STUDENT’S PROFILE
Last Name__________________ First Name___________________________ Middle Name_______________________
Home/Permanent Address____________________________________________________________________________
Street No. Street Name Subdivision/Brgy.
______________________________________________________ Religion_________________________________
Municipality/Town Province
Nationality______________________ Date of Birth _____________________ Place of Birth_______________________
Siblings: Number of Brother/s _______________________ Number of Sister/s ________________________
Ordinal Position or Birth Order: Eldest __________ Middle ___________ Youngest ______ Others __________________
Guardian: Father_____________ Mother ___________ Grandparents ________ Others ______
Do you have any relatives in this school? Yes_____ No_____ If Yes, Who? ______________
Name of Address Year
School
Pre-School
Elementary
School Last
Attended
Awards/Honors/Distinction Received
Awards/Honor Sponsoring Agency Year
Father’s Name____________________________ Highest Educational Attainment_______________________________
Age_____ Occupation_______________ Place of Work ________________ Contact No. __________________________
Mother’s Name___________________________ Highest Educational Attainment _______________________________
Age_____ Occupation_______________ Place of Work ________________ Contact No. _________________________
Family Income: 20,000 & Above ______ 19,000-15,000 ____14,000-10,000____ 9,999-below_______________________
I have gadgets like: Cell Phone _______ MP3 Player_______ PSP______ Others _________________________________
We have appliances like: TV_____ DVD Player ____ Refrigerator ___ Electric Fan ___ Radio ______________________
Washing Machine_______ Flat iron____ Gas Stove__ Others______________________
Means of going to school: Bus____ Jeep___ Service ____ Walking_____ Others _______
What sports do you enjoy? Basketball_____ Walking ______Electric Fan _____Radio_____________________________
During your vacant time, you?
____ Watch TV- Program/s____________________________________________________________________________
____ Listen to Music- What type of Music/s_______________________________________________________________
____ Games-What do you play? ________________________________________________________________________
_____Text – who do you text? _________________________________________________________________________
_____Household chores - What chores? _________________________________________________________________
_____Surf the Net – What usual websites? _______________________________________________________________
_____Go out – where do you usually go? ________________________________________________________________
_____ Text – who do you text? _________________________________________________________________________
Are you suffering from any ailments/health problem? Yes_____ No_____ If Yes, what is it? ________________________
Person who influenced you to pursue your secondary education?
Parents_______ Siblings_______ Peers/Friends_______ Classmates_______ Teachers _______ Others_______________
State your reason/s why do you want to study? ___________________________________________________________
Rank the following according to importance in your financial aspect where 1 is the highest.
Father______ Mother ______ Siblings______ Grandparents ______ Friends ______ Classmates______
Rank the following according to importance in your relationship with opposite sex where 1 is the highest.
Father______ Mother ______ Siblings______ Grandparents ______ Friends ______ Classmates______
Rank the following according to importance in your studies where 1 is the highest.
Father______ Mother ______ Siblings______ Grandparents ______ Friends ______ Classmates______
What subject do you like best and why? _________________________________________________________________
What subject do you like least and why? _________________________________________________________________
If you have problems on the following, who can help you? __________________________________________________
_____Family – Who can help you and why? ______________________________________________________________
_____Parents – Who can help you and why? _____________________________________________________________
_____Friends – who can help you and why? ______________________________________________________________
_____ Teachers - Who can help you and why? ____________________________________________________________
_____Financial – Who can help you and why? ____________________________________________________________
_____Studies – Who can help you and why? ______________________________________________________________
_____Projects/Assignment - - Who can help you and why? __________________________________________________
_____Love – Who can help you and why? ________________________________________________________________
(To be filled up by the student during enrolment as basis for academic
counseling & follow-up)
Subjects Final Admission/Enrollment For School Guidance Counselor’s Remarks/Action
Rating (Year Level) Year Taken
Filipino
Science
Math
Science
Makabayan
Araking Panlipunan
MAPEH
EP
Elective
GENERAL AVERAGE
_________________________________
________________________________
Student Signatures Parent/Guardian Signature