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1-Individual Inventory Form

This individual inventory record form collects personal, educational, family, health, and interest information about a student. It documents the student's name, birthdate, address, nationality, religion, grades attended and honors received. It also collects information about the student's father, mother, guardian, siblings, health, interests, and extracurricular activities. The form is used by the school's guidance and counseling office to develop a profile of each student.

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Cathlyn Quiambao
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127 views1 page

1-Individual Inventory Form

This individual inventory record form collects personal, educational, family, health, and interest information about a student. It documents the student's name, birthdate, address, nationality, religion, grades attended and honors received. It also collects information about the student's father, mother, guardian, siblings, health, interests, and extracurricular activities. The form is used by the school's guidance and counseling office to develop a profile of each student.

Uploaded by

Cathlyn Quiambao
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
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Department of Education

Region III-Central Luzon


Schools Division of Pampanga STUDENT’S
(NAME OF SCHOOL) PICTURE
(School Address Here) HERE
Guidance and Counseling Office
INDIVIDUAL INVENTORY RECORD FORM
Form No.1

I. PERSONAL INFORMATION
Name: _____________________________________________________________________________________________________
(Last Name) (First Name) (Middle Name)
Grade Level and Section: _______________________ Nickname:________________________ Gender: _____________
Date of Birth: _________________________ Age: ____________ Place of Birth:______________________________
Nationality: ______________ Civil Status: ___________ Religion: ____________ Contact Number:_____________
Permanent Address: _________________________________________________________________________________________
House#/Purok/Zone/ Barangay Municipality Province
II. EDUCATIONAL BACKGROUND
GRADE SCHOOL ATTENDED SCHOOL ADDRESS PUBLIC/ SCHOOL HONORS RECEIVED/
LEVEL PRIVATE YEAR SPECIAL AWARDS
6
7
8
9
10
11
12
Nature of Schooling: [ ] Continuous [ ] Interrupted, Why? _____________________________________

III. HOME AND FAMILY BACKGROUND


FATHER MOTHER GUARDIAN (if not Parent)
Name
Current Address
Contact Number
Occupation/Business Address
Highest Educational Attainment
Note: Mark with Ɨ if deceased
List names of brothers and sisters from eldest to youngest including yourself.
Name Age Civil Status Highest Educational Attainment Occupation/Business Address

My parents are:
( ) Living together ( ) Single Parent ( ) Separated
___ legally married ___ father ___ legally separated ___ annulled
___ not married ___ mother ___ not legally separated ___ not annulled

Who finances your schooling? ( ) Parents ( ) Brother/Sister ( ) Scholarship


( ) Relatives ( ) Self-supporting/working student
IV. HEALTH
Physical
Do you have problems with (Please check)
YES NO If Yes, please specify YES NO If Yes, please specify
Your Vision ( ) ( ) _________________ Your speech ( ) ( ) _________________
Your hearing ( ) ( ) _________________ Your general health ( ) ( ) _________________

V. INTEREST AND HOBBIES


1. What is/are your favorite subject/s?_____________________________________________________________________
2. What is/are the subjects/s you like least? _________________________________________________________________
3. What are your hobbies? Write them in the order of your preferences.
a._______________________________________ b._______________________________________
c._______________________________________ d._______________________________________
4. Which of the following organizations have you participated in? (Please check)
( ) Athletics ( ) Religious Organizations ( ) Dance Troupe ( ) Scouting ( ) Others, please specify____________

School
School ID:
Logo
e-mail address:

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