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Template No.

2 Parents/Guardians Communication Cardex


PPST Resource Package Module 12

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
Schools Division Office of Laguna
STO. TOMAS INTEGRATED HIGH SCHOOL
Brgy. Sto. Tomas, Calauan, Laguna

PARENTS/GUARDIANS COMMUNICATION CARDEX

Name of Student: _________________________________ Gender: ☐Male ☐Female


Grade and Section: ________________________________ Quarter: ☐1st ☐2nd ☐ 3rd ☐4th
Name of Adviser: _________________________________ School Year: __________________

Name: __________________________________________ ☐ Parent ☐Mother


☐Father
Address: ________________________________________ ☐ Guardian ☐ Relative
☐ Others ___________
Contact No.: _____________________________________

Date Reported Type of Encounter Details of Concern Agreed Resolution Signature


☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
Template No. 2 Parents/Guardians Communication Cardex
PPST Resource Package Module 12

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
Schools Division Office of Laguna
STO. TOMAS INTEGRATED HIGH SCHOOL
Brgy. Sto. Tomas, Calauan, Laguna

☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________
Template No. 2 Parents/Guardians Communication Cardex
PPST Resource Package Module 12

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
Schools Division Office of Laguna
STO. TOMAS INTEGRATED HIGH SCHOOL
Brgy. Sto. Tomas, Calauan, Laguna

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________
Template No. 2 Parents/Guardians Communication Cardex
PPST Resource Package Module 12

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
Schools Division Office of Laguna
STO. TOMAS INTEGRATED HIGH SCHOOL
Brgy. Sto. Tomas, Calauan, Laguna

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________

☐Dialogue Parent:
☐ Consultation _______________
☐ Home Visitation
☐ Assembly/Forum Teacher:
_______________
Template No. 2 Parents/Guardians Communication Cardex
PPST Resource Package Module 12

Republic of the Philippines


Department of Education
Region IV-A CALABARZON
Schools Division Office of Laguna
STO. TOMAS INTEGRATED HIGH SCHOOL
Brgy. Sto. Tomas, Calauan, Laguna

Remarks: ________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

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