GC Form 15

STUDENT AT RISK OF DROPPING OUT (SARDO) AND

STUDENT AT RISK OF FAILING (SARF)

SCHOOL-BASED ASSESSMENT FORM

2021-2022
School Year _______________

APPLIED
GRADE POSSIBLE CAUSES FOR DESCRIBE THE APPLIED
NAME SEX AGE INTERVENTION REMARKS
LEVEL INCLUSION IN SARDO INTERVENTION STRATEGIES
STRATEGIES
Late submission and Incomplete Contacted parents and Contacting parents and students through different
ANAS, PAUL LAZARTE M 21 11
outputs students media platform, plus phone call and text message
Late submission and Incomplete Contacted parents and Contacting parents and students through different
DURAN, ALLEN VINCENT GINES M 16 11
outputs students media platform, plus phone call and text message
Late submission and Incomplete Contacted parents and Contacting parents and students through different
DALAGAN, HAZER JADE FORMOSO M 19 11
outputs students media platform, plus phone call and text message
Late submission and Incomplete
Contacted parents and Contacting parents and students through different
UTBO, BERNARD MARQUEZ M 17 11 outputs, showing little interest to
students media platform, plus phone call and text message
school
Late submission and Incomplete
Contacted parents and Contacting parents and students through different
LATORENO, ANGELICA CASTOR F 18 11 outputs, showing little interest to
students media platform, plus phone call and text message
school
Late submission and Incomplete Contacted parents and Contacting parents and students through different
MAGNO, JOHN CHARL ESGUERRA M 16 11
outputs students media platform, plus phone call and text message
COSADIO, JOHN LLOYD Late submission and Incomplete Contacted parents and Contacting parents and students through different
M 16 11
DARUNDAY outputs students media platform, plus phone call and text message
Late submission and Incomplete Contacted parents and Contacting parents and students through different
BAYSA, MELVIN M 17 11
outputs students media platform, plus phone call and text message

Prepared and Submitted by: Noted by: Thank you for submitting this form to the Guidance Office at
NOREL JAN M. PINEDA ARIEN C. RILLERA the end of every quarter. Please attach MOVs if needed.
_________________________ __________________________
Class Adviser Curriculum Head