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GF 1 Student Inventory Form Final

The document is a student inventory form used by the Guidance and Counseling Office of the DepEd Lapu-lapu City Senior High School. It collects personal information about students such as their name, address, family details, educational background, extracurricular activities, problems encountered, and medical history. The form notes that students' information will be kept confidential and only used by school guidance advocates and counselors.

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Psalm Buca
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143 views

GF 1 Student Inventory Form Final

The document is a student inventory form used by the Guidance and Counseling Office of the DepEd Lapu-lapu City Senior High School. It collects personal information about students such as their name, address, family details, educational background, extracurricular activities, problems encountered, and medical history. The form notes that students' information will be kept confidential and only used by school guidance advocates and counselors.

Uploaded by

Psalm Buca
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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Guidance Form 1

Republic of the Philippines


Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Science and Technology Education Center
Senior High School Picture

GUIDANCE AND COUNSELING OFFICE 1x1

STUDENT’S INVENTORY FORM

By answering this form, you give us your consent to acquire and provide a comprehensive information about students of
DepEd Lapu-lapu City which can be a tool in understanding the potential, strength and weaknesses, needs, interests,
abilities and liabilities as a person. We will handle your information with utmost confidentiality. The collective result of
this form will only be kept within the School Guidance Advocates and Registered Guidance Counselors.

Instruction: Please fill in this inventory form with the necessary data. Likewise, put a check mark () or specify
the needed information on the item that necessitated it.

STUDENT’S PERSONAL DATA

Name:
Family Name First Name Middle Name

Present Home Address: Grade Level/Section:


Nick Name: Age: Gender:
Date of Birth: Place of Birth:
Nationality: Religion:
Rank in the Family: No. of Sister(s): No. of Brother(s):
Living with: ( ) Both Parents ( ) Father Only ( ) Mother Only ( ) Others
Contact Number: Email Address:

PARENTS/GUARDIAN’S DATA:

Father’s Name: Living ( ) Deceased ( )


Present Home Address:
Occupation: Contact Number:
Mother’s Name: Living ( ) Deceased ( )
Present Home Address:
Occupation: Contact Number:
Guardian’s Name: Living ( ) Deceased ( )
Present Home Address:
Occupation: Contact Number:

PARENT’S MARITAL STATUS

( ) Church marriage ( ) Civil marriage ( ) Living together without marriage


( ) Separated ( ) Single parent ( ) Others __________ (pls. specify)

STUDENT’S EDUCATIONAL DATA

Level Name of School last Attended Year Awards and Honors


Received
Primary School
Elementary
Secondary: Junior
High School
Subject/s with Lowest Grades: Subject/s with Highest Grades:
Plans after Senior High School:
Awards/Honors Received:
Guidance Form 1

Preferred College/ University:


Name of College/ University Course
1.
2.
3.

Special Skills: Club/Organization:

PROBLEM ENCOUNTER

At Home: In/Off- Campus

( ) Inadequate food to eat ( ) Bullied by other persons


( ) Generation Gap ( ) Peer Pressure
( ) No proper place to study ( ) Complying project & assignment
( ) No enough time to study ( ) Understanding the Subject matter(s)
( ) Working out values ( ) Teacher(s) unacceptable personalities
( ) Seeking Independence ( ) Corporal Punishment
( ) Parent’s Financial Problem ( ) Verbal Abuse or Insults
( ) No house/home to claim dwelling ( ) Emotional concern (crush/puppy love)
( ) Identify Crisis Disclosure ( ) Inadequate food to eat
( ) Sharing sensitive/ Personal Issues ( ) Classroom/students’ congestion
( ) Too much household chores ( ) Hard quizzes and examination
( ) Proper time to sleep/rest ( ) Temptation in any unacceptable act(s)
( ) Physical absence of parent(s) ( ) Identify crisis disclosure
( ) Physical harm ( ) Sharing sensitive/personal issues
( ) Sexual Harassment ( ) Monetary Contributions
( ) Parent(s) punishment ( ) Unfriendly environment/ people
( ) Verbal abuse & insults ( ) Sexual Harassment
( ) Others: ( ) Others:

Are you suffering from any ailments or handicap? Are you under
any medication? Did you have
any suicidal attempts or thoughts? If yes, when? Were you a
victim of any form of abuse? If yes, when? Did you get involved with illegal drugs? If
yes, when?

Do you have a mentally challenged family member/ relative? If yes, how are
you related to him/ her? Have you visited
a psychiatrist or psychologist before? (If yes, state the reason) _____________________________

HOUSE LOCATION SKETCH


Please write a sketch of your home address from the school. Provide notable landmarks.

“It is only with the heart that one can see rightly, what is essential is invisible to the eye.”
-- The Little Prince, Antoine de Exupery

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