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Guidance Form

This document is a case report from Paraoir Elementary School in La Union, Philippines. It records information about a student, including their name, address, parents, and the nature of their problem, which could be emotional, financial, health-related, spiritual, family-related, or academic. It describes the incident and any intervention or action taken. Signatures are included from the student, parent/guardian, adviser, and guidance teacher.

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95 views2 pages

Guidance Form

This document is a case report from Paraoir Elementary School in La Union, Philippines. It records information about a student, including their name, address, parents, and the nature of their problem, which could be emotional, financial, health-related, spiritual, family-related, or academic. It describes the incident and any intervention or action taken. Signatures are included from the student, parent/guardian, adviser, and guidance teacher.

Uploaded by

ronna ordinado
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
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Republic of the Philippines

Region I
DIVISION OF LA UNION
Balaoan District
PARAOIR ELEMENTARY SCHOOL

CASE REPORT
___________________
Date

NAME: _________________________________________GRADE/SECTION: _____________


ADDRESS: __________________________________________________________________
PARENTS: ___________________________________________________________________
NATURE OF THE PROBLEM: (Emotional, Financial, Health, Spiritual, Family, Academics, etc.)
___________________________________________________________________________

INCEDENT:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

INTERVENTION/ACTION TAKEN:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

_______________________________ ___________________________
Pupil’s Signature Parent/Guardian’s Signature

_______________________________ ___________________________
Adviser Guidance Teacher

ADELINO N. URBANO JR.


District Instructional Supervisor
Guidance Form 3
Republic of the Philippines

Region I
DIVISION OF LA UNION
Balaoan District
PARAOIR ELEMENTARY SCHOOL

___________________
Date

Dear Parent/ Guardian,

May I invite you for a conference/important consultative meeting with the undersigned
regarding your son/daughter, _______________________________________________
on ______________________________ for the following reason:
(Date and Time)

____________________________ Tardiness
____________________________ Absences
____________________________ Academic Problem/s
____________________________ Behavioural Problem
____________________________ Others

Please take your time to be with us. Thank you very much.

_____________________________________ LORNA B. PARTIBLE


Adviser Guidance Coordinator

Noted:

_____________________________________
School Head

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