LEARNERS NEEDS, PROGRESS AND ACHIEVEMENT CARDEX
Name: _______________________________________________             Gender:           Male     Female
Grade and Section: _____________________________________          Birthday: _____________________
Address: _____________________________________________            Adviser: ______________________
Contact No.: ___________________ E-mail: _________________        Quarter: __________ SY: ________
                                                                                          Remarks of Action
    Date Reported      Report Intended for   Details of Concern     Action to be Taken
                                                                                               Taken
                         Need                                        Dialogue              Ongoing
                         Progress                                    Consultation          Accomplished
                         Achievement                                 Home Visitation
                                                                                         Details:
                                                                     Assembly/Forum      ________________
                                                                                         ________________
                                                                                         ________________
                                                                                         ________________
                         Need                                        Dialogue              Ongoing
                         Progress                                    Consultation          Accomplished
                         Achievement                                 Home Visitation
                                                                                         Details:
                                                                     Assembly/Forum      ________________
                                                                                         ________________
                                                                                         ________________
                                                                                         ________________
                         Need                                        Dialogue              Ongoing
                         Progress                                    Consultation          Accomplished
                         Achievement                                 Home Visitation
                                                                                         Details:
                                                                     Assembly/Forum      ________________
                                                                                         ________________
                                                                                         ________________
                                                                                         ________________
                         Need                                        Dialogue              Ongoing
                         Progress                                    Consultation          Accomplished
                         Achievement                                 Home Visitation
                                                                                         Details:
                                                                     Assembly/Forum      ________________
                                                                                         ________________
                                                                                         ________________
                                                                                         ________________
 Remarks:
 ________________________________________________________________________________________________
 ________________________________________________________________________________________________
 ________________________________________________________________________________________________
 ________________________________________________________________________________________________
                           PARENTS/GUARDIANS COMMUNICATION CARDEX
Name: __________________________________________________            Parent                Mother
                                                                                          Father
Address: ________________________________________________           Guardian              Relative
                                                                                          Other (Specify)
Contact No.: _____________________________________________
Name of Student: _________________________________________       Gender:           Male          Female
Grade and Section: _____________________________________         Quarter:    1st   2nd     3rd     4th
Name of Adviser: _________________________________________       School Year: _____________________
    Date Reported      Type of Encounter    Details of Concern      Agreed Resolution            Signature
                        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:
 ________________________________________________________________________________________________
 ________________________________________________________________________________________________
 ________________________________________________________________________________________________
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