Questionnaire for Parents/Guardians of Rising Seniors
Your answers will help us provide the strongest possible support of your child's college applications. Only questions marked with a red asterisk are required. Note that you can save your work and send a link to yourself to pick up where you left off. Questions? Please don't hesitate to contact me at shannon.hughes@signature.edu.
Contact and Household Information
Your Name
*
First Name
Last Name
Your E-mail
*
example@example.com
Child's Name
*
First Name
Last Name
Relation to Child
*
Select your child's citizenship status.
U.S. Citizen or U.S. National
U.S. Dual Citizen
U.S. Permanent Resident
U.S. Refugee or Alylee
Other (Non-US)
What other information about your household will provide a context for colleges to understand your child's accomplishments? Check all that apply or skip if not applicable.
My child is a dependent of a veteran permanently disabled, killed or categorized as Missing in Action while in the line of duty. Copy and paste the hyperlink into your browser for eligibility details: https://www.va.gov/education/survivor-dependent-benefits/dependents-education-assistance/.
My child speaks a language/speaks languages other than English or in addition to English at home.
Other
List the language(s) your child speaks at home.
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Student Profile
List three adjectives that describe your child.
List some activities that your child enjoys.
What makes your child unique? Consider sharing a characteristic or accomplishment that we might not know about or that won't appear on the academic or activity record. Alternatively, consider sharing an example of the impact your child has made on a particular community.
How do you view your child's academic progress up to this point?
What do you believe are your child's strengths (academic or personal)?
How does your child react to setbacks? Can you provide an example of a time your child overcame an obstacle or adversity and demonstrated strength, courage, or resilience?
List any events or experiences that have significantly influenced your child.
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College Selection Profile
Please indicate how far along your child is in the college selection process. Don't worry if your child is just starting. Time is still on our side!
Just starting
1
2
3
4
Ready to apply!
5
1 is Just starting, 5 is Ready to apply!
List any particular colleges you have in mind for your child. Feel free to explain.
Do you have any concerns about the college selection process?
What college major or career choice would be consistent with your child's passions, talents, and interests?
Please comment on any of the following items as a priority in college selection: size of school, location, religious affiliation, student body characteristics, academic programs, social life, campus (city, suburban or rural), other.
List any special circumstances that may affect where your child may apply/attend college.
Many colleges work to admit students with "special status." Check all of the following categories that apply.
Legacy status: the applicant has close family members who have attended or graduated from the target college.
Athlete status: the applicant expects to play an NCAA-recognized sport in college.
Underrepresented minority status: the applicant is Hispanic or Latino/a/x, Black or African American, Native Hawaiian or Other Pacific Islander, American Indian or Alaska Native.
Underrepresented socioeconomic status: the applicant is from a "low-income" household. ("Low income" definitions differ, but a rough rule of thumb is that the household earns less than $50,0000 annually.)
First generation status category 1: neither of the applicant's parents has ever attended college.
First generation status category 2: neither of the applicant's parents has obtained a degree from a four-year college.
First generation status category 3: neither of the applicant's parents has obtained a degree from a four-year college within the United States educational system.
Other
What is the name of the target college?
What is the sport?
Please name the specific minority.
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