School Guardianship Consent Evaluation
Student Information
Student Name
Date of Birth
Grade/Year
Guardian Information
Guardian Name
Relationship to Student
Contact Number
Consent Details
Type of Guardianship
Temporary
Permanent
Effective Date
Expiration Date (if any)
Evaluation
Purpose of Guardianship
Supporting Documents
School Official's Remarks
Signatures
Guardian Signature
Date
School Official Signature
Date