LEARNER PROFILE FORM
TRAINEE’S PERSONAL AND LEARNING CHARACTERISTICS
Please fill out the form by checking (✔) your answers. Write on the blank lines when
required. Your answers will help us better understand your needs as a learner.
1. Academic Performance 2. Cultural and Language Identity [Link] Background
a. English Grade a. Primary Language Spoken at a. Highest Educational
(Average grade): Home: Attainment:
______________________
☐ 95 and above ☐ Elementary Graduate
☐ 90–94 b. Ethnicity / Cultural Group:
☐ 85–89 ☐ Junior High School
☐ 80–84 ☐ Tagalog Graduate
☐ 75–79
☐ Cebuano ☐ Senior High School
b. Math Grade Graduate
(Average grade): ☐ Ilocano
☐ College Level
☐ 95 and above ☐ Muslim / Moro
☐ 90–94 ☐ College Graduate
☐ 85–89 ☐ Indigenous People (IP):
☐ 80–84 _______________ ☐ Vocational / TESDA
☐ 75–79 Graduate
☐ Others:
____________________________
4. Personal information [Link] Condition
a. Sex: a. Do you have any disability or
☐ Male special needs?
☐ Female
☐ Prefer not to say ☐ None
☐ Yes (please specify):
b. Age:____ years old _______________________