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Saving-SARDO-Agreement-Form

The document is an agreement form for the intervention program 'Saving Sardo' at Culipapa National High School for the school year 2023-2024. It includes sections for student information, meeting purposes, learner needs, interventions, and agreements between the student and parent/guardian. The form is to be noted by the adviser, Rogelio B. Garinga Jr.

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0% found this document useful (0 votes)
34 views2 pages

Saving-SARDO-Agreement-Form

The document is an agreement form for the intervention program 'Saving Sardo' at Culipapa National High School for the school year 2023-2024. It includes sections for student information, meeting purposes, learner needs, interventions, and agreements between the student and parent/guardian. The form is to be noted by the adviser, Rogelio B. Garinga Jr.

Uploaded by

lovelyn.pano001
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 VI – WESTERN VISAYAS
DIVISION OF NEGROS OCCIDENTAL
CULIPAPA NATIONAL HIGH SCHOOL

“SAVING SARDO”
(S.Y. 2023-2024)

AGREEMENT FORM
Intervention No.: _________

Name of Student: __________________________ Grade & Section: ________________


Date: __________________________
Address: __________________________________ Contact No.: ____________________
__________________________________
Purpose/s of the Meeting:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Needs of the Learner: _______________________________________________________________


_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Interventions: _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
AGREEMENTS: _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Agreed Upon By:


__________________________ ________________________
Signature of Student Signature of Parent/Guardian
Over-Printed-Name Over-Printed-Name

ENGLISH ARAL. PAN.


MATH FILIPINO
T.L.E. SCIENCE
M.A.P.E.H. E.S.P.

Noted by:
ROGELIO B. GARINGA JR
Adviser

Purok 4, Culipapa, Hinoba-an, Negros Occidental


09058810589/09124696705
[email protected]

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