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    Name Nick Name Grade: Deped Tambayan PH

    Uploaded by

    Aphrodite Pantaleon
    This document contains a home visit record template used by the Department of Education in the Philippines. The template collects personal information about the student and family members, including names, ages, occupations, and education levels. It also gathers economic information such as financial status, housing details, facilities available, and languages spoken at home. Finally, it includes sections to document the student's scholastic standing based on the home visit and recommendations. The purpose is to gather socioeconomic data that could impact a student's education.

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    © All Rights Reserved
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    Name Nick Name Grade: Deped Tambayan PH

    Uploaded by

    Aphrodite Pantaleon
    27 views2 pages
    This document contains a home visit record template used by the Department of Education in the Philippines. The template collects personal information about the student and family members, including names, ages, occupations, and education levels. It also gathers economic information such as financial status, housing details, facilities available, and languages spoken at home. Finally, it includes sections to document the student's scholastic standing based on the home visit and recommendations. The purpose is to gather socioeconomic data that could impact a student's education.

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    Home Visit Record New

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    This document contains a home visit record template used by the Department of Education in the Philippines. The template collects personal information about the student and family members, including names, ages, occupations, and education levels. It also gathers economic information such as financial status, housing details, facilities available, and languages spoken at home. Finally, it includes sections to document the student's scholastic standing based on the home visit and recommendations. The purpose is to gather socioeconomic data that could impact a student's education.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    27 views2 pages

    Name Nick Name Grade: Deped Tambayan PH

    Uploaded by

    Aphrodite Pantaleon
    This document contains a home visit record template used by the Department of Education in the Philippines. The template collects personal information about the student and family members, including names, ages, occupations, and education levels. It also gathers economic information such as financial status, housing details, facilities available, and languages spoken at home. Finally, it includes sections to document the student's scholastic standing based on the home visit and recommendations. The purpose is to gather socioeconomic data that could impact a student's education.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    Region X
    Division of Cagayan de Oro
    East I District
    DEPED TAMBAYAN PH
    https://www.depedtambayanph.net

    HOME VISIT RECORD

    Date

    Time

    I. Pupil’s Personal Information:

    Name Nick Name Grade

    Place of Birth Date of Birth Gender

    II. Family Information:


    Father
    Name Age Occupation
    Salary Educational Attainment Religion

    Mother
    Maiden Name Age Occupation
    Salary Educational Attainment Religion

    Guardian
    Name Relationship Age
    Occupation Salary Educational Attainment
    Business Address of
    Parent/Guardian
    Position of the Pupil in the
    Family
    Siblings (Eldest to Youngest)

    III. Economic Information


    1. Financial Status
    Excellent Good Moderate  Poor
    2. Type of Dwelling
    Single Attached Row Duplex Mansion Others
    Owned Rented 
    3. Materials of the House
    A. Concrete B. Wood A & B Make shift  Others
    4. Facilities Available
    Radio  Television Dining set Refrigerator
     Computer set Gas Stove Gadgets not on the list
    5. Language or Dialect Spoken at Home:
    Mother Tongue Filipino English Others pls specify
    6. Food production activities:
    Home cooked Carendiria Fast food Others pls specify
    7. Kind of fence:
    Concrete Wood Make Shift  Others pls specify
    8. How animals are kept:
    Caged Leashed N/A
    9. Is there a compost pit:
    Observed  None

    IV. Scholastic Standing:

    ________________________________________________________________________________________________________
    ________________________________________________________________________________________________________
    ________________________________________________________________________________________________________
    _____________________________________________________________________________________________________
    V. Recommendation:

    ________________________________________________________________________________________________________
    ________________________________________________________________________________________________________
    ________________________________________________________________________________________________________
    _____________________________________________________________________________________________________

    _________________________________________
    Signature of Parent/ Guardian

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