NOTRE DAME OF JARO, INC.
Msgr. Lino Gonzaga St., Jaro, Leyte
[email protected] S.Y. 2021 - 2022
GUIDANCE PROGRAM
INTERVIEW FOR THE ENTRANCE OF GRADE 7, GRADE 11 AND TRANSFEREES
GRADE LEVEL: __________________________ DATE ENROLLED: _____________________
NAME: _________________________________ Cel. No. ______________________________
Date of Birth: ____________________________ Place of Birth: _________________________
Father’s Name: ___________________________ Mother’s Name: ________________________
Guardian’s Name: _________________________ Cel. No. ______________________________
Home Address: ___________________________________________ Religion: ________________
Reason for choosing the Notre Dame of Jaro, Inc. for your education.
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
Who encouraged you/recommended you to enroll at Notre Dame of Jaro, Inc.?
__________________________________________________________________________
(Student/Parent)
Mention at least two or three achievements in your previous school. If none identify at least
three more talents/potentials that you have.
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
_______________________________ _____________________________
Name of Signature of Parent/Guardian Signature of Student
SR. LILIA C. COSTAS, OND.
GUIDANCE DESIGNATE
