| Document Code No. | ||
| FM-USTP-GCS-03 | ||
| Rev. No. | Effective Date | Page No. |
| 00 | 03.16.26 | 1 of 1 |
| No. | Date | Time | Name (Last Name/First Name/Middle Initial) |
Gender | Course/Strand & Year/Grade Level | Purpose | Contact No. | Signature |
|---|---|---|---|---|---|---|---|---|
| 1 | 11/05/2026 | 08:00 AM | Milwaukee Arrubio | BSIT III | Counseling | |||
| 2 | 10/26/2026 | 08:00 AM | Sebastian Anthony Acierto | BSIT IV | Counseling | |||
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| A - Initial Interview | C - Referral | E - Counseling | G - E-Kumustahan |
| B - Exit interview | D - Consultation | F - Follow-up | H - Others: __________________ |
