PHILIPPINE COLLEGE FOUNDATION
Purok-6, City of Valencia, Bukidnon 8709
Tel. No. (088) 826-6569
Email Add. pcf@[Link] Website: [Link]
NSTP 2 – Student Profiling Form
Academic Year: _________
I. PERSONAL INFORMATION
Full Name: ____________________________________________________Student Number: _________________
Course/Year/Section: _____________________________ Date of Birth: ____________________ Age: _______
Sex: ☐ Male ☐ Female ☐ Prefer not to say Civil Status: ☐ Single ☐ Married ☐ Others: ____________
Home Address: ________________________________________________________________________________
Contact Number: _____________________________________Email Address: _____________________________
II. FAMILY BACKGROUND
Father’s Name: _________________________________________Occupation: _____________________________
Mother’s Name: ______________________________________Occupation: _______________________________
Guardian (if applicable): _____________________________Occupation: __________________________________
Number of Siblings: _______________________________Birth Order: _______
III. SOCIO-ECONOMIC INFORMATION
Estimated Monthly Family Income:
☐ Below ₱5,000 ☐ ₱5,001 – ₱10,000 ☐ ₱10,001 – ₱20,000 ☐ ₱20,001 and above
Type of House:
☐ Owned ☐ Rented ☐ Shared
Source of Water:
☐ Faucet ☐ Deep Well ☐ Others: __________
Source of Electricity:
☐ Electric Company ☐ Generator ☐ None
IV. HEALTH INFORMATION
Do you have any medical condition? ☐ Yes ☐ No If yes, please specify: ______________________________
Are you physically fit to join community activities? ☐ Yes ☐ No
Emergency Contact Person: _______________________________Contact Number: _________________________
V. SKILLS AND INTERESTS
Skills (Check all that apply):
☐ Leadership ☐ Communication ☐ Teaching/Tutoring ☐ First Aid ☐ Carpentry
☐ Gardening ☐ Cooking ☐ Others: __________________
Hobbies/Interests: __________________________________
VI. COMMUNITY INVOLVEMENT
PHILIPPINE COLLEGE FOUNDATION
Purok-6, City of Valencia, Bukidnon 8709
Tel. No. (088) 826-6569
Email Add. pcf@[Link] Website: [Link]
NSTP 2 – Student Profiling Form
Are you a member of any organization? ☐ Yes ☐ No If yes, specify: ____________________________
Have you participated in community service before?
☐ Yes ☐ No
If yes, what kind of activity?
VII. NSTP EXPECTATIONS
Why did you choose NSTP-CWTS?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What are your expectations from this course?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How can you contribute to your assigned community?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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VIII. STUDENT DECLARATION
I hereby certify that the above information is true and correct to the best of my knowledge.
Student Signature: ___________________________
Date: ______________________________________