Template No. 1: Date Reported Report Intended For Details of Concern Action To Be Taken Remarks of Action Taken

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Division of City Schools-Valenzuela

Valenzuela Central District


LINGUNAN ELEMENTARY SCHOOL

P. Gregorio St. Lingunan, Valenzuela City Tel no. 432-47-03/236-30-40

TEMPLATE NO. 1

LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX

Name: _______________________________________________ Gender:  Male  Female


Grade and Section: __________________________________ Birthday: ________________
Address: _____________________________________________ Adviser: _________________
Contact No. ________________ Email: __________________ Quarter: ______ SY: _______

Date Reported Report Intended Details of Action to be Remarks of Action


for Concern Taken Taken
 Need  Dialogue  Ongoing
 Accomplished
 Progress  Consultation Details
________________
 Achievements  Home Visitation ________________
________________
 Assembly/Forum ________________

 Need  Dialogue  Ongoing


 Accomplished
 Progress  Consultation Details
________________
 Achievements  Home Visitation ________________
________________
 Assembly/Forum ________________

 Need  Dialogue  Ongoing


 Accomplished
 Progress  Consultation Details
________________
 Achievements  Home Visitation ________________
________________
 Assembly/Forum ________________

 Need  Dialogue  Ongoing


 Accomplished
 Progress  Consultation Details
________________
 Achievements  Home Visitation ________________
________________
 Assembly/Forum ________________

Remarks:
_______________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Division of City Schools-Valenzuela
Valenzuela Central District
LINGUNAN ELEMENTARY SCHOOL

P. Gregorio St. Lingunan, Valenzuela City Tel no. 432-47-03/236-30-40

TEMPLATE NO. 2

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name: ___________________________________________________  Parent  Mother


 Father
 Guardian  Relative
 Other (Specify)

Name of Student: ___________________________________________ Gender:  Male  Female


Grade and Section: ________________________________________ Quarter:  1st  2nd  3rd  4th
Name of Adviser: ___________________________________________ School Year: ______________

Date Reported Types of Details of Agreed Resolution Signature


Encounter Concern
 Dialogue  Dialogue Parents/Guardian:
________________
 Consultation  Consultation
Teacher:
 Home Visitation  Home Visitation ________________

 Assembly/Forum  Assembly/Forum
 Dialogue  Dialogue Parents/Guardian:
________________
 Consultation  Consultation
Teacher:
 Home Visitation  Home Visitation ________________

 Assembly/Forum  Assembly/Forum
 Dialogue  Dialogue Parents/Guardian:
________________
 Consultation  Consultation
Teacher:
 Home Visitation  Home Visitation ________________

 Assembly/Forum  Assembly/Forum
 Dialogue  Dialogue Parents/Guardian:
________________
 Consultation  Consultation
Teacher:
 Home Visitation  Home Visitation ________________

 Assembly/Forum  Assembly/Forum

Remarks:
_______________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

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