Parent Questionnaire Form - Confidential
Thank you for taking the time to share your perspective on your child. Please be as specific and candid as possible; your responses will be reviewed internally and kept confidential. You may submit multiple forms (completed by individual parents/guardians) if appropriate. All questionnaires must be received by The Field School by January 15.
Student's Name
*
First Name
Last Name
For what grade is the student applying?
*
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
1) What are the three most important words you would use to describe your child?
*
2) At The Field School, we celebrate individuals and their unique backgrounds. Are there any aspects of your child's identity that would help us to fully understand him or her?
*
Please consider various cultural identifiers and how they may be relevant to your child's sense of self. These identifiers may include, but are not limited to: race, ethnicity, gender, sexual orientation, socioeconomic status (class), religion, ability, family structure, ancestry, and beliefs and values (political, social).
3) What brings your child joy?
*
4) Does your child enjoy school? Why or why not?
*
5) What are the top two things you most appreciate about your child's current school experience?
*
6) What two things would you change (or improve) about your child's current school experience?
*
7) What are some areas in which support may be needed for your child?
*
8) Imagine your child is graduating from high school today. At The Field School, every graduate has an opportunity to speak at the podium when receiving their diploma. What do you hope your child will say? What do you want them to embody? Who do you want them to be?
*
9) Please add any additional information you'd like to share with the admissions committee.
Your First and Last Name
*
First Name
Last Name
Your Relationship to the Applicant:
*
Your e-mail address:
*
I would like a copy of this recommendation sent to me:
Yes
Date
*
-
Month
-
Day
Year
Date Picker Icon
Electronic Signature
*
I warrant the truthfulness of the information provided in this submission.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
*
Agree
Submit
Should be Empty: