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Persoal Data Sheet Guidance and Counseling

The document is a Personal Data Sheet for elementary students to be filled out by a parent or guardian. It collects information about the student, family background, educational history, health information, and the child's interests and hobbies. The form requires signatures from the parent or guardian, homeroom adviser, and school guidance counselor to verify the information provided.

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Grace Abedania
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89 views2 pages

Persoal Data Sheet Guidance and Counseling

The document is a Personal Data Sheet for elementary students to be filled out by a parent or guardian. It collects information about the student, family background, educational history, health information, and the child's interests and hobbies. The form requires signatures from the parent or guardian, homeroom adviser, and school guidance counselor to verify the information provided.

Uploaded by

Grace Abedania
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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PERSONAL DATA SHEET FOR


ELEMENTARY

To be filled out by parent/ guardian.

|. STUDENT INFORMATION

Last Name: _____________ Given Name: _____________ Middle Name: ______________


Birthdate: ____________ Place of Birth: _______________ Age: ___ Sex: ___
Current Adress: ___________________________________________________________
(Barangay) (Municipality) (Province)

||. FAMILY BACKGROUND

A. PARENT/GUARDIAN INFORMATION
Mother’s Name: ___________________________________________________________
Last Name Given Name Middle Name
Contact No: ____________ E-mail/ Social Media account: ___________________________
Occupation: _______________ Monthly Income: _________________

Father’s Name: ____________________________________________________________


Last Name Given Name Middle Name
Contact No: ____________ E-mail/ Social Media account: ___________________________
Occupation: _______________ Monthly Income: _________________

Guardian Name:
_______________________________________________________________
Last Name Given Name Middle Name
Contact No: ____________ E-mail/ Social Media account: ___________________________
Occupation: _______________ Monthly Income: _________________
Nature of relationship: ___________________

B. SIBLINGS NAME (According to Birth order)


1
2
3
4
5
6

|||. EDUCATIONAL BACKGROUND

Current School: ____________ School Year: ____________ Grade Level: ____


School Adress: ___________________________________________________________
(Barangay) (Municipality) (Province)
Previous School Attended: ____________ School Year: ____________

|V. HEALTH INFORMATION

Any Allergies? If yes please specify _________________ Blood Type: _______________


Past health issues or injuries? If yes please specify ______________________
Present Medication? If yes please specify ______________________

REV. 00 (02.27.2025)
V. CHILD INTERESTING HOBBIES

To be filled out by the child (Note: Please guide them)


Skills / Talent: ____________ Favorite Sports: _____________ Favorite Colors: ___________
Favorite Food: _____________
Who is your favorite person and why? ____________________________________________
What is your dream and why? ___________________________________________________
Who are your friends? _________________________________________________________

I hereby that information provided above is answered by my most honesty, correct and the best
of my knowledge.

_______________________ ______________________
Homeroom Adviser Signature Parent/ Gurdian Signature
Over Printed Name Over Printed Name

________________________
School Guidance Counselor Signature
Over Printed Name

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