Sardo Form
2
Republic of the Philippines Department of Education Region III Division of Bulacan FELIZARDO C. LIPANA NATIONAL HIGH SCHOOL GUIDANCE CENTER SARDO STUDENT AT RISK OF DROPPING OUT NAME: _______________________________________________ AGE: ___________ YEAR AND SECTION: ____________________________________________________ ADDRESS: _____________________________________________________________ DROP-OUT HISTORY LEVEL HOW MANY TIMES SCHOOL YEAR REASON/S ELEM. 1[ ] 2[ ] 3[ ] 4[ ] 1 ST YR. 1[ ] 2[ ] 3[ ] 4[ ] 2 ND YR. 1[ ] 2[ ] 3[ ] 4[ ] 3 RD YR. 1[ ] 2[ ] 3[ ] 4[ ] 4 TH YR. 1[ ] 2[ ] 3[ ] 4[ ] I CONSIDER HIM/HER AS SARDO BECAUSE OF □ CUTTING CLASSES / HALF DAY
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Transcript of Sardo Form
Republic of the PhilippinesDepartment of Education
Region IIIDivision of Bulacan
FELIZARDO C. LIPANA NATIONAL HIGH SCHOOL
GUIDANCE CENTER
SARDOSTUDENT AT RISK OF DROPPING OUT
NAME: _______________________________________________ AGE: ___________
YEAR AND SECTION: ____________________________________________________
ADDRESS: _____________________________________________________________
DROP-OUT HISTORY
LEVELHOW MANY TIMES
SCHOOL YEAR
REASON/S
ELEM.
1[ ]2[ ]3[ ]4[ ]
1ST YR.
1[ ]2[ ]3[ ]4[ ]
2ND YR. 1[ ]2[ ]3[ ]4[ ]
3RD YR.
1[ ]2[ ]3[ ]4[ ]
4TH YR.
1[ ]2[ ]3[ ]4[ ]
I CONSIDER HIM/HER AS SARDO BECAUSE OF
□ CUTTING CLASSES / HALF DAY
□ ABSENTEEISM
□ BEHAVIOR PROBLEM, SUCH AS: __________________________________
□ OTHERS, SPECIFY: ______________________________________________
ACCOMPLISHED BY: __________________________________ DATE: ___________ NAME AND SIGNATURE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SPACE IS FOR GUIDANCE COUNCELOR
___ FAMILY ___ INDIVIDUAL ___ COMMUNITY ___ SCHOOL
SITUATION: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ACTION/S TO TAKE: ______________________________________________________________________________
ACTION/S TAKEN: ______________________________________________________________________________
Republic of the PhilippinesDepartment of Education
Region IIIDivision of Bulacan
FELIZARDO C. LIPANA NATIONAL HIGH SCHOOL
GUIDANCE CENTERRESULT/S: ____________________________________________________________________________________________________________________________________________________________
