WIRELESS ELEMENTARY SCHOOL

LEARNER’S NEEDS, PROGRESS, AND ACHIEVEMENT RECORD

SY: _____________

Name: ______________________________________________ Gender: _______________

Grade & Section: _________________________________ Birthday: _______________
Address: _______________________________________ Adviser: _______________

Quarter / Report
Details of Concern Action to be Taken Remarks
Date Intended for

_____ Need _____ Dialogue _____ Ongoing

_____ Progress _____ Consultation _____ Accomplished

_____ Achievement _____ Home Visitation Details:

____________________________
_____ Assembly/Forum
____________________________

____________________________

_____ Need _____ Dialogue _____ Ongoing

_____ Progress _____ Consultation _____ Accomplished

_____ Achievement _____ Home Visitation Details:

___________________________-
_____ Assembly/Forum
___________________________

___________________________

_____ Need _____ Dialogue _____ Ongoing

_____ Progress _____ Consultation _____ Accomplished

_____ Achievement _____ Home Visitation Details:

____________________________
_____ Assembly/Forum
____________________________

____________________________

_____ Need _____ Dialogue _____ Ongoing

_____ Progress _____ Consultation _____ Accomplished

_____ Achievement _____ Home Visitation Details:

____________________________
_____ Assembly/Forum
____________________________

____________________________

Remarks:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
 ________

WIRELESS ELEMENTARY SCHOOL

PARENTS/GUARDIANS COMMUNICATION REPORT
SY: __________________

Name: _____________________________________________ Gender: _______________________

Address: _______________________________________ ___________________________________
Name of Student: ___________________________________ Gender: ________________________
Grade & Section: ___________________________ Name of Adviser: _________________________

Mother Father Guardian Relative Others Specify: ____________

Quarter /
Type of Encounter Details of Concern Agreed Resolution Signature
Date
Parent/Guardian:

_____ Dialogue
_____ Consultation ____________________
_____ Home Visitation
_____ Assembly/Forum
Teacher:

____________________
Parent/Guardian:

_____ Dialogue
_____ Consultation _____________________
_____ Home Visitation
_____ Assembly/Forum
Teacher:

---------------------------------
Parent/Guardian:

_____ Dialogue
_____ Consultation _____________________
_____ Home Visitation
_____ Assembly/Forum
Teacher:

_____________________
Parent/Guardian:

_____ Dialogue
_____ Consultation ____________________
_____ Home Visitation
_____ Assembly/Forum
Teacher:

____________________

Remarks:

____________________________________________________________________________________