AGOO COMPUTER COLLEGE: STUDENTS' PERSONAL DATA SHEET

Date:________________________
I. PERSONAL DATA

Name:_____________________________________________Age:________ Sex: _____________
Date of Birth:_____________________________Place of Birth:___________________________
Address:____________________________________Tel. No.:________________________________
Civil Status:____________________ Citizenship: ____________ Course:__________________________Religious Affiliation:______________________________
Height:_______________ Weight:_________ Hobbies/ Interests/ Special Skills:____________________________________________________________________
Dialects you can speak/ write:_______________________________________________________________________
Physical Condition: (Health & Medical records) ________________________________________________________

II. FAMILY BACKGROUND

Father's Name:_________________________________ Age: _________ Occupation: _________________________
Educational Attainment:____________________________________________________________________________
Mother's Name: _________________________________ Age: _________ Occupation: ________________________
Educational Attainment:____________________________________________________________________________
Their Address: _________________________________ Contact No.: ______________________________________
Family's Annual Income: ___________________________________________________________________________
No. of Children in the Family:_____________________ Ordinal Position: ___________________________________
Guardian ( if not living with parents): _________________________________________________________________
Relationship: __________________________________ Reasons: __________________________________________
Person in charge of schooling: _______________________________Relationship: _____________________________
Educational Facilities at Home: ______________________________________________________________________
Spouse'Name:_________________________________Children:_________________________________________________________________________________________________________________________________________.

III. EDUCATIONAL BACKGROUND:

School Year Graduated Award/s Received

Elementary:______________________________ ____________ ____________________________
High School:_____________________________ ____________ ____________________________
Vocational:______________________________ ____________ ____________________________
College:_________________________________ ____________ ____________________________
Organizations/Fraternities Presently Involved with: ______________________________________________________
Extra/Co-Curricular Activities: ______________________________________________________________________

IV. TEST/ UNDERTAKEN
Test/s Rating/Remarks
_______________________________________ _________________________________________ _______________________________________ _________________________________________

REASONS OF ENROLING AT ACC/P
__________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

V. AREAS OF CONCERN/DIFFICULTY/RECOMMENDATIONS: (DON’T WRITE BEYOND THIS LINE.)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.





Prepared / Interviewer:


Eden Joy B. Paran
Guidance Counselor