Professional Documents
Culture Documents
Grace
Grace
The learner’s personal information is used exclusively by the Center of Student Well-being to help identify
needs and concerns that can be addressed by the center. The information you are asked to provide will
be part of the learner’s cumulative record. All information will be kept strictly confidential. Please be honest
and sincere in answering this form to enable us to better understand your child.
GILLIAN JOYCE T. NAVARRO 12/01/2001 1ST YEAR COLLEGE AB DIGITAL FILMMAKING- BENIELD
Grace likes to watch movies and series. She also like to listen to different genres of music. She has an
interest in note taking and journaling.
Interests
Grace prefers to watch movies, play games, and chat with her friends during their free time.
Preferences
3. Do you have special concerns about your child? If yes, kindly specify how the guidance counselor/ level
mentor can help him/her.
None.
4. Has your child consulted with a medical professional / outside specialist for any challenges or concerns he/she
might have? If yes, kindly indicate assessment and recommendations.
No.
5. Please list two (2) goals that you would like to set with your child for this year.
5. My goal for grace is for her to be more mature and be more healthier and lose weight.
6.
CONFORME
o
✔ I certify that the information I have provided in this form is true and correct to the best of my knowledge. I
am also allowing ESS to use the data in this inventory for routine interviews, mentoring/counseling,
academic coordination and for research purposes while adhering to the Data Privacy Act of 2012.*
*In lieu of your digital signature, checking the box and inputting your name in the spaces above signify that you agree to the
aforementioned Conforme statement.