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Sned Consent

The document is a consent form for parents/guardians of students at Doña Soledad Dolor Elementary School, informing them that their child may need additional educational support. It outlines the options for tagging the child in the Learners Information System and undergoing a medical diagnosis. Parents/guardians are asked to indicate their agreement or disagreement with these assessments and provide their signature.

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Jessie Jem Gardose
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396 views1 page

Sned Consent

The document is a consent form for parents/guardians of students at Doña Soledad Dolor Elementary School, informing them that their child may need additional educational support. It outlines the options for tagging the child in the Learners Information System and undergoing a medical diagnosis. Parents/guardians are asked to indicate their agreement or disagreement with these assessments and provide their signature.

Uploaded by

Jessie Jem Gardose
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
REGION XI – DAVAO
DIVISION OF DAVAO CITY
DOÑA SOLEDAD DOLOR ELEMENTARY SCHOOL
TALOMO EAST DISTRICT

SNED PARENT / GUARDIAN CONSENT FORM

Dear Parent/Guardian,
We are committed to ensuring the well-being and academic success of all
learners in our school. As part of this effort, your child has been identified as
needing additional support and may require:
1. TAGGING IN THE LEARNERS INFORMATION SYSTEM. This will reflect
your child’s need for specific educational support.
2. MEDICAL DIAGNOSIS. This will involve a formal evaluation by qualified
medical professionals to understand better and address your child’s
learning needs.

We assure you that all information gathered will remain confidential and
will be used solely to provide the best possible support for your child.

CHILD’S NAME: ___________________________ GRADE LEVEL: ______________


OBSERVATION: ___________________________ SCHOOL YEAR: ______________
__ I AGREE to have my child tagged in the Learners Information System (LIS) to
undergo Medical Assessment.

__ I AGREE to have my child tagged in the Learners Information System (LIS) ONLY
but not to undergo Medical Assessment.

__ I DO NOT AGREE to have my child tagged in the Learners Information System


(LIS) or undergo Medical Assessment because _____________________________
__________________________________________________________________.

_______________________________________________
SIGNATURE OVER PRINTED NAME OF PARENT/GUARDIAN

Sincerely,

______________________ JESSIE JEM GARDOSE


Class Adviser SNED School Coordinator

Noted by,

FERNANDO D. DIMAYUGA II HAZEL N. LINAZA


Assistant to the Principal Principal IV
Address: Durian St., Phase 1, NHA Bangkal, Talomo Proper, Davao City
Telephone No.: (082)285-1211
Email Address: [Link]@[Link]

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