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Parent/Guardian Questionnaire
Please answer the following questions about your child:
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Your Name:
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Your answer
Your student's name:
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Your answer
What about your child makes you most proud?
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Your answer
What is a story you love to tell about them?
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Your answer
Describe some of your child’s interests and life goals:
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Your answer
Why would you like your child to attend Maine Coast Semester at Chewonki? What do you think they will gain from their experience?
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Your answer
Why does your child want to attend Maine Coast Semester?
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Your answer
Does your child receive any tutoring, counseling or additional outside support services?
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Yes
No
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?
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Your answer
Has your child experienced a significant loss, physical or mental health event in the past year which has interrupted their academic life?
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Yes
No
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?
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Your answer
Is there anything else you would like us to know about your child?
Your answer
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