Parent/Guardian Questionnaire
Please answer the following questions about your child:
Your Name: *
Your answer
Your student's name: *
Your answer
What about your child makes you most proud? *
Your answer
What is a story you love to tell about them? *
Your answer
Describe some of your child’s interests and life goals: *
Your answer
Why would you like your child to attend Maine Coast Semester at Chewonki? What do you think he/she will gain from their experience? *
Your answer
Why does your child want to attend Maine Coast Semester? *
Your answer
Does your child receive any tutoring, counseling or additional outside support services? *
If you answered "yes" to the previous question, please describe the support services your student receives:
Your answer
What poses the greatest academic, extracurricular, and/or social-emotional challenge(s) for your child? *
Your answer
Has your child experienced a significant loss, physical or mental health event in the past year which has interrupted his/her academic life? *
If you answered "yes" to the previous questions, please describe the significant loss or health event and how it interrupted your child's academic life:
Your answer
Is your child ready to be physically/socially/emotionally/academically challenged? *
Your answer
Is there anything else you would like us to know about your child?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Chewonki Foundation. Report Abuse - Terms of Service