Cadet Questionnaire

Discovery Flyer Application

Youth ages 13-20 facing adversity are eligible to apply to be a Discovery flyer. Please fill out the information below. If you are younger than 18, please make sure to fill out the guardian information.
*Required Field
How did you hear about the Discovery Flyer program?

Other
Flyer Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Flyer Email
example@example.com
Flyer Phone Number

Area CodePhone Number
Flyer Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian Name

First NameLast Name
Guardian Phone

Area CodePhone Number
Guardian Email
example@example.com
School Name and Grade
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone Number

Area CodePhone Number
Name of Guidance Counselor or Referring Agency
Flyer Questions

The remainder of the form should be completed by the flyer. The following questions will help you and your pilot to get to know each other better.
What's your favorite class at school?
What's your favorite book?
What's your favorite movie?
Who is your Hero or Role Model?
What would you like to do when you finish High School? If college, what would you like to study?
What do you like to do in your free time?
Do you have an after school job? If so, where do you work and what are your hours?
If you had three wishes, what would they be?
We would like to know how our program has helped you. Please answer the questions below to help us know how you are doing now. There will be a follow up survey at the end of your program.
Adults have given me help and support when I needed it
I feel comfortable talking honestly and openly with adults in my life
Adults care about kids my age
I would like to do volunteer work in my community
Adults in my life are good role models
I have at least one hobby
I want to do well in school
Homework is important
I have enjoyed the schools I have attended
I am a good student
I want to go to a college or trade school after I graduate high school
It is important to help those who need it
I usually speak up for what is right
I take responsibility for my behavior
It is important to tell the truth even when it's not easy and there are consequences
It is important not to do drugs
It is important not to drink alcohol
I have control over "things that happen to me"
I can stand up for what I believe in
I am a good person
I am good at making friends
I can make a difference and make things better for others
I like myself
My life is going to turn out well
I like to plan things out before I make important decisions
Thank you for filling out the application form. We will review your application and be in contact with you with in two weeks.
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Discovery Flyer Application