PUPIL RISK PROFILE TEMPLATE

(FOR PARDO)
Directions: Fill-out the Summr! o" Pu#ils Ris$ Pro"ile usin% this scorin% %ui&e' (i)e the num*er corres#on&in% to the
in"ormtion nee&e& "or the #u#il' Do not le)e n! item unns+ere&'
SCORING GUIDE
A' ,OME -A.K(ROU/D
0'E&uctionl
Attinment
/o "orml
E&uction
Elementr! Le)el1
(r&ute
,i%h School
Le)el1(r&ute
.olle%e
Le)el1(r&ute
A' Fther 0 2 3 4
-' Mother 0 2 3 4
2' Socio-Economic
Sttus
Poor
5666 *elo+
Lo+-Economic Sttus
5660-278666
A)er%e
278660 9 0668666
Rich1:ell-O""
0668660 - u#
0 2 3 4
-' FIRST (RADI/( A.,IE;EME/T
Lernin% Are Lo+
-elo+ <7=
-elo+ A)er%e
<7 9 <5=
A)er%e
>6 9 >7=
A*o)e A)er%e
>? 9n& A*o)e
Mth 0 2 3 4
En%lish 0 2 3 4
Fili#ino 0 2 3 4
Science 0 2 3 4
MAKA-A@A/ 0 2 3 4
.' First Aurter
Atten&nce
0 9 03 &!s 04 9 2? &!s 2< 9 35 &!s 46 &!s n& *o)e
0 2 3 4
D' PARTI.IPATIO/ 1 I/TEREST I/ .LASS A.TI;ITIES
/e)er Sel&om Sometimes O"ten Al+!s
0' Does home+or$ 0 2 3 4 7
2' Does set+or$ 0 2 3 4 7
3' Prtici#tes in clss recittions 0 2 3 4 7
4' Boins %rou# &iscussions 0 2 3 4 7
7' St!s #ut in the clssroom to%ether +ith
Techer1clssmtes to ccom#lish school ts$s
0 2 3 4 7
E' EMOTIO/AL 1 PERSO/AL ADBUSTME/TS
Al+!s O"ten Sometimes Sel&om /e)er
0' Resist techerCs #ro&&in% 0 2 3 4 7
2' See$s hel# "rom the techer1clssmtes to
ccom#lish school ts$s
0 2 3 4 7
3' Esil! &istrcte& 0 2 3 4 7
4' Is )ictim o" )er*l %%ression 0 2 3 4 7
F' ,EALT,
Al+!s O"ten Sometimes Sel&om /e)er
0' Is slu%%ish1 slee#! &ue to lo+ nutritionl le)el
n&1or other helth relte& resons
0 2 3 4 7
2' (enerl helth con&ition
Sic$l! ,elth!
0 2 3 4 7
Page 1 of 2 E-Tracking Pupil Risk Profile Template
SUMMAR@ OF PUPILS RISK PROFILE
(r&e1section DDDDDDDDDDDD School: DDDDDDDDDDDDDDDDDDDDDDDDDDDDD School-@er: DDDDDDDDDDD
Techer: DDDDDDDDDDDDDDDDDDDDDDDDDD District: DDDDDDDD Di)ision: DDDDDDDDDDDDDDDDDDDDDDDDDD
Direction: (i)e the num*er corres#on&in% to the in"ormtion nee&e& "or the #u#il usin% the numericl
eEui)lents "rom the Scorin% (ui&e' Do not le)e n! item unns+ere&'
/me o" Pu#ils
Fmil! -c$
%roun&
First
(r&in%
Achie)ement
0
st
Aurter
Atten&nce
.lss
Prtici#tion1
Interest
in clss
Emotionl
1Personl
A&Fustments
,elth
0
2
3
4
7
?
<
>
5
06
00
02
03
04
07
0?
0<
0>
05
26
20
22
23
24
27
2?
2<
2>
25
36
30
32
33
34
37
3?
3<
3>
35
46
40
42
43
44
47
4?
4<
4>
45
76
Page 2 of 2 E-Tracking Pupil Risk Profile Template