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Counselign GCS
ISO 9001:2015
FM-USTP-GCS-05
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Document Code No.
FM-USTP-GCS-05
Rev. No.
Effective Date
Page No.
00
03.16.26
1 of 1
GUIDANCE AND COUNSELING SERVICES
INTERVIEW/COUNSELING NOTES
Name of Student:
Course/Strand & Year/Grade Level:
Gender:
Contact No.:
Referred by:
Date
Referred:
Time Started:
Time
Ended:
Presenting Problem/Purpose:
Summary of Counseling/Main Points:
Recommendation:
Guidance Counselor
Name & Signature of Interviewer/Guidance Counselor /Advocate
November 08, 2026
Date
