Republic of the Philippines
Department of Education
REGION VII- CENTRAL VISAYAS
TABOGON ROOSEVELT HIGH SCHOOL, INC.
ILIHAN, TABOGON, CEBU
GUIDANCE OFFICE
STUDENT’S CUMULATIVE RECORD AND PROFILE
I. PERSONAL DATA
Name: Place of Birth:
Birth Date: Age: Nationality:
Address: Religion:
II. FAMILY DATA
A. Father/Guardian B. Mother/Guardian
Name
Date of Birth
Place of Birth
Educational Attainment
Occupation
Religion
Date of Death (if Deceased)
Cause
C. Children in the Family Boys: Girls: Total:
D. Home and Family Grade Level Remarks
Problems Grade Grade Grade Grade Grade Grade
(Please Check) 7 8 9 10 11 12
Broken Home
Very Strict Parents
Very Lax Parents
Very Crowded Parents
Indigent
School Far From Home
Others
Teacher-Adviser’s Initial
E. Economic Status: Rich Average Poor Others:
F. Language at Home: Cebuano Tagalog English Others:
III. SCHOLASTIC ACHIEVEMENT
A. School Attended Grade Level Subjects Done Subjects Done General Teacher-
Well Poorly Average Adviser’s Initial
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
B. Standard Test Record Grade Date Scores Interpretation
Others:
IV. APPRAISALS OF STUDENT’S BEHAVIOR
Kindly put a check mark (√) under the current grade level of the student, if the student has the following Personal Qualities and school
problems, and if not please leave it blank. Also, put your remarks using the legends provided. (To be rated after the semester/school
year). Legend: O- Outstanding NS- Not Satisfactory
VS- Very Outstanding NI- Needs Improvement
S- Satisfactory
A. Personal Qualities Grade Level Remarks
(Please check) G7 G8 G9 G10 G11 G12
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Resourcefulness and Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness and Orderliness
11. Promptness and Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism, Love of Country
Teacher-Adviser’s Initial
In here, put remarks regarding your observation, reason, and understanding.
B. School Problems Grade Level Remarks
(Please check)
G7 G8 G9 G10 G11 G12
1. Underachiever
2. Slow Learner
3. No Internet
4. Potential Drop-out
5. Frequently Absent
6. Frequently Late
7. Others
Teacher-Adviser’s Initial
C. Home Visitation
Kindly rate the home visits that you have performed using the legend below:
Legend: E- Excellent G-Good F-Fair N-Need Improvement
Grade Date of Dwelling Surroundings Waste Home Recommendation Teacher-
Level Visit Facilities Disposal Projects Adviser’s Initial
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
D. Significant Notes on Personal and Social Traits
Grade Level Teacher’s Name Comments Teacher-Adviser’s
Initial
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Prepared by: Nichole A. Ylanan, RPm
Guidance Counselor
