CAMARINES NORTE STATE COLLEGE

GUIDANCE AND TESTING OFFICE Page [1] of [4]

INDIVIDUAL INVENTORY

TO THE STUDENTS:

You are requested to provide us with essential information that will enable us to help you meet your
specific needs and future plans. All information will be kept with utmost confidentiality. Please fill in the blanks accurately and sincerely to the
best of your knowledge and belief.

PERSONAL DATA

Name Guerrero, Jerry, Villones Jr. Nickname Gboy Student No. 18-1278
(Last Name, First Name, Middle Name) (Extension Name)
Age 21 Date of Birth December 22, 1999Place of Birth Daet, Cams. Norte Nationality Filipino
Sex [ *] Male [ ] Female Birth Order among Siblings seventh Civil Status Single
Current Address: Purok 2, Daculangbolo, San Lorenzo Ruiz, Camarines Norte
Permanent
Purok 2, Daculangbolo, San Lorenzo Ruiz, Camarines Norte
Address:
Contact No: 09319173597 E-mail Address: [email protected]
Languages/Dialects Spoken at Home Bicol and Tagalog
Languages/Dialects Most Fluent In Bicol and Tagalog
Religion from Birth Roman Catholic Current Religion Roman Catholic

FAMILY DATA

Father Mother(Maiden Name) Spouse(if Married)

Name Jerry S. Guerrero Gloria G. Villones
Date of Birth August 19, 1963 February 12, 1961
Place of Birth Catanduanes Batangas
Purok 2, Daculangbolo, San
Current Address (Deceased) Lorenzo Ruiz, Camarines Norte
Purok 2, Daculangbolo, San
Permanent Address Lorenzo Ruiz, Camarines Norte
Contact Number N/A
e-Mail Address N/A
Educational Attainment Elementary Graduate
Occupation “Kasambahay”
Business Address N/A
Business Telephone N/A
Annual Income (previous year) 60, 000
Language/s spoken Filipino
Religion Raised with Roman Catholic
Current Religion Roman Catholic
Marital Status of Parents: Please check and underline the choices.

[ ] Married/Annulled /Legally Separated [ ] Temporarily Separated [ ] Mother with other partner [ ] Father with other partner
[ *] Widow/Widower/ Living
[ ]Permanently Separated [ ]Mother OFW [ ] Father OFW
Together
Guardian Mylene G. Rodriguez Relationship with Guardian Sibling
Address Contact No. 09450690490
Purok 2, Daculangbolo, San Lorenzo Ruiz, Camarines Norte

 
 
 CAMARINES NORTE STATE COLLEGE
GUIDANCE AND TESTING OFFICE
Page [2] of [4]

PERSON TO CONTACT IN CASE OF EMERGENCY:

Nam
e Mylene G. Rodriguez Contact Number 09450690490
Please name below your siblings form eldest to youngest, include yourself. Put X opposite your name, if married, please provide the
information called for using the same table below.

Name Se Ag Educational Occupation Name Sex Ag Educational Attainment Occupation

x e Attainment e
Noel Guerrero M 42 High School Driver Jerry Guerrero M 21 College Level N/A
Graduate
Ramil Guerrero M 39 High School Stock Man Shielo Guerrero F 17 SHS Level N/A
Graduate
Rey Guerrero M 36 High School House
Graduate Painter
Zaldy Guerrero M 34 High School Farmer
Graduate
Mylene G. Rodriguez F 32 High School N/A
Graduate
Marlon Guerrero M 24 College Graduate N/A

UNIQUE FEATURES

Name of Friends:
Gabo, Maripher, Salazar, Rhina, De Vera, Janice, Rosento, Justine, Moral, Pauline, Ibanez, Reynald,
In School Rodavia, Ron, Hernandez, CJ
Belleza, JC, Cabate, Charles, Yaba, Nilo, Tacalan, Daniel, Mico Sy, Siguenza, Heiza, Tanierla, Kath, Do,
Outside School Rizza, Labuson, Jelaine, Posada, Armina
Special Interest Dancing
Special Skills/Talents Collaboration, Self-Independence, Communication Skills
Hobbies/ Recreation Activities Watching Movies and Entertainment Videos
Ambition/Goal To be Teacher
Characteristics that describe
you best Independent

LIVING CONDITIONS

[ * ] Own House [ ] Boarding House Exclusive for Male/Female? [ ] Yes [ ] No

[ ] With Relatives Name of Land Lady/lord ___________________________________________

Complete Address ____________________________________________

Where do you live now?

How many are you in the present place? ___5_____ How many persons share the room with you? ____0______

HEALTH CONDITIONS

Accidents Experienced N/A Effect N/A

Accidents Experienced N/A Effect N/A

Immunizations you have had:

[ ] Chicken Pox [ ] Booster [ ] Measles MMR [ ]Hepatitis B

 
 
 CAMARINES NORTE STATE COLLEGE
GUIDANCE AND TESTING OFFICE
[ ] Mumps [ ] Influenza [ ] Small Pox [ ] Others: ____________

Heigh
t 167 cm Weight 56 Physical Disadvantage N/A
Illness this (previous
year N/A year) N/A

Page [3] of [4]

EDUCATIONAL BACKGROUND

School Attended (with Address) Inclusive Years of Attendance Awards Received

Preparatory Salvacion (B) Elementary School 2005-2006 Third Honors
Elementary (Grade 1 – 6 ) Salvacion (B) Elementary School 2006-2012 Salutatorian
Junior High (Grade 7 – 10) Camarines Norte National High School 2012-2016 First Honors
Senior High (Grade 11 – 12) Camarines Norte National High School 2016-2018 Valedictorian
Technical/Vocational Degree N/A
Collegiate Camarines Norte State College 2018- Present Dean’s Lister
Course currently enrolled Bachelor of Secondary Education Major Sciences

Are you satisfied with your present schedule? [ * ] Yes [ ] No Why?

_____________________________________________

Is the course you have enrolled, the first choice you wrote in your application form? [ ] Yes [ * ] No

State your reason. You may check more than one of the choices below:

[* ] Course is suited to my interest and aptitude. [ *] Course is offered at minimal cost, within the capacity of my parents.
[ ] I was invited by my friends. [ ] It was my parent’s choice.
[* ] Good job opportunities here and abroad. [ ] other reason/s:

Subjects with Highest Grades/What Grades: Purposive Communication

Subjects with Lowest Grades/What Grades: Philosophy (85) ___ (1.0)_____

Inclinations:

Sport
Performing Arts Dancing s Volleyball
Leadership Classroom Activities

INTEREST

[ ] Painting [ ] Singing [ * ] Poem Writing [ ] Playing Instruments [ ] Planting

[ ] Declamation/Oration [* ] Dancing [ ] Composing [ ] Stage/ Act [ ] Cooking

What other skills and hobbies do you have? ________Watching Movies and Entertainment Videos_______________________
What extra-curricular activities would you like to participate in? Camps and Trainings
What books and magazines do you enjoy reading? _N/A

Are you [ * ] right handed? No. of hours devoted daily to:

[ ] left handed?
Class Library Works Studying Lessons Rest Recreation Others
8 1 4 6 1 5

MEMBERSHIP IN ORGANIZATIONS

 
 
 CAMARINES NORTE STATE COLLEGE
GUIDANCE AND TESTING OFFICE

Inside the School Outside the School

Name of Organization Position/Title Name of Organization Position/Title
VP Internal/ College Mun. Coordinator
CNSC-DOST SEI SA Representative MPH CamNorte (Resigned)
GENES Organization Acting VP Internal PYM Member
Classroom Organization Mayor
Student Government Legislative (Lower House)

Page [4] of [4]

MODE OF TRANSPORTATION TO AND FROM CNSC

Frequency Fare Frequency Fare

Tricycle 2 15.00 Bus
Jeepney 2 20.00 Van
Boat

PERCEPTIONS

1. Ideal Monthly Allowance [* ] Php 1, 000.00 -

[ ] Php 100.00 - below [ ] Php 100.00 - 499.00 [ ] Php 500.00 - 1, 000.00 above
2. In what field do you intend to work after graduation?
[ *] Professional [ ] Agriculture [ ] Business
[ ] Technical [ ] Overseas Worker
[ ] Religious [ ] Public Service [ ] Others: _________________
In what field do you intend to work after graduation?
[ * ] Professional [ ] Agriculture [ ] Business [ ] Public Service [ ] Technical/Industrial [ ] OCW [ ] Religious
Have you done any counselling experience? [ ] Yes [ * ] No If YES, states the counselors’ name: ___________N/A_____

When: ________N/A________________ Where: N/A_____________

Current Concerns:

____________N/A_____________________________________________________________________________________________________
____________________________________________________________________________________________________________________
_____________________________________________________________________________________
Current Fears:

_________N/A________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
_________________________________________________________________________________________________________

____________________________
Signature

Date: ____October 19, 2021__