Republic of the Philippines

Department of Education
Caraga Administrative Region
Bislig City Division
Bislig VIII District
SAN JOSE NATIONAL HIGH SCHOOL
School ID: 322501 Email add: sjnhs.2017@gmail.com * contact: 09270028212 (globe)

PARENTS AND TEACHER CONFERENCE REPORT AND AGREEMENT

I- Type of Conference:
 Individual/One-on one Conference  Group Conference

II- Details of Conference:

Date: Time:
Name of Relationship:
Parent/Guardian
Name of 1. ___________________ 6.____________________
Student(s) 2.___________________ 7.____________________
Concern: _ 8.____________________
3.___________________ 9.____________________
_ 10.____________________
4.___________________
_
5.___________________
_
Purpose/  Students Performance on (specify the subject)
Agenda of the
Conference: ___________________________________________________________________
_________
 Student (s) Behavior on/ towards _______________________________
___________________________________________________________________
_________________
____________________________________________________________

 Student(s) attendance for the month of ___________________________

 Student(s) participation on ____________________________________

____________________________________________________________
____________________________________________________________
Actions Taken:
___________________________________________________________________
_______________.
____________________________________________________________
__________________________________________

III- AGREEMENT/ RESOLUTIONS/ COMMITMENT:

Parent’s Signature above printed name:

Teacher’s Signature above printed name:

_________________________________ _______________________________________

_________________________________ _______________________________________

_________________________________ _______________________________________

_________________________________ _______________________________________