PUPIL RISK PROFILE TEMPLATE

Name of Child: _________________________________________________________

A. Family Background

1. Educational No Formal Elementary Secondary College Level

Attainment Education Level Level / Graduate
a. Father 1 2 3 4
b. Mother 1 2 3 4
c. Guardian 1 2 3 4
2. Socio- Poor Low Moderate Well-Off
Economic 5,000 below 5,001 – 15,000 15,001-25,000 25,001 up
Status
1 2 3 4

PUPIL RISK PROFILE TEMPLATE

Name of Child: _________________________________________________________
B. Family Background

1. Educational No Formal Elementary Secondary College Level

Attainment Education Level Level / Graduate
a. Father 1 2 3 4
b. Mother 1 2 3 4
c. Guardian 1 2 3 4
2. Socio- Poor Low Moderate Well-Off
Economic 5,000 below 5,001 – 15,000 15,001-25,000 25,001 up
Status
1 2 3 4

PUPIL RISK PROFILE TEMPLATE

Name of Child: _________________________________________________________
C. Family Background

1. Educational No Formal Elementary Secondary College Level

Attainment Education Level Level / Graduate
a. Father 1 2 3 4
b. Mother 1 2 3 4
c. Guardian 1 2 3 4
2. Socio- Poor Low Moderate Well-Off
Economic 5,000 below 5,001 – 15,000 15,001-25,000 25,001 up
Status
1 2 3 4