SCHOOL HISTORY

SCHOOL ADDRESS GRADE LEVEL DATE HONORS/AWARDS COMMENTS

ACADEMIC PERFORMANCE
Grade 7: __________________________ Grade 8: __________________________ Grade 9: __________________________ Grade 10: _________________________
SY: 20___ - 20____ SY: 20___ - 20____ SY: 20___ - 20____ SY: 20___ - 20____
SUBJECTS 1 2 3 4 FINAL 1 2 3 4 FINAL 1 2 3 4 FINAL 1 2 3 4 FINAL
Religion/Values Ed
English
Reading
Mathematics
Science
Filipino
Social Science
TLE
Computer
MAPEH
Homeroom
Deportment
GENERAL AVERAGE
Days of School
Days Present
Days Tardy
Adviser:
Extra-Curricular Activities:
Position:
TEST RESULTS

COUNSELING RECORD
DATE AND TIME GRADE LEVEL NATURE OF PROBLEM ACTION TAKEN SIGNATURE
 LA SALETTE OF SAN MATEO, INC.
SAN MATEO, ISABELA
PAASCU ACCREDITED LEVEL II
GUIDANCE DEPARTMENT

STUDENT'S CUMULATIVE RECORD

PERSONAL DATA
Name: ____________________________________________ Address: ________________________________________ Tel. No.: __________________________________
Date of Birth: _____________________________________________ Place of Birth: ________________________________________ Gender: __________________________________
Religion: _____________________________________________ Baptized: ________________________________________ Rank in the Family: _________________________

FAMILY DATA
NAME ADDRESS Date of Birth Place of Birth Nationality Religion Educ'l Attainment Occupation Where Employed
FATHER
MOTHER
GUARDIAN
EXTENDED
PARENT'S MEMBERSHIP IN CIVIL & RELIGION ACTIVITIES PARENT'S MEMBERSHIP IN CIVIL & RELIGION ACTIVITIES
FATHER: ________________________________________________ ____________________________________ Living Together: ___________________ Separated: _____________
MOTHER: ________________________________________________ ____________________________________ Divorced: ___________________ Remarried: _____________
NAME OF BROTHERS AND SISTERS
NAME AGE RANK IN THE FAMILY OCCUPATION NAME AGE RANK IN THE FAMILY OCCUPATION

HEALTH DATA
Height: __________________________________ Weight: ________________________ Allergy: ________________________ Operation: _______________ Wears Eyeglasses: ________________
GENERAL HEALTH COMPLAINTS