Guidance and Counseling Program

Office of Student Affairs

University of the Philippines Manila

STUDENT ACADEMIC AND PSYCHOSOCIAL PROFILE

AY ________________________

Name: Student No.: Course/Year:

Address: Age: Contact Nos. and E-mail:

Sex:

Gender: [ ] Masculine Birthday and Place of Birth: Marital Status:

[ ] Feminine
[ ] Other

Cultural minority: [ ] No Religion: Dialect:

[ ] Yes, Specify

Student Type: [ ] New Student Who Finances Your Study:

[ ] Continuing student [ ] Both Parents
[ ] Shiftee from another course [ ] Father
[ ] Transferee from another UP unit [ ] Mother
[ ] Transferee from another school [ ] Scholarship, specify:
[ ] Returning from LOA/AWOL [ ] Others, specify:

Living Arrangement while in UP Manila: Annual Family Income:

[ ] |Staying in own house - ( ) with family ( ) alone [ ] above 1M
[ ] Renting an apartment - ( ) with family ( ) alone ( ) with friends or schoolmates [ ] 700,000 – 999,999
[ ] Renting a condominium - ( ) with family ( ) alone ( ) with friends or schoolmates [ ] 500,000 – 699,999
[ ] Staying in a dormitory//boarding house [ ] 250,000 – 499,999
[ ] Staying in relative's/friend's house [ ] 100,000 – 249,999
[ ] Bedspacer [ ] below 100,000
[ ] Others, specify:
Family Status: Parent/s' Work Status: Student's Work Experience:
Parents: [ ] both living Father [ ] No [ ] Never worked
[ ] both deceased [ ] Yes, abroad? ( ) Yes ( ) No [ ] Worked but stopped already
[ ] deceased ( ) father [ ] Currently working fulltime
( ) mother Mother [ ] No [ ] Currently working part-time
[ ] Yes, abroad? ( ) Yes ( ) No
Siblings: No. ______

Membership in Organizations: Extracurricular Activities: Hobbies:

In school:

In the community or elsewhere:

GWA: Course/s Failed from previous Reason/s for failing the

academic year if any: course/s:
 Educational Goal

Academic/ Career Plan Plan:

How to Achieve the plan:

Career Interest/s

Career Concerns

Degree of Satisfaction on Notes:

Campus Experience

Rating*:

How well are you adjusting/or Notes:

have adjusted to campus life?

Rating*:
Problems in and outside Notes:
school

Rating*:
Overall satisfaction in life Notes:

Rating*:
Notes from Adviser:
(To be accomplished by the
adviser)

* Rate your experience from 1-10, 10 being the highest