STUDENT INVENTORY FORM
School Year 2024-2025
We kindly ask you to complete all the details below. The information you provide will
help us better understand and address your child's needs at school. Rest assured that all
information will be kept strictly confidential. Thank you for your cooperation!
I. PERSONAL DATA STUDENT LRN: ____________________
Name:
Last Name First Name Middle Name
Address: (include Barangay Number)
Grade and Section: Gender: □ Male □ Female □ LGBTQ++
Birthdate: Place of Birth: Religion:
Celphone Number of Student: Facebook Account:
Living With □ Both Parents □ Father Only □ Mother Only □ Relative □ Guardian
II. FAMILY BACKGROUND
Name of Father: Age:
□ Living □ Deceased
Occupation: Contact Number of Father:
Name and Place of Employment: (if self-employed Nature of Business)
Name of Mother: Age:
□ Living □ Deceased
Occupation: Contact Number of Mother:
Name and Place of Employment: (if self-employed Nature of Business)
Name of Guardian: Relation: Age:
Occupation: Contact Number of Guardian:
Name and Place of Employment: (if self-employed Nature of Business)
Parent/s Working Abroad? □ Yes □ No
If YES, which Parent? □ Father □ Mother □ Both Parents
Country: ________________________________________
Marital Status of Parents:
□ Married and Living together □ Single Parent
□ Married but NOT Living together □ Annulled
□ Separated □ Living Together BUT NOT Married
III.
No.EDUCATIONAL BACKGROUND
of Siblings: ______________ Ordinal number in the family: __________________
Name of Elementary School :
Date of Graduation: Honors/Awards received: Page 1 of 4
Name of Secondary High School:
Date of Graduation: Honors/Awards received:
(FOR SHS ONLY) Strand :
Known and Diagnosed Illness:
Allergies if any:
Usual medical complaints:
Has your child ever had any of the following:
YES NO YES NO
Eye or Vision Problems
Ear or Hearing Problems
Convulsions
Head Injury/Fractures
Fractures
Asthma
Cerebral Palsy
Instestinal Parasites
Does your child have any other medical concerns that you wish to inform the school?
V. SOCIAL-EMOTIONAL DEVELOPMENT/FAMILY AND HOME SITUATION
What time does your child usually sleep? _______________ wake up? _________________
Does he/she prefer having or following a strict schedule? □ YES □ NO
Does he/she have a certain set of friends? □ YES □ NO Page 2 of 4
Does he/she regularly engage in sports or any other physical activity? □ YES □ NO
Does he/she do household chores on a regular basis? □ YES □ NO
What is your son/daugther's favorite:
toy? movie/shows?
book? song/singer?
stories? celebrity?
food? Others:
VI. SCHOOL INTEREST
Favorite Subject/s :
Least Favorite Subject:
Talent/s: Hobbies/Sports:
Extra-curricular Activities/ Organizations that you would like your child to join?
Career Preference (name 3 choices according to your priority)
1. _______________________________________________
2. _______________________________________________
3. _______________________________________________
FOR GUIDANCE COORDINATOR'S USE ONLY
Please specify what rule has been violated; include dates
STUDENT HANDBOOK AGREEMENT
Page 3 of 4
This agreement is a legally binding instrument when signed by the parent/
guardian of the child and accepted by the school.
By signing this agreement, you confirm that you have read, understood,
and accepted all its terms.
Name of Child: ________________________________________________
Father’s Printed Name and Signature: ______________________________
Mother’s Printed Name and Signature: ______________________________
Guardian’s Printed Name and Signature (If applicable): ______________________________
Date: __________________
Page 4 of 4
