DepEd FORM 137-A

EVARISTO MORALIZON NATIONAL VOCATIONAL HIGH SCHOOL

Manay, Davao Oriental
GUIDANCE

The purpose of guidance is to assist the individual through counsel to make choices adjustment and
interpretations in connection with critical situations in life in such a way as to ensure continual growth in ability
for self-direction.

TO THE STUDENT:

The following information must be made accurate and complete in your own handwriting. All information
is strictly confidential.

____________________________ ____________________________ ____________________________

Surname First Name Maternal Surname

SCHOLASTIC DATA:
A. Elementary School Where You Graduated______________________________________________
Date Graduated______________________________________General Average_______________
TEST RECORD
DATE KIND OF TEST SCORE REMARKS
1.
2.
3.
4.
5.

ATTENDANCE RECORD
DATE ABS LATE DROPPED CAUSE ACTION TAKEN
PERSONAL DATA Grade 8 Photo
Grade 7 Photo Grade 9 Photo Grade10 Photo Grade 11 Photo Grade 12 Photo
(1X1) (1X1) (1X1) (1X1) (1X1) (1X1)
RIGHT
THUMBMARK

1. Name in Full: __________________________________________Sex:__________ Date of Birth:_________________

2. Nationality:_____________________________ Birthplace:_______________________________________________
3. a. Father:________________________________________ b. Mother:______________________________________
c. Father’s Occupation ____________________________ d. Mother’s Occupation ___________________________
GRADE LEVEL
Gr. 7 Gr. 8 Gr. 9 Gr. 10 Gr. 11 Gr. 12
4 Age
5 Address
6 Guardian’s Name
7 Occupation of Guardian
8 With whom are you living?
9 How many are you in the family?
10 House owned or rented?
11 Your Religion
How often do you attend to your religious
12
duties?
LEISURE ACTIVITIES
Clubs out of School where you are a
14
member

15 Your forms of recreation (list them)

16 Your hobbies

17 Type of books you enjoy

18 Type of magazine you enjoy
19 Type of movies you enjoy
20 Games you are interested

INTRA-CURRICULAR ACTIVITIES
21. Indicate the interest group to which you belong
GRADE LEVEL
Gr. 7 Gr. 8 Gr. 9 Gr. 10 Gr. 11 Gr. 12
Sports Club
Communication Arts Club
Math Club
YES-O Club
TVE Club
Aral.Pan Club
MAPEH Club
Values Club
Science Club
Artes Compania
SSG
SRO
DLC
BSP/ GSP
Vegetable Lovers Club
VOCATIONAL PLANS
22. List the occupation which you would like to make your living
Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12
1.
2.
3.
23. School subject you like best
1.
2.
3.
24. School subject you don’t like
1.
2.
3.
25. For what vocations, would your parents like you to prepare.
1. ____________________________ 2. _____________________________ 3. ____________________________
26. Special talents you have 1. _______________________ 2. _______________________ 3. ___________________
27. Have you ever been employed? ________________________________Where?____________________________
28. Nature of work_______________________________________ Are you still employed?______________________
29. Do you like your work?___________________________ Reason for staying or leaving job?___________________

GRADE LEVEL COUNSELOR SIGNIFICANT NOTES

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

EMOTIONAL REACTIONS
Check any of the following words which best describe your feelings

Grade Level Grade Level

Gr. 7 Gr. 8 Gr. 9 Gr. 10 Gr. 11 Gr. 12 Gr. 7 Gr. 8 Gr. 9 Gr. 10 Gr. 11 Gr. 12
Shy Friendly
Cheerful Irritable
Nervous Easy Fatigued
Patient Confident
Stubborn Jealous
Submissive Aggressive
Studios Unhappy

STUDENTS CUMMULATIVE DATA

(to be filled by the teacher)

RECORD OF INTRA-CURRICULAR ACTIVITIES

GRADE LEVEL OUTSTANDING ACHIEVEMENT

Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12

RECORD OF PERSONAL AND SOCIAL QUALITIES

(to be filled by the teacher)

GRADE LEVEL
QUALITIES
Gr. 7 Gr. 8 Gr. 9 Gr. 10 Gr. 11 Gr. 12
Courtesy and Politeness
Cooperation
Dependability and Responsibility
Industry and Application
Leadership and Fellowship
Work and Study
Personal Habits

1- High Satisfactory 2- Satisfactory 3- No Improvement