Scribd
Upload
5 views

GUIDANCE Cummulative Record (1)

Uploaded by

Jett jarell Pangan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
5 views

GUIDANCE Cummulative Record (1)

Uploaded by

Jett jarell Pangan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

TALA HIGH SCHOOL

STUDENT’S WELFARE AND SERVICES


STUDENT’S PERSONAL CUMULATIVE RECORD
NAME OF STUDENT: _________________________________________________________________GRADE & SECTION______________________ S.Y. ______________
DATE OF BIRTH: ______________________________________________________________________PLACE OF BIRTH: ________________________________________
NATIONALITY: _______________________________________________________________________SEX: ______________________ AGE: ________________________
HOME ADDRESS: ____________________________________________________________________________________________________________________________
TELEPHONE NO.: ____________________________________________________________________MOBILE NO.: ____________________________________________
YEAR ENTERED AT TALA HIGH SCHOOL: ________________________________________________ SCHOOL LAST ATTENDED: __________________________________
SIBLING POSITION: _______________________NO. OF BROTHER: __________ NO. OF SISTER________ RELIGION: _________________________________________

FAMILY HISTORY
FATHER: ________________________________________________________________ Age: ___________________ Occupation: ________________________________
Business address: ________________________________________________________________________ Tel. No.: ___________________________________
MOTHER: _______________________________________________________________ Age: ___________________ Occupation: ________________________________
Business address: ________________________________________________________________________ Tel. No.: ___________________________________
MARITAL STATUS OF PARENT: _____ Married _____ Live-in _____Separated _____ Divorced/Annulled ____ Single Parent _____ Widow/Widower
THE CHILD IS LIVING WITH: _______ Parent _____ Grandparent _____Uncle/Aunt ______Family friend ______Others, please specify_______________
OTHER SIBLINGS IN THE FAMILY:
Name Sex Age School / Occupation
1.
2.
3.
4.
5.
6.

SCHOOL HISTORY
Previous School Attended Address Grade School Year

AWARDS, ACHIEVEMENTS AND HONORS RECEIVED:


__________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________

PSYCHOLOGICAL TEST RECORD / ACHIEVEMENT TEST:


Name of Psychological Test Date taken Result / Interpretation Recommendation

ACADEMIC DIFFICULTY
______Writing ______Speaking ______Reading ______Computation ______Study habit ______Attention ______Interest
STUDY HABITS AND ATTITUDE
______ Very good ______ Good ______ Fair ______ Needs improvement
MEDICAL HISTORY
______Asthma ______Operation ______Therapy ______Convulsion ______Under Medication
______Eye Problem ______Hearing Problem ______Blood Type Allergic to: ________________________________________________
______others, please specify: __________________________________________________________________________________________________________________
PERSONAL HISTORY
HOBBIES AND INCLINATION:
______Dancing ______Reciting Poems ______Basketball ______Cooking others______________
______Singing ______Reading ______Gymnastics ______Playing PC Games
______Drawing ______Writing ______Playing Musical Instrument ______Cross-Stitching

WHAT DO YOU CONSIDER AS YOUR STRENGTHS? __________________________________________________________________________________________________


WHAT DO YOU CONSIDER AS YOUR WEAKNESSES? _________________________________________________________________________________________________
SIGNIFICANT EVENTS IN YOUR LIFE: (happiest moment, loneliest moment and the likes)
1. _________________________________________________________________________________________________________________________________
2. _________________________________________________________________________________________________________________________________
3. _________________________________________________________________________________________________________________________________
PLEASE CHECK () THE ITEMS THAT BEST DESCRIBE TO YOU:
Friendly Talkative Irritable Imaginative Intelligent Stubborn
Nervous Aggressive Studious Cooperative Diligent Responsible
Fearful Bossy Moody Quarrelsome Hot-Tempered Obedient
Impatient Calm Loving Lazy Good-Natured Trustworthy
Extrovert Happy Proud Dependent Prayerful Active
Shy Polite Submissive Insecure Respectful Creative
AMBITION IN LIFE: ________________________________
OTHER IMPORTANT INFORMATION YOU WOULD LIKE US TO KNOW: __________________________________________________________________________________
___________________________________________________________________________________________________________________________________________
To be filled-out by the Guidance Advocate.

Date Guidance Service Rendered Problem Presented Action Taken Guidance Advocate
Signature

Note: This is a confidential document, parents may assist their children in accomplishing this form.

You might also like