1. Republic of the Philippines
Department of Education
Region I
Division of Ilocos Norte
BADOC DISTRICT
SOCIO/ ACADEMIC/ ANECDOTAL RECORD
Sta. Cruz Elementary School
Name: _Salvosa, Lovely Joy A.____ Residence: Brgy.7-A Sta. Cruz, Badoc, Ilocos. Norte Birthdate: 12-21-2008__
Father: __Jimmy R. Salvosa _ Mother: __Vilma E. Asis _
No. of Children in the Family:________ Boy: __ Girl: ____ Living with Parents: Yes: ___No: ____
State if both parents are living:_______ Yes: ____ No: ____ If no, pls. specify: _______________
Parents Monthly Income: Php______________ Economic Status: Very Poor ____ Poor ___ Average ____ High ____
I. Pre-Elementary Education
Entrance Age: Nursery: ____ Kinder: _____
II. Elementary Education
Graduate with Honors? Yes ____ No ____(Please check) If yes, specify _____________________
(to be filled after graduation)
A. Academic Profile
1. Reading
GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Non-Reader
Frustration
Instructional
Independent
Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent
(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)
2. Mathematics
GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Addition
Subtraction
Multiplication
Division
Problem Solving
Legend: W- level of mastery is very poor X- some degree of mastery but needs more practice
Y- just enough mastery Z- manifest excellence
(Above code shall be entered for each of the curriculum year)
B. Oral Participation/Recitation
GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Passive
Poor
Active
C. Any Academic honor obtained in: D. Special Talents/Skills/Winnings
Grade I _________________
_
I II III IV V VI
Grade II _________________
_
1. Singing
Grade III _________________
_
2. Dancing
Grade IV _________________
_
3. Music Reading
Grade V _________________
_
4. Drawing/Painting
Grade VI _________________
_
5. Dramatics
6. Speaking
(Please Specify) a. Declamation
b. Oratorical
2. 7. Athletics
8. Leadership
9. Others (Pls. Specify)
E. Cases of Significant Misdemeanor/s
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
__________ _____________________ _____________________ _____________________
CERTIFICATION is hereby made on the veracity of the above-mentioned entries per item.
GRADE I GRADE II GRADE III GRADE IV GRADE V GRADE VI
Adviser LORELAI C. TEVES GERALDINE M. RONQUE
_____________ _____________ _____________ _____________
Principal ADELAIDA A. PADAONG ADELAIDA A. PADAONG
_____________ _____________ _____________ _____________
