Information Sheet

Student Information Sheet

Last Name __Borela   First Name _Aldrin   Middle I.__Ablen__

Preferred Name/Nickname: __tobitskie___

Home Phone__None__  Emergency Phone ___09477627296__

Birthday __January 29, 1994__ (please include year)

Parent or Guardian __Borela, Fe Ablen  Relationship: __Mother__

Parent or Guardian __Borela, Alfredo__  Relationship:__Father__

Parent or Guardian Work Phone: __09477627296__

Parent or Guardian E-mail: ____None_________________________

Home Address __Ph 4 pkg 3 blk 13 lot 19 Bagong Silang Caloocan City

City ____________  State _____  Zip Code ____________

Do you have access to Internet at home? __Yes__

Are you in the Fine Arts Program? ___No____________

What extra-curricular activities do you participate in? ______None______

_____________________________________________________________

Class Schedule:

1st Block: __M-W-F/ 4:00- 8:00 pm Room #: 406A/215/

2nd Block:__T-TH/ 7:30 – 3:30 am Room #: 415/406A/413/Scien. Lab.

3rd Block: _________________________ Room #: ____________________

4th Block: _________________________ Room #: ____________________

If you have a medical issue that I should be aware of, or if you have any other questions or concerns, please include them here: ____________None________________________________________________________________________________________________________________________________________________________________________

Name: ______________________

Student Interest Survey

Five years ago … ______________________________________________.

Five years from now … _________________________________________.

I love when … ________________________________________________.

I hate when … ________________________________________________.

The farthest I have ever traveled from home is … _____________________.

My favorite place in the world is … _________________________________.

I admire __________________ because ____________________________...