Appendix 1
STUDENT RECORD
(Holban, 1970, Institute of Pedagogical Sciences, Iaşi)
I. General data:
Record no ............; School ............................................... Town ............................
Pupil’s name .................................................................. born in ......... day ......
month ...................... town ........................................ county ...................................
Schools attended and addresses ..................................................................................
Grade / School year / Name of school and town / Address / Commuter-lodging-hostel .................
II. Health:
Hereditary antecedents and harmful environmental conditions ..............................................
Personal antecedents – physical defects – sensorial dysfunctions ...........................................
General state of health ...........................................................................................
Medical mentions with bearing on the educational process .................................................
III. Family data:
- Family (synthetic table)
Name Year of birth Schooling Profession /
position
Income Observations
Father
Mother
Children
- Characteristics of the family life .............................................................................
- Degree of integration in the family ..........................................................................
- Attention paid by parents to the pupil’s education .....................................................
- Influence from outside the family ........................................................................
- School and family cooperation ...............................................................................
IV. School data: - School situation