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ELIZABETH SETON SCHOOL

Center for Student Well-being


INDIVIDUAL INVENTORY RECORD

Grade/Year & Section:


9- SURIGAO DEL NORTE
Student Number:
2011-10081 1x1 recent
ST JOHN 2020-2021
ID picture
House Name (HS only): School Year: here
2010
Year/Level Started in ESS: Academic Strand (SHS only):

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.

I. STUDENT’S PERSONAL INFORMATION

Name: NAVARRO GRACE JULIANA TINDUGAN Nickname: GRACIE


(Last) (First) (Middle)
Address: 45 MARGIE MORAN ST. BF RESORT VILLAGE LAS PINAS CITY
Birthdate: 09/01/2006 Place of Birth: LAS PINAS CITY Birth Order: 4TH CHILD
Nationality: FILIPINO Religion: ROMAN CATHOLIC Telephone No.: 88743884
Mobile No.: 09051649378 Email Address: navarro.juliana@ess.edu.ph

II. FAMILY BACKGROUND


Father Mother
(as reflected on the learner’s (as reflected on the learner’s Guardian
birth certificate) birth certificate)
GLENN J. M. NAVARRO ALMIRA T. NAVARRO AILEEN T. LANDINGIN
Name
COLLEGE GRADUATE COLLEGE GRADUATE COLLEGE GRADUATE
Educational Attainment
MASTER MARINER HOUSEWIFE HR EMPLOYEE
Occupation
09165469605 09274445001 (0908) 887 4093
Contact Number
captgjmn@yahoo.com.ph almira_navarro@yahoo.com aynne74@yahoo.com
Email Address

Name of Sibling/s If alumni, indicate what batch in


Birthdate Level / Occupation
(Eldest – Youngest) ESS / College Degree and School
GERALDINE J.T. NAVARRO 10/31/1997 2ND YEAR MEDICINE 2014 ALUMNI - DLSMHSI MED

GILLIAN JOYCE T. NAVARRO 12/01/2001 1ST YEAR COLLEGE AB DIGITAL FILMMAKING- BENIELD

GWEN JASMINE T. NAVARRO 11/01/2005 GRADE 9 - ADS

OTHER PERSON/S STAYING AT HOME


Name Relationship Contact Number
VICTOR P. NAVARRO GRANDFATHER N/A

JOLAN BOISON HELPER N/A

PRINCESS BOISON HELPER N/A

Child lives with: ✔ Both Parents Father Mother Guardian Relative


Supervision of School Work: Father
✔ Mother Tutor Others
Language/s or Dialect/s Spoken at Home: ENGLISH, FILIPNO
ELIZABETH SETON SCHOOL
Center for Student Well-being
INDIVIDUAL INVENTORY RECORD

III. PERSONAL CHARACTERISTICS


(Your child’s adviser may see your comments on this portion)

1. What strengths, interests and preferences does your child have?


She has a strrength in socializing towards others. She is very friendly and sociable to the people
around her.
Strengths

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

2. What does your child need to improve on in terms of the following…


She is very resposible in terms of school works and studying for exams. Althoug it seems that she is
Academics having a hard time in math.

Grace is very friendly and sociable towards her peers.


Behavior

She wants to take up a course in the medical field


Career Plans
*JHS/SHS learners only

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.*

GLENN JONATHAN M NAVARRO AILEEN T LANDINGIN


Father’s Signature over Printed Name Guardian’s Signature over Printed Name

ALMIRA T NAVARRO SEPT 17, 2020


Mother’s Signature over Printed Name Date

*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.

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