Republic of the Philippines
Department of Education
                                            Region III
                                 SCHOOLS Division of Mabalacat City
                                      Atlu-Bola High School
Date: __________________
ISMAEL S. DELOS REYES
School Head
SUBJECT: Request for Approval to Conduct Home Visitation
Sir:
Greetings of Peace and Love!
Addressing important concerns of every student whether it is in the area of academics, attendance,
discipline, and other school-related factors is one of the primordial tasks of every teacher. As such, a
responsible teacher to his or her best needs to conduct intervention to assist students who are at
risk or have serious concerns or problems in their academics, attendance, and discipline.
In line with this, I am humbly and respectfully asking for your permission and approval to conduct
home visitation to the following students who have some serious concerns:
                                  Problem/s or
 No.    Name of Student                                      Home Address
                                  Concern/s
Your favorable response will be instrumental in advancing the academic progress of our concerned
learners. Thank you for your consideration, guidance, and support!
Very truly yours,
 _______________________________
 Adviser, Section __________________
 Noted and Recommended by:                             Approved by:
 ________________________________                      ISMAEL S. DELOS REYES
 Grade 9 Leader                                        School Head
       Address: Northville 16, Atlu-Bola, Mabalacat City, Pampanga
       Email Address: atlubola.hs@depedmabalacat.org
       “LEADING PEOPLE TOWARDS PROGRESS”
                             Republic of the Philippines
                      Department of Education
                                    Region III
                         SCHOOLS Division of Mabalacat City
                              Atlu-Bola High School
Address: Northville 16, Atlu-Bola, Mabalacat City, Pampanga
Email Address: atlubola.hs@depedmabalacat.org
“LEADING PEOPLE TOWARDS PROGRESS”