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Department of Education

Region III
City of San Fernando
LARA INTEGRATED SCHOOL
City of San Fernando (P)

LETTER OF INTENT

Date: __________________

JENNIFER S. LUMANUG
Principal I
Lara Integrated School
Brgy. Lara City of San Fernando (P)

Dear Mam,

This is to express my intention to conduct an _____(INTERVENTION) on ____INCLUSIVE DATES_____


that we will help and improve my pupils’ performances and competencies in my subject. This program will be conducted
to decrease the number of students who consistently fail in each quarter. The goal of this intervention is to reduce, if
not completely abolish, the number of students who have difficulty in grasping the competencies in my subject. With
this, I thank your good office in supporting us in this endeavor.

Very truly yours,

________________________
Teacher I

Noted by:

SANTA D. NALUZ
Master Teacher II
Department of Education
Region III
City of San Fernando
LARA INTEGRATED SCHOOL
City of San Fernando (P)

MATRIX OF ACTIVITIES

Grade Level Date Activity

PREPARED BY: NOTED BY:

SANTA D. DELA CRUZ JENNIFER S. LUMANUG


Teacher I Principal I
Department of Education
Region III
City of San Fernando
LARA INTEGRATED SCHOOL
City of San Fernando (P)

ATTENDANCE

Grade Level Name of Pupil Initial Grade Signature

PREPARED BY: NOTED BY:

SANTA D. DELA CRUZ JENNIFER S. LUMANUG


Teacher I Principal I
Department of Education
Region III
City of San Fernando
LARA INTEGRATED SCHOOL
City of San Fernando (P)

PICTURES

PREPARED BY: NOTED BY:

SANTA D. DELA CRUZ JENNIFER S. LUMANUG


Teacher I Principal I
Department of Education
Region III
City of San Fernando
LARA INTEGRATED SCHOOL
City of San Fernando (P)

ACTIVITY COMPLETION REPORT (ACR)

____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
__________________

PREPARED BY: NOTED BY:

SANTA D. DELA CRUZ JENNIFER S. LUMANUG


Teacher I Principal I

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