9/3/2019 CBSUA-Calabanga_College of Arts and Sciences - Google Forms

CBSUA-Calabanga_College
QUESTIONS
of Arts and SciencesRESPONSES 56

Section 1 of 7

CAS Students Pro ling

Enter necessary answer for each question. Write n/a if not applicable

Last Name

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Given Name

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Middle Name

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(Ext. Jr, Sr, etc.)

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Student Number

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Degree/Course Major Field

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After section 1 Continue to next section

Section 2 of 7

Personal Information
Enter necessary answer for each question. Write n/a if not applicable

Birthdate

MM/DD/YYYY

Short answer text

Gender Identity

Male

Female

LGBTQIA+

Blood Type

A+
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O+

B+

AB+

A-

O-

B-

AB-

Height (m.)

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Weight (kg.)

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Religious A liation

Roman Catholics

Born - Again Christians

Islams

Iglesia ni Cristo

Evangelicals

Jehovah's witnesses
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7th Day Adventist

Mormons

Civil Status

Single

Married

Seperated

Widowed

Live - in

Permanent Address

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Residential Address (if renting)

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Email Address

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Contact Number

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Section 3 of 7

Educational Background
Schools Attended and Year Graduated. Write n/a if not applicable

Elementary

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Secondary

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Tertiary

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Vocational/ Trade Course

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Section 4 of 7
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Family Background
Enter necessary answer for each question. Write n/a if not applicable

Spouse Name

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Occupation

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Spouse's Permanent Address

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Contact Number

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Highest Educational Attainment

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Number of Children

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Section 5 of 7

Family Background
Enter necessary answer for each question. Write n/a if not applicable

Father's Name

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Occupation

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Contact Number

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Highest Educational Attainment

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Mother's Maiden Name

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Short answer text

Contact Number

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Highest Education Attainment

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Number of Siblings

less than 5

more than 5 but less than 10

10 and above

Family Monthly Income

Php 5,000 below

Php 5,001 - Php 10,000

Php 10,001 - Php 20,000

Php 20,001 and above

Parents' Permanent Address

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Section 6 of 7

Field of Interest
Description (optional)

Which discipline would you interested at?

Visual Arts

Performing Arts

Sports

Media Arts (virtual arts,digital arts, computer animation, etc.)

What are the things you usually do?

Reading Books

Watching Movies or Television Programs

Listening to Songs

Arts and Crafts

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Section 7 of 7

Survey Questionaire
Description (optional)

Are you a person with disability?

Yes

No

if yes, please classify of your disability.

Short answer text

What kind of environment you prefer with?

Social Environment

Non-social Environment

Please state the reason for your answer

Long answer text

Are you a member of an Indigenous group or Ethnic group?

Yes

No
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if yes, identify which ethnic group you belong.

Short answer text

Are you believing at superstitious beliefs and practices?

Yes

No

Please state the reason for your answer

Long answer text

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