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  • Dalipuga Central School

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    ako peke
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    1) The document appears to be forms used by Dalipuga Central School for documenting visits made by teachers to students' homes and neighborhood leaders (Purok presidents). 2) The forms collect information such as the date of the visit, names of those involved, the purpose and details of the discussion, and any results or follow-ups from the meeting. 3) Signatures from the teacher and student/Purok president and their parent or guardian are required to confirm the details of the visit.

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    form

    Original Title

    Home Visit

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    1) The document appears to be forms used by Dalipuga Central School for documenting visits made by teachers to students' homes and neighborhood leaders (Purok presidents). 2) The forms collect information such as the date of the visit, names of those involved, the purpose and details of the discussion, and any results or follow-ups from the meeting. 3) Signatures from the teacher and student/Purok president and their parent or guardian are required to confirm the details of the visit.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    25 views2 pages

    Dalipuga Central School

    Uploaded by

    ako peke
    1) The document appears to be forms used by Dalipuga Central School for documenting visits made by teachers to students' homes and neighborhood leaders (Purok presidents). 2) The forms collect information such as the date of the visit, names of those involved, the purpose and details of the discussion, and any results or follow-ups from the meeting. 3) Signatures from the teacher and student/Purok president and their parent or guardian are required to confirm the details of the visit.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Republic of the Philippines

    Department of Education
    Region X – Northern Mindanao
    Division of Iligan City
    Northeast II-A District
    DALIPUGA CENTRAL SCHOOL
    Dalipuga, Iligan City

    PUROK VISITATION FORM

    Date of Visit: _______________________________________

    Name of Purok President: __________________________________


    Number of Purok: ____________________________________
    Address: _________________________________________________________
    Persons Present during the visit: _____________________________________
    Concerns/Details of Visit: ___________________________________________
    ________________________________________________________________
    Result of Visit:
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________

    _____________________________________________________________________________________

    Teacher Enabler:______________________

    -----------------------------------------------------------------------------
    CONFIRMATION OF TEACHER ENABLER PUROK VISIT

    Signature over Printed Name of Officials Signature over Printed name of President

    Prepared by:
    Noted by: LAURA T. VELASQUEZ
    ANECITA B. JAO Ed. D. Teacher Adviser
    Date: _______________________
    Principal III
    Republic of the Philippines
    Department of Education
    Region X – Northern Mindanao
    Division of Iligan City
    Northeast II-A District
    DALIPUGA CENTRAL SCHOOL
    Dalipuga, Iligan City

    HOME VISITATION FORM

    Date of Visit: _________________________________________

    Name of Student: ___________________________________


    Section: ____________________________________
    Home Address: _________________________________________________________
    ______________________________________________________________________

    Persons Present during the visit: ______________________________________

    Concerns/Details of Visit: ___________________________________________


    ________________________________________________________________

    Result of Visit:

    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________
    _____________________________________________________________________________________

    Adviser/Subject Teacher:________________________

    -----------------------------------------------------------------------------
    CONFIRMATION OF ADVISER’S /SUBJECT TEACHER’S HOME VISIT

    Signature over Printed Name of Student Signature over Printed name of Parent/Guardian

    Prepared by:
    Cheery Faith Givenn T. Apale
    Noted by: Teacher Adviser
    ANECITA B. JAO Ed.D.
    Principal III

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