Dream Quest International

#70 Lopez Jaena Street, Tacloban City, Leyte, Philippines

Mobile: 09173056146 | Telephone: (053) 832-2202
Child Photo
STUDENT SPONSORSHIP PROGRAM (SSP) 2 x 2

Child Profile Sheet for SSP Beneficiaries

Type New Update

CHILD
Child ID Address

Gender Male Female Email Address Mobile

Child Name

Birth Date / /

Religion Language English Tagalog Waray-waray

Cebuano Others
EDUCATION
Grade Level Favorite Subject Name of School

Awards Received last SY [1] [2]

Others

HEALTH
Health Status Satisfactory Not Satisfactory Disability
Health Status
Comment

SKILLS & INTERESTS

Favorite Play Hobbies
Favorite Food Talents
Skills (eg. cooking, sewing, driving) [1] [2] [3]

FAMILY
Brothers Sisters Child Lives With

Mother Family Name Mother Given Name

Primary Care Giver Yes No Main Household Provider Yes No

Situation Employment
Status
Occupation

Father Family Name Father Given Name

Primary Care Giver Yes No Main Household Provider Yes No

Situation Employment
Status
Occupation

If Not Parents: Primary Care Giver Family Name Primary Care Giver Given Name

Gender Male Female Relation to Child

Main Household Provider Yes No
Participation Approval
Participation Approved By
Relation to child Signature
Participation Approver Name

Data Collected By Date Collected / /