Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OFFICE I PANGASINAN
LR Innovation Tracking Number:
Name of Writer/Developer:
Learning Resource Title:
Learning Resource Type:
Form 1
CONTEXTUALIZED LEARNING RESOURCE MATERIAL PROPOSAL
Developer Contact
Developer Email:
Number:
School: District:
School Address: Sch. Phone No.:
SCHOOL LEVEL
Checked and Endorsed by:
School LR Coordinator / Master Teacher
Date:
Department Head (if applicable) School Head
Date: Date:
DISTRICT LEVEL
Checked and Endorsed by:
Public School District Supervisors
Date:
DIVISION LEVEL
Quality Assured by: Quality Assured Checked by:
JERRY R. JUNIO, PhD. LALAINE C. ROSARIO, EdD.
EPS – Science EPSs in English
Date: Date:
Checked by: Reviewed and Endorsed by:
MICHAEL E. RAME, EdD CARMINA C. GUTIERREZ, EdD
EPS – LRMS Chief Education Supervisor, CID
Date: Date:
Recommending Approval: Approved:
ARLENE B. CASIPIT, CESE FATIMA R. BOADO, CESO V
Assistant Schools Division Superintendent Schools Division Superintendent
Date: Date:
Address: Alvear St. Lingayen, Pangasinan
Telephone No.: (075)-522-2202
Email: pangasinan1@deped.gov.ph