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Frontline Outreach Genius Questionnaire

Fill out the form completely and submit.
Please complete the form below and select the workshop you want to attend.
Name*

First Name Middle Name Last Name
Your phone number?

Area Code Phone Number
What school do you attend?.*
What grade are you in?*
What's your home Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How do you see yourself in the future? What do you want to be or do? What are your passions?
VISION
What are your interests? Your special gifts? What are you naturally good at , athletic, creative or academic?
TALENT
What is the child's academic (in school) performance? What is the child's drive, motivation, punctuality, social behavior? What are the ways that the child learns? Other questions?
SKILLS/CAPABILITIES
ABOUT ME
What Are Your Favorite/Least Favorite Subjects?*
Which Subjects Are You Struggling With? *
Which Classroom Activities Do You Find the Most Enjoyable? *
Do you participate in an After School Activities and Hobbies?*
Do you enjoy working as a team or individually?*
Which activities in the classroom do you enjoy the most?*
What motivates you to learn more?*
Do you think that the school provides you with enough sports activities? *
What are some achievements you’re proud of? *
How would you evaluate the overall academic experience with your school? *
Can your parents pick you up at 6 PM every day? *
As a FIS Genius, I am required to maintain A's & B's in all of my academic classes. I must display integrity and character while in the program and when I am out and about. I will be open minded and have a positive attitude about learning a new task.
Please verify that you are human*
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Frontline Outreach Genius Questionnaire

ABOUT ME