Republic of the Philippines
Department of Education
Region X – Northern Mindanao
Division of Iligan City
HINAPLANON NATIONAL HS
Hinaplanon, Iligan City
PARENT’S / GUARDIAN’S NOTICE FORM
( LEARNER’S ABSENCES / BEHAVIOR )
Date: _____________________
TO : MR. / MS. _______________________________________
_______________
Address: ___________________________________________________________
Contact No. :________________________________________________________
Name Of Learner:____________________________________________________
Grade Level & Section: _________________ Contact No.:____________________
Teacher Adviser: ____________________________________________________
Number of Days Absent: ______________________________________________
Specified Dates of Absences: __________________________________________
Observed Behavior : _________________________________________________
REMARK:
Please confer with the teacher adviser on the Performance / Behavior of your
son /daughter in the school the soonest possible time.
________________________________
G7- ADVISER
Contact No: _________________________
Noted:
____________________________
Republic of the Philippines
Department of Education
Region X – Northern Mindanao
Division of Iligan City
HINAPLANON NATIONAL HIGH SCHOOL
Hinaplanon, Iligan City
HOME VISITATION FORM
Number of times visited the home: __________
Date of Visit: ______________________ Time Arrival in the home of learner: ___________________
Name of Learner: ______________________________________________________________________
Grade Level &Section: ___________________________Contact No.:_____________________________
Home Address: ________________________________________________________________________
Name of Father:_________________________________________ Contact Number:________________
Name of Mother: _______________________________________ Contact Number :_______________
If the learner is not living with parents,
State the name of Guardian:_____________________________________________________________
Contact Number of Guardian:______________________________
PERSONS PRESENT DURING THE VISIT:
Name of Persons Relationship to the Learner
1. __________________________________________________________________________________
2. __________________________________________________________________________________
3. __________________________________________________________________________________
Purpose of Visit:
_____________________________________________________________________________________
Nature of Problems:
_____________________________________________________________________________________
Solutions Offered:
____________________________________________________________________________________.
Agreement:
_____________________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________.
________________________________________
Teacher Adviser/ Subject Teacher
CONTACT NUMBER: __________________________
___________________________________________
CONFIRMATION OF TEACHER ADVISER’S / SUBJECT TEACHER’S DURING HOME VISIT
______________________________________ _________________________________________
Signature over Printed Name of Learner Signature over Printed name of Parent/ Guardian
Date: _____________________________
Republic of the Philippines
Department of Education
Region X – Northern Mindanao
Division of Iligan City
HINAPLANON NATIONAL HS
Hinaplanon, Iligan City
PARENT’S / GUARDIAN’S NOTICE
TO: ( Parent / Guardian)
_________________________________________Contact No.:_____________
ADDRESS: __________________________________________________________
NAME OF LEARNER: __________________________________________________
GRADE LEVEL & SECTION: _________________Contact No.:__________________
TEACHER ADVISER: __________________________________________________
You are hereby requested to see the Guidance Officer on ______________________at
___________________________for an important matter regarding the above-mentioned
student. Your cooperation is highly expected.
__________________________________
Guidance Officer
Contact Number: ____________________
Noted:
____________________________
School Head
Republic of the Philippines
Department of Education
Region X – Northern Mindanao
Division of Iligan City
HINAPLANON NATIONAL HS
Hinaplanon, Iligan City
CALL / APPOINTMENT SLIP
( FOR: Teacher/ Parent / Guardian / Other Personalities )
TO:
NAME POSITION
1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
Kindly report to the Guidance Office for a conference.
DATE: ______________________________________ TIME : _______________________
______________________________
Guidance Officer
Contact No.: ___________________
Noted:
____________________________
School Head
-------------------------------------------------------------------------------------------------------------------------------
Acknowledgement Slip
AFFIX SIGNATURE FOR CONFIRMATION:
NAME SIGNATURE If cannot attend, Give valid reason.
1. ____________________________________________ ______________________________
2. ____________________________________________ ______________________________
3. ____________________________________________ ______________________________
4. ____________________________________________ ______________________________
5. ____________________________________________ ______________________________
Scheduled date of conference ( for reminders ): _______________________
Republic of the Philippines
Department of Education
Region X – Northern Mindanao
Division of Iligan City
HINAPLANON NATIONAL HS
Hinaplanon, Iligan City
CALL / APPOINTMENT SLIP
( FOR: Individual Learner / Group of Learners )
TO:
NAME OF PUPIL/S GRADE LEVEL & SECTION CONTACT NO.
1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
Kindly report to the Guidance Office for a conference.
Before going home
____ Morning ____ Afternoon
During free time
As soon as possible, urgent !
___________________________________
Guidance Officer
Contact Number: ____________________
Noted:
____________________________
School Head
Republic of the Philippines
Department of Education
Region X – Northern Mindanao
Division of Iligan City
HINAPLANON NATIONAL HS
Hinaplanon, Iligan City
REFERRAL SLIP
( FOR: Individual Learner / Group of Learners )
TO:
NAME OF LEARNER/S GRADE LEVEL & SECTION CONTACT NO.
1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
SCHOOL PROBLEMS: ( please check )
( ) Irregular attendance ( ) Illness
( ) Truancy ( ) Lack of interest in school work
( ) Habitual Tardiness ( ) Behavior problem
( ) Bullying ( ) Others, please specify:
___________________________________________________________________
___________________________________________________________________
__________________________________________________________________.
Referred by:
___________________________________
Signature Over Printed Name of Teacher
Grade and Section Assignment :
___________________________________
Contact No.: ________________________
Date: ______________________________
