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DCNHS GF1 Cumulative Folder PDF
DCNHS GF1 Cumulative Folder PDF
GF1
Davao City National High School
F. Torres St., Davao City
Guidance Office
LRN No._______________________________
I. Family Background
Father Mother
( mark with + if deceased) ( mark with + if deceased)
Name: Name:
Age: Age:
Highest Educational Attainment: Highest Educational Attainment:
Occupation: Occupation:
Contact No.:_________________________________________ Contact No.:_________________________________________
Working Abroad? [ ]Yes [ ] No Working Abroad? [ ]Yes [ ] No
Employer: Employer:
Office Address : Office Address:
a. My Parents:
[ ] Living Together [ ] Mother with another Partner [ ] Solo Parent
[ ] Temporary Separated [ ] Father with another Partner
[ ] Permanently Separated [ ] Marriage Annulled/Legally Separated
b. Please name below siblings from eldest to youngest. Include yourself.
Name of Civil Educational Working Schooling Contact
Age Sex
Brother/Sister Status Attainment (yes/no) (yes/no) Number
c. Check the subject/s below that you think you need help or assistance. On the space provided, please
write the specific area (Ex. English: grammar or vocabulary, Math: Geometry, etc.).
[ ] English
[ ] Science
[ ] Math
[ ]others, pls. specify
III. Self
______________________________________________________ __________________________
______________________________________________________ __________________________
______________________________________________________ __________________________
VI. Problems or Difficulties: Check which of the items below present a problem or difficulty to you.
[ ] Confidence [ ] Relationships/love
[ ] Stress Management [ ] Anger Management
[ ] Communication Skills [ ] Peer Pressure
[ ] Teacher (s) [ ] School Adjustment
[ ] Parents [ ] Sibling Rivalry
[ ] Brother/Sister [ ] Friends
[ ] My Appearance [ ] Finances
[ ] Concentration [ ] Time Management
[ ] Study Habits [ ] Privacy/Freedom
[ ] Health/Nutrition [ ] Diet/Drugs/Smoking/Drinking
[ ] Test Anxiety [ ] Not interested in coming to school
[ ] Others (If you check others, please write the problem or difficulty on the space below)
______________________________________________________________________
________________________________________________________________
_______________________________________________________________________
__________________________________________
My Skills: I can . .
[ ] type/operate computers [ ] communicate well
[ ] build and repair equipments [ ] install electrical wirings
[ ] compose poems, essays, songs etc. [ ] design computer programs/systems
[ ] play musical instrument [ ] play sports (ex. basketball, tennis etc.)
[ ] others, please specify __________________________________________
_____________________________________ _______________________________________
Student’s Signature over printed name Parent’s Signature over printed name
____________________________________________________
Guidance Counselor/Advocate Signature over printed name