The document contains forms used by Matiao National High School for intervening with students who are experiencing problems or poor performance. The intervention form collects information about the student, including their name, address, grade and section. It documents the identified problem and its causes, as well as an agreement between the teacher and parent/guardian about actions to address the issue. A recommendation section provides additional guidance. The letter template is used to notify parents/guardians of a required meeting with teachers or counselors to discuss their child's performance or behavior at school.

1. Republic of the Philippines
Department of Education
Region XI
Schools Division of the City of Mati
MATIAO NATIONAL HIGH SCHOOL
Matiao, Mati City, Davao Oriental
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INTERVENTION FORM
Name of Student: _________________________________ Date &Time: ______________
Address: ________________________________________ Grade & Section: ______________
Parent Guardian: _________________________________
MODE: _____ HOME VISITATION _____ REMEDIATION
_____ ENHANCEMENT _____ PARENT-CONFERENCE
1. PROBLEM:
______________________________________________________________________________
______________________________________________________________________________
2. CAUSE/S:
______________________________________________________________________________
______________________________________________________________________________
AGREEMENT:
1. What will you do to avoid this? (referring to the case)
______________________________________________________________________________
______________________________________________________________________________
2. How can the family help to avoid this? (referring to the case)
______________________________________________________________________________
______________________________________________________________________________
RECOMMENDATION:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________ _______________________________
Teacher’s Name & Signature Parent/Guardian’s Name & Signature

2. Republic of the Philippines
Department of Education
Region XI
Schools Division of the City of Mati
MATIAO NATIONAL HIGH SCHOOL
Matiao, Mati City, Davao Oriental
Date: ___________
Dear Mr. & Mrs. ___________
You are hereby advised to come and see the Teacher/Class Adviser/Guidance Counselor of Matiao
National High School on _________________ at exactly ____________ in the office of __________________
regarding your son’s/ daughter’s performance/ behavior in school checked below:
NAME OF STUDENT: _______________________ YEAR & SECTION: ___________
_______________ ____________________ LOLITA R. YARA
Adviser Guidance Advocate SSP-IV
Received by: _____________________
Republic of the Philippines
Department of Education
Region XI
Schools Division of the City of Mati
MATIAO NATIONAL HIGH SCHOOL
Matiao, Mati City, Davao Oriental
Date: ___________
Dear Mr. & Mrs. ___________
You are hereby advised to come and see the Teacher/Class Adviser/Guidance Counselor of Matiao
National High School on _________________ at exactly ____________ in the office of __________________
regarding your son’s/ daughter’s performance/ behavior in school checked below:
NAME OF STUDENT: _______________________ YEAR & SECTION: ___________
_______________ ____________________ LOLITA R. YARA
Adviser Guidance Advocate SSP-IV
(For Teachers Copy) Received by: _____________________