Department of Education

Region III
City Schools Division of San Jose del Monte
District 03
Bagong Buhay I ES (Lawang Pari)
City of San Jose del Monte

ANECDOTAL RECORD ASSESTMENT FORM

FIRST QUARTER

NAME:_______________________________________________________________________ SECTION:_________________________
WORK HABITS
Completes Work On Time Work Quality

Always Excellent
Most of the time Good
Sometimes Satisfactory
Missed Recess/vacant time to complete work Needs Improvement
Missed Assignments
No work submitted for the whole quarter

Needs To Work On
Reading Writing

Spelling Math/Math Facts

Others
please specify:
_________________________________________________________________________________________________________________________
________________________________________________________.
BEHAVIOR
Behavior At School Areas For Improvement
Excellent Speaking
Good Listening Skills
Satisfactory Following Instruction
Needs Improvement Staying on Task
Others
please specify:
________________________________________________.
ATTENDANCE RECORD
Months Number of Days Number of Absents Remarks

Teacher Comments
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
___________________________________________________________________________________________________.

RICHARD S. ELACION
Teachers Signature Over Printed Name
Parent Comments
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
______________________________________________________________________.

____________________________________________________
Parents Signature Over Printed Name