New Parent Survey - PrepMatters

Student Name

First Last

High School Graduation Year

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High School graduation year

High school

Counselor

How did you hear of us?

Parent 1 First name

Parent 1 Last name

Relationship to student

Primary Phone Number

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Primary phone number

Type

Home Address

Occupation/Title

Company/Organization Name

Education (please list all institutions attended and degrees held)

Community Involvement

Parent 2 First name

Parent 2 Last name

Relationship to student

Primary Phone Number

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Primary phone number

Type

Home Address

Occupation/Title

Company/Organization Name

Education (please list all institutions attended and degrees held)

Community Involvement

Student resides with

Please list the names and ages of any siblings

Please list three adjectives that best describe your child

Choose three adjectives to describe your child

Word 2

Word 3

Are three words nowhere near enough? If so, tell us more here

Do you believe your child's academic performance is in line with their potential? Please explain.

Describe a few of your child's noteworthy accomplishments, proud moments, improvements and developments over the past three years.

What is something you wish your child knew about themselves?

Are there any circumstances (e.g., medical, psychological, family-related, socio-emotional, high school transfer, substance abuse or disciplinary history) that have affected your child's academic, social, or personal experience? Please explain.

Please rate the importance on of the following factors in the college choice for your child. Use a scale from 1 (unimportant) to 5 (very important).

Prestige

Cost

Proximity to home

Rank (e.g., USW&NR, Princeton Review, Forbes, etc.)

Research/internship/co-op opportunities

School Spirit

Specific academic programs

Please use this space to explain your ratings

Are there already specific colleges that are important to you or your child?

Are any of the following concerns for you about the college admissions process? (Check all that apply.)

Admissibility ("getting in")

Application essays

Extra-curriculars

Finding the best fit colleges

High school course selection

Planning college visits

Standardized testing

Summer activity planning

Time management of the process

To what extent is cost a factor in college selection for your family?

Please explain

Is there anything else you want to share before the first session?

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Timestamp

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Last Updated

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Created By

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Updated By

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Draft

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Key