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F1 - Individual Inventory Form

The document is an individual inventory form collecting personal information from a student including name, address, birthdate, parents' details, education background, interests, medical history, and consent from parents.

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Srnhs Guidance Counselling
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23 views1 page

F1 - Individual Inventory Form

The document is an individual inventory form collecting personal information from a student including name, address, birthdate, parents' details, education background, interests, medical history, and consent from parents.

Uploaded by

Srnhs Guidance Counselling
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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( ) New Student ( ) Continuing ( ) Repeater ( )Transferee

Republic of the Philippines


Department of Education
Region VII – Central Visayas
Schools Division of Bohol
SAN ROQUE NATIONAL HIGH SCHOOL

INDIVIDUAL INVENTORY FORM


LRN NO: ___________________
Part I. PERSONAL BACKGROUND
Name: ____________________________________________________________________________________________
(Surname) (First Name) (Middle Name)

Address: ____________________________________________________Nationality: __________________________


Birthday: ___________________________________________________ Age: _________________________________
Gender: ______________________________________Civil Status: _____________________________________
Parent’s Name: ____________________________________________________________________________________
Guardian’s Name: ___________________________________________________________________________________
Occupation of Parent/Guardian: _______________________________________________________________________
No. of Siblings in the family: __________________________________________________________________________
Learner’s Contact Number: __________________________________________________________________________
Parent’s Contact Number: __________________________________________________________________________
Fears: _____________________________________________________________________________________________
My strength/s: _____________________________________________________________________________________
My weaknesses: ____________________________________________________________________________________
My Family is: ______________________________________________________________________________________

Part II. EDUCATIONAL BACKGROUND


Grade & Section: ___________________________________________________________________________________
Previous School Attended: ____________________________________________________________________________
Address of Previous School: ___________________________________________________________________________
Previous School Year Attended: ________________________________________________________________________
Academic/Non-academic achievement/s: ________________________________________________________________
Current scholarship program participated: _______________________________________________________________
Easiest subject/s: __________________________________________________________________________________
Difficult subject/s: _________________________________________________________________________________

Part III. TALENT, SKILLS, AMBITIONS


Interest: _________________________________________________________________________________________
Hobbies: __________________________________________________________________________________________
Talents and Skills: ___________________________________________________________________________________
Dreams and Ambitious: 1st option ______________________________________________________________________
2nd option _________________________________________________________________________________________
3rd option ________________________________________________________________________________________
Parent’s ambition for him/her: ________________________________________________________________________

Part IV. MEDICAL HISTORY (Let your parents write in this section)
Disabilities/Impairments: ______________________________________________________________________________________________________
Chronic Illnesses: _______________________________________________________________________________________________________________
Medicines Regularly Taken: ____________________________________________________________________________________________________
Accidents Experienced/Effect: _________________________________________________________________________________________________
Operations Experienced/Effect: _______________________________________________________________________________________________

____________________________
Learner’s Signature

I willingly give my full consent to SRNHS Guidance Office to collect, keep, process and use my child’s personal and private
information that may be generated for its legitimate academic and administrative purposes only.

________________________________
Parent’s Signature over Printed Name ________________________________
School Guidance Counselor

Guidance Form 1
S.Y. 2023 - 2024

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