STA.
FE STAND-ALONE SENIOR HIGH SCHOOL
                                                      Sta. Fe, Leyte
               LEARNER’S NEEDS, PROGRESS AND ACHIEVEMENT CARDEX
Name: _______________________________________________________________________ 	 Gender: 	          � Male	     �    Female
Grade and Section: ___________________________________________________________ 	Birthday: _______________________________
Address: _____________________________________________________________________ 	Adviser: ________________________________
Contact No.: ___________________________ 	E-mail: ______________________________ 	Quarter: __________ 	 SY: ________________
      Date           Report Intended
                                             Details of Concern         Action to be Taken       Remarks of Acton Taken
    Reported               for
                    �   Need                                           �   Dialogue             �   Ongoing
                    �   Progress                                       �   Consultation         �   Accomplished
                                                                                                Details:
                    �   Achievement                                    �   Home Visitation      _______________________
                                                                                                _______________________
                                                                       �   Assembly/Forum       _______________________
                                                                                                _______________________
                    �   Need                                           �   Dialogue             �   Ongoing
                    �   Progress                                       �   Consultation         �   Accomplished
                                                                                                Details:
                    �   Achievement                                    �   Home Visitation      _______________________
                                                                                                _______________________
                                                                       �   Assembly/Forum       _______________________
                                                                                                _______________________
                    �   Need                                           �   Dialogue             �   Ongoing
                    �   Progress                                       �   Consultation         �   Accomplished
                                                                                                Details:
                    �   Achievement                                    �   Home Visitation      _______________________
                                                                                                _______________________
                                                                       �   Assembly/Forum       _______________________
                                                                                                _______________________
                    �   Need                                           �   Dialogue             �   Ongoing
                    �   Progress                                       �   Consultation         �   Accomplished
                                                                                                Details:
                    �   Achievement                                    �   Home Visitation      _______________________
                                                                                                _______________________
                                                                       �   Assembly/Forum       _______________________
                                                                                                _______________________
  Remarks:
                         STA. FE STAND-ALONE SENIOR HIGH SCHOOL
                                                     Sta. Fe, Leyte
                      PARENTS/GUARDIANS COMMUNICATION CARDEX
Name: _______________________________________________________________________ 	    �   Parent         �      Mother
Address: _____________________________________________________________________ 	                      �      Father
                                                                                   �   Guardian
                                                                                                      �      Relative
Contact No.: _________________________________________________________________
                                                                                                      �      Other (Specify)
Name of Student: _____________________________________________________________ 	 Gender: 	        � Male	 � Female
Grade and Section: ___________________________________________________________ 	Quarter: �1st     �2nd �3rd �4th
Name of Adviser: _____________________________________________________________ 	 School Year: ____________________________
      Date
                     Type of Encounter        Details of Concern       Agreed Resolution                   Signature
    Reported
                   �    Dialogue
                                                                                                Parent/Guardian:
                   �    Consultation                                                            _______________________
                   �    Home Visitation                                                         Teacher:
                                                                                                _______________________
                   �    Assembly/Forum
                   �    Dialogue
                                                                                                Parent/Guardian:
                   �    Consultation                                                            _______________________
                   �    Home Visitation                                                         Teacher:
                                                                                                _______________________
                   �    Assembly/Forum
                   �    Dialogue
                                                                                                Parent/Guardian:
                   �    Consultation                                                            _______________________
                   �    Home Visitation                                                         Teacher:
                                                                                                _______________________
                   �    Assembly/Forum
                   �    Dialogue
                                                                                                Parent/Guardian:
                   �    Consultation                                                            _______________________
                   �    Home Visitation                                                         Teacher:
                                                                                                _______________________
                   �    Assembly/Forum
  Remarks: