INTERNATIONAL SCHOOL OF ASIA AND THE PACIFIC

Bulanao Norte, Tabuk City, Kalinga

Email Add:isapkalinga2011@gmail.com

OFFICE OF THE GUIDANCE SERVICES

Individual Inventory Record
College Department

A. YEAR LEVEL AND SCHOOL INFORMATION

A1. School Year: Type Here 2020/2021
A2. Year and Course: Type Here Second Year/ Bscrim
A3. I.D. Number: Type Here
A4. Adviser: Type Here Ma'am Remy Dinulong
A5. Last School Attended: (SECONDARY) Type Here ISAP-K 2018/2019

B. STUDENT INFORMATION
B1. Complete Name (Family Name First)
B2. Personal Cellphone No.
B3. E-Mail Address:
B4. Complete Home Address:
B5. Religion: Type Here Roman catholic
B7. Sex: Type Here Male
B9. Birthdate: Type Here 11/24/99
Type Here Dawaton, Charles Nacis
Type Here 09978573493
Type Here cdawaton37@gmail.com
Type Here Purok 6 Hilltop Bulanao Tabuk City
B6. Civil Status: Type Here Single
B8. Age: Type Here 21
B10. Birthplace: Type Here Kalinga Provincial Hospital Tabuk City

UNIQUE FEATURES
Skills/Talents: Type Here N/A
Hobbies/Recreational Activities: Type Here N/A
Ambitions/ Goals: Type Here To be an armforces of the philippines
Characteristics That Describe You Best: Type Here

C. FAMILY DATA
C1. FATHER C2. MOTHER C3. GUARDIAN
Full Name Type Here Cristino Type Here Marieta Dawaton Type Here Father
Dawaton
Occupation Type Here Farmer Type Here N/A Type Here
Cellphone No. Type Here 09456405838 Type Here Type Here
Relation To Guardian: TYPE HERE

Number Of Siblings Type Here 4

Birth Rank Type Here 3

D1. What Devices Are Available At Home That The Learner Can Use Choose an item.
For Learning? Cellphone
D2. Do You Have A Way To Connect To The Internet? Choose an item.
Yes
D3. How Do You Connect To The Internet? Choose an item.
Data
D4. What Are The Challenges That May Affect Your Learning Process Choose an item.
Distance Education? The internet maybe and the deep words that
can't be explanable.

E. FOR LEARNERS WITH SPECIAL EDUCATION NEEDS

E1. Does The Learner Have Special Education Needs? (I.E. Physical, Mental, Yes Or No
Developmental Disability, Medical Condition, Giftedness, Among Others) No
E2. If Yes, Please Specify: Type Here
N/A
E3. Do You Have Any Assistive Technology Devices Available At Home? (I.E. Screen Yes Or No
Reader, Braille, Daisy) No
E4. If Yes, Please Specify: Type Here
N/A

F. EDUCATIONAL DATA
F1. What Subject/S Do You Find F2. What Subject/S Do You Find Difficult? F3. Are You A Scholar?
Easy? Choose An Item.
N/A
If Yes, What Scholarship Program?
Type here Type here Type hereN/A
Masining na Pagpapahayag Reading in Philippine history
Course Preference: First Choice: Second Choice:
Army Teacher

Who supports you in your studies?

Name: Contact No. Relation
Type here Type here Type here
Cristino Dawaton 09456405838 Father

G. ADDITIONAL INFORMATION
Family Concerns
Whom Do You Like Most In The Family? Type Here Why?type here
Father because he taught me how to be independent and survive in life.
Whom Do You Like Least In The Family? Type here Why? Type here
N/A N/A
What Do You Think About Your Parent’s Choose an item.
Attitude Towards You? Equally and just
Describe Your Home Environment Choose an item.
Just normal kind of home environment.
What Are The Problems You Encounter Most Choose an item.
Of The Time? Lacking of internet which serve as a way for me to learn.
If you are having difficulties whom do you Choose an item.
usually share your problems? Family
Present Fears/Phobias: N/A Type Here N/A

Present Concern/ Problems: N/A Type Here N/A

MEMBERSHIP IN ORGANIZATION :
School: (Name and Position) N/A

Outside School: (Name and Position) N/A

 H. HEALTH DATA

Medical History ☐ Heart Disease ☐ Hypertension ☐ Diabetes

N/A ☐ Asthma ☐ Epilepsy Others:______________
_
Allergies : (Please Identify) Type here N/A
Accidents Experienced : Motor vehicle Effect: Deep sacrs
Operations experienced : N/A Effect: N/A
VISION Normal Normal ☐Far –sighted
☐ Near-sighted Others:_______
HEARING Normal ☐ Normal ☐ Impaired
☐Slighty Impaired Others:_______
Immunizations ☐Chicken Pox ☐Mumps ☐Booster
N/A ☐Influenza ☐Measles(MMR) ☐Small Pox
☐Hepatitis B Others:________________
PREVIOUS PSYCHOLOGICAL CONSULTATIONS
H1. Have you consulted a Psychiatrist before? Choose For What?type here
an item. N/A
If yes, when? TYPE HERE N/A
H2. Have you consulted a Psychologist before?Choose For What? Type here
an item. N/A
If yes, when? TYPE HERE N/A
H3. Have you consulted a Guidance Counselor before? For What? Type here
Choose an item. N/A
If yes, when? TYPE HERE
N/A

DATE FILLED OUT: Click here to enter a date. March, 18, 2021