PUPIL RISK PROFILE TEMPLATE(FOR PARDO)

Directions: Fill-out the Summary of Pupils Risk Profile using this scoring guide. Give the number corresponding to the information needed for the pupil. Do not leave any item unanswered.

SCORING GUIDE

A. HOME BACKGROUND1.Educational Attainment

No formalEducation

Elementary Level/ Graduate

High SchoolLevel/Graduate

College Level/Graduate

A. Father 1 2 3 4 B. Mother 1 2 3 42. Socio-Economic Status

Poor9000 below

Low-Economic Status 9001-25,000

Average25,001 – 100,000

Rich/Well-Off100,001 - up

1 2 3 4

B. FIRST GRADING ACHIEVEMENTLearning Area Low

Below 75%Below Average

75 – 79%Average80 – 85%

Above Average86 –and Above

Math 1 2 3 4English 1 2 3 4Filipino 1 2 3 4Science 1 2 3 4MAKABAYAN 1 2 3 4

C. First Quarter Attendance

1 – 13 days 14 – 26 days 27 – 39 days 40 days and above1 2 3 4

D. PARTICIPATION / INTEREST IN CLASS ACTIVITIESNever Seldom Sometimes Often Always

1. Does homework 1 2 3 4 52. Does seatwork 1 2 3 4 5

3. Participates in class recitations 1 2 3 4 54. Joins group discussions 1 2 3 4 55. Stays put in the classroom together with Teacher/classmates to accomplish school tasks

1 2 3 4 5

E. EMOTIONAL / PERSONAL ADJUSTMENTSAlways Often Sometimes Seldom Never

1. Resist teacher’s prodding 1 2 3 4 5

2. Seeks help from the teacher/classmates to accomplish school tasks

1 2 3 4 5

3. Easily distracted 1 2 3 4 54. Is a victim of verbal aggression 1 2 3 4 5

F. HEALTHAlways Often Sometimes Seldom Never

1. Is sluggish/ sleepy due to low nutritional level and/or other health related reasons

1 2 3 4 5

2. General health condition Sickly Healthy

1 2 3 4 5

SUMMARY OF PUPILS RISK PROFILEPage 1 of 2 E-Tracking Pupil Risk Profile Template

Grade/section ____________ School: _____________________________ School-Year: ___________ Teacher: __________________________ District: ________ Division: __________________________

Direction: Give the number corresponding to the information needed for the pupil using the numerical equivalents from the Scoring Guide. Do not leave any item unanswered.

Name of PupilsFamily Back

ground

FirstGrading

Achievement

1st

QuarterAttendance

ClassParticipation/

Interestin class

Emotional/Personal

AdjustmentsHealth

12345678910111213141516171819202122232425262728293031323334

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Page 2 of 2 E-Tracking Pupil Risk Profile Template