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  • Student Consultation Form

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    Mark D. Feliciano
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    The document is a student consultation form from Bulacan State University in the Philippines. It collects information from a student requesting consultation, including their name, student number, course, subject, and areas of concern. The form also collects information from the responding faculty member, including when and how the request was received, how the consultation took place, whether the concern was resolved and if so how, or the next step if not resolved yet. It collects signatures from both the student and faculty member.

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    The document is a student consultation form from Bulacan State University in the Philippines. It collects information from a student requesting consultation, including their name, student number, course, subject, and areas of concern. The form also collects information from the responding faculty member, including when and how the request was received, how the consultation took place, whether the concern was resolved and if so how, or the next step if not resolved yet. It collects signatures from both the student and faculty member.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    5 views2 pages

    Student Consultation Form

    Uploaded by

    Mark D. Feliciano
    The document is a student consultation form from Bulacan State University in the Philippines. It collects information from a student requesting consultation, including their name, student number, course, subject, and areas of concern. The form also collects information from the responding faculty member, including when and how the request was received, how the consultation took place, whether the concern was resolved and if so how, or the next step if not resolved yet. It collects signatures from both the student and faculty member.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines

    BULACAN STATE UNIVERSITY


    City of Malolos, Bulacan

    STUDENT CONSULTATION FORM

    STUDENT REQUEST
    To be filled out by the student
    Name: Student Number:
    Course: Year: Section:
    st
    Subject: 1 Sem 2nd Sem AY 20___-20___
    Areas of Concern: Please tick the box of the specific concern.
    Academic Performance (grades, performance ratings)

    Personal grievances (faculty, classmate, member of BulSU community

    Recent social changes affecting studies (family, peer relationships)


    Other concerns. Please specify _______________________________

    Date of Request: Signature:

    FACULTY RESPONSE
    To be filled out by the faculty
    Name:
    Request received on (Date and Time):
    Mode of consultation: Onsite (University) Online
    Student’s concern has been resolved:

    If yes, describe how it was resolved.

    If no, describe the next step.

    Other remarks:

    Date and time of consultation: Signature:

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