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Republic of The Philippines Province of Bukidnon Municipality of Pangantucan Barangay Poblacion

The document is a survey form used by the Sangguniang Kabataan Council in Barangay Poblacion to profile youth in the village. It collects demographic information like name, gender, civil status, age, religion, education level, and organization involvement. It also has sections for areas of youth participation and their main concerns and suggestions.

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Jhonnel S. Pagapula-an
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214 views1 page

Republic of The Philippines Province of Bukidnon Municipality of Pangantucan Barangay Poblacion

The document is a survey form used by the Sangguniang Kabataan Council in Barangay Poblacion to profile youth in the village. It collects demographic information like name, gender, civil status, age, religion, education level, and organization involvement. It also has sections for areas of youth participation and their main concerns and suggestions.

Uploaded by

Jhonnel S. Pagapula-an
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of The Philippines

PROVINCE OF BUKIDNON
Municipality of Pangantucan
Barangay Poblacion

OFFICE OF THE SANGUNIANG KABATAAN COUNCIL


BARANGAY POBLACION YOUTH PROFILING SURVEY FORM

NAME: ____________________________________ VILLAGE: _________________ DATE: ____________


SEX: CIVIL STATUS: AGE: _________ B-DAY:
_____________
MALE: _______ SINGLE: _______
FEMALE: _______ MARRIED: _______ LGBTQI: ______ (GAY) (LESBIAN)
LIVING-IN: _______ PWD: ______
SEPARATED: _____ Describe type of disability: __________
ETHNIC DEMOGRAPHY RELIGIOUS AFFILIATION
CEBUANO _______ ROMAN CATHOLIC _______ MUSLIMS ______
TAGALOG _______ IGLESIA NI CRISTO _______ BAPTIST ______
INDIGENOUS GROUP _______ JEJOVAH WITNESS _______ MORMON ______
OTHERS/PLEASE SPECIFY _______ SDA _______ BORN AGAIN ______
EDUCATIONAL STATUS REGISTERED VOTER MARITAL STATUS
Currently in School: ________ YES: _______ SINGLE MOM: ____
Year: ________ NO: _______ NUMBER OF CHILDREN: ____
School: ________ HOUSEHOLD: ____
Out of School: ________ ORGANIZATION ATTENDED SHARED HOUSEHOLD: ____
Working Student: ________ _______________________ RENTERS: ____
Working: ________ _______________________
Graduated: ________

AREAS OF YOUTH
MAIN CONCERNS AND SUGGESTIONS ORDER
PARTICIPATION

EDUCATION

ENVIRONMENT

HEALTH

SOCIAL INCLUSION AND


EQUITY
ECONOMIC
EMPOWERMENT
PEACE BUILDING AND
SECURITY

GOVERNANCE

ACTIVE CITIZENSHIP

GLOBAL MOBILITY

SIGNATURE OVER PRINTED NAME

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