY

Individual Monitoring Plan

Learner's Name: Ambulo, Sadat H.

Grade Level: NON-GRADED SPED ST. JOHN
Monitoring Learner's Status
Learning Area Learner's Needs Intervention Strategies Provided Insignificant Significant
Date Mastery
Progress Progress
Cognitive and Give brief breaks for active play and practice October 5-30,
struggle with attention often 2020 
   /  
Communication skills attention breaks.
needs reminders about the daily tasks’ Provide daily schedule or program for his October 5-30,
Daily Living Skills 2020     /  
routine daily tasks’ routine.
Provide an area/performance task October 5-30,
Psycho-social has a difficult time concentrating and to work on. 2020 
   /  
Development Skills gets distracted easily Remove unnecessary clutter and visual
experiences from the workspace
Provide handwriting sheets that he can use October 5-30,
Psychomotor Skills working on his handwriting. 2020     /  
for practice.
Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Intervention Status
Learning is making significant progress. Continue with the learning plan.
Learner has reached mastery of the competencies in learning plan.

Submitted by: Verified by:

LOVELLY F. FACTOR MARELIN V. LUBIS

Teacher I Principal II
Date: November 6, 2020 Date: November 6, 2020

Address: Balintawak, Lipa City

Telephone No: (043) 781-5643 Page |3
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF LIPA CITY
TEODORO M. KALAW MEMORIAL SCHOOL
BALINTAWAK, LIPA CITY

Individual Monitoring Plan

Learner's Name: Magmanlac, Clark

Grade Level: NON-GRADED SPED ST. JOHN
Monitoring Learner's Status
Learning Area Learner's Needs Intervention Strategies Provided Insignificant Significant
Date Mastery
Progress Progress
Cognitive and Give brief breaks for active play and practice October 5-30,
struggle with attention often 2020 
   /  
Communication skills attention breaks.
needs reminders about the daily tasks’ Provide daily schedule or program for his October 5-30,
Daily Living Skills 2020     /  
routine daily tasks’ routine.
Provide an area/performance task October 5-30,
Psycho-social has a difficult time concentrating and to work on. 2020 
   /  
Development Skills gets distracted easily Remove unnecessary clutter and visual
experiences from the workspace
Provide handwriting sheets that he can use October 5-30,
Psychomotor Skills working on his handwriting. 2020     /  
for practice.
Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Intervention Status
Learning is making significant progress. Continue with the learning plan.
Learner has reached mastery of the competencies in learning plan.

Submitted by: Verified by:

LOVELLY F. FACTOR MARELIN V. LUBIS

Teacher I Principal II
Date: November 6, 2020 Date: November 6, 2020

Address: Balintawak, Lipa City

Telephone No: (043) 781-5643 Page |4
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF LIPA CITY
TEODORO M. KALAW MEMORIAL SCHOOL
BALINTAWAK, LIPA CITY

Individual Monitoring Plan

Learner's Name: Montalbo, Gelverzon

Grade Level: NON-GRADED SPED ST. JOHN
Monitoring Learner's Status
Learning Area Learner's Needs Intervention Strategies Provided Insignificant Significant
Date Mastery
Progress Progress
Cognitive and Give brief breaks for active play and practice October 5-30,
struggle with attention often 2020 
   /  
Communication skills attention breaks.
needs reminders about the daily tasks’ Provide daily schedule or program for his October 5-30,
Daily Living Skills 2020     /  
routine daily tasks’ routine.
Provide an area/performance task October 5-30,
Psycho-social has a difficult time concentrating and to work on. 2020 
   /  
Development Skills gets distracted easily Remove unnecessary clutter and visual
experiences from the workspace
Provide handwriting sheets that he can use October 5-30,
Psychomotor Skills working on his handwriting. 2020     /  
for practice.
Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Intervention Status
Learning is making significant progress. Continue with the learning plan.
Learner has reached mastery of the competencies in learning plan.

Submitted by: Verified by:

LOVELLY F. FACTOR MARELIN V. LUBIS

Teacher I Principal II
Date: November 6, 2020 Date: November 6, 2020

Address: Balintawak, Lipa City

Telephone No: (043) 781-5643 Page |5