Tiêu đề CITY COLLEGE OF TAGAYTAY-Student Information Sheet -.pdf ✅

CITY COLLEGE OF TAGAYTAY-Student Information Sheet Instructions: Kindly fill out each section of the student information sheet accurately and completely. Provide accurate information; double-check all information before submitting to ensure accuracy. Write N/A if not applicable. If you have any questions or need assistance completing the form, feel free to ask for assistance. Data Privacy Consent: In accordance with RA 10173 or Data Privacy Act of 2012 which aims to protect the fundamental human rights of privacy, of communication while ensuring the free flow of information to promote innovation and growth,  I consent to the following terms and conditions on the collection, use, processing, and disclosure of my personal data:  I am aware that City College of Tagaytay- Guidance and Counseling Services Unit, has collected and stored my personal data through this Student Information Sheet for Student Cumulative Records. These data include, among others, my demographic profile, contact details, family, and educational background.  I agree to personally update these data as needed through the different departments or student service units of City College of Tagaytay. By signing, I warrant that I have read, understood all of the above provisions, and agreed with its full implementation. here. Signature Over Printed Name Date Signed: Name Nickname Sex Male Place of Birth Civil Status Address Citizenship Religion
Course BS Business Administration-Marketing Management Student Number Type of Student Old Student Schoool Year Admitted Phone Personal Email Address School Email Address Are you a Working Student? Yes Status of Employment Full-time Name of Company Company Address Educational Background Elementary Education School Attended Year Graduated Secondary Education School Attended Year Graduated Attended ALS? Yes School Attended Year Graduated Tertiary Education (for transferees only) School Attended Last School Year Attended Is your course your First Choice Health Background Have you been confined in a hospital? Yes If YES, what is the cause? Please check all the medical condition(s) that runs in your family: Cancer Do you smoke? Not Anymore Do you drink liquor/s? Not Anymore Do you drink coffee? Not Anymore Do you take prohibited drugs? Not Anymore Have you consulted a psychologist/psychiatrist before? Yes If yes, when did you have the consultation? What is the reason for consultation?
FAMILY BACKGROUND Nature of Residence: Parents’ house Choice Owned Address of Boarding House/Dormitory Family Setup Living with both parents If living with one parent: Parents are separated If living with relatives: Grandfather Father's Name Age Contact Number Email Address Highest Educational Attainment Occupation Mother's Name Age Contact Number Email Address Highest Educational Attainment Occupation Emergency Contact Person Relationship Mother Email Address Contact Number Address Age Educational Attainment/Occupation Approximate monthly income of the family PhP 10,000- below Interest and Personality Traits Interests/Hobbies/Talents/Skills: Awards or Recognitions Received: Are you a member of a student organization here at CCT? Yes If yes, indicate the name of the student organization. Strengths and Positive Traits: Traits you want to change: Personal goals What gives you happiness?
What are your worries/problems/difficulties? How do you intend to make your college life successful and exciting? Name of a close friend in City College of Tagaytay: Any difficulties/concerns at present that you might need assistance from Guidance and Counseling Unit? Academics Please explain further the concern/s. CCT-Student Information Sheet Signature Over Printed Name Date