Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Lapu-Lapu City
BABAG NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL
Babag, Lapu-Lapu City
School Year: 2021-2022

INDIVIDUAL LEARNING MONITORING PLAN

Learner’s Name:
Grade Level and Section:

Learner’s Status
Learning Learner’s Intervention Strategies Monitoring
Area Need/s Provided Date Insignificant Significant Mastery
Progress Progress

Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Intervention
Learner is making significant progress. Continue with learning plan.
Status
Learner has reached mastery of the competencies in learning plan.

___________________________________ ____________________________________
Student’s Name & Signature Parent’s Name & Signature

Prepared by: JENNIFER VICENTILLO-GONZALES

Subject Teacher

STUDENT/PARENTS’ COMMUNICATION SHEET

Name: ___________________________________________ Parent: Mother
Address: _________________________________________ Guardian Father
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Address : Babag, Lapu-Lapu City
Telephone No. : (032) 326-8619
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu-Lapu City
BABAG NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL
Babag, Lapu-Lapu City
School Year: 2021-2022

Contact #: ______________________________________ Other, specify: ______________

Name of student: ________________________________ Gender: Male Female
Grade and Section: ______________________________ Quarter: 1st 2nd 3rd 4th
Name of Teacher: _______________________________ Subject: __________________________
Date
Reported Report Intended for Details of Concern Agreed Resolution Signature
Dialogue Student:
___________________
Consultation
Parent:
Home Visitation ___________________

Assembly/Forum Teacher:
___________________
Dialogue Student:
___________________
Consultation
Parent:
Home Visitation ___________________

Assembly/Forum Teacher:
___________________
Dialogue Student:
___________________
Consultation
Parent:
Home Visitation ___________________

Assembly/Forum Teacher:
___________________
Guidance Form 6
Dialogue Student:
___________________
Consultation
Parent:
Home Visitation ___________________

Assembly/Forum Teacher:
___________________

Prepared by: JENNIFER VICENTILLO-GONZALES

Subject Teacher

Name: __________________________________________ Sex: _____________ Age: ______

Birthdate: _______________________________________ Birthplace: ________________________
Guardian: _______________________________________ Contact #: ________________________
Home Address: __________________________________________________________________________
Junior High School completed: __________________________________ SY: ____________________
Last school attended: ___________________________________________ SY: ____________________

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Address : Babag, Lapu-Lapu City
photo
Telephone No. : (032) 326-8619
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu-Lapu City
BABAG NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL
Babag, Lapu-Lapu City
School Year: 2021-2022

I. Credentials submitted: Date Submitted:

SF 9 (Report Card) ___________________
NSO/PSA Birth Certificate ___________________
SF 10 (F137-A) ___________________

II. Releasing of Report Card/Grade Slip

Quarter Name of Parent/Guardian Signature Date
First _______________________________ _______________ ____________
Second _______________________________ _______________ ____________
Third _______________________________ _______________ ____________
Fourth _______________________________ _______________ ____________

III. Incidents/Offense
Date Incidents/Offense
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

IV. Parent’s follow-up in school

Date Purpose/Comment Signature
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

V. Home Visitation
Date Purpose/Comment Signature
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

0
Address : Babag, Lapu-Lapu City
Telephone No. : (032) 326-8619