Anecdotal Repeating Students

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Republic of the Philippines

Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF OLONGAPO CITY
UPPER SIBUL ELEMENTARY SCHOOL
UPPER SIBUL II, EAST BAJAC-BAJAC, OLONGAPO CITY, ZAMBALES

ANECDOTAL RECORD: REPEATING STUDENT

DETAILS INFORMATION
Student Name:
Grade Level:
Section:
Date Record:
Teacher’s Name:

SUMMARY OF OBSERVATIONS AND INTERVENTIONS

Initial Response:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

First Quarter

1. Intervention/s:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

2. Outcome of the Intervention/s:


________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

3. Challenges Encountered:
________________________________________________________________________________

Address: Upper Sibul II, East Bajac-Bajac, Olongapo City, Zambales


Contact No.: 0968-470-0518
Email Address: 162004@deped.gov.ph
Official Website: https://www.facebook.com/DepEdTayoUpperSibulES
“Bawat Bata: Busog Lusog, Bantay Ng Karunungan, May Butihing Puso, Mahusay Bumilang at Bumasa.”
Republic of the Philippines
Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF OLONGAPO CITY
UPPER SIBUL ELEMENTARY SCHOOL
UPPER SIBUL II, EAST BAJAC-BAJAC, OLONGAPO CITY, ZAMBALES

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

4. Progress Observed:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

5. Remarks:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Second Quarter

1. Intervention/s:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

2. Outcome of the Intervention/s:


________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

3. Challenges Encountered:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Address: Upper Sibul II, East Bajac-Bajac, Olongapo City, Zambales


Contact No.: 0968-470-0518
Email Address: 162004@deped.gov.ph
Official Website: https://www.facebook.com/DepEdTayoUpperSibulES
“Bawat Bata: Busog Lusog, Bantay Ng Karunungan, May Butihing Puso, Mahusay Bumilang at Bumasa.”
Republic of the Philippines
Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF OLONGAPO CITY
UPPER SIBUL ELEMENTARY SCHOOL
UPPER SIBUL II, EAST BAJAC-BAJAC, OLONGAPO CITY, ZAMBALES

4. Progress Observed:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

5. Remarks:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Third Quarter

1. Intervention/s:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

2. Outcome of the Intervention/s:


________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

3. Challenges Encountered:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Address: Upper Sibul II, East Bajac-Bajac, Olongapo City, Zambales


Contact No.: 0968-470-0518
Email Address: 162004@deped.gov.ph
Official Website: https://www.facebook.com/DepEdTayoUpperSibulES
“Bawat Bata: Busog Lusog, Bantay Ng Karunungan, May Butihing Puso, Mahusay Bumilang at Bumasa.”
Republic of the Philippines
Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF OLONGAPO CITY
UPPER SIBUL ELEMENTARY SCHOOL
UPPER SIBUL II, EAST BAJAC-BAJAC, OLONGAPO CITY, ZAMBALES

4. Progress Observed:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

5. Remarks:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

TEACHER’S RECOMMENDATION

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Prepared by: _______________________________


Signature over Printed Name

Date: _____________________

Address: Upper Sibul II, East Bajac-Bajac, Olongapo City, Zambales


Contact No.: 0968-470-0518
Email Address: 162004@deped.gov.ph
Official Website: https://www.facebook.com/DepEdTayoUpperSibulES
“Bawat Bata: Busog Lusog, Bantay Ng Karunungan, May Butihing Puso, Mahusay Bumilang at Bumasa.”

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