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Anecdotal Record: Calumbaya, Bauang, La Union

This document contains anecdotal records and forms from Don Eulogio de Guzman Memorial National High School in La Union, Philippines. It includes sections for recording a student's name, grade, address, adviser, dates of incidents, actions taken, and remarks. Another section is an agreement form for documenting home visits with the student's name, address, reason for visit, observations, and signatures of the adviser and parent or guardian. A notification form addresses parents to inform them of a student needing to meet with their adviser at a certain time and date to discuss issues like absenteeism, tardiness, or other comments.

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Jubert Padilla
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0% found this document useful (0 votes)
54 views3 pages

Anecdotal Record: Calumbaya, Bauang, La Union

This document contains anecdotal records and forms from Don Eulogio de Guzman Memorial National High School in La Union, Philippines. It includes sections for recording a student's name, grade, address, adviser, dates of incidents, actions taken, and remarks. Another section is an agreement form for documenting home visits with the student's name, address, reason for visit, observations, and signatures of the adviser and parent or guardian. A notification form addresses parents to inform them of a student needing to meet with their adviser at a certain time and date to discuss issues like absenteeism, tardiness, or other comments.

Uploaded by

Jubert Padilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF LA UNION
DON EULOGIO DE GUZMAN MEMORIAL NATIONAL HIGH SCHOOL
Calumbaya, Bauang, La Union

ANECDOTAL RECORD

Name:_____________________________________ Grade and Section:


__________________
Address:___________________________ Adviser:
______________________
School Year:________________________________

DATE INCIDENT ACTION TAKEN REMARKS


Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF LA UNION
DON EULOGIO DE GUZMAN MEMORIAL NATIONAL HIGH SCHOOL
Calumbaya, Bauang, La Union

AGREEMENT FORM

Name of Student Visited:__________________________________Date:_ _________


ADDRESS:_________________________________________________________________
REASON FOR VISITATION:________________________________________________
OBSERVATIONS:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

AGREEMENT (penmanship of the parent or guardian):


____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

PREPARED BY:

___________________________ ____________________________________________
Homeroom Advisers/Subject Signature Over Printed Name of the Parent/Guardian
Teachers/Guidance Counselor

____________________________________________________________________________
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF LA UNION
DON EULOGIO DE GUZMAN MEMORIAL NATIONAL HIGH SCHOOL
Calumbaya, Bauang, La Union

_____________________
Date
________________________
________________________
Patgenmi a Nagannak:
Panga-asiyo tau may kayo ditoy eskuelaan inton _____________________________ ti alas_____________
ti bigat/malem tapno pagsaritaan tayo maipangguep kenni _________________________ gapu ta:

Naglabsing ti paglintegan ti eskuelaan.

Naglangan iti nabayag. Dadduma pay:

Nakiapa. ______________________________

______________________________

Sapay koma tau may kayo nga di agkurang. Masarakan dak to diay__________________________________.

Toy sidadayaw,
___________________________
Adviser / Guidance Counselor

____________________________________________________________________________

Republic of the Philippines


DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OF LA UNION
DON EULOGIO DE GUZMAN MEMORIAL NATIONAL HIGH SCHOOL
Calumbaya, Bauang, La Union

______________________
Date
________________________
________________________
Patgenmi a Nagannak:
Panga-asiyo tau may kayo ditoy eskuelaan inton _____________________________ ti alas_____________
ti bigat/malem tapno pagsaritaan tayo maipangguep kenni _________________________ gapu ta:

Naglabsing ti paglintegan ti eskuelaan.

Naglangan iti nabayag. Dadduma pay:

Nakiapa. ______________________________

______________________________

Sapay koma tau may kayo nga di agkurang. Masarakan dak to diay__________________________________.

Toy sidadayaw,
___________________________
Adviser / Guidance Counselor

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