Date: March 24, 2024

Student Name: ____________________________________

Teacher: MA. VICTORIA P. MACAS
Reason for Home Visit: Not attending class
Summary of Home Visit:
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Introduction:

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Attendance Issue:

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Discussion with Parent/Guardian:

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Understanding Circumstances:

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Clarification of School Policies:

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Support Plan:
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Follow-Up Action:

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Closure:

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Attendees:
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Next Steps:

MA. VICTORIA P. MACAS

Teacher

VALENTINA SEVILLETA
Elementary School Principal

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Parent

CAMBUGASON ELEMENTARY SCHOOL