Template 1

LEARNERS NEEDS, PROGRESS AND ACHIEVEMENT CARDEX

Name: ____________________________________________ Gender: Male Female

Grade & Section: __________________________________ Birthday: ___________________________
Address: __________________________________________ Adviser: ____________________________
Contact #: ________________________ E-mail: ________________ Quarter ________ SY: 2019 -
2020
Date Report
Action to be
Report Intended Details of Concern Remarks of Action Taken
taken
ed for
Need Dialogue On Going

Progress Consultation Accomplished

Achievement Home Visitation Details:

______________________________
Assembly/Forum ______________________________
______________________________
______________________________

Need Dialogue
On Going
Progress Consultation Accomplished
Achievement Home Visitation Details:
______________________________
Assembly/Forum ______________________________
______________________________
______________________________

Need Dialogue
On Going
Progress Consultation Accomplished
Achievement Home Visitation Details:
______________________________
Assembly/Forum ______________________________
______________________________
______________________________

Dialogue
Need On Going
Consultation Accomplished
Progress
Home Visitation Details:
Achievement ______________________________
Assembly/Forum ______________________________
______________________________
______________________________

Remarks:
 TEMPLATE 2
PARENTS/GUARDIANS COMMUNICATION CARDEX

Name: ____________________________________________ Parent Mother Father

Address: __________________________________________ Guardian Relative Other (specify)
Contact Number: _________________________________
____________
Name of Pupil: ____________________________________ Gender: Male Female
Grade and Section: _______________________________ Quarter: 1st 2nd 3rd 4th

Name of Adviser: _________________________________ School Year: 2019 - 2020

Date Type of Details of Agreed
Signature
Reported Encounter Concern Resolution

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: