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STA.

FE STAND-ALONE SENIOR HIGH SCHOOL


Sta. Fe, Leyte

LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX

Name: _______________________________________________________________________ Gender: � Male � Female

Grade and Section: ___________________________________________________________ Birthday: _______________________________

Address: _____________________________________________________________________ Adviser: ________________________________

Contact No.: ___________________________ E-mail: ______________________________ Quarter: __________ SY: ________________

Date Report Intended


Details of Concern Action to be Taken Remarks of Acton Taken
Reported for
� Need � Dialogue � Ongoing

� Progress � Consultation � Accomplished


Details:
� Achievement � Home Visitation _______________________
_______________________
� Assembly/Forum _______________________
_______________________

� Need � Dialogue � Ongoing

� Progress � Consultation � Accomplished


Details:
� Achievement � Home Visitation _______________________
_______________________
� Assembly/Forum _______________________
_______________________

� Need � Dialogue � Ongoing

� Progress � Consultation � Accomplished


Details:
� Achievement � Home Visitation _______________________
_______________________
� Assembly/Forum _______________________
_______________________

� Need � Dialogue � Ongoing

� Progress � Consultation � Accomplished


Details:
� Achievement � Home Visitation _______________________
_______________________
� Assembly/Forum _______________________
_______________________

Remarks:
STA. FE STAND-ALONE SENIOR HIGH SCHOOL
Sta. Fe, Leyte

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name: _______________________________________________________________________ � Parent � Mother


Address: _____________________________________________________________________ � Father
� Guardian
� Relative
Contact No.: _________________________________________________________________
� Other (Specify)

Name of Student: _____________________________________________________________ Gender: � Male � Female


Grade and Section: ___________________________________________________________ Quarter: �1st �2nd �3rd �4th
Name of Adviser: _____________________________________________________________ School Year: ____________________________

Date
Type of Encounter Details of Concern Agreed Resolution Signature
Reported

� Dialogue
Parent/Guardian:
� Consultation _______________________

� Home Visitation Teacher:

_______________________
� Assembly/Forum

� Dialogue
Parent/Guardian:
� Consultation _______________________

� Home Visitation Teacher:

_______________________
� Assembly/Forum

� Dialogue
Parent/Guardian:
� Consultation _______________________

� Home Visitation Teacher:

_______________________
� Assembly/Forum

� Dialogue
Parent/Guardian:
� Consultation _______________________

� Home Visitation Teacher:

_______________________
� Assembly/Forum

Remarks:

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