Liceo de Cagayan University
Senior High School Department
RNP Campus, Carmen, Cagayan de Oro City
SY 2023-2024
Guidance Office Form 01
STUDENT’S PROFILE AND CONFIDENTIAL QUESTIONNAIRES
I. Student’s Profile
Name__Sasan_____________Angelica_______________Fabre______ LRN __459561150136__
Last Name
First Name
Middle Name
Year & Section_G-12, ABM-2_ Tel. # _____ Cell. #_0926-538-0244_ ESC/Voucher Recipient?
___Yes __ _No
Other Scholarship availed in the Senior High: (please mention if there’s any) ______________
Parents/Guardian Cell. Numbers: Father_______ Mother_________ Guardian _0916-450-6993_
Nickname_Ica,Lica_Gender____F___Age__21___Nationality__Filipino_______________
Date of Birth_____July 22,2002_ Place of Birth____Poblacion Norte, Don Carlos, Bukidnon_
Provincial mailing address___8712_________________________________________
City address___P-9, San Nicolas, Don Carlos, Bukidnon________________________
Living with (Please check): Parents ( ) Grandparents ( ) Relatives ( ) Landlady ( )
Have you been baptized? ___yes___
Confirmed? _____
First Communion? _________
✔️
✔️
II. Father’s Profile
Father’s name___Angelito J. Sasan____ Religion__catholic_______ Cell. #__0935-523-2438___
Email address: ___________ Date of birth__February 18, 1970_ Place of birth_Dancagan Bukidnon__
Occupation_Businessman_ Employer___________________Nationality___filipino______
His main interests and hobbies _______Farming______________
Traits of your father that you would like to have_Hardworking,intelligent__________
Traits of your father that you don’t like to have _anger issue ________________________
III. Mother’s Profile
Mother’s Name______Roniza R. Fabre_____Religion_____Catholic__ Cell. #______________
Email address: ______________ Date of Birth_May 8___ Place of Birth_Kibawe, Bukidnon___
Occupation__Housewife______Employer______________________Nationality_Filipino___
Her main interests and hobbies _planting flowrs____________
Traits of your mother that you would like to have _Understanding, long patience, Humble___
Traits of your mother that you don’t like to have ____none_____________
IV. Family Profile
✔️
1. Relationship of parents (Please check): _ _Living together in marriage__Separated __Divorced
Parents are previously married: ___Father ___Mother
Name of brothers and sisters
1.Renzie Sasan
2.Angelo Sasan
3.Angelo Jay Sasan
4.Angelica Sasan
5.Angelique Sasan
6.Angelito Sasan
7.Alexis Sasan
Age
26
24
23
21
18
17
15
Educational attainment
4 year college
Occupation
senior high school
1 year college
senior high school
G-9
student
student
student
student
8.Angelou Niño Sasan
9.Catherine Hongoy
13
30
G-8
College Graduate
student
secretary
2. Other relatives/friends/servants living with you: _________________________________
_________________________________________________________________________
3. Language or dialect spoken at home ______Bisaya________________________________
4. Highest level of education attained by parent (Check one)
Father
_______
No Schooling
Some Elementary
_ ___
_______
Some High School
_______
High School
_______
Some College
_______
College Graduate
_______
Post graduate unit
_______
Post Graduate Degree
Mother
______
______
_ ___
______
______
______
______
______
✔️
5. Monthly Income (Please check honestly.)
Father
1,000-1,999
2,000-2,999
3,000-3,999
4,000-4,999
5,000-5,999
6,000-6,999
7,000-7,999
8,000-8,999
9,000-9,999
10,000-14,000
15,000-more
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
()
Mother
()
()
()
()
✔️
Brothers/ Sisters
who are employed? (total income)
()
()
()
()
()
()
()
()
()
()
()
6. Other sources of income in the family (specify nature) ______Trucking Services__________
7. List of family members (List only those who are not yet married)
Name
Age
Educational Attainment
Occupation
____Angelica Sasan____ _21_
___Senior High______ _____student____
____Angelique Sasan________
_18_
_1 year college_____
_____student___
___Angelito Jr. Sasan__
_17_
_Senior High ______
______student__
____Alexis Sasan__
_15_
_____High school______ __student__________
8. If not supported by parents, indicate
Name of Guardian
Relation of Guardian
_________________________ ____________________
_________________________ __________________
Occupation
_________________
________________
9. Which of the following facilities or appliances does your family possess? Check as many as
available in your home.
_____ 1. Wooden/ Rattan Living Room Set
_____20. Dresser
_____ 2. Air foam/ Upholstered Living Room Set_____
_____21. Radio
___✔__ 3. Ordinary/ Wooden Dining Room Set
___✔__22. Study Table
_____ 4. Special Dining Room Set with/without Glass Top
_____23. Bookcase
_____ 5. Wooden/ Rattan Bed
_____24. Piano
_____ 6. Air foam Bed (Sleeprite, etc. )
_____25. Phonograph
_____ 7. Antipolo/ Water Sealed Toilet
____✔_26. Television set
_____ 8. Newspaper/ Magazine
_____27. Study Lamp
_____ 9. Clothes closet
_✔_28. Electric Fan
_____10. Chinaware closet
___✔__29. Refrigerator
____✔11. Water Supply (Pumped or Piped in)
_____30. Telephone
_____12 Kerosene/ Electric Range
____✔_31. Electric
____✔_13. Gas Range/ Electric Range
iron
_____14. Electric Lighting System
____✔_32. Computer
___✔__15. Car (Automotive, Wagon, Jeepneys)
_____16. Flush Toilet
__✔___17. Books
_____18. Sewing machine
_____19. Air conditioning unit
___Globe
___✔__33. Printer
___✔__34. Cellular Phone
___✔_35. Laptop/Netbook
____✔_36. Internet Service
Provider: _✔_PLDT
___PARASAT ___Mobile Data
37. Others: (Please specify)________
V. Educational Records
1.
Honors/Awards/Scholarship received
1.4th honor
2.3rd honor
3.2nd honor
4.
When
G-2
G-3
G-4
Where
Bible Baptist Academy
Bible Baptist Academy
Bible Baptist Academy
2. Educational facilities at home: (Please Check)
___Study room __✔_References books ___Magazines ___Radio ___Tape recorder
___CD player __✔_Computer ___✔Lap top __✔_Printer ___Others (kindly specify)_______
3. Do you have a quiet place to study? ___Yes __✔_No
4. Is it well-lighted? ___Yes _✔__No
5. Do you have a private room at home? __✔_Yes ___No
6. If none, who shares with you? ________________________________________
7. Did you repeat in any grade in the Elementary? __✔_Yes ___ No
8. If yes, which grade? _____G-9 and G-10______________
9. How long you study each day? (Check one)
___ less than 30 min. __✔_about 2 hours
___about 30 min. ___about 3 hours ___ about an hour
___ more than 3 hours
10. What are the things that interfere most in your study?
___T.V. ___Computer ___Cellular phone ___Radio ___Outside work
___Friends
___Telephone ___ others (please specify): __sleeping_______________
11. My parents would like me to be a __Criminology/ CPA___________________________
12. What is the difficult subject for you? Math, Filipino, and Science__________________
13. What is the easiest subject for you?__ Social Studies_____________________
14. Who gives you the financial support in Liceo de Cagayan University?_Parents______
15. Elementary School Attended: ___ Cavite Bible Baptist Academy____________
Address of the School________P-5, Norte, Don Carlos, Bukidnon________________
Classification:
Public [ ]
Private [ ✔] Sectarian [ ] Non Sectarian
16. Junior High School last attended _ Cavite Bible Baptist Academy_________
Address of the school ____P-5, Norte, Don Carlos, Bukidnon_________________
Classification:
Public [ ]
Private [✔ ] Sectarian [ ] Non Sectarian [ ]
17. If Grade 11 or 12 Transferees/Returnees, your G11 or G12 Senior High School last
attended___Philippine Countryville College_________________________
Classification:
Public [ ]
Private [✔ ] Sectarian [ ] Non Sectarian [ ]
VI. Student’s Relevant Information
1. I am expected to do the following works at home:
________________________________________________________________________
2. I received the allowance of: ____________________________________________________
3. I am to use my allowance for: ___________________________________________________
4. My friends come to my home Please check one or more:___seldom ___occasionally ___often
5. My usual school transportation is: ___bus ___walk ___our car ___motor _✔__jeepney
6. I am generally permitted to decide things: __✔_yes ___ no
7. I often spend my weekends: ___with my family ___Friends at malls ___with my friends
___dating __✔_myself ___meeting
___others: ______________________________
8. The types of readings I enjoy most are: (please check)
___Adventure _v__Mystery ___Humor ___Romance ___Science Fiction __✔_Non Fiction
9. How do you spend your leisure time alone? _______sleeping/ eating__________________
10. How do you spend your leisure time with your friends? __none_______________________
11. In what kind of activities/ works you consider yourself capable?___anything___
12. Name your five best friends in school. ___________none_________________________________
13. Family and relatives’ traits and accomplishments
______________________________none_____________________________________
_________________________________________________________________________
14. Common family handicaps and ailments:________________________________________
15. Are you left handed? __✔_Yes ___No Right handed? ___Yes _✔__No
16. Are you nearsighted? __✔_Yes ___No
Farsighted? ___Yes __✔_No
17. How is your health? ___Poor ___✔Good ___Excellent
18. Do you have a health problem? _✔Yes ___No
If yes, what? _____sinda________________
19. What things would you like to do which you have never done because you feel that you lack the
physical or mental ability _______________________
20. Have you missed classes frequently because of poor health? _✔__Yes ___No
21. The following questions on first impressions may seem difficult to answer, nonetheless, we strongly
and seriously request that you do your best to answer each. Your honesty will probably give us the
opportunity to help you.
a. What do you plan to do after senior high school graduation?
Going to college
__________________________________________________________________________
b. What things caused your humiliation and failure? Self doubt, belittled by anyone before,
________________________________________________________________________
c. What do you sense as the source of your greatest happiness? __Family as always and myself
__________________________________________________________________________
d. Are there any difficulties that you might want to discuss with your Guidance Counselor?
Kindly check one or more. __Personal __Concerning family (parents, siblings, relatives)
___Home life ___Friends ___Boys ___Girls ___Addiction to computer
___others (please specify)_______none____________________________________________
D. Family Residence Location
Please make a sketch of your home location.