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    Home Visitation Form: Lawigan National High School

    Uploaded by

    CHEIRYL DAVOCOL
    This document contains 3 forms used by Lawigan National High School: 1) A home visitation form to document teacher home visits to students, noting the student's name, address, teacher, concern, reasons for the visit, agreements made, and signatures of the client (student) and teacher. 2) A home travel order form requiring a teacher's name, position, destination, dates and times of travel, and students to be visited, with notes and approval sections. 3) A report on disciplinary actions taken against students, including the student's name, grade, address, teacher, dates and details of disciplinary actions taken

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Home Visitation Form: Lawigan National High School

    Uploaded by

    CHEIRYL DAVOCOL
    49 views4 pages
    This document contains 3 forms used by Lawigan National High School: 1) A home visitation form to document teacher home visits to students, noting the student's name, address, teacher, concern, reasons for the visit, agreements made, and signatures of the client (student) and teacher. 2) A home travel order form requiring a teacher's name, position, destination, dates and times of travel, and students to be visited, with notes and approval sections. 3) A report on disciplinary actions taken against students, including the student's name, grade, address, teacher, dates and details of disciplinary actions taken

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    home visitation form

    Original Title

    Home Visitation Form

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    This document contains 3 forms used by Lawigan National High School: 1) A home visitation form to document teacher home visits to students, noting the student's name, address, teacher, concern, reasons for the visit, agreements made, and signatures of the client (student) and teacher. 2) A home travel order form requiring a teacher's name, position, destination, dates and times of travel, and students to be visited, with notes and approval sections. 3) A report on disciplinary actions taken against students, including the student's name, grade, address, teacher, dates and details of disciplinary actions taken

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    49 views4 pages

    Home Visitation Form: Lawigan National High School

    Uploaded by

    CHEIRYL DAVOCOL
    This document contains 3 forms used by Lawigan National High School: 1) A home visitation form to document teacher home visits to students, noting the student's name, address, teacher, concern, reasons for the visit, agreements made, and signatures of the client (student) and teacher. 2) A home travel order form requiring a teacher's name, position, destination, dates and times of travel, and students to be visited, with notes and approval sections. 3) A report on disciplinary actions taken against students, including the student's name, grade, address, teacher, dates and details of disciplinary actions taken

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    © All Rights Reserved
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    Republic of the Philippines

    Department of Education
    Caraga Administrative Region
    Bislig City Division
    LAWIGAN NATIONAL HIGH SCHOOL
    Lawigan, Bislig City

    HOME VISITATION FORM

    NAME: _______________________________________________________ DATE: _______________

    YEAR and SECTION: __________________________ SUBJECT TEACHER: _____________________

    COMPLETE ADDRESS: ______________________________________________________________________

    CONCERN: ________________________________________________________________________________

    ______________________________________________________________________________

    REASONS: ________________________________________________________________________________

    ________________________________________________________________________________

    AGREEMENT: ____________________________________________________________________________

    ____________________________________________________________________________

    __________________________________ __________________________________
    CLIENT TEACHER
    (SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)

    WITNESS/ES (Any Barangay/Purok Official/s): Name, Signature and Designate Position

    _____________________________________ _____________________________________

    _____________________________________
    Republic of the Philippines
    Department of Education
    Caraga Administrative Region
    Bislig City Division
    LAWIGAN NATIONAL HIGH SCHOOL
    Lawigan, Bislig City

    HOME TRAVEL ORDER FORM

    NAME OF TEACHER: ___________________________________________________________

    POSITION/DESIGNATION: ______________________________________________________

    DESTINATION: _________________________________________________________________

    NAME OF STUDENTS TO VISIT CONCERN

    INCLUSIVE DATE / TIME: ________________________________________________

    NOTED BY:

    JOSELITO R. SAMILLAN
    GUIDANCE COORDINATOR

    APPROVAL:

    ANA MARIE M. MAXIMALES


    PRINCIPAL II
    Republic of the Philippines
    Department of Education
    Caraga Administrative Region
    Bislig City Division
    LAWIGAN NATIONAL HIGH SCHOOL
    Lawigan, Bislig City

    REPORT ON DISCIPLINARY ACTIONS TO LEARNERS

    NAME: ______________________________________________ GENDER: ___________

    GRADE AND SECTION: _______________________________ BIRTHDAY: ______________________

    ADDRESS: ___________________________________________ TEACHER: _______________________

    CONTACT NO. ______________________________ QUARTER: __________ SY: ___________

    REMARKS OF
    DETAILS
    TYPE OF DISCIPINARY LEARNERS’ DISCIPLINARY
    DATE ACTIONS
    OF
    RESPONSE ACTION
    SIGNATURE
    CONCERNS
    TAKEN

    Student:
    __ Day/s Community Service I promise to Ongoing
    ________________
    Accomplished
    __ Day/s Suspension Details:
    _________________ Teacher:
    _________________
    Expulsion _________________ ________________
    Student:
    __ Day/s Community Service I promise to Ongoing
    ________________
    Accomplished
    __ Day/s Suspension Details:
    _________________ Teacher:
    _________________
    Expulsion _________________ ________________
    Student:
    __ Day/s Community Service I promise to Ongoing
    ________________
    Accomplished
    __ Day/s Suspension Details:
    _________________ Teacher:
    _________________
    Expulsion _________________ ________________
    Student:
    __ Day/s Community Service I promise to Ongoing
    ________________
    Accomplished
    __ Day/s Suspension Details:
    _________________ Teacher:
    _________________
    Expulsion _________________ ________________
    Student:
    __ Day/s Community Service I promise to Ongoing
    ________________
    Accomplished
    __ Day/s Suspension Details:
    _________________ Teacher:
    _________________
    Expulsion _________________ ________________

    Prepared by: _________________________ Approved by: ANA MARIE M. MAXIMALES


    PRINCIPAL II

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