Republic of the Philippines

Eastern Samar State University

Can-avid, Eastern Samar
EDUC 413 (Alternative Learning System with Community Immersion)

ATTENDANCE SHEET
Day __
July __, 2015
__:__ am/pm

Topic: __________________________________________________
Facilitator/s: _____________________________________________

Name
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Ag Gend
e er

Address

I/L

Signature

Republic of the Philippines

Eastern Samar State University
Can-avid, Eastern Samar

EDUC 413 (Alternative Learning System with Community Immersion)

SURVEY FORM
July __, 2015
__:__ am/pm

Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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15.

Age

Gende
r

Address

I/L

Signature