Académique Documents
Professionnel Documents
Culture Documents
A. PERSONAL/BASIC INFORMATION
LRN: Name of Student
Gender: Birthdate Age
Address:
School Religion
B. Family Background
Father’s Name: Work:
Mother’s Name: Work:
Name of Guardian: Work:
C. SOCIO-EMOTIONAL ATTRIBUTES
Which of the following do you enjoy doing?
_____Singing _____Drawing/sketching
_____Dancing _____Cooking
_____Playing computer games _____Watching movies
_____Writing _____Texting and surfing the net
_____Reading _____Driving (motorcycle, bike, etc)
_____Cleaning the house _____Others _____________
Updated by:
Mark Joseph N. Cometa
Class Adviser