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    Ater Cclesiae Chool, Inc.: Complete Name: Religion: Date of Birth: Age: Citizenship: Educational Attainment: Occupation

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    Zoe Gail Managuelod
    This document is an individual inventory form for a student attending Mater Ecclesiae School. It collects personal information about the student such as name, age, address, family details, interests, personality traits, and any other relevant information as observed by parents/guardians. The form is used to better understand each student and support their learning and development.

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    © All Rights Reserved
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    Ater Cclesiae Chool, Inc.: Complete Name: Religion: Date of Birth: Age: Citizenship: Educational Attainment: Occupation

    Uploaded by

    Zoe Gail Managuelod
    92 views2 pages
    This document is an individual inventory form for a student attending Mater Ecclesiae School. It collects personal information about the student such as name, age, address, family details, interests, personality traits, and any other relevant information as observed by parents/guardians. The form is used to better understand each student and support their learning and development.

    Original Title

    INDIVIDUAL-INVENTORY (1)

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    This document is an individual inventory form for a student attending Mater Ecclesiae School. It collects personal information about the student such as name, age, address, family details, interests, personality traits, and any other relevant information as observed by parents/guardians. The form is used to better understand each student and support their learning and development.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    92 views2 pages

    Ater Cclesiae Chool, Inc.: Complete Name: Religion: Date of Birth: Age: Citizenship: Educational Attainment: Occupation

    Uploaded by

    Zoe Gail Managuelod
    This document is an individual inventory form for a student attending Mater Ecclesiae School. It collects personal information about the student such as name, age, address, family details, interests, personality traits, and any other relevant information as observed by parents/guardians. The form is used to better understand each student and support their learning and development.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    MATER ECCLESIAE SCHOOL, INC.

    DVMI Sisters – Villa Olympia Subdivision, San Pedro, Laguna


    Contact Nos.: 8869-3075 / Telefax 8868-2693 / Globe (0917)7091-760
    Smart (0939)9397-678 / Sun (0922)8281-024
    Website: www.materecclesiaeschool.edu.ph

    INDIVIDUAL INVENTORY
    S.Y. ____________
    Grade Level & Section __________________________

    Name of Student:____________________________________________________________
    (Surname) (First Name) (Middle Name)
    Age: ______ Sex: ________ Nationality:______________ Religion: __________________
    Date of Birth: ________________________ Place of Birth: _________________________
    Home Address: _____________________________________________________________
    Office Address: ______________________________ _____________________________
    (Father) (Mother)
    Tel. No.: _____________________ ___________________ _____________________
    (Residence) (Father) (Mother)
    School Service (if any): ____________________________ _____________________
    (Name of school service) (Contact no. of school service)

    I. FAMILY DATA Father Mother


    Complete Name:
    Religion:
    Date of Birth:
    Age:
    Citizenship:
    Educational Attainment:
    Occupation:

    II. CHILDREN IN THE FAMILY (From oldest to youngest)

    Name Age School Attended Educ'l Attainment

    III. PARENT'S MARITAL STATUS

    _____ Married in Church _____ Civil _____ Live-in _____ Separated _____ Widow/er
    Student is living with (please check)
    _______ Both Parents _______ Father Only _______ Mother Only _______ Guardian

    Cite reason/s if the child is living with guardian _____________________________________


    ________________________________________________________________________
    Who else lives in the child's home? ______________________________________________
    What language/dialect spoken at home? __________________________________________
    Has the child had any noteworthy experience which might affect his school performance?
    _______ Yes _____ No
    If Yes, please state
    ________________________________________________________________________
    ________________________________________________________________________

    Check the child's present major


    interest:
    _____ Listening to music _____ Watching television _____ Reading
    _____ Collecting things _____ Taking care of pets _____ Watching movies
    _____ Telling stories _____ Studying _____ Playing
    _____ Painting _____ Singing _____ Dancing
    _____ Internet Surfing _____ Acting _____ Sports

    Others: __________________________________________________________________

    On the basis of your observation, check any of the following which best describe the child:
    _____ Talks constantly _____ Active _______ Inquisitive
    _____ Cheerful _____ Irritable _______ Careless/Clumsy
    _____ Selfish _____ Patient _______ Seldom completes a task
    _____ Not much help at home _____ Fast Learner _______ Accepts criticisms positively
    ______ Accepts critisicms negatively _____ Aggressive _______ Quarrelsome
    _____ Sociable _____ Helpful _______ Stubborn
    _____ Hardworking _____ Impatient _______ Friendly
    _____ Imaginative _____ Timid _______ Creative

    Others: __________________________________________________________________

    Please indicate any information which will help us understand your child better

    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________

    ____________________________
    Parent's/Guardian's Signature Over Printed Name

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