This document contains forms related to student-parent-teacher conferences and interventions at Taloy Sur National High School in the Philippines. The forms include a student-parent-teacher conference form to document conferences about a student's behavior, academics, or other reasons. An anecdotal, contact, and home visitation form tracks observations of students, contacts made with parents to schedule conferences, and home visitation reports. The documents provide a way for the school to document interventions and agreements with students and parents to address issues.

1. Republic of the Philippines
Department of Education
Cordillera Administrative Region
Benguet Division
TALOY SUR NATIONAL HIGH SCHOOL
Taloy Sur, Tuba Benguet
STUDENT-PARENT-TEACHER CONFERENCE FORM
Name of Student: ________________________ Grade Level&Section:__________
Date of Conference:____________________________
Reason/s of Conference(Please Check)
BEHAVIOR ACADEMICS
____Absenteeism _____ Low Scores/Output in Written Works
____Bullying _____ Low Scores/Output in Performances
____Cutting Classes _____ Low Score in Quarterly Exam/Summative Test
____Gadgets-Related _____Non-Appearance in Remedial Classes/Activities
____Peer-Related _____Non-submission of Requirements
____Smoking/Chowing of Betel Nut _____Non-submission of modules
____Alcohol Intoxication _____Extracurricular Activities
____Student-teacher Relationship _____Peer Pressure
____Vandalism _____Others:____________________________
____Others:____________________________
Agreement:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________
Prepared By:
___________________________
Subject Teacher
Agreed and Attested:
_________________________________ __________________________
Name and Signature of Students Name and Signature of Parent/Guardian
Noted:
______________________________
Guidance Counselor Designate

2. Republic of the Philippines
Department of Education
Cordillera Administrative Region
Benguet Division
TALOY SUR NATIONAL HIGH SCHOOL
Taloy Sur, Tuba Benguet
______________________
Dear Paren/Guardian,
Your child/ward ________________________________________________________ needs
to attend remedial; classes/accomplished remedial activities in his/her MAPEH subject for further
mastery of some competencies and skills.
In this connection, may I request you to come on ___________________________ in the
school for a conference regarding the matter.
Thank you very much for your support and cooperation.
Respectfully,
ROSEMARIE O. LUIS
Teacher
Please check any of the options to indicate your response and write your reason if in case you will
not be able to come. Please sign on the provided space to indicate that you were informed about
the matter.
_____1.Yes, I will come.
_____2. No, I will not come because
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_____________________________________________
Parents/Guardian Signature Over Printed Name
Cellphone number:________________________________

3. Republic of the Philippines
Department of Education
Cordillera Administrative Region
Benguet Division
TALOY SUR NATIONAL HIGH SCHOOL
Taloy Sur, Tuba Benguet
STUDENT ANECDOTAL, CONTACT AND HOME VISITATION FORM
Name of Student:_____________________________________ Grade&Section:________________
I. ANECDOTAL RECORD
A. Date Observed:___________________
B. Observation
BEHAVIOR ACADEMICS
____Absenteeism _____ Low Scores/Output in Written Works
____Bullying _____ Low Scores/Output in Performances
____Cutting Classes _____ Low Score in Quarterly Exam/Summative Test
____Gadgets-Related _____Non-Appearance in Remedial Classes/Activities
____Peer-Related _____Non-submission of Requirements
____Smoking/Chowing of Betel Nut _____Non-submission of modules
____Alcohol Intoxication _____Extracurricular Activities
____Student-teacher Relationship _____Peer Pressure
____Vandalism _____Others:____________________________
____Others:____________________________
AGREEMENTS/ACTION TO BE TAKEN SCHEDULE OF ACTIVITIES
____Close Monitoringof Student Observation Week:__________________________
____Home Visitation Schedule on:_______________________________
____Provision of Remediation Activities Schedule on:_______________________________
____Student-Parent-Teacher Conference Schedule on:_______________________________
____Others:_____________________________________________________
Prepared by: Agreed and Attested:
____________________________ ________________________________
Subject Teacher Name and Signatureof Student
II. CONTACT FOR CONFERENCE
Date: ________________________
Reason:___________________________________________________________________________________
Type Of Contact
____Text Message ____Letter _____Private Messenger
____Phone Call ____Call slip
***** Attach screen shotof text message, private messenger, copy of letter or call slip
Prepared By:
__________________________
Subject Teacher
III. HOME VISITATION REPORT
Reason for home visitation:____________________________________________________________________
Date:_____________________________ Address:________________________________________
Attendees:______________________________ ________________________________________
FINDING AND AGREEMENTS:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
________________________________________________________________________________
Prepared by: Noted:
___________________________ _______________________ LEONARDO B.DELIAS
Subject Teacher GuidanceCounselor Designate Principal I