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Name: Sherwin Jr. F. Fiedacan

Nickname: Sherwin Age:16
Birthday: January 10
Email address: sherwinfiedacn43@gmail.com Year level: 11
FB account: https://www.facebook.com/SherwinFiedacanJr/
This form is strictly for academic purposes only. We assure you full confidentiality with
regards to the information you will be sharing with us in accordance with the Data Privacy
Act.

I. Basic Information
Religion: Aglipay
Complete Address: Lot14Blk2,MontereyHomes,Mohon,Talisay
Contact Number: None
II. About the Subject
What are your expectations in this class?
1. I expect to improve more in my current skills
2. To learn more
What can you contribute to achieving your expectations?
1. By listening attentively during class
2. take notes about the topic
What do you expect from your teacher?
1. I expect my teacher teach us of what we need to improve
2. to help us this semester
What learning activities you wish the class can do?
1. None
2. None

III. Parent's/Guardian's Contact Detail

Full Name: Novie F. Fiedacan
Relationship with the Person: Mother
Address: Lot14Blk2,MontereyHomes,Mohon,Talisay
Contact Number: 09184764873
Email Address/ FB account: Novie Fiedacan

IV. OTHERS

1. Tell me something about yourself using the letters of your name. Elaborate answer.

Activity Sheet no. 1

Mr. Alvin P. Gallo, LPT
2. What are your target specific goal/s for this semester?
To get out in senior.

3. How are you and your family this time? 

My Family is Fine

4. Could something or someone have made you feel better? How? 

None

5. What are the thing/s that you wanted to share to your teacher for him to understand you
better and help you finish your first semester? ( assure you of the confidentiality of whatever you
will share to me)
None

Activity Sheet no. 1

Mr. Alvin P. Gallo, LPT