Spdi
Spdi
291-2556
Curriculum Year__________
ADDRESS: ___________________________________________________________ DATE OF BIRTH: TELEPHONE NUMBER: RELIGION: NAME OF FATHER: Last NAME OF MOTHER: Last PARENTS MARITAL STATUS: ___SACRAMENTAL MARRIAGE ___LEGALLY SEPARATED ___CIVIL ___ANNULLED ___UNMARRIED First Middle First Middle PLACE OF BIRTH: MOBILENUMBER: EMAIL ADDRESS AGE: SEX:
EDUCATIONAL ATTAINMENT OF FATHER: __________________________________ EDUCATIONAL ATTAINMENT OF MOTHER: __________________________________ NUMBER OF CHILDREN IN THE FAMILY: _______ORDINAL RANK _______BROTHERS _____SISTERS
WITH WHOM ARE YOU LIVING? ___FATHER __ADOPTED ___MOTHER __STEP-MOTHER __STEP-FATHER . __RELATIVE
ANY PHYSICAL HANDICAPS SUBJECTS FOUND EASY: SUBJECTS FOUND HARD: WHAT KIND OF RECREATION DO YOU LIKE BEST? DO YOU PLAN TO GRADUATE FROM HIGH SCHOOL? DO YOU PLAN TO GRADUATE IN COLLEGE? WHAT KIND OF JOB DO YOU WANT? TALENTS ___DRAMATICS DANCING SINGING
___PLAYING INSTRUMENTS (PLEASE SPECIFY) WHO INFLUENCED YOU TO ENROLL AT THIS SCHOOL? ___FAMILY ___RELATIVES___FRIENDS___OTHERS (PLEASE SPECIFY) SCHOOL ATTENDED HIGH SCHOOL: ELEMENTARY: SOCIO ECONOMIC STATUS Can you give an estimate of the combined monthly family income? ___ Php 10, 000 and below ___ Php 11,000 to 20,000 ___ Php 21, 000 to 30, 000 ___ Php 31, 000, to 40,000 ___ Php 40,000 to 50,000 ___ Php 51,000 and above
Do you receive any financial support for your education? If yes please choose one below, if No please leave this blank ___ Relatives in the Country ___ Scholarship Program (Please Specify) ___ Others (Please Specify) ___ Relatives Abroad ___ Friends and Donor