Individual Student Inventory Record

Build a complete profile of a learner covering family background, health history, interests, study habits and personal goals. Counsellors and advisers gather in one place the context needed to support each student. The record ends with the student's own reflections and signature.

Use this template

Personal information

Name

Nombre

Apellido

Present Address

Dirección

Ciudad

Estado / Provincia

Código postal

Age

Date of Birth

Place of Birth

Birth order among siblings

Sex

Email Address

Hobbies and interests

Talents and skills

Parents' status

Are you living with your parents?

If not, who is your guardian?

Dirección

Ciudad

Estado / Provincia

Código postal

If you are a transferee (write N/A if this does not apply)

Nombre

Apellido

Are you a member of any club or organisation inside or outside school?

Have you had any of these conditions in the last five years? Tick all that apply.

Other conditions, please specify (write N/A if this does not apply)

Do you have special needs or concerns, for example ADD, ADHD or a learning difficulty? Please specify.

Have you ever been involved in a serious accident? If so, please describe it.

Ambition

Goal in life

Occupation you are most interested in

Favourite subject

Subject you find difficult

I learn best through

I think I do better when

To finish my homework at home, I

Complete the sentence

Likes

Dislikes

How would you describe yourself as a learner?

Family concerns

School concerns

Signature

Sign here

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