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Student Profiling Form

The document is an Individual Inventory form from the Guidance Services Office of Angat National High School in the Philippines, aimed at collecting personal and family information from students to provide necessary assistance. It includes sections for personal data, family background, educational background, career interests, and health data, ensuring confidentiality of responses. Students are required to fill out the form honestly and certify the accuracy of the information provided.

Uploaded by

George Aryan Dela Vega
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37 views4 pages

Student Profiling Form

The document is an Individual Inventory form from the Guidance Services Office of Angat National High School in the Philippines, aimed at collecting personal and family information from students to provide necessary assistance. It includes sections for personal data, family background, educational background, career interests, and health data, ensuring confidentiality of responses. Students are required to fill out the form honestly and certify the accuracy of the information provided.

Uploaded by

George Aryan Dela Vega
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
SCHOOLS DIVISION OF BULACAN
ANGAT NATIONAL HIGH SCHOOL
Taboc, Angat, Bulacan

GUIDANCE SERVICES OFFICE


Latest
INDIVIDUAL INVENTORY 2” x 2”
INSTRUCTIO
NS: photo

The Guidance Services Office would like to get information about your personal life as a
student to enable Guidance Designate/Counselor to give the necessary assistance. In this
connection, it is requested that you answer the questionnaire honestly by checking/ Grade Level and
supplying the answer/s most appropriate for you. Be assured that all the responses will Section:
be handled with the highest level of confidentiality.

I. PERSONAL DATA
Name:
(Please Print) LAST NAME FIRST NAME
MIDDLE NAME
Citizenship: Sex: ( ) Male ( ) Female please check if you are part of ( )
LGBTQIA+
Civil Status: ( ) Single ( ) Married ( ) Widow/er ( ) Cohabitation
Date of Birth: Place of Birth:
Age:
Birth order among siblings: Religion:
Home Address: Contact #:
________________
Facebook Account: E-mail Address:
Physical Disability, pls. specify: PWD ID NO.:
Present Address:
Do you belong to indigenous group? If yes, specify

II. FAMILY BACKGROUND


FAT MOTHER (pls. indicate + if GUARDIAN (if not living w/
HER( deceased) parents)/ SPOUSE (if married)
pls.
indic
ate +
i
f

d
e
c
e
a
s
e
d
)
N
a
m
e
:
D
a
t
e

o
f

B
i
r
t
h
:
A
d
d
r
e
s
s
:
M
o
b
i
l
e

N
o
.
:
Highest Educational
Attainment:
O
c
c
u
p
a
t
i
o
n
:
P
l
a
c
e

o
f

W
o
r
k
:
M
o
n
t
h
l
y

I
n
c
o
m
e
:
L
a
n
g
u
a
g
e

S
p
o
k
e
n
:
R
e
l
i
g
i
o
n
:

NAME OF A C SCHOOL/
SIBLINGS G I PLACE OF
(Brothers/Sisters) E V WORK
I
L

S
T
A
T
U
S

Parents are:
____Living Together ___Mother with another partner ____Father with another partner
____Separated Mother is an OFW Father is an OFW
Legally Separated Mother is dead Father is
dead
Person to contact in case of emergency: ________________________________Mobile #:
_____________________
For MARRIED/SINGLE PARENT students:
Name of Children Age School
III. EDUCATIONAL BACKGROUND
a. Scholastic Record
Name of School Address Inclusive
dates of
attendance
PRIMARY SCHOOL
JUNIOR HIGH SCHOOL
Last School Attended

[Link]/ INTEREST INFORMATION


Course Preference: 1. 2. 3.
Reason/s for these preferences?
Personal Choice Suggested by others
Parent’s Choice Others (please specify):
Who finance your studies?
Special Skills/Talents/Hobbies:
Membership in an organization/s:
In School
Name of Organization Position Academic Year

Outside of School
Name of Organization Position Academic Year

V. HEALTH DATA
Information about health:

I hereby certify that the information I have given as called for in this form are true and correct
to the best of my ability.

SIGNATURE OVER PRINTED NAME DATE

GUIDANCE DESIGNATE/COUNSELOR’S REMARKS

Sem./Quarter SY. Sem./Quarter SY.

Sem./Quarter SY. Sem./Quarter SY.

Sem./Quarter SY. Sem./Quarter SY.

Sem./Quarter SY. Sem./Quarter SY.

Sem./Quarter SY. Sem./Quarter SY.

Sem./Quarter SY. Sem./Quarter SY.

Sem./Quarter SY. Sem./Quarter SY.

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