GUIDANCE CENTER

INDIVIDUAL INVENTORY FORM

Name: Date:
(Family) (First) (Middle) (Nickname)
Track: Strand:
Home Address: Sex: Citizenship:
Birthdate: Birthplace: Birth Rank: Religion:
Father’s Name: Occupation: Educational Attainment:
Please Check: OFW NON-OFW Place of Work: Years at Work
Mother’s Name: Occupation: Educational Attainment:
Please Check: OFW NON-OFW Place of Work: Years at Work
No. of Brothers: No. of Sisters: Contact Number: Landline: Cellphone:
Tagbilaran Address:
Place where you are staying in Tagbilaran: (Please Check)
Home with parents Private House Dormitory
Staying with Relatives Apartment Others: (Please specify)

SCHOLASTIC RECORD:
Name of School Address Year Completed

Junior High School: / /

Honors/Awards Received:

School Last Attended Address

For Transferees Only: /
Extra-Curricular Involvements:

Talents /Special Abilities:

Person (s) supporting your studies aside from parents:

Relationship: Occupation: Address:
Any physical disabilities or handicap(s)
Do you have any problems? (Please check)
Self Studies
Family Relationships, with whom?
Physical Health Others, please specify
Finances
With whom would you like to discuss your problem?

NOTES