Select Modality *Select ModalityBlended Learning ModalityModular Distance ModalityOnline Distance ModalitySelect ModalitySelect School *SchoolAntipolo National High SchoolAntipolo City Senior High SchoolBagong Nayon II National High SchoolSan Isidro National High SchoolDela Paz National High SchoolMuntindilaw National High SchoolMambugan National High SchoolMayamot National High SchoolSan Jose National High SchoolSan Roque National High SchoolDalig National High SchoolMarcelino M. Santos National High SchoolCupang National High SchoolBinayoyo IS (JHS)Antipolo National Science & Technology High SchoolMaximo L. Gatlabayan Memorial National High SchoolOld Boso-Boso National High SchoolSan Juan National High SchoolApia IS (JHS)Canumay National High SchoolKaysakat National High SchoolCalawis National High SchoolRizza National High SchoolSchool Head's Name *ADM Coordinator's Name *Grade 7 - No. of Learners Affected - MaleType "0" if none, or not applicableGrade 7 - No. of Learners Affected - FemaleType "0" if none, or not applicableGrade 8 - No. of Learners Affected - MaleType "0" if none, or not applicableGrade 8 - No. of Learners Affected - FemaleType "0" if none, or not applicableGrade 9 - No. of Learners Affected - MaleType "0" if none, or not applicableGrade 9 - No. of Learners Affected - FemaleType "0" if none, or not applicableGrade 10 - No. of Learners Affected - MaleType "0" if none, or not applicableGrade 10 - No. of Learners Affected - FemaleType "0" if none, or not applicableSenior High School - No. of Learners Affected - MaleType "0" if none, or not applicableSenior High School - No. of Learners Affected - FemaleType "0" if none, or not applicableNo. of Classes AffectedType "0" if none, or not applicableReasons for Blended Learning / Modular Distance / Online Distance ModalityReasonsStart DateExpected End DateExpected No. of DaysActual No. of DaysType of LRs used by Learners affected by calamities (Textbook/ SLMs/ Worksheets/ Digital copies)TextbooksSelf-learning Modules (SLMs)WorksheetsDigital CopiesCheck whichever is applicableLRs to Pupil RatioLRs to Pupil RatioSelectIs there a gadget provided to learners affected by calamities?YESNOIs there a gadget provided to learners affected by calamities?No. of gadgets provided to learnersType "0" if none, or not applicableAccomplished by *Your nameDate Accomplished *Submit
