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Individual Intake Sheet

Mr. Billy is a 21-year old college student experiencing financial problems. His family has low and unstable income from his father's job as a driver and his mother's job as a saleslady. Their total monthly income of 13,000 pesos is not enough to cover Billy's school expenses and the family's daily needs. The social worker's plan is to counsel Billy, refer him to apply for scholarships, and refer him to the Department of Labor and Employment for possible assistance programs.

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89 views4 pages

Individual Intake Sheet

Mr. Billy is a 21-year old college student experiencing financial problems. His family has low and unstable income from his father's job as a driver and his mother's job as a saleslady. Their total monthly income of 13,000 pesos is not enough to cover Billy's school expenses and the family's daily needs. The social worker's plan is to counsel Billy, refer him to apply for scholarships, and refer him to the Department of Labor and Employment for possible assistance programs.

Uploaded by

c.dumpao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Control No.

: Date:
Time Interview: Contact No.:

Name:Billy Mark Last Name:Marata Middle Name: Valdez Age: 21 Sex:


male
Address:Bula, gsc Civil Status: single
Place of Origin: Kalamansig Sultan Kudarat ____No.of Years In GSC: 5__
Date of Birth:June 4 2000 Place of Birth: Kalamansig Sultan Kudarat ___
Occupation: Student Job Status:__(_)_Permanent__( ) Casual (_)Contractual
Estimated Monthly Income: N/A Religion: Catholic
Status of Housing Occupancy: _( )_Owner_(_)_Renter Php_(/)_House Sharer __
Status of Lot Occupancy:_(_)_Owner_(_)_Renter Php_(/)_Lot Sharer_( )_Informal Settler__
Educational Attainment/Course: Bachelor of Science in Criminology

FAMILY COMPOSITION (HOUSEHOLD COUNT)


Name Age Birth Date Civil Relation Educ. attain. Occupation Income
Status to Client
Isabelo B. 51 July 2. 1970 Married Father Elementary Driver 7k
Marata
Annabelle V. 50 August 7, Married Mother Elementary Saleslady 7k
Marata 1971
Maribelle V. 30 September Single Sister College Saleslady 7k
Marata 18, 1991

Marielle V. 28 August 29, Single Sister College Poultry 10k


Marata 1993

Billy Mark 21 June 04, Single Undergrad Student N/A


V. Marata 2000 College
Problem Presented:
Mr. Billy was facing and experiencing some financial problems, internet connection, lacking of
allowance and school needs. His family has low source of income, and no stable sources of
income to finance mostly in their daily needs.

Problem Assessment: Mr. Billy is currently studying at Ramon Magsaysay Memorial Colleges.
He is experiencing financial problems in his situation as a student he has not enough stability to
pay his school fees.

Plan of Action:
 Counseling
 Refer to apply scholarship grant
 Refer to DOLE
SOCIAL CASE STUDY REPORT

I. Identifying Data:

Name - Billy Mark V. Marata


Age - 21
Civil Status - single
Sex - male
Birth Date -june 4,2000
Birthplace - Kalamansig Sultan Kudarat
Educational Attainment - college
Occupation - student
Present Address - bula, gsc
Monthly Income - n/a
Classification -

II. Family Composition:


Name Age Birth Date Civil Relation Educ. attain. Occupation Income
Status to Client
Isabelo B. 51 July 2. 1970 Married father elementary driver 7k
Marata
Annabelle V. 50 August 7, Married mother elementary Saleslady 7k
Marata 1971
Maribelle V. 30 September single sister college saleslady 7k
Marata 18, 1991

Marielle V. 28 August 29, single sister college poultry 10k


Marata 1993

Billy Mark 21 June 04, taken Undergrad student N/a


V. Marata 2000 college

Per capita income per day: P 200 Total Family Income: 13,000
Problem Presented: Mr Billy's allowance is insufficient to pay his education expenses and their
family's financial needs. They have a limited amount of income because his parents do not have
consistent sources of income to meet their daily demands.

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