2021 YOUTH 2021 YOUTH PROFILING
PROFILING FORM FORM
Carmen Youth Development Carmen Youth Development Council
Council
BARANGAY: TUBOD
BARANGAY: TUBOD
SURNAME: _____________________________
SURNAME: _____________________________
FIRST NAME: ____________________________
FIRST NAME: ____________________________
MIDDLE NAME: __________________________
MIDDLE NAME: __________________________
PUROK: ___________________
PUROK: ___________________
AGE: _____________________
AGE: _____________________
SEX: _____________________
SEX: _____________________
Gender Identity: Governance: *
Gender Identity: Governance: * Gay COMELEC Reg.
Gay COMELEC Reg. Lesbian COMELEC Non-reg.
Lesbian COMELEC Non-reg. Transgender
Transgender Bisexual Active Citizenship: *
Bisexual Active Citizenship: * Queer Member Youth Org
Queer Member Youth Org Prefer not to say Youth Leader p
Prefer not to say Youth Leader
Civil Status:
Civil Status: Single
Single Married
Married With Live-in Partner
With Live-in Partner Teenage Mom (15-20)
Teenage Mom (15-20) Teenage Single Mom
Teenage Single Mom
Physical and Mental Health :
Physical and Mental Health : Engage in Alcohol
Engage in Alcohol Engage in Smoking
Engage in Smoking Experience Depression
Experience Depression Attempt Suicide
Attempt Suicide Health Problem
Health Problem Other:
Other: Education:
Education: SHS
SHS College/Tech Voc
College/Tech Voc ALS
ALS OSY - Out of School Youth
OSY - Out of School Youth Young Prof.
Young Prof.
Economic Empowerment: *
Economic Empowerment: * Employed
Employed Un-employed
Un-employed Engage in Business
Engage in Business Engage in Farming
Engage in Farming Working Outside City
Working Outside City Other:
Other:
Social Inclusion and Equity: *
Social Inclusion and Equity: * IP's
IP's 4Ps
4Ps PWD
PWD None of the above
None of the above Peace Building and Security : *
Peace Building and Security : * Member of Peace Keeping Force
Member of Peace Keeping Force Conflict with Law
Conflict with Law Other:
Other: