Guidance Form No.

1
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

PUPIL’S INVENTORY FORM

INSTRUCTION: Please fill in this inventory form with the necessary data. Likewise, put cross mark (x) or
specify the needed information on the item that necessitated it.

PUPIL’S PERSONAL DATA

Name:
(Family Name) (First Name) (Middle Name)

Home Address:

Nickname: Age: Gender:

Date of Birth: Place of Birth:

Nationality: Religion:

Number of Brother (s): Number of Sister (s):

Rank in the family:

Living with: ( ) Both Parents ( ) Father only ( ) Mother only ( ) Others

PARENT’S / GUARDIAN’S DATA:

Father’s Name: ( ) Living ( ) Deceased

Address:

Occupation: Contact Number (s):

Mother’s Name: ( ) Living ( ) Deceased

Address:

Occupation: Contact Number (s):

Guidance Form No. 2
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

FAMILY BACKGROUND

Name: Age:

Birthday: Birth Place:

Address: Tel. No. :

(Paste a family picture)

My father is who works in .

My mother is who works in .

They ( ) live together ( ) separated ( ) deceased (father or mother)

( ) married (father or mother) ( ) working abroad (father or mother)

I wish my father is .

I wish my mother is .

I wish our family is .

My happiest moment with my family is when .

My saddest moment with my family is when .

If luck will turn to my favor, I wish my mother and father

My greatest fear / worry for our family is

.
Guidance Form No. 6
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

ANECDOTAL RECORDS

Name: Gender: Age:

Date of Birth: Address:

Guardian (if any): Relation:

Last School Attended: Year:

I. Forms Submitted: Date Received

a. FORM 138 (REPORT CARD)

b. NSO / PSA

c. FORM 137- E

II. Releasing of Report Card

Grading Period Parent / Guardian Signature Date

First

Second

Third

III. Incidents / Offenses

Date Incidents / Offenses Pupil’s Signature

IV. Parent’s Follow – up in School

Date Purpose / Comments Parent’s Signature

Guidance Form No. 5
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

HOME VISITATION FORM

Name of Pupil: Gender: Gr. & Sec.

Name of Parents: Guardian (if any)

Address: Contact No.

Name of Teacher:

Teacher’s Concern / s:

Parent’s Concern/s:

Data Gathered / Intervention:

Parent’s / Guardian’s Signature:

Date:

Teacher’s Signature:

Date:
Guidance Form No. 3
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

Tinahud kung Ginikanan:

Alang sa kaayuhan sa imong anak ug sa atong tunghaan, gihangyo ko ikaw nga moanhi sa atong
eskwelahan karong umaabot (petsa),
(oras) kay aduna kitay pagasabutan. Sama ingon niini, gipahibalo ko ikaw isip ginikanan
ni
(Name of Pupil)

(a) Kanunay nga mopalta sa klase (Absenteeism)

(b) Magsige ug cutting classes
(c) Nakig – away sa iyang isigkaingon
(d) Kanunay nga maulahi sa pag – abot sa eskwelahan
(e) Wala motungha hangtod karong adlawa
(f) Hisakpan nga mipakita ug mga buhat nga dili mayo
(g) Other issues

Malipay ako ug dako kong imong hatagan ug pagtagad kining maong sulat.

By:
(Class Adviser)

Noted by:

MA. LOUELLA S. MATIDIOS

School Guidance Officer

1st CALL
Parent’s Signature

2nd CALL
Parent’s Signature
 3rd CALL
Guidance Form No. 4
Parent’s Signature
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

NOTICE TO THE CONSELEE

Dear:

Your School Guidance Coordinator has scheduled an interview with you. He / She will be
available at the Guidance Office at (time) on
(date).

Please be prompt for your appointment.

Teacher’s Signature Over Printed Name

Guidance Form No. 4

Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

NOTICE TO THE CONSELEE

Dear:

Your School Guidance Coordinator has scheduled an interview with you. He / She will be
available at the Guidance Office at (time) on
(date).

Please be prompt for your appointment.

 Teacher’s Signature Over Printed Name
Guidance Form No. 7
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Lapu - Lapu City
District I
SOONG ELEMENTARY SCHOOL

ACCOUNT OF COUNSELING INTERVIEW

Counselee: Grade & Section:

Date of Interview: Length of Interview:

Problem:

Comments, Reactions and Actions Taken:

Schedule for the next interview:

Reported Voluntarily for Interview:

YES NO

Pupil’s Signature:

Referred by:
School Guidance Coordinator