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Student Inventory

This document is an individual student inventory form from the Republic of the Philippines EULOGIO “Amang” RODRIGUEZ INSTITUTE OF SCIENCE and TECHNOLOGY. It collects personal information about a student such as their name, age, address, education history, family background, estimated expenses, physical health, interests and traits. The form gathers details to better understand the student's circumstances and needs.

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113 views2 pages

Student Inventory

This document is an individual student inventory form from the Republic of the Philippines EULOGIO “Amang” RODRIGUEZ INSTITUTE OF SCIENCE and TECHNOLOGY. It collects personal information about a student such as their name, age, address, education history, family background, estimated expenses, physical health, interests and traits. The form gathers details to better understand the student's circumstances and needs.

Uploaded by

leo dumapi
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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Republic of the Philippines

EULOGIO “Amang” RODRIGUEZ INSTITUTE OF SCIENCE and TECHNOLOGY


Nagtahan, Sampaloc, Manila

COLLEGE OF ENGINEERING

INDIVIDUAL STUDENT INVENTORY

1. Name: _______________________________________ __ Age: ____ Sex: ___ Civil Status: ______


(Surname) (First Name) (M.I.)
2. City Address: _______________________________________________________________________
3. Provincial Address: __________________________________________________________________
4. Date of Birth: _____________________ Place of Birth: ______________ Nationality: ___________
5. Dialect/s Spoken: __________________________________________ Religion: ________________
6. Education:

Name of School Course Finished Inclusive Date

Elementary: _________________________________ ________________ ______________


Secondary: _________________________________ ________________ ______________
Vocational: _________________________________ ________________ ______________
Program: __________________________ ________________ ______________
Major: __________________________

College: __________________________________ ________________ ______________


Major: __________________________________

7. Family Background

A. Father Mother Spouse

Name: ____________________ ____________________ ____________________


Place of Origin: ____________________ ____________________ ____________________
Occupation: ____________________ ____________________ ____________________
Monthly Income: ____________________ ____________________ ____________________

Siblings Age School/Company

____________________________________ _____ __________________________________


____________________________________ _____ __________________________________
____________________________________ _____ __________________________________
____________________________________ _____ __________________________________
____________________________________ _____ __________________________________
B. Family Income/Financial Status (Please Check)
___ Poor ___ Below Average ___ Average ___ Above Average

C. Home Living Conditions (Please Check)


___ Unbearable ___ Bearable ___Pleasant ___ Happy

8. Estimated Monthly Expenses


Food: Php _______________ Electricity/Water: Php _______________
Clothing: Php _______________ Education: Php _______________
House Rental: Php _______________ Others: Php _______________

9. Physical Health
Height: __________ Weight: ____________
Physical Condition (Please Check):
___ Unhealthy ___ Weak but not sick
___ Marginally Healthy ___ Healthy
Are you physically handicapped? If yes, what is your handicap? _______________________________
Can you easily relax after a strenuous activity? ___ Yes ___ No
Do you have worries, anxieties, or strong prejudices? If yes, what are they?
______________________________________________________________________________
Are you happy most of the time? ___ Yes ___ No

10. Interests and Traits

Condition of Leisure Time:


___ Limited ___ Adequate ___ Adequate and well-applied ___ None
What are your present habits and interests? __________________________________________
______________________________________________________________________________
To what type or group of people do you enjoy working with during social activities?
___ Group of the same age ___ Group of older people
___ Group of the same sex ___ Group of younger people
___ Group of the opposite sex ___ Mixed group of old and young people
Do you participate in sports activities? If yes, in what sports? _____________________________
What activities do you enjoy most?
___ Playing/Listening to Music ___ Reading ___ Others (pls. specify)
___ Physical Activities ___ Painting

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